Intrarenal Dopamine Attenuates Deoxycorticosterone Acetate/High Salt–Induced Blood Pressure Elevation in Part Through Activation of a Medullary Cyclooxygenase 2 Pathway

摘要

Locally produced dopamine in the renal proximal tubule inhibits salt and fluid reabsorption, and a dysfunctional intrarenal dopaminergic system has been reported in essential hypertension and experimental hypertension models. Using catechol- O -methyl-transferase knockout (COMT?/?) mice, which have increased renal dopamine because of deletion of the major renal dopamine-metabolizing enzyme, we investigated the effect of intrarenal dopamine on the development of hypertension in the deoxycorticosterone acetate/high-salt (DOCA/HS) model. DOCA/HS led to significant increases in systolic blood pressure in wild-type mice (from 115±2 to 153±4 mm Hg), which was significantly attenuated in COMT?/? mice (from 114±2 to 135±3 mm Hg). In DOCA/HS COMT?/? mice, the D1-like receptor antagonist SCH-23390 increased systolic blood pressure (156±2 mm Hg). DOCA/HS COMT?/? mice also exhibited more urinary sodium excretion (COMT?/? versus wild-type: 3038±430 versus 659±102 μmol/L per 24 hours; P <0.01). Furthermore, DOCA/HS-induced renal oxidative stress was significantly attenuated in COMT?/? mice. COX-2–derived prostaglandins in the renal medulla promote sodium excretion, and dopamine stimulates medullary prostaglandin production. Renal medullary COX-2 expression and urinary prostaglandin E2 excretion were significantly higher in COMT?/? than in wild-type mice after DOCA/HS treatment. In DOCA/HS-treated COMT?/? mice, the COX-2 inhibitor SC-58236 reduced urinary sodium and prostaglandin E2 excretion and increased systolic blood pressure (153±2 mm Hg). These studies indicate that an activated renal dopaminergic system attenuates the development of hypertension, at least in large part through activating medullary COX-2 expression/activity, and also decreases oxidative stress resulting from DOCA/HS.