Pathophysiological Implications of Sodium Transporters and Water Channels in the Kidney

신장에서 나트륨 수송체와 수분 통로의 병태생리

Kim, Soo-Wan;Ma, Seong-Kwon;Bae, Eun-Hui;Park, Jeong-Woo;Lee, Jong-Un
김수완;마성권;배은희;박정우;이종은

  • Published : 20090100

Abstract

Renal sodium and water reabsorption occurs through epithelial sodium transporters and aquaporin (AQP) water channels in various segments of tubules. We have demonstrated altered regulation of these transporters and channels in various pathophysiological conditions. In nephrotic syndrome and liver cirrhosis, expression of epithelial sodium channels (ENaC) was increased in the late distal convoluted tubule, connecting tubule, and collecting duct. In spontaneously hypertensive rats, the expression of Na,K-ATPase as well as that of ENaC was increased. In contrast, AQP1-3 and sodium transporters was decreased in the kidney from deoxycorticosterone acetate-salt hypertension. In two-kidney, one clip hypertension, the expression of Na,K-ATPase, NHE3, NKCC2 and ENaC subunits was decreased in the clipped kidney while remained unchanged in the contralateral kidney. We have also shown an increased activity of renal atrial natriuretic peptide system in postobstructive natriuresis/ diuresis. In acute kidney injury (cisplatin-, gentamicin- and ischemia/reperfusion-induced), the expression of Na,K-ATPase, NHE3, NKCC2 and AQP1-3 was decreased. The altered regulation of sodium transporters and AQP may be causally related with various kidney diseases and hypertension.

