Protein phosphatase 2A (PP2A) B55α is required for angiotensin type 2 receptor (AT 2 R) natriuretic signaling and AT 2 R intracellular trafficking in renal proximal tubule cells (RPTCs). RPTC PP2A B55α is thus a key AT 2 R signaling intermediate and potential therapeutic target to promote sodium excretion in hypertensive individuals. This study introduces knocking down B55α in vivo specifically in RPTCs using renal interstitial infusion of siRNA as a novel and unique approach to investigate physiological protein function in the kidney.

Background: Sorting nexin 19 (SNX19) is important in the localization and trafficking of the dopamine D1 receptor (D1R) to lipid raft microdomains. However, the interaction between SNX19 and the lipid raft components caveolin-1 or flotillin-1 and, in particular, their roles in the cellular endocytosis and cell membrane trafficking of the D1R have not been determined. Methods: Caveolin-1 and flotillin-1 motifs were analyzed by in silico analysis; colocalization was observed by confocal immunofluorescence microscopy; protein-protein interaction was determined by co-immunoprecipitation. Results: In silico analysis revealed the presence of putative caveolin-1 and flotillin-1 binding motifs within SNX19. In mouse and human renal proximal tubule cells (RPTCs), SNX19 was localized mainly in lipid rafts. In mouse RPTCs transfected with wild-type (WT) Snx19, fenoldopam (FEN), a D1-like receptor agonist, increased the colocalization of SNX19 with caveolin-1 and flotillin-1. FEN also increased the co-immunoprecipitation of SNX19 with caveolin-1 and flotillin-1, effects that were prevented by SCH39166, a D1-like receptor antagonist. The FEN-mediated increase in the residence of SNX19 in lipid rafts and the colocalization of the D1R with caveolin-1 and flotilin-1 were attenuated by the deletion of a caveolin-1 (YHTVNRRYREF) (ΔCav1) or a flotillin-1 (EEGPGTETETGLPVS) (ΔFlot1) binding motif. The FEN-mediated increase in intracellular cAMP production was also impaired by the deletion of either the flotillin-1 or caveolin-1 binding motif. Nocodazole, a microtubule depolymerization inhibitor, interfered with the FEN-mediated increase in the colocalization between SNX19 and D1R. Conclusion: SNX19 contains caveolin-1 and flotillin-1 binding motifs, which play an important role in D1R endocytosis and signaling.

Three-dimensional (3D) cell culture creates a more physiologically relevant environment for enhanced drug screening capabilities using microcarriers. An automated 3D system that integrates robotic manipulators, liquid handling systems, sensors, and environment control systems has the capacity to handle multiple samples in parallel, perform repetitive tasks, and provide real-time monitoring and analysis. This chapter describes a potential 3D cell culture drug screening model by combining renal proximal tubule cells as a representative normal cell line with cancer cell lines. This combination is subjected to drug screening to evaluate the drug's efficacy in suppressing cancer cells while minimizing impact on normal cells with the added benefit of having the ability to separate the two cell types by magnetic isolation for high content screens including mass spectrometry-based proteomics. This study presents advancements in 3D cell culture techniques, emphasizing the importance of automation and the potential of microcarriers in drug screening and disease modeling.

