P2Y2 receptor decreases blood pressure by inhibiting ENaC

Stimulating the Gq-coupled P2Y2 receptor (P2ry2) lowers blood pressure. Global knockout of P2ry2 increases blood pressure. Vascular and renal mechanisms are believed to participate in P2ry2 effects on blood pressure. To isolate the role of the kidneys in P2ry2 effects on blood pressure and to reveal...

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Main Authors: Antonio G. Soares, Jorge Contreras, Elena Mironova, Crystal R. Archer, James D. Stockand, Tarek Mohamed Abd El-Aziz
Format: Article
Language:English
Published: American Society for Clinical investigation 2023-07-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.167704
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author Antonio G. Soares
Jorge Contreras
Elena Mironova
Crystal R. Archer
James D. Stockand
Tarek Mohamed Abd El-Aziz
author_facet Antonio G. Soares
Jorge Contreras
Elena Mironova
Crystal R. Archer
James D. Stockand
Tarek Mohamed Abd El-Aziz
author_sort Antonio G. Soares
collection DOAJ
description Stimulating the Gq-coupled P2Y2 receptor (P2ry2) lowers blood pressure. Global knockout of P2ry2 increases blood pressure. Vascular and renal mechanisms are believed to participate in P2ry2 effects on blood pressure. To isolate the role of the kidneys in P2ry2 effects on blood pressure and to reveal the molecular and cellular mechanisms of this action, we test here the necessity of the P2ry2 and the sufficiency of Gq-dependent signaling in renal principal cells to the regulation of the epithelial Na+ channel (ENaC), sodium excretion, and blood pressure. Activating P2ry2 in littermate controls but not principal cell–specific P2ry2-knockout mice decreased the activity of ENaC in renal tubules. Moreover, deletion of P2ry2 in principal cells abolished increases in sodium excretion in response to stimulation of P2ry2 and compromised the normal ability to excrete a sodium load. Consequently, principal cell–specific knockout of P2ry2 prevented decreases in blood pressure in response to P2ry2 stimulation in the deoxycorticosterone acetate–salt (DOCA-salt) model of hypertension. In wild-type littermate controls, such stimulation decreased blood pressure in this model of hypertension by promoting a natriuresis. Pharmacogenetic activation of Gq exclusively in principal cells using targeted expression of Gq–designer receptors exclusively activated by designer drugs and clozapine N-oxide decreased the activity of ENaC in renal tubules, promoting a natriuresis that lowered elevated blood pressure in the DOCA-salt model of hypertension. These findings demonstrate that the kidneys play a major role in decreasing blood pressure in response to P2ry2 activation and that inhibition of ENaC activity in response to P2ry2-mediated Gq signaling lowered blood pressure by increasing renal sodium excretion.
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spelling doaj.art-5d5dc24c02d7416984fc18d03aff5ff92023-11-07T16:25:53ZengAmerican Society for Clinical investigationJCI Insight2379-37082023-07-01814P2Y2 receptor decreases blood pressure by inhibiting ENaCAntonio G. SoaresJorge ContrerasElena MironovaCrystal R. ArcherJames D. StockandTarek Mohamed Abd El-AzizStimulating the Gq-coupled P2Y2 receptor (P2ry2) lowers blood pressure. Global knockout of P2ry2 increases blood pressure. Vascular and renal mechanisms are believed to participate in P2ry2 effects on blood pressure. To isolate the role of the kidneys in P2ry2 effects on blood pressure and to reveal the molecular and cellular mechanisms of this action, we test here the necessity of the P2ry2 and the sufficiency of Gq-dependent signaling in renal principal cells to the regulation of the epithelial Na+ channel (ENaC), sodium excretion, and blood pressure. Activating P2ry2 in littermate controls but not principal cell–specific P2ry2-knockout mice decreased the activity of ENaC in renal tubules. Moreover, deletion of P2ry2 in principal cells abolished increases in sodium excretion in response to stimulation of P2ry2 and compromised the normal ability to excrete a sodium load. Consequently, principal cell–specific knockout of P2ry2 prevented decreases in blood pressure in response to P2ry2 stimulation in the deoxycorticosterone acetate–salt (DOCA-salt) model of hypertension. In wild-type littermate controls, such stimulation decreased blood pressure in this model of hypertension by promoting a natriuresis. Pharmacogenetic activation of Gq exclusively in principal cells using targeted expression of Gq–designer receptors exclusively activated by designer drugs and clozapine N-oxide decreased the activity of ENaC in renal tubules, promoting a natriuresis that lowered elevated blood pressure in the DOCA-salt model of hypertension. These findings demonstrate that the kidneys play a major role in decreasing blood pressure in response to P2ry2 activation and that inhibition of ENaC activity in response to P2ry2-mediated Gq signaling lowered blood pressure by increasing renal sodium excretion.https://doi.org/10.1172/jci.insight.167704Cell biologyNephrology
spellingShingle Antonio G. Soares
Jorge Contreras
Elena Mironova
Crystal R. Archer
James D. Stockand
Tarek Mohamed Abd El-Aziz
P2Y2 receptor decreases blood pressure by inhibiting ENaC
JCI Insight
Cell biology
Nephrology
title P2Y2 receptor decreases blood pressure by inhibiting ENaC
title_full P2Y2 receptor decreases blood pressure by inhibiting ENaC
title_fullStr P2Y2 receptor decreases blood pressure by inhibiting ENaC
title_full_unstemmed P2Y2 receptor decreases blood pressure by inhibiting ENaC
title_short P2Y2 receptor decreases blood pressure by inhibiting ENaC
title_sort p2y2 receptor decreases blood pressure by inhibiting enac
topic Cell biology
Nephrology
url https://doi.org/10.1172/jci.insight.167704
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