Keywords

References

  1. Ichikawa I, Rennke HG, Hoyer JR, Badr KF, Schow N, Troy JL, Lechene CP, Brenner BM: Role for intrarenal mechanisms in the impaired salt excretion of experi-mental nephritic syndrome. J Clin Invest 71:91-103, 1983 https://doi.org/10.1172/JCI110756
  2. Kim SW, Wang W, Nielsen J, Praetorius J, Kwon TH, Knepper MA, Frokiaer J, Nielsen S: Increased expres-sion and apical targeting of renal ENaC subunits in puromycin aminonucleoside-induced nephrotic syndrome in rats. Am J Physiol Renal Physiol 286:F922-F935, 2004 https://doi.org/10.1152/ajprenal.00277.2003
  3. de Seigneux S, Kim SW, Hemmingsen SC, Frokiar J, Nielsen S: Increased expression but not targeting of ENaC in adrenalectomized rats with PAN-induced ne-phrotic syndrome. Am J Physiol Renal Physiol 291: F208-F217, 2006 https://doi.org/10.1152/ajprenal.00399.2005
  4. Kim SW, Frokiar J, Nielsen S: Pathogenesis of edema in nephrotic syndrome: Role of epithelial sodium chan-nel. Nephrology 12:S8-S10, 2007 https://doi.org/10.1111/j.1440-1797.2007.00874.x
  5. Kim SW, de Seigneux S, SasseKnepper MA, Frokiaer J, Nielsen S: Increased apical targeting of renal ENaC subunits and decreased expres-sion of 11 $\beta$HSD2 in HgCl2-induced nephrotic syndrome in rats. Am J Physiol Renal Physiol 290:F674-F687, 2006 https://doi.org/10.1152/ajprenal.00084.2005
  6. Kalant N, Das GD, Despointes R, Giroud CJ: Mecha-nisms of edema in experimental nephrosis. Am J Phy-siol 202:91-96, 1962
  7. Pedraza-Chaverri J, Cruz C, Chavez MT, Ibarra-Rubio ME, Tapia E, Pena JC: Pathophysiology of experimen-tal nephrotic syndrome induced by puromicyn aminonu-cleoside in rats. III. Effect of captopril, an angiotensin converting enzyme inhibitor, on proteinuria and sodium retention. Rev Invest Clin 42:210-216, 1990
  8. Funder JW, Pearce PT, Smith R, Smith AI: Mineralo-corticoid action: target tissue specificity is enzyme, not receptor, mediated. Science 242:583-585, 1988 https://doi.org/10.1126/science.2845584
  9. Wilkinson SP, Jowett TP, Slater JD, Arroyo V, Moodie H, Williams R: Renal sodium retention in cirrhosis: rela-tion to aldosterone and nephron site. Clin Sci 56:169- 177, 1979
  10. Perez-Ayuso RM, Arroyo V, Planas R, Gaya J, Bory F, Rimola A, Rivera F, Rodes J: Randomized comparative study of efficacy of furosemide versus spironolactone in nonazotemic cirrhosis with ascites. Relationship between the diuretic response and the activity of the renin-aldosterone system. Gastroenterology 84:961-968, 1983
  11. Kim SW, Schou UK, Peters CD, de Seigneux S, Kwon TH, Knepper MA, Jonassen T, Frokiaer J, Nielsen S: Increased apical targeting of renal ENaC subunits and decreased expression of 11$\beta$HSD2 in rats with CCl4- induced decompensated liver cirrhosis. J Am Soc Nephrol 16:3196-3210, 2005 https://doi.org/10.1681/ASN.2004080721
  12. Kim SW, Wang W, SassenM, Choi KC, Han JS, Knep-per MA, Jonassen T, Frokiaer J, Nielsen S: Biphasic changes of ENaC abundance and trafficking in CBDL induced liver cirrhosis. Kidney Int 69:89-98, 2006 https://doi.org/10.1038/sj.ki.5000018
  13. Vari RC, Freeman RH, Davis JO, Villarreal D, Verburg KM: Effect of synthetic atrial natriuretic factor on aldo-sterone secretion in the rat. Am J Physiol 251:R48-R52, 1986
  14. Xu DL, Martin PY, Ohara M, St. John J, Pattison TA, Meng X, Morris K, Kim JK, Schrier RW: Upregulation of aquaporin-2 water channel expression in chronic heart failure rat. J Clin Invest 99:1500-1505, 1997 https://doi.org/10.1172/JCI119312
  15. Hemmingsen SC, Kim SW, Jonassen TEN, Marples D, Knepper MA, Frokiaer J, Nielsen S: Dysregulation of renal AQP2, ENaC and NHE3 in rats with experiment-ally induced heart failure. Am J Physiol Renal Physiol (in Press)
  16. Beierwaltes WH, Arendshorst WJ, Klemmer PJ: Elec-trolyte and water balance in young spontaneously hy-pertensive rats. Hypertension 4:908-915, 1982 https://doi.org/10.1161/01.HYP.4.6.908
  17. Kim SW, Wang W, Kwon TH, Knepper MA, Frokiaer J, Nielsen S: Increased expression of ENaC subunits and increased apical targeting of AQP2 in the kidneys of spontaneously hypertensive rats. Am J Physiol Renal Physiol 289:F957-F968, 2005 https://doi.org/10.1152/ajprenal.00413.2004
  18. Ma SK, Oh YW, Kim IJ, Bae EH, Lee JU, Choi KC, Kim SW: Decreased expression of Na,K-ATPase in the kidney in rats with two-kidney, one clip hypertension. Korean J Int Med 73::S557-S565, 2007
