Physiopathological implications of P2X1 and P2X7 receptors in regulation of glomerular hemodynamics in angiotensin II-induced hypertension

Am J Physiol Renal Physiol. 2017 Jul 1;313(1):F9-F19. doi: 10.1152/ajprenal.00663.2016. Epub 2017 Apr 12.

Abstract

Deleterious effects of purinergic P2X1 and P2X7 receptors (P2XRs) in ANG II-dependent hypertension include increased renal vascular resistance, and impaired autoregulation and pressure natriuresis. However, their specific effects on the determinants of glomerular hemodynamics remain incompletely delineated. To investigate the P2XR contributions to altered glomerular hemodynamics in hypertension, the effects of acute blockade of P2X1R, P2X7R, and P2X4R with NF449, A438079, and PSB12054, respectively, were evaluated in ANG II-infused rats (435 ng·kg-1·min-1). P2X1R or P2X7R blockade reduced afferent (6.85 ± 1.05 vs. 2.37 ± 0.20 dyn·s-1·cm-5) and efferent (2.85 ± 0.38 vs. 0.99 ± 0.07 dyn·s-1·cm-5) arteriolar resistances, leading to increases in glomerular plasma flow (75.82 ± 5.58 vs. 206.7 ± 16.38 nl/min), ultrafiltration coefficient (0.0198 ± 0.0024 vs. 0.0512 ± 0.0046 nl·min-1·mmHg-1), and single-nephron glomerular filtration rate (22.73 ± 2.02 vs. 51.56 ± 3.87 nl/min) to near normal values. Blockade of P2X4R did not elicit effects in hypertensive rats. In normotensive sham-operated rats, only the P2X1R antagonist caused an increase plasma flow and single-nephron glomerular filtration rate, whereas the P2X4R antagonist induced glomerular vasoconstriction that was consistent with evidence that P2X4R stimulation increases release of nitric oxide from endothelial cells. Mean arterial pressure remained unchanged in both hypertensive and normotensive groups. Western blot analysis showed overexpression of P2X1R, P2X7R, and P2X4R proteins in hypertensive rats. Whereas it has been generally assumed that the altered glomerular vascular resistances in ANG II hypertension are due to AT1 receptor-mediated vasoconstriction, these data indicate a predominant P2X1R and P2X7R control of glomerular hemodynamics in ANG II hypertension.

Keywords: ATP; P2X antagonists; angiotensin II-induced hypertension; glomerular hemodynamics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiotensin II*
  • Animals
  • Arterial Pressure
  • Disease Models, Animal
  • Endothelial Cells / metabolism
  • Hemodynamics* / drug effects
  • Hypertension / chemically induced
  • Hypertension / metabolism*
  • Hypertension / physiopathology
  • Kidney Glomerulus / blood supply*
  • Kidney Glomerulus / drug effects
  • Kidney Glomerulus / metabolism*
  • Male
  • Nitric Oxide / metabolism
  • Proteinuria / chemically induced
  • Proteinuria / metabolism
  • Proteinuria / physiopathology
  • Purinergic P2X Receptor Antagonists / pharmacology
  • Rats, Wistar
  • Receptors, Purinergic P2X1 / drug effects
  • Receptors, Purinergic P2X1 / metabolism*
  • Receptors, Purinergic P2X4 / drug effects
  • Receptors, Purinergic P2X4 / metabolism
  • Receptors, Purinergic P2X7 / drug effects
  • Receptors, Purinergic P2X7 / metabolism*
  • Renal Circulation* / drug effects
  • Renal Plasma Flow
  • Signal Transduction
  • Vasoconstriction

Substances

  • P2rx4 protein, rat
  • P2rx7 protein, rat
  • Purinergic P2X Receptor Antagonists
  • Receptors, Purinergic P2X1
  • Receptors, Purinergic P2X4
  • Receptors, Purinergic P2X7
  • Angiotensin II
  • Nitric Oxide