The renal inflammatory response can be modulated by the dopamine D2 receptor (D2R) subtype. The DRD2 gene is highly polymorphic in humans, and single nucleotide polymorphisms (SNPs), such as rs6276 and rs6277 ( DRD2 SNPs), decrease its expression and function. We hypothesized that the response of human renal proximal tubular cells (hRPTCs) to hormones in the culture medium differs by sex and DRD2 SNPs, leading to differences in the inflammatory response. We determined the effects of dihydrotestosterone (DHT) and estradiol (ES) on hRPTCs genotyped for the presence or absence of DRD2 SNPs. We studied four cell lines from males (M) and females (F) with wild-type (WT) DRD2 (M- DRD2 WT and F- DRD2 WT) and DRD2 SNPs (M- DRD2 SNPs and F- DRD2 SNPs). The cells were cultured in a medium containing charcoal-stripped fetal bovine serum (FBS) for 24 hours, without (control group, CG) and with dihydrotestosterone (DHT, 5 nM) or estradiol (ES, 20 nM). We quantified the renal protein expression (protein of interest/GAPDH) of proinflammatory and profibrotic factors and markers of injury and proliferation. DHT decreased the expression of transforming growth factor (TGF-β) by ≍50% in both M- DRD2 WT (0.4±0.1 vs. 1.0±0.2) and M- DRD2 SNPs (1.0±0.1 vs. 1.6±0.1) (n=5-6, p<0.05). However, there was no significant effect of DHT or ES on the expression of TGF-β in F- DRD2 WT and F- DRD2 SNPs. DHT did not affect the fibronectin 1 (FN1) expression in M- DRD2 WT and M- DRD2 SNPs. In F- DRD2 WT, DHT did not affect FN1 expression but decreased in F- DRD2 SNPs (0.9±0.1 vs. 1.7±0.1, n=6, p<0.05). Similar to DHT, ES did not affect FN1 expression in M- DRD2 WT. However, ES decreased FN1 by 50% in M- DRD2 SNPs (0.5±0.1 vs. 1.1±0.1, n=6, p<0.05). Similar to the studies in males, ES did not affect FN1 expression in F- DRD2 WT but also decreased FN1 (1.0±0.1 vs. 1.7±0.1, n=6, p<0.05) in F-DRD2 SNPs. Neither DHT nor ES affected the expression of Kidney Injury Molecule-1 (KIM-1) in M- DRD2 WT. However, in M- DRD2 SNPs, both DHT and ES decreased KIM-1 (1.4±0.2 vs. 1.8±0.2 and 1.1±0.1 vs. 1.8±0.2, respectively; n=5, p<0.05). Unlike in M- DRD2-WT, in F- DRD2 WT, ES increased KIM-1 expression (1.0±0.2 vs. 0.52±0.05, n=5, p<0.05), while DHT had no significant effect. Unlike in M- DRD2 SNPs, where both DHT and ES decreased KIM-1, in F- DRD2 SNPs, neither DHT nor ES affected KIM-1. DHT did not affect the expression of Ki67 in M- DRD2 WT. However, in M- DRD2 SNPs, DHT decreased Ki67 expression (0.60±0.08 vs. 1.6±0.2, n=6, p<0.05). Similar to M- DRD2-WT, DHT did not affect Ki67 expression in F- DRD2-WT. ES also did not affect Ki67 expression in M- DRD2 WT but decreased Ki67 expression in M-DRD2 SNPs (0.91± 0.18 vs. 1.6±0.2, n=6, p<0.05). Similar to the male data, the treatment with ES did not affect the Ki67 expression in F- DRD2 WT but decreased Ki67 expression in F- DRD2 SNPs (1.5±0.2 vs. 0.9±0.1, n=6, p<0.05). Our results demonstrate similarities (FN1 and Ki67) and differences (TGF-β and KIM-1) in profibrotic and proliferation markers expressed in hRPTCs between males and females. These differences are more pronounced in cell lines expressing DRD2 SNPs than those expressing the DRD2 WT. While both DHT and ES decreased KIM-1 expression in males with DRD2 polymorphisms, they had no effect in females with DRD2 polymorphisms. These results indicate a complex interaction of the effect of hormones and DRD2 polymorphisms in regulating the inflammatory response in hRPTCs. Their roles in regulating renal physiology and blood pressure remain to be defined. R01 DK039308 P01 HL068686 R01 HL023081 R37 HL023081 R01 DK119652/ NIH HH/ US. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Background: The scaffolding protein, caveolin-1 (Cav-1), participates in multiple cellular functions including promotion of sodium excretion from the kidney. Loss of expression of Cav-1 is associated with tumorigenesis of various types of cancer. We have shown the potential link between hypertension and breast cancer via abnormal function of the G protein–coupled receptor kinase type 4 (GRK4). Objective: The current studies tested the hypothesis that Cav-1 acts as a tumor-suppressive factor in breast cancer cells and enhances the sensitivity to the inhibitory effect of the type 1 dopaminergic receptor (D 1 R). Methods: Michigan Cancer Foundation (MCF) MCF-7 cells stably expressing a Cav-1/mCherry fusion protein or mCherry alone were used as models to examine the effect of Cav-1 on cell growth, apoptosis, and senescence. Cell proliferation was determined by cell counting, cell cycle analysis (flow cytometry), and BrdU incorporation. Apoptosis was determined using the Cell Death Detection ELISA kit from Roche Diagnosis. Senescence was determined using the senescence associated beta galactosidase (SA-β-gal) assay. Reactive oxygen species (ROS) was measured using 2′,7′-dichlorodihydrofluorescein diacetate. Western blot analysis was used to measure activation of signaling pathway molecules. All statistical analyses were conducted with Microsoft Excel. Results: Overexpression of Cav-1 in MCF-7 cells reduced cellular growth rate. Both inhibition of proliferation and induction of cell death are contributing factors. Multiple signaling pathways were activated in Cav-1-expressing MCF-7 cells. Activation of Akt was prominent. In MCF-7-expressing Cav-1 (MCF-7 Cav-1) cells, the levels of phosphorylated Akt at S 473 and T 308 were increased 28- and 8.7-fold, respectively. Instead of protecting cells from apoptosis, extremely high levels of activated Akt resulted in increased levels of ROS which led to apoptosis and senescence. The tumor-suppressive effect plus downregulation of GRK4 makes Cav-1-expressing MCF-7 cells significantly more sensitive to the inhibitory effect of the D 1 R agonist, SKF38393. Conclusion: Caveolin-1 acts as a tumor-suppressing factor via extreme activation of Akt and down regulation of survival factors such as GRK4, survivin, and cyclin D1.