  19. Cho KW, Kim SH, So JN, Ryu H, Seul KH: Effect of atrial natriuretic peptide on the renal function in two-kidney, one clip hypertensive rats. Korean J Physiol 23:67-78, 1989
  20. Lee JU, Oh YW, Kim SW: Altered renal expression of aquaporin-2 water channels in rats with experimental two-kidney, one-clip hypertension. J Korean Med Sci 16:462-466, 2001
  21. Kim SW, Lee JU, Oh YW, Li YS, Kim NH, Choi KC: Differential Regulation of Atrial Natriuretic Peptide in Clipped and Contralateral Kidneys in Two-Kidney, One Clip Hypertension. Korean J Nephrol 21:728-733, 2002
  22. Lee JU, Kang DG, Kook H, Kim IK, Oh BS: Differenti-ally altered vascular guanylate cyclase isoforms in experimental hypertensive rats. J Korean Med Sci 14: 386-392, 1999
  23. Bae EH, Kim IJ, Ma SK, Kim SW: Renal tubular sodium transporters and natriuretic peptide system during esca-pe from mineralocorticoid excess in DOCA-salt hypertensive rats. (submitted)
  24. Ma SK, Nam KI, Kim SW, Bae EH, Choi KC, Lee J: Increased renal expression of aquaporin-3 in rats inhibited type 2 11beta-hydroxysteroid dehydrogenase. Kidney Blood Press Res 30:8-14, 2007 https://doi.org/10.1159/000098435
  25. Ma SK, Bae EH, Kim IJ, Choi KC, Kim SH, Lee J, Kim SW: Increased renal expression of nitric oxide synthase and atrial natriuretic peptide in rats with glycyrrhizic- acid-induced hypertension. Phytother Res 23:206-211, 2009 https://doi.org/10.1002/ptr.2588
  26. Baylis C, Mitruka B, Deng A: Chronic blockade of nitric oxide synthesis in the rat produces systemic hyperten-sion and glomerular damage. J Clin Invest 90:278-281, 1992 https://doi.org/10.1172/JCI115849
  27. Kim JS, Choi KC, Jeong MH, Kim SW, Oh YW, Lee JU: Increased expression of sodium transporters in rats chronically inhibited of nitric oxide synthesis. J Korean Med Sci 21:1-4, 2006 https://doi.org/10.3346/jkms.2006.21.1.1
  28. Lee JU, Lee SH, Kang DG, Kim SW: Effects of nitric oxide synthesis inhibition on the atrial natriuretic peptide system. Pharmacol Res 42:275-279, 2000 https://doi.org/10.1006/phrs.2000.0687
  29. Lee JU, Kim SM, Oh YW, Ryu SY, Kim SW:tion of vascular renin-angiotensin and endothelin sys-tems in rats inhibited of nitric oxide synthesis. Phar-macol Res 46:383-387, 2002 https://doi.org/10.1016/S1043661802001731
  30. Lee JU, Kim SW, Jung TK, Oh YW, Park CS, Kim NH, Choi KC: Indomethacin decreases partuculate guanylyl cyclase activity in rat kidney. Clin Exp Pharmacol Phy-siol 31:207-211, 2004 https://doi.org/10.1111/j.1440-1681.2004.03978.x
  31. Kim SW, Kim JW, Choi KC, Ma SK, Oh YW, Jung JY, Kim J, Lee JU: Indomethacin enhances shittling of aquaporin-2 despite decreased abundance in rat kidney. J Am Soc Nephrol 15:2998-3005, 2004 https://doi.org/10.1097/01.ASN.0000145877.28811.82
  32. Kim SW, Lee JU, Jung K, Ma SK, Oh Y, Kim WY, Choi KC, Kim J: Diminished expression of sodium transporters in the ureteral obstructed kidney in rats. Nephron Exp Nephrol 96:e67-e76, 2004 https://doi.org/10.1159/000076748
  33. Kim GH, Masilamani S, Turner R, Mitchell C, Wade JB, Knepper MA: The thiazide-sensitive Na-Cl cotran-sporter is an aldosterone-induced protein. Proc Natl Acad Sci USA 95:14552-14557, 1998 https://doi.org/10.1073/pnas.95.24.14552
  34. Clarke NW, Jones DA, Tames F, Laing I, George NJ: Disturbance in sodium regulating hormones in chronic obstructive uropathy. Br J Urol 68:118-121, 1991 https://doi.org/10.1111/j.1464-410X.1991.tb15277.x
  35. Kim SW, Lee JU, Park JW, Hong JH, Kook H, Choi C, Choi KC: Increased expression of atrial natriuretic peptide in the kidney of rats with bilateral ureteral obstruction. Kidney Int 59:1274-1282, 2001 https://doi.org/10.1046/j.1523-1755.2001.0590041274.x
  36. Kim SW, Lee JU, Choi KC: Increased expression of atrial natriuretic peptide in ureteral obstructed kidneys in rats. Scand J Urol Nephrol 35:163-168, 2001 https://doi.org/10.1080/003655901750291890
  37. Bae EH, Kim IJ, Park JW, Ma SK, Choi KC, Lee JU, Kim SW: Altered regulation of renin-angiotensin, endo-thelin and natriuretic peptide systems in rat kidney with chronic unilateral ureteral obstruction. Urol Int 78:170- 176, 2007
  38. Kim SW, Li Y, Kim S, Oh YW, Lee JU: Local renal and vascular natriuretic peptide system in obstructive uro-pathic rats. Urol Res 30:97-101, 2002 https://doi.org/10.1007/s00240-002-0242-9
  39. Singer DR, Shore AC, Markandu ND, Buckley MG, Sagnella GA, MacGregor GA: Dissociation between plasma atrial natriuretic peptide levels and urinary sodium excretion after intravenous saline infusion in normal man. Clin Sci 73:285-289, 1987
