Role of 11β-hydroxysteroid dehydrogenase 2 renal activity in potassium homeostasis in rats with chronic renal failure

Aldosterone concentrations vary in advanced chronic renal failure (CRF). The isozyme 11β-hydroxysteroid dehydrogenase 2 (11β-HSD2), which confers aldosterone specificity for mineralocorticoid receptors in distal tubules and collecting ducts, has been reported to be decreased or nor...

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Main Authors: N.L. Yeyati, M.E. Altuna, M.C. Damasco, M.A. Mac Laughlin
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2010-01-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2010000100008
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author N.L. Yeyati
M.E. Altuna
M.C. Damasco
M.A. Mac Laughlin
author_facet N.L. Yeyati
M.E. Altuna
M.C. Damasco
M.A. Mac Laughlin
author_sort N.L. Yeyati
collection DOAJ
description Aldosterone concentrations vary in advanced chronic renal failure (CRF). The isozyme 11&#946;-hydroxysteroid dehydrogenase 2 (11&#946;-HSD2), which confers aldosterone specificity for mineralocorticoid receptors in distal tubules and collecting ducts, has been reported to be decreased or normal in patients with renal diseases. Our objective was to determine the role of aldosterone and 11&#946;-HSD2 renal microsome activity, normalized for glomerular filtration rate (GFR), in maintaining K+ homeostasis in 5/6 nephrectomized rats. Male Wistar rats weighing 180-220 g at the beginning of the study were used. Rats with experimental CRF obtained by 5/6 nephrectomy (N = 9) and sham rats (N = 10) were maintained for 4 months. Systolic blood pressure and plasma creatinine (Pcr) concentration were measured at the end of the experiment. Sodium and potassium excretion and GFR were evaluated before and after spironolactone administration (10 mg·kg-1·day-1 for 7 days) and 11&#946;-HSD2 activity on renal microsomes was determined. Systolic blood pressure (means &#177; SEM; Sham = 105 &#177; 8 and CRF = 149 &#177; 10 mmHg) and Pcr (Sham = 0.42 &#177; 0.03 and CRF = 2.53 &#177; 0.26 mg/dL) were higher (P < 0.05) while GFR (Sham = 1.46 &#177; 0.26 and CRF = 0.61 &#177; 0.06 mL/min) was lower (P < 0.05) in CRF, and plasma aldosterone (Pald) was the same in the two groups. Urinary sodium and potassium excretion was similar in the two groups under basal conditions but, after spironolactone treatment, only potassium excretion was decreased in CRF rats (sham = 0.95 &#177; 0.090 (before) vs 0.89 &#177; 0.09 µEq/min (after) and CRF = 1.05 &#177; 0.05 (before) vs 0.37 &#177; 0.07 µEq/min (after); P < 0.05). 11&#946;-HSD2 activity on renal microsomes was lower in CRF rats (sham = 0.807 &#177; 0.09 and CRF = 0.217 &#177; 0.07 nmol·min-1·mg protein-1; P < 0.05), although when normalized for mL GFR it was similar in both groups. We conclude that K+ homeostasis is maintained during CRF development despite normal Pald levels. This adaptation may be mediated by renal 11&#946;-HSD2 activity, which, when normalized for GFR, became similar to that of control rats, suggesting that mineralocorticoid receptors maintain their aldosterone selectivity.
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spelling doaj.art-b8f9936eb6124859bab6c4a7a79800dc2022-12-21T22:48:59ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X1414-431X2010-01-014315256Role of 11&#946;-hydroxysteroid dehydrogenase 2 renal activity in potassium homeostasis in rats with chronic renal failureN.L. YeyatiM.E. AltunaM.C. DamascoM.A. Mac LaughlinAldosterone concentrations vary in advanced chronic renal failure (CRF). The isozyme 11&#946;-hydroxysteroid dehydrogenase 2 (11&#946;-HSD2), which confers aldosterone specificity for mineralocorticoid receptors in distal tubules and collecting ducts, has been reported to be decreased or normal in patients with renal diseases. Our objective was to determine the role of aldosterone and 11&#946;-HSD2 renal microsome activity, normalized for glomerular filtration rate (GFR), in maintaining K+ homeostasis in 5/6 nephrectomized rats. Male Wistar rats weighing 180-220 g at the beginning of the study were used. Rats with experimental CRF obtained by 5/6 nephrectomy (N = 9) and sham rats (N = 10) were maintained for 4 months. Systolic blood pressure and plasma creatinine (Pcr) concentration were measured at the end of the experiment. Sodium and potassium excretion and GFR were evaluated before and after spironolactone administration (10 mg·kg-1·day-1 for 7 days) and 11&#946;-HSD2 activity on renal microsomes was determined. Systolic blood pressure (means &#177; SEM; Sham = 105 &#177; 8 and CRF = 149 &#177; 10 mmHg) and Pcr (Sham = 0.42 &#177; 0.03 and CRF = 2.53 &#177; 0.26 mg/dL) were higher (P < 0.05) while GFR (Sham = 1.46 &#177; 0.26 and CRF = 0.61 &#177; 0.06 mL/min) was lower (P < 0.05) in CRF, and plasma aldosterone (Pald) was the same in the two groups. Urinary sodium and potassium excretion was similar in the two groups under basal conditions but, after spironolactone treatment, only potassium excretion was decreased in CRF rats (sham = 0.95 &#177; 0.090 (before) vs 0.89 &#177; 0.09 µEq/min (after) and CRF = 1.05 &#177; 0.05 (before) vs 0.37 &#177; 0.07 µEq/min (after); P < 0.05). 11&#946;-HSD2 activity on renal microsomes was lower in CRF rats (sham = 0.807 &#177; 0.09 and CRF = 0.217 &#177; 0.07 nmol·min-1·mg protein-1; P < 0.05), although when normalized for mL GFR it was similar in both groups. We conclude that K+ homeostasis is maintained during CRF development despite normal Pald levels. This adaptation may be mediated by renal 11&#946;-HSD2 activity, which, when normalized for GFR, became similar to that of control rats, suggesting that mineralocorticoid receptors maintain their aldosterone selectivity.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2010000100008Aldosterone5/6 Nephrectomy11&#946;-HSD2Potassium excretion
spellingShingle N.L. Yeyati
M.E. Altuna
M.C. Damasco
M.A. Mac Laughlin
Role of 11&#946;-hydroxysteroid dehydrogenase 2 renal activity in potassium homeostasis in rats with chronic renal failure
Brazilian Journal of Medical and Biological Research
Aldosterone
5/6 Nephrectomy
11&#946;-HSD2
Potassium excretion
title Role of 11&#946;-hydroxysteroid dehydrogenase 2 renal activity in potassium homeostasis in rats with chronic renal failure
title_full Role of 11&#946;-hydroxysteroid dehydrogenase 2 renal activity in potassium homeostasis in rats with chronic renal failure
title_fullStr Role of 11&#946;-hydroxysteroid dehydrogenase 2 renal activity in potassium homeostasis in rats with chronic renal failure
title_full_unstemmed Role of 11&#946;-hydroxysteroid dehydrogenase 2 renal activity in potassium homeostasis in rats with chronic renal failure
title_short Role of 11&#946;-hydroxysteroid dehydrogenase 2 renal activity in potassium homeostasis in rats with chronic renal failure
title_sort role of 11 946 hydroxysteroid dehydrogenase 2 renal activity in potassium homeostasis in rats with chronic renal failure
topic Aldosterone
5/6 Nephrectomy
11&#946;-HSD2
Potassium excretion
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2010000100008
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