Key result
Angiotensin II triples renal ET-1 expression, which is normalized by ETA receptor blockade.
Why the study?
The in vivo effects of angiotensin II on endothelin-1 production and uptake in renal and myocardial tissues and the modulation by ETA receptor antagonism were unclear.
Absolute Event Rate: 58% vs 19%
p-value: p=<0.05
Angiotensin II selectively activates the endothelin system in the kidney but not the ventricular myocardium in vivo, an effect reversible by ETA receptor antagonism.
ETA antagonism may offset Ang II effects in models; hypothesis-generating for ET-1 pathways in hypertension, pending human data.
Angiotensin II (Ang II) stimulates endothelin-1 (ET-1) production in glomerular endothelial and mesangial cells and in cardiac fibroblasts in vitro. We investigated the effects of Ang II in vivo (200 ng/kg/min for 2 weeks) with or without the ETA receptor antagonist LU135252 (50 mg/kg/day) on blood pressure, renal and myocardial ET-1 protein expression, and [125I]ET-1 uptake in male Wistar-Kyoto (WKY) rats. ET-1 was extracted from whole kidneys and ventricular myocardium and was measured by radioimmunoassay (pg ET-1/g tissue). Organ tissue uptake was calculated as percentage of total DPM recovered after i.v. administration of radiolabeled [125I]ET-1. Ang II treatment increased blood pressure by 35 +/- 3 mm Hg, which was partly reduced by LU135252 (15 +/- 2 mm Hg, p < 0.05). LU135252 in part prevented the impaired weight gain induced by Ang II (p < 0.05). Ang II induced a threefold increase in expression of ET-1 (pg/g tissue) in kidneys (from 19 +/- 2 to 58 +/- 10, p < 0.05), which was normalized by LU135252 (20 +/- 9, p < 0.05). In myocardial tissue, Ang II had only minor effects (5 +/- 1 vs. 3.6 +/- 1, n.s.). However, concomitant LU135252 treatment reduced myocardial ET-1 levels (1.4 +/- 0.4, p < 0.05 vs. Ang II and control). Ang II increased uptake of [125I]ET-1 in kidneys (from 6.9 +/- 0.1% to 10.9 +/- 0.9% of total DPM, p < 0.05) but not in myocardium (1.45 +/- 0.26% vs. 1.59 +/- 0.18% of total DPM), which was unaffected by LU135252 treatment. These data suggest that the kidney, but not the ventricular myocardium, is a target for Ang II-mediated activation of the ET system in vivo, leading to expression and uptake of ET-1. ETA antagonists may provide a new approach to inhibit production and effects of ET-1 in diseases associated with increased activity of the renin-angiotensin system.
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Barton et al. (1998) studied this question. Angiotensin II +/- LU135252 vs. Control was evaluated on Renal ET-1 protein expression (pg/g tissue) (p=<0.05). Angiotensin II increased renal ET-1 expression (from 19 to 58 pg/g, p<0.05) and blood pressure, which were normalized or reduced by the ETA receptor antagonist LU135252.
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