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Receptor Autoradiography Protocol for the Localized Visualization of Angiotensin II Receptors
Published on: June 7, 2016
Association of (pro)renin receptor mRNA expression with angiotensin-converting enzyme mRNA expression in human artery
Tomoko Takemitsu1, Atsuhiro Ichihara, Yuki Kaneshiro
1Internal Medicine, Keio University School of Medicine, Tokyo, Japan.
Background/Aims:
A significant role of (pro)renin receptor in the pathogenesis of end-organ damage has been suggested only in animal studies. This study was conducted to examine the mRNA expression of (pro)renin receptor in human artery.
Methods:
In 141 kidney failure patients, the mRNA was harvested from arterial fragments obtained during surgery constructing an arteriovenous access for hemodialysis therapy, and expression levels of (pro)renin receptor and other components of the renin-angiotensin system were determined.
Results:
Arterial (pro)renin receptor expression was similar in diabetic and non-diabetic patients, although plasma prorenin levels were significantly higher in the diabetic patients than in the non-diabetic patients. The arterial (pro)renin receptor mRNA levels of the hypertensive patients, who had not been treated with either angiotensin-converting enzyme (ACE) inhibitors or angiotensin II type 1 receptor blockers, were significantly lower than those of the patients who had been treated with either drug. Multiple regression analyses showed a significant association with a large coefficient between the arterial mRNA level of the (pro)renin receptor and the arterial mRNA level of ACE; this significant association disappeared in patients who had been treated with either drug.
Conclusion:
(Pro)renin receptor may contribute to the generation of arterial angiotensin II in kidney failure patients.
Insights
The (pro)renin receptor plays a role in arterial angiotensin II generation in kidney failure patients. Its expression is linked to ACE levels, particularly in untreated hypertensive individuals.
Area of Science:
- Cardiovascular Research
- Renal Medicine
- Molecular Biology
Background:
- The role of the (pro)renin receptor in end-organ damage is primarily suggested by animal studies.
- Its involvement in human arterial pathology remains largely uncharacterized.
Purpose of the Study:
- To investigate the messenger RNA (mRNA) expression of the (pro)renin receptor in human arteries.
- To explore the relationship between (pro)renin receptor expression and components of the renin-angiotensin system in kidney failure patients.
Main Methods:
- Arterial fragments were obtained from 141 kidney failure patients undergoing arteriovenous access surgery.
- mRNA expression levels of the (pro)renin receptor and other renin-angiotensin system components were quantified.
Main Results:
- Arterial (pro)renin receptor mRNA levels were comparable between diabetic and non-diabetic patients, despite higher plasma prorenin in diabetics.
- Hypertensive patients treated with ACE inhibitors or ARBs showed higher arterial (pro)renin receptor mRNA than untreated patients.
- A significant association between arterial (pro)renin receptor mRNA and ACE mRNA was observed, which diminished with ACE inhibitor or ARB treatment.
Conclusions:
- The (pro)renin receptor may contribute to the local production of angiotensin II within arteries of kidney failure patients.
- Arterial (pro)renin receptor expression is potentially influenced by renin-angiotensin system modulating therapies.
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