ATP6AP2 knockout in the renal nephron impairs receptor-mediated endocytosis, increasing urinary albumin and glucose excretion and impairing weight gain. Nonesterified fatty acids (NEFA) in urine are bound to albumin and reabsorbed in the proximal tubule through receptor-mediated endocytosis by the megalin-cubilin complex. We hypothesized that ATP6AP2 knockout increases urinary NEFA excretion through a reduction in megalin. Ten-week-old male C57BL/6 mice with nephron specific inducible ATP6AP2 knockout and noninduced controls were fed either normal diet (ND 12% fat) or high fat diet (HFD 45% fat) for 6 months. ATP6AP2 knockout significantly increased urine albumin:creatinine ratio in both ND and HFD fed mice while normalized urine NEFA concentration increased 489% and 259% in ND and HFD knockout mice compared to respective controls. Knockout decreased renal cortical megalin mRNA by 47% on ND and 49% on HFD while megalin protein expression decreased by 36% and 44% respectively. At the same time, markers of mTOR activity were increased while autophagy was impaired. Our results indicate that nephron specific ATP6AP2 knockout increases urinary NEFA excretion in the setting of impaired receptor-mediated endocytosis. Further investigation should determine whether ATP6AP2 contributes to obesity related ectopic lipid deposition in the proximal tubule.

