Angiotensin II-AT1-receptor signaling is necessary for cyclooxygenase-2-dependent postnatal nephron generation

Stefanie