(Circulation. 1999;100:1901-1908.)
© 1999 American Heart Association, Inc.
Basic Science Reports |
From INSERM U.489, Hôpital Tenon, and AP-HP, Laboratoire de Physiologie, Faculté de Médecine St Antoine (J.-C.D.), Paris, France.
BackgroundHypertension is frequently associated with renal vascular fibrosis. The purpose of this study was to investigate whether angiotensin II (Ang II) is involved in this fibrogenic process.
Methods and ResultsExperiments were performed on transgenic mice
harboring the luciferase gene under the control of the collagen
I-
2 chain promoter [procol
2(I)].
Hypertension was induced by chronic inhibition of NO synthesis
(NG-nitro-L-arginine methyl
ester, L-NAME). Procol
2(I) activity started to increase
in the renal vasculature after 4 weeks of L-NAME treatment
(P<0.01) and at 14 weeks reached 3- and 8-fold
increases over control in afferent arterioles and glomeruli,
respectively (P<0.001). Losartan, an
AT1 receptor antagonist, given
simultaneously with L-NAME prevented the increase of
procol
2(I) levels and attenuated the development of
renal vascular fibrosis without normalizing systolic pressure
increase. Because we found previously that endothelin mediated renal
vascular fibrosis in the L-NAME model, the interaction between Ang II,
endothelin, and procol
2(I) was investigated in ex vivo
and short-term in vivo experiments. In both conditions, the Ang
IIinduced activation of procol
2(I) in renal cortex was
blocked by an endothelin receptor antagonist.
ConclusionsDuring chronic inhibition of NO, the collagen I gene becomes activated, leading to the development of renal vascular fibrosis. Ang II is a major player in this fibrogenic process, and its effect on collagen I gene is independent of systemic hemodynamics and is at least partly mediated by the profibrogenic action of endothelin.
Key Words: hypertension kidney collagen angiotensin endothelin
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