Angiotensin II type-2 receptor (AT 2 R) stimulation with Ang III leads to the dopamine D1 Receptor (D 1 R) plasma membrane recruitment in normally cAMP coupled human renal proximal tubule cells (nRPTC). While extending these studies to include D 1 R cAMP uncoupled (uRPTC), we determined that Ang III stimulation did not lead to D 1 R plasma membrane recruitment. We then hypothesized that local production and secretion of dopamine may be stimulated by sodium stress as well as in this AT 2 R to D 1 R recruitment pathway. A stable clone of Dlight 1.3 HEK293 cell line expressing the GFP dopamine biosensor functioned properly through multiple titration experiments using fenoldopam (D 1 R/D 5 R agonist) direct binding, showing dose dependent increase in the Dlight biosensor fluorescence, as well as a dose dependent increase and decrease of intracellular dopamine production in high or low sodium conditions respectively. Dopamine secretion was examined in a co-culture experiment using a stable clone of D 5 R and ICUE3 cAMP reporter HEK293 cell line. Local extracellular dopamine produces a change in the FRET biosensor. Both nRPTCs and uRPTCs make and secrete dopamine and this is increased further with incubation with L-Dopa. Interestingly 8Br-cGMP lead to an increase in dopamine secretion only in nRPTCs by 18.28±3.2 fold FRET nRPTC vs uRPTC (p<0.001, N=9 per group). Further experiments examined autocrine D 1 R signaling second messenger cAMP levels after Ang III stimulation at differing sodium levels. Only nRPTCs produced more cAMP (8.53±0.73 fold increase vs NS VEH control, p<0.01, N=8 per group) when stimulated with Ang III in high sodium conditions, this being from local dopamine production, secretion and D 1 R stimulation. These studies provide new insights into the autocrine dopamine production by RPTCs and D 1 R/AT 2 R trans-regulation that play a role in maintaining sodium and blood pressure homeostasis.

Clozapine (CLZ) is the most effective antipsychotic for treatment-resistant schizophrenia which affects approximately 24 million people worldwide. Schizophrenics are 3-4 times more likely to die from cardiovascular disease due to increased incidence of hypertension. CLZ is a high affinity antagonist for the dopamine type 4 receptor (D 4 R). Studies have shown that germline deletion of D 4 R in mice caused hypertension, and CLZ administered subcutaneously in mice induced hypertension. Since the proximal tubule (PT) regulates about 75% of excreted Na + we cultured renal proximal tubule cells excreted in the urine (uRPTCs) from individuals treated with and without clozapine and previously found that CLZ decreased D 4 R recruitment to cell surface and increased reactive oxygen species in healthy controls (HC). Recently, western blot analysis showed D 4 R expression was reduced in CLZ treated patients (CLZ 0.85±0.08 n=12 vs HC 1.09±0.09 n=11, p<0.05 t-test). The total D 4 R protein was also decreased under CLZ treatment in RPTCs from HC. This suggests that the reduction in D 4 R occurred in PTs when treated with CLZ in-vivo but this was a durable effect still measurable through the process of culturing the cells, and is replicated in-vitro using healthy control cells. In In-vivo CLZ treated patient cells, D 4 R expression is not further reduced when treated in-vitro. Moreover, the natriuretic dopamine D1 receptor (D 1 R) was significantly increased under ClZ treatment of uRPTCs from HC, but not RPTCs from CLZ treated patients (VEH 0.37±0.07 vs CLZ 0.5±0.08 n=11, p<0.05 paired t-test; CLZ/VEH, HC 1.51±0.18 n=11 vs CLZ 0.99±0.01 n=12, p<0.05 t-test). Interestingly, high salt (HS) treatment on these uRPTCs showed a similar trend with CLZ treatment (VEH 0.33±0.06 vs CLZ 0.47±0.08, n=10, p<0.05 paired t-test; HS/VEH, HC 1.55±0.29 n=11 vs CLZ 0.99±0.01 n=12, p<0.05 t-test), indicating these CLZ treated patients may have a blunted dopamine response to excess sodium and therefore develop salt sensitive hypertension. In Summary, CLZ induced hypertension in these schizophrenia patients may be caused by a disrupted dopaminergic system. Further investigations also need to be done including response of sodium transporters and modulation of the renin-angiotensin system.

