Role of connecting tubule glomerular feedback in obesity related renal damage
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| Název: | Role of connecting tubule glomerular feedback in obesity related renal damage |
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| Autoři: | Monu, Sumit R, Maheshwari, Mani, Peterson, Edward L, Carretero, Oscar A |
| Zdroj: | Public Health Sciences Articles |
| Informace o vydavateli: | Henry Ford Health Scholarly Commons |
| Rok vydání: | 2018 |
| Sbírka: | Henry Ford Health System Scholarly Commons |
| Témata: | Animals, Arterial Pressure, Connective Tissue Growth Factor/metabolism, Disease Models, Animal, Feedback, Physiological, Glomerular Filtration Rate, Kidney Diseases/etiology/metabolism/pathology/physiopathology, Kidney Glomerulus/blood supply/metabolism/pathology, Kidney Tubules/metabolism/pathology/physiopathology, Microcirculation, Obesity/complications, Proteinuria/etiology/metabolism/pathology/physiopathology, Rats, Zucker, Renal Circulation, Signal Transduction, Up-Regulation, Ctgf, Tgf, obesity, renal damage |
| Popis: | Zucker obese rats (ZOR) have higher glomerular capillary pressure (PGC) that can cause renal damage. PGC is controlled by afferent (Af-Art) and efferent arteriole (Ef-Art) resistance. Af-Art resistance is regulated by factors that regulate other arterioles, such as myogenic response. In addition, it is also regulated by 2 intrinsic feedback mechanisms: 1) tubuloglomerular feedback (TGF) that causes Af-Art constriction in response to increased NaCl in the macula densa and 2) connecting tubule glomerular feedback (CTGF) that causes Af-Art dilatation in response to an increase in NaCl transport in the connecting tubule via the epithelial sodium channel. Since CTGF is an Af-Art dilatory mechanism, we hypothesized that increased CTGF contributes to TGF attenuation, which in turn increases PGC in ZOR. We performed a renal micropuncture experiment and measured stop-flow pressure (PSF), which is an indirect measurement of PGC in ZOR. Maximal TGF response at 40 nl/min was attenuated in ZOR (4.47 ± 0.60 mmHg) in comparison to the Zucker lean rats (ZLR; 8.54 ± 0.73 mmHg, P < 0.05), and CTGF was elevated in ZOR (5.34 ± 0.87 mmHg) compared with ZLR (1.12 ± 1.28 mmHg, P < 0.05). CTGF inhibition with epithelial sodium channel blocker normalized the maximum PSF change in ZOR indicating that CTGF plays a significant role in TGF attenuation (ZOR, 10.67 ± 1.07 mmHg vs. ZLR, 9.5 ± 1.53 mmHg). We conclude that enhanced CTGF contributes to TGF attenuation in ZOR and potentially contribute to progressive renal damage. |
| Druh dokumentu: | text |
| Jazyk: | unknown |
| Relation: | https://scholarlycommons.henryford.com/publichealthsciences_articles/131; https://libkey.io/libraries/106/gotofulltext/pmid/30303713 |
| Dostupnost: | https://scholarlycommons.henryford.com/publichealthsciences_articles/131 https://libkey.io/libraries/106/gotofulltext/pmid/30303713 |
| Přístupové číslo: | edsbas.E95DF4DE |
| Databáze: | BASE |
| Abstrakt: | Zucker obese rats (ZOR) have higher glomerular capillary pressure (PGC) that can cause renal damage. PGC is controlled by afferent (Af-Art) and efferent arteriole (Ef-Art) resistance. Af-Art resistance is regulated by factors that regulate other arterioles, such as myogenic response. In addition, it is also regulated by 2 intrinsic feedback mechanisms: 1) tubuloglomerular feedback (TGF) that causes Af-Art constriction in response to increased NaCl in the macula densa and 2) connecting tubule glomerular feedback (CTGF) that causes Af-Art dilatation in response to an increase in NaCl transport in the connecting tubule via the epithelial sodium channel. Since CTGF is an Af-Art dilatory mechanism, we hypothesized that increased CTGF contributes to TGF attenuation, which in turn increases PGC in ZOR. We performed a renal micropuncture experiment and measured stop-flow pressure (PSF), which is an indirect measurement of PGC in ZOR. Maximal TGF response at 40 nl/min was attenuated in ZOR (4.47 ± 0.60 mmHg) in comparison to the Zucker lean rats (ZLR; 8.54 ± 0.73 mmHg, P < 0.05), and CTGF was elevated in ZOR (5.34 ± 0.87 mmHg) compared with ZLR (1.12 ± 1.28 mmHg, P < 0.05). CTGF inhibition with epithelial sodium channel blocker normalized the maximum PSF change in ZOR indicating that CTGF plays a significant role in TGF attenuation (ZOR, 10.67 ± 1.07 mmHg vs. ZLR, 9.5 ± 1.53 mmHg). We conclude that enhanced CTGF contributes to TGF attenuation in ZOR and potentially contribute to progressive renal damage. |
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