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Nephrol Dial Transplant (2003) 18: 1764-1769
© 2003 European Renal Association-European Dialysis and Transplant Association

Effects of angiotensin II, arginine vasopressin and tromboxane A2 in renal vascular bed: role of rho-kinase

Alessandro Cavarape1, Johannes Bauer2, Ettore Bartoli3, Karlhans Endlich4 and Niranjan Parekh5

1 Department of Experimental and Clinical Pathology and Medicine, Chair of Internal Medicine, University of Udine, Udine, 2 Department of Medical Science, Chair of Internal Medicine, University of Piemonte Orientale ‘A. Avogadro’, Novara, Italy, 3 Department of Neonatology, 4 Department of Cell Biology and Anatomy and 5 Department of Physiology and Pathophysiology, University of Heidelberg, Heidelberg, Germany

Correspondence and offprint requests to: Alessandro Cavarape, MD, Department of Experimental and Clinical Pathology and Medicine (DPMSC), Chair of Internal Medicine, Piazza S. Maria della Misericordia, 1, I-33100 Udine, Italy. Email: alessandro.cavarape{at}dpmsc.uniud.it

Background. Angiotensin II (Ang II), arginine vasopressin (AVP) and tromboxane A2 (TxA2) are dissimilar vasoconstrictors involved in regulating renal circulation. Whereas Ang II is primarily a physiological modulator, AVP and TxA2 play important roles under pathological conditions. Previously, we have shown variable importance of intracellular Ca2+ and protein kinase C for their mode of action (Ang II > AVP >U-46619), but the cell signalling via rho-associated kinase (ROK) is a common pathway. The aim of this study was to determine their sites of action in the renal vascular bed and the corresponding role of ROK at the microvascular level.

Methods. Glomerular blood flow (GBF) and luminal diameter of different vessels (10–70 µm) were measured in the split hydronephrotic kidney of anaesthetized rats. The tissue bath concentration of Ang II, AVP or the TxA2 agonist U-46619 was adjusted to reduce GBF by ~50%. The measurements were repeated after adding a sub-maximal dose of the ROK inhibitor Y-27632 into the bath.

Results. Ang II constricted all vessels significantly, the constriction being least in the proximal segment of the arcuate artery (~70 µm). Significant constrictions due to AVP were found only in interlobular and arcuate arteries (20–70 µm), but not in the afferent and efferent arterioles. U-46619 constricted only the arcuate artery (>=50 µm). Y-27632 (10–4 M) dilated all vessels significantly and increased GBF by 65%. Thereafter, effects of all agonists were severely attenuated. Control reductions in GBF could be obtained at higher concentrations of AVP (10-fold) and U-46619 (5-fold) and a lesser GBF reduction with Ang II (100-fold) without changes in the respective patterns of vascular constriction.

Conclusions. Our data indicate that the agonists, in the order Ang II, AVP and TxA2, constrict larger vessels within the renal vascular tree via activation of ROK. Therefore, ROK inhibitors may provide a therapeutic tool to antagonize pathological vasospasm of conduit vessels, which are resistant to other vasodilators.

Keywords: glomerular blood flow; renal haemodynamics; split hydronephrotic kidney


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