We have previously published that 11% of individuals in a salt sensitivity clinical trial are determined to be Inverse Salt Sensitive (ISS), and are associated with SNPs in the Dopamine D2 Receptor (D 2 R) that are shown to have decrease D 2 R expression in urine derived human renal proximal tubule cells (uRPTC) compared to salt resistant (SR) and salt sensitive (SS) individuals. We also previously have shown that ISS uRPTCs have increased expression of aminopeptidase N (APN), the enzyme capable of converting AngIII to AngIV. Inhibition of this activity in ISS may be a therapeutic strategy for ISS individuals. We previously reported that a nanobody designed to inhibit human APN activity added to cells reverses a number of adverse cell physiologic responses to low sodium conditions in ISS derived uRPTCs. Here we show evidence that the increased expression of APN in ISS uRPTCs is due to increased constitutive C-SRC activity. Three stable ISS uRPTCs, three SR uRPTCs and three SS uRPTCs were grown and lysed for analysis by Western blotting. The human homolog of the V-Src Avian Sarcoma viral oncogene tyrosine kinase (C-Src) activation state was measure using a Y-416 C-Src tyrosine phosphorylation specific antibody. There is a 266.1±21.7% increase in ISS Y416 p-Src vs SR (p<0.01 ISS vs SR, N=3) and no difference in SS vs SR. Plasma membrane localized APN was measured by In-cell Western and the increase in APN expression between ISS and SR was completely blocked by incubating cells for 4 hours with the C-Src inhibitor PP2 (ISS 49.1±8.8% increase over SR vs -14.6±11.9% with PP2, p<0.01, N=4 per group). Similarly lithium chloride (10 mM 4hrs), and D 2 R overexpression normalized the differential expression of D 2 R in ISS and completely blocked the increased APN expression found in ISS. In summary, low D 2 R expression in ISS leads to constitutively active C-Src and increased APN expression, and re-expression of D 2 R or inhibition of C-Src normalizes expression of APN. Future studies will determine if the tyrosine phosphorylation site in the intracellular domain of APN is a direct target of C-Src.

Kidney function is influenced by salt intake and may adapt rapidly to dietary salt variations by modulating pressure-natriuresis. In particular, salt-sensitive (SS) individuals respond to a high-salt diet with a large rise in blood pressure (BP), indicative of a blunted pressure-natriuresis relationship, while 7-12% of the normotensive population have reduced BP with Na + loading, a condition termed inverse salt sensitivity. We compared effects of acute intravenous Na + loading on renal function in normotensive salt-resistant (SR) (11) and SS (5) individuals, as described below. After subjects were prepared in metabolic balance at 100 mmol Na + /d, they underwent Phase I renal function studies (0700h-1100h); Phase II oral sodium citrate load (1100h) followed by a continuous intravenous infusion of 0.9% saline (1100h-1300h); Phase III post-control monitoring period (1300h-1500h). During the entire protocol, BP and heart rate were monitored every 10 min. Blood and urine samples were obtained every hour and analyzed for Na + , K + , creatinine, osmolality and pH. Renal function tests included GFR, filtered Na + load (F Na ), urinary Na + exretion (U Na V), fractional Na + reabsorption (FR Na ), and fractional Na + excretion (FE Na ). Mean BP was calculated using 6 measurements/hour. SS systolic (SBP) and diastolic BP (DBP) were significantly higher than in subjects with SR throughout the procedure (at 1100h SS 137±6.3 vs SR 114±2.6 mmHg, p<0.001 two-way ANOVA). Phase II changes in BP were calculated by subtracting BP at 1100h; there were no significant changes for SR BP. With Na + infusion, SS SBP and DBP increased and remained elevated through the end of the procedure. The increase of SS DBP at 1500h was significantly higher than that of SR (85.8±5.5 vs 65.9±1.6 mmHg, p<0.05 t-test). Both GFR and F Na were increased in SR, while there were no changes in SS after Na + infusion (GFR SR Y=2.9*X-28.37; SS Y=0.61*X-11.45). FR Na was increased in SR, but decreased in SS. The difference between slopes was significant (SS Y=-1.92*X+21.56; SR Y=0.64*X-6.8, P<0.01). After 1 h of Na + loading, FE Na decreased to 1.3 in SS but increased to 1.6 in SR (P=0.089 t-test). The results indicate that renal function of individuals with SS responds differently to acute intravenous Na + loading than those with SR.