  40. Kim SW, Lee JU, Kim SZ, Choi KC, Kim NH, Cho KW: Enhanced dendroaspis natriuretic peptide immuno-reactivity in experimental ureteral obstruction. Nephron 92:369-372, 2002 https://doi.org/10.1159/000063302
  41. Kim SW, Cho SH, Oh BS, Yeum CH, Choi KC, Ahn KY, Lee J: Diminished renal expression of aquaporin water channels in rats with experimental bilateral ure-teral obstruction. J Am Soc Nephrol 12:2019-2028, 2001
  42. Yeum CH, Kim SW, Lee SC, Choi KC, Ahn KY, Lee J: Diminished expression of aquaporin water channels in ureteral-obstructed kidney in rats. Scan J Urol Nephrol 37:99-105, 2003 https://doi.org/10.1080/00365590310008811
  43. Jensen AM, Bae EH, Fenton RA, Noregaard R, Nielsen S, Kim SW, Frokiaer J: Angiotensin II regulates V2 receptor and pAQP2 during ureteral obstruction. Am J Physiol Renal Physiol 296:F127-134, 2009 https://doi.org/10.1152/ajprenal.90479.2008
  44. Kim SW, Jeon YS, Lee JU, Kang DG, Kook H, Ahn KY, Kim SZ, Cho KW, Choi KC: Diminished adenylate cyclase activity and aquaporin 2 expression in acute renal failure rats. Kidney Int 57:1643-1650, 2000 https://doi.org/10.1046/j.1523-1755.2000.00008.x
  45. Nath KA, Norby SM: Reactive oxygen species and acute renal failure. Am J Med 109:665-678, 2000 https://doi.org/10.1016/S0002-9343(00)00612-4
  46. Bae EH, Lee KS, Lee J, Ma SK, Kim NH, Choi KC, Frokiaer J, Nielsen S Kim SY, Kim SZ, Kim SH, Kim SW: Effects of alpha-lipoic acid on ischemia-reperfu-sion-induced renal dysfunction in rats. Am J Physiol Renal Physiol 294: F272-280, 2008
  47. Bae EH, Kim SW: Altered regulation of nitric oxide synthase and guanylyl cyclase activity in rats with ischemia/reperfusion renal injury. Korean J Physiol Pharmacol 10:337-341, 2006
  48. Kim SW, Lee JU, Na MY, Kang DG, Ahn KY, Lee HS, Choi KC: Cisplatin decreases the abundance of aquaporin water channels in rat kidney. J Am Soc Nephrol 12:875-882, 2001
  49. Bae EH, Lee JU, Ma SK, Kim IJ, Frokiaer J, Nielsen S, Kim SY, Kim SW: alpha-lipoic acid prevents cisplatin- induced kidney injury in rats. Nephrol Dial Transplant (in press)
  50. Bae EH, Oh YW, Park JW, Ma SK, Choi KC, Lee J, Kim SH, Kim SW. Gentamicin decreases guanylyl cyclase activity in rat glomerulus. Kidney Blood Press Res 30:81-87, 2007 https://doi.org/10.1159/000100010
  51. Bae EH, Kim IJ, Oh YW, Bae YK, Park JW, Ma SK, Kim NH, Choi KC, Lee J, Kim SH, Kim SW. Increased expression of endothelin-1 and CYP11B2 in gentamicin- induced nephropathy in rat jidney. Korean J Nephrol 26:660-668, 2007
  52. Sassen MC, Kim SW, Kwon TH, Knepper MA, Miller RT, Frokiaer J, Nielsen S: Dysregulation of renal sodium transporters in gentamicin-treated rats. Kidney Int 70: 1026-1037, 2006 https://doi.org/10.1038/sj.ki.5001654
  53. Bae WK, Park JW, Bae EH, Ma SK, Lee JU, Kim SH, Kim SW: Decreased expression of NHE3, NBC1, Na, K-ATPase, AQP1 and OATs in gentamicin induced nephropathy. Korean J Physiol Pharmacol 12:331-336, 2008 https://doi.org/10.4196/kjpp.2008.12.6.331
  54. Lee JU, Yoo KS, Kang DG, Kim SW, Choi KC: Genta-micin decreases the abundance of aquaporin water channels in rat kidney. Jpn J Pharmacol 85:391-398, 2001 https://doi.org/10.1254/jjp.85.391
  55. Park JW, Bae EH, Kim IJ, Ma SK, Lee JU, Renoprotective effects of paricalcitol on gentamicin- induced nephropathy in rats. (submitted)
  56. Kim SW, Yeum CH, Kim SM, Oh YW, Choi KC, Lee JU: Amphotericin B decreases adenylyl cyclase activity and aquaporin-2 expression in rat kidney. J Lab Clin Med 138:243-249, 2001 https://doi.org/10.1067/mlc.2001.117826
  57. Lee JU, Ha JH, Kim SM, Oh YW, Kim SW: Caffeine decreases the expression of Na+/K+-ATPase and the type 3 Na+/H+ exchanger in rat kidney. Clin Exp Phar-macol Physiol 29:559-563, 2002 https://doi.org/10.1046/j.1440-1681.2002.03697.x
  58. Ma SK, Kang JS, Bae EH, Choi C, Lee J, Kim SH, Choi KC, Kim SW: Effects of volume depletion and NaHCO3 loading on the expression of Na+/H+ exchanger isoform 3, Na+: HCO3- cotransporter type 1 and nitric oxide synthase in rat kidney. Clin Exp Pharmacol Physiol 35:262-267, 2008 https://doi.org/10.1111/j.1440-1681.2007.04837.x
  59. Wang T, Inglis FM, Kalb RG: Defective fluid and HCO3- absorption in proximal tubule of neuronal nitric oxide synthase-knockout mice. Am J Physiol Renal Physiol 279:F518-F524, 2000
  60. Wang T: Role of iNOS and eNOS in modulating proxi-mal tubule transport and acid-base balance. Am J Physiol Renal Physiol 283:F658-F662, 2002