Imbalance in Renal Vasoactive Enzymes Induced by Mild Hypoxia: Angiotensin-Converting Enzyme Increases While Neutral Endopeptidase Decreases

Chronic hypoxia has been postulated as one of the mechanisms involved in salt-sensitive hypertension and chronic kidney disease (CKD). Kidneys have a critical role in the regulation of arterial blood pressure through vasoactive systems, such as the renin-angiotensin and the kallikrein–kinin systems,...

Full description

Bibliographic Details
Main Authors: Carlos P. Vio, Daniela Salas, Carlos Cespedes, Jessica Diaz-Elizondo, Natalia Mendez, Julio Alcayaga, Rodrigo Iturriaga
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-12-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphys.2018.01791/full
_version_ 1819084731082342400
author Carlos P. Vio
Carlos P. Vio
Daniela Salas
Carlos Cespedes
Jessica Diaz-Elizondo
Natalia Mendez
Natalia Mendez
Julio Alcayaga
Rodrigo Iturriaga
author_facet Carlos P. Vio
Carlos P. Vio
Daniela Salas
Carlos Cespedes
Jessica Diaz-Elizondo
Natalia Mendez
Natalia Mendez
Julio Alcayaga
Rodrigo Iturriaga
author_sort Carlos P. Vio
collection DOAJ
description Chronic hypoxia has been postulated as one of the mechanisms involved in salt-sensitive hypertension and chronic kidney disease (CKD). Kidneys have a critical role in the regulation of arterial blood pressure through vasoactive systems, such as the renin-angiotensin and the kallikrein–kinin systems, with the angiotensin-converting enzyme (ACE) and kallikrein being two of the main enzymes that produce angiotensin II and bradykinin, respectively. Neutral endopeptidase 24.11 or neprilysin is another enzyme that among its functions degrade vasoactive peptides including angiotensin II and bradykinin, and generate angiotensin 1–7. On the other hand, the kidneys are vulnerable to hypoxic injury due to the active electrolyte transportation that requires a high oxygen consumption; however, the oxygen supply is limited in the medullary regions for anatomical reasons. With the hypothesis that the chronic reduction of oxygen under normobaric conditions would impact renal vasoactive enzyme components and, therefore; alter the normal balance of the vasoactive systems, we exposed male Sprague-Dawley rats to normobaric hypoxia (10% O2) for 2 weeks. We then processed renal tissue to identify the expression and distribution of kallikrein, ACE and neutral endopeptidase 24.11 as well as markers of kidney damage. We found that chronic hypoxia produced focal damage in the kidney, mainly in the cortico-medullary region, and increased the expression of osteopontin. Moreover, we observed an increase of ACE protein in the brush border of proximal tubules at the outer medullary region, with increased mRNA levels. Kallikrein abundance did not change significantly with hypoxia, but a tendency toward reduction was observed at protein and mRNA levels. Neutral endopeptidase 24.11 was localized in proximal tubules, and was abundantly expressed under normoxic conditions, which markedly decreased both at protein and mRNA levels with chronic hypoxia. Taken together, our results suggest that chronic hypoxia produces focal kidney damage along with an imbalance of key components of the renal vasoactive system, which could be the initial steps for a long-term contribution to salt-sensitive hypertension and CKD.
first_indexed 2024-12-21T20:53:07Z
format Article
id doaj.art-3f343e2c61a54576b7d3e14eee03bab2
institution Directory Open Access Journal
issn 1664-042X
language English
last_indexed 2024-12-21T20:53:07Z
publishDate 2018-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Physiology
spelling doaj.art-3f343e2c61a54576b7d3e14eee03bab22022-12-21T18:50:40ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2018-12-01910.3389/fphys.2018.01791410894Imbalance in Renal Vasoactive Enzymes Induced by Mild Hypoxia: Angiotensin-Converting Enzyme Increases While Neutral Endopeptidase DecreasesCarlos P. Vio0Carlos P. Vio1Daniela Salas2Carlos Cespedes3Jessica Diaz-Elizondo4Natalia Mendez5Natalia Mendez6Julio Alcayaga7Rodrigo Iturriaga8Department of Physiology, Center for Aging and Regeneration CARE UC, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, ChileFacultad de Medicina y Ciencia, Universidad San Sebastián, Santiago, ChileDepartment of Physiology, Center for Aging and Regeneration CARE UC, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Physiology, Center for Aging and Regeneration CARE UC, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Physiology, Center for Aging and Regeneration CARE UC, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Physiology, Center for Aging and Regeneration CARE UC, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, ChileInstitute of Anatomy, Histology, and Pathology, Facultad de Medicina, Universidad Austral de Chile, Valdivia, ChileLaboratorio de Fisiología Celular, Departamento de Biología, Facultad de Ciencias, Universidad de Chile, Santiago, ChileLaboratorio de Neurobiología, Department of Physiology, Facultad de Ciencias Biológicas, Pontificia Universidad Católica de Chile, Santiago, ChileChronic hypoxia has been postulated as one