Background: Extracellular renal interstitial guanosine cyclic 3’,5’-monophosphate (cGMP) inhibits renal proximal tubule (RPT) sodium (Na + ) reabsorption via Src (Src family kinase) activation. Through which target extracellular cGMP acts to induce natriuresis is unknown. We hypothesized that cGMP binds to the extracellular α1-subunit of NKA (sodium-potassium ATPase) on RPT basolateral membranes to inhibit Na + transport similar to ouabain—a cardiotonic steroid. Methods: Urine Na + excretion was measured in uninephrectomized 12-week-old female Sprague-Dawley rats that received renal interstitial infusions of vehicle (5% dextrose in water), cGMP (18, 36, and 72 μg/kg per minute; 30 minutes each), or cGMP+rostafuroxin (12 ng/kg per minute) or were subjected to pressure-natriuresis±rostafuroxin infusion. Rostafuroxin is a digitoxigenin derivative that displaces ouabain from NKA. Results: Renal interstitial cGMP and raised renal perfusion pressure induced natriuresis and increased phosphorylated Src Tyr416 and Erk 1/2 (extracellular signal-regulated protein kinase 1/2) Thr202/Tyr204 ; these responses were abolished with rostafuroxin coinfusion. To assess cGMP binding to NKA, we performed competitive binding studies with isolated rat RPTs using bodipy-ouabain (2 μM)+cGMP (10 µM) or rostafuroxin (10 µM) and 8-biotin-11-cGMP (2 μM)+ouabain (10 μM) or rostafuroxin (10 µM). cGMP or rostafuroxin reduced bodipy-ouabain fluorescence intensity, and ouabain or rostafuroxin reduced 8-biotin-11-cGMP staining. We cross-linked isolated rat RPTs with 4-N 3 -PET-8-biotin-11-cGMP (2 μM); 8-N 3 -6-biotin-10-cAMP served as negative control. Precipitation with streptavidin beads followed by immunoblot analysis showed that RPTs after cross-linking with 4-N 3 -PET-8-biotin-11-cGMP exhibited a significantly stronger signal for NKA than non–cross-linked samples and cross-linked or non–cross-linked 8-N 3 -6-biotin-10-cAMP RPTs. Ouabain (10 μM) reduced NKA in cross-linked 4-N 3 -PET-8-biotin-11-cGMP RPTs confirming fluorescence staining. 4-N 3 -PET-8-biotin-11-cGMP cross-linked samples were separated by SDS gel electrophoresis and slices corresponding to NKA molecular weight excised and processed for mass spectrometry. NKA was the second most abundant protein with 50 unique NKA peptides covering 47% of amino acids in NKA. Molecular modeling demonstrated a potential cGMP docking site in the ouabain-binding pocket of NKA. Conclusions: cGMP can bind to NKA and thereby mediate natriuresis.

High and low sodium diets are associated with increased blood pressure and cardiovascular morbidity and mortality. The paradoxical response of elevated BP in low salt diets, aka inverse salt sensitivity (ISS), is an understudied vulnerable 11% of the adult population with yet undiscovered etiology. A linear relationship between the number of single nucleotide polymorphisms (SNPs) in the dopamine D2 receptor (DRD2, rs6276 and 6277), and the sodium myo-inositol cotransporter 2 (SLC5A11, rs11074656), as well as decreased expression of these two genes in urine-derived renal proximal tubule cells (uRPTCs) isolated from clinical study participants suggest involvement of these cells in ISS. Insight into this newly discovered paradoxical response to sodium is found by incubating cells in low sodium (LS) conditions that unveil cell physiologic differences that are then reversed by mir-485-5p miRNA blocker transfection and bypassing the genetic defect by DRD2 re-expression. The renin-angiotensin system (RAS) is an important counter-regulatory mechanism to prevent hyponatremia under LS conditions. Oversensitive RAS under LS conditions could partially explain the increased mortality in ISS. Angiotensin-II (AngII, 10 nmol/L) increased sodium transport in uRPTCs to a greater extent in individuals with ISS than SR. Downstream signaling of AngII is verified by identifying lowered expression of nuclear factor erythroid 2-related factor 2 (NRF2), CCCTC-binding factor (CTCF), and manganese-dependent mitochondrial superoxide dismutase (SOD2) only in ISS-derived uRPTCs and not SR-derived uRPTCs when incubated in LS conditions. We conclude that DRD2 and SLC5A11 variants in ISS may cause an increased low sodium sensitivity to AngII and renal sodium reabsorption which can contribute to inverse salt-sensitive hypertension.

BACKGROUND:How signals from activated angiotensin type-2 receptors (AT2R) mediate inhibition of sodium ion (Na+) reabsorption in renal proximal tubule cells is currently unknown. Protein phosphatases including PP2A (protein phosphatase 2A) have been implicated in AT2R signaling in tissues other than kidney. We investigated whether inhibition of protein phosphatase PP2A reduced AT2R-mediated natriuresis and evaluated changes in PP2A activity and localization after renal AT2R activation in normal 4- and 10-week-old control Wistar-Kyoto rats and 4-week-old prehypertensive and 10-week-old hypertensive spontaneously hypertensive rats.METHODS AND RESULTS:In Wistar-Kyoto rats, direct renal interstitial administration of selective AT2R nonpeptide agonist Compound-21 (C-21) increased renal interstitial cyclic GMP (cGMP) levels, urine Na+ excretion, and simultaneously increased PP2A activity ≈2-fold in homogenates of renal cortical tubules. The cyclic GMP and natriuretic responses were abolished by concurrent renal interstitial administration of protein phosphatase inhibitor calyculin A. In renal proximal tubule cells in response to C-21, PP2A subunits A, B55α and C, but not B56γ, were recruited to apical plasma membranes together with AT2Rs. Calyculin A treatment abolished C-21-induced translocation of both AT2R and PP2A regulatory subunit B55α to apical plasma membranes. Immunoprecipitation of AT2R solubilized from renal cortical homogenates demonstrated physical association of AT2R with PP2A A, B55α, and C but not B56γ subunits. In contrast, in spontaneously hypertensive rats, administration of C-21 did not alter urine Na+ excretion or PP2A activity and failed to translocate AT2Rs and PP2A subunits to apical plasma membranes.CONCLUSIONS:In renal proximal tubule cells of Wistar-Kyoto rats, PP2A is activated and PP2A subunits AB55αC are recruited to C-21-activated AT2Rs during induction of natriuresis. This response is defective in prehypertensive and hypertensive spontaneously hypertensive rats, presenting a potential novel therapeutic target for treating renal Na+ retention and hypertension.

Salt sensitivity of blood pressure (BP) refers to an increase in BP following an increase in dietary salt, which is associated with increased incidence of cardiovascular disease and early death. However, decreased sodium intake also increases mortality and morbidity. Inverse salt sensitivity (ISS), defined as a paradoxical increase in BP on a low-salt diet, about 11% of the population, may be the cause of this phenomenon. The epithelial sodium channel (ENaC) is a major regulator of sodium reabsorption in the kidney. In this study, human renal tubular epithelial cells (hRTC) were cultured from the urine of phenotyped salt study participants. αENaC expression was significantly lower in ISS than salt resistant (SR) hRTC, while ENaC-like channel activity was dramatically increased by trypsin treatment in ISS cells analyzed by patch clamp. αENaC expression was also decreased under high-salt treatment and increased by aldosterone treatment in ISS cells. Moreover, the αENaC variant, rs4764586, was more prevalent in ISS. In summary, αENaC may be associated with ISS hypertension on low salt. These findings may contribute to understanding the mechanisms of ISS and low salt effect on morbidity and mortality.

Hypertension and breast cancer are two common diseases occurring in women. Clinical studies have shown increased breast cancer incidence in hypertensive women. Several lines of evidence demonstrate that G protein-coupled Receptor Kinase 4 (GRK4) could be a common risk factor for hypertension and breast cancer. This article reviews our current understanding of molecular mechanisms of GRK4 in hypertension and breast cancer.