of the mechanisms involved in salt-sensitive hypertension and chronic kidney disease (CKD). Kidneys have a critical role in the regulation of arterial blood pressure through vasoactive systems, such as the renin-angiotensin and the kallikrein–kinin systems, with the angiotensin-converting enzyme (ACE) and kallikrein being two of the main enzymes that produce angiotensin II and bradykinin, respectively. Neutral endopeptidase 24.11 or neprilysin is another enzyme that among its functions degrade vasoactive peptides including angiotensin II and bradykinin, and generate angiotensin 1–7. On the other hand, the kidneys are vulnerable to hypoxic injury due to the active electrolyte transportation that requires a high oxygen consumption; however, the oxygen supply is limited in the medullary regions for anatomical reasons. With the hypothesis that the chronic reduction of oxygen under normobaric conditions would impact renal vasoactive enzyme components and, therefore; alter the normal balance of the vasoactive systems, we exposed male Sprague-Dawley rats to normobaric hypoxia (10% O2) for 2 weeks. We then processed renal tissue to identify the expression and distribution of kallikrein, ACE and neutral endopeptidase 24.11 as well as markers of kidney damage. We found that chronic hypoxia produced focal damage in the kidney, mainly in the cortico-medullary region, and increased the expression of osteopontin. Moreover, we observed an increase of ACE protein in the brush border of proximal tubules at the outer medullary region, with increased mRNA levels. Kallikrein abundance did not change significantly with hypoxia, but a tendency toward reduction was observed at protein and mRNA levels. Neutral endopeptidase 24.11 was localized in proximal tubules, and was abundantly expressed under normoxic conditions, which markedly decreased both at protein and mRNA levels with chronic hypoxia. Taken together, our results suggest that chronic hypoxia produces focal kidney damage along with an imbalance of key components of the renal vasoactive system, which could be the initial steps for a long-term contribution to salt-sensitive hypertension and CKD.https://www.frontiersin.org/article/10.3389/fphys.2018.01791/fullrenal hypoxiakallikreinangiotensin-converting enzymeneprilysinneutral endopeptidasesubtle renal injury
spellingShingle Carlos P. Vio
Carlos P. Vio
Daniela Salas
Carlos Cespedes
Jessica Diaz-Elizondo
Natalia Mendez
Natalia Mendez
Julio Alcayaga
Rodrigo Iturriaga
Imbalance in Renal Vasoactive Enzymes Induced by Mild Hypoxia: Angiotensin-Converting Enzyme Increases While Neutral Endopeptidase Decreases
Frontiers in Physiology
renal hypoxia
kallikrein
angiotensin-converting enzyme
neprilysin
neutral endopeptidase
subtle renal injury
title Imbalance in Renal Vasoactive Enzymes Induced by Mild Hypoxia: Angiotensin-Converting Enzyme Increases While Neutral Endopeptidase Decreases
title_full Imbalance in Renal Vasoactive Enzymes Induced by Mild Hypoxia: Angiotensin-Converting Enzyme Increases While Neutral Endopeptidase Decreases
title_fullStr Imbalance in Renal Vasoactive Enzymes Induced by Mild Hypoxia: Angiotensin-Converting Enzyme Increases While Neutral Endopeptidase Decreases
title_full_unstemmed Imbalance in Renal Vasoactive Enzymes Induced by Mild Hypoxia: Angiotensin-Converting Enzyme Increases While Neutral Endopeptidase Decreases
title_short Imbalance in Renal Vasoactive Enzymes Induced by Mild Hypoxia: Angiotensin-Converting Enzyme Increases While Neutral Endopeptidase Decreases
title_sort imbalance in renal vasoactive enzymes induced by mild hypoxia angiotensin converting enzyme increases while neutral endopeptidase decreases
topic renal hypoxia
kallikrein
angiotensin-converting enzyme
neprilysin
neutral endopeptidase
subtle renal injury
url https://www.frontiersin.org/article/10.3389/fphys.2018.01791/full
work_keys_str_mv AT carlospvio imbalanceinrenalvasoactiveenzymesinducedbymildhypoxiaangiotensinconvertingenzymeincreaseswhileneutralendopeptidasedecreases
AT carlospvio imbalanceinrenalvasoactiveenzymesinducedbymildhypoxiaangiotensinconvertingenzymeincreaseswhileneutralendopeptidasedecreases
AT danielasalas imbalanceinrenalvasoactiveenzymesinducedbymildhypoxiaangiotensinconvertingenzymeincreaseswhileneutralendopeptidasedecreases
AT carloscespedes imbalanceinrenalvasoactiveenzymesinducedbymildhypoxiaangiotensinconvertingenzymeincreaseswhileneutralendopeptidasedecreases
AT jessicadiazelizondo imbalanceinrenalvasoactiveenzymesinducedbymildhypoxiaangiotensinconvertingenzymeincreaseswhileneutralendopeptidasedecreases
AT nataliamendez imbalanceinrenalvasoactiveenzymesinducedbymildhypoxiaangiotensinconvertingenzymeincreaseswhileneutralendopeptidasedecreases
AT nataliamendez imbalanceinrenalvasoactiveenzymesinducedbymildhypoxiaangiotensinconvertingenzymeincreaseswhileneutralendopeptidasedecreases
AT julioalcayaga imbalanceinrenalvasoactiveenzymesinducedbymildhypoxiaangiotensinconvertingenzymeincreaseswhileneutralendopeptidasedecreases
AT rodrigoiturriaga imbalanceinrenalvasoactiveenzymesinducedbymildhypoxiaangiotensinconvertingenzymeincreaseswhileneutralendopeptidasedecreases