To review the etiology of inverse salt sensitivity of blood pressure (BP). Both high and low sodium (Na+) intake can be associated with increased BP and cardiovascular morbidity and mortality. However, little is known regarding the mechanisms involved in the increase in BP in response to low Na+ intake, a condition termed inverse salt sensitivity of BP, which affects approximately 15% of the adult population. The renal proximal tubule is important in regulating up to 70% of renal Na+ transport. The renin-angiotensin and renal dopaminergic systems play both synergistic and opposing roles in the regulation of Na+ transport in this nephron segment. Clinical studies have demonstrated that individuals express a “personal salt index” (PSI) that marks whether they are salt-resistant, salt-sensitive, or inverse salt-sensitive. Inverse salt sensitivity results in part from genetic polymorphisms in various Na+ regulatory genes leading to a decrease in natriuretic activity and an increase in renal tubular Na+ reabsorption leading to an increase in BP. This article reviews the potential mechanisms of a new pathophysiologic entity, inverse salt sensitivity of BP, which affects approximately 15% of the general adult population.

HIV-associated nephropathy (HIVAN) impairs functions of both glomeruli and tubules. Attention has been previously focused on the HIVAN glomerulopathy. Tubular injury has drawn increased attention because sodium wasting is common in hospitalized HIV/AIDS patients. We used viral protein R (Vpr)-transgenic mice to investigate the mechanisms whereby Vpr contributes to urinary sodium wasting. In phosphoenolpyruvate carboxykinase promoter-driven Vpr-transgenic mice, in situ hybridization showed that Vpr mRNA was expressed in all nephron segments, including the distal convoluted tubule. Vpr-transgenic mice, compared with wild-type littermates, markedly increased urinary sodium excretion, despite similar plasma renin activity and aldosterone levels. Kidneys from Vpr-transgenic mice also markedly reduced protein abundance of the Na+-Cl- cotransporter (NCC), while mineralocorticoid receptor (MR) protein expression level was unchanged. In African green monkey kidney cells, Vpr abrogated the aldosterone-mediated stimulation of MR transcriptional activity. Gene expression of Slc12a3 (NCC) in Vpr-transgenic mice was significantly lower compared with wild-type mice, assessed by both qRT-PCR and RNAScope in situ hybridization analysis. Chromatin immunoprecipitation assays identified multiple MR response elements (MRE), located from 5 kb upstream of the transcription start site and extending to the third exon of the SLC12A3 gene. Mutation of MRE and SP1 sites in the SLC12A3 promoter region abrogated the transcriptional responses to aldosterone and Vpr, indicating that functional MRE and SP1 are required for the SLC12A3 gene suppression in response to Vpr. Thus, Vpr attenuates MR transcriptional activity and inhibits Slc12a3 transcription in the distal convoluted tubule and contributes to salt wasting in Vpr-transgenic mice.

Angiotensin II (Ang II) type-2 receptors (AT(2)R) are expressed in the adult kidney, prominently in renal proximal tubule cells (RPTCs), and play an important role in opposing renal sodium (Na+) retention induced by Ang II stimulation of Ang II type-1 receptor (AT(1)R). Natriuresis induced by AT(1)R blockade is due at least in part to AT(2)R activation and whole body deletion of AT(2)Rs reduces the natriuretic response to increased blood pressure (BP). The major endogenous AT(2)R agonist mediating the natriuretic response is Ang III, the Ang II heptapeptide metabolite generated by aminopeptidase A, and the principal nephron site mediating inhibition of Na+ reabsorption by the AT(2)R is the renal proximal tubule (RPT). AT(2)Rs induce natriuresis via a bradykinin, nitric oxide and cyclic GMP (cGMP) signaling cascade. Recent studies demonstrated a key role for protein phosphatase 2A (PP2A) in the AT(2)R-mediated natriuretic response upstream of cGMP. By inducing natriuresis, AT(2)Rs lower BP in the Ang II-infusion model of hypertension. PP2A activation and the natriuretic response to AT(2)R stimulation are defective in spontaneously hypertensive rats, a model of primary hypertension in humans. AT(2)R agonists are candidates for proximal tubule natriuretic agents in Na+ and fluid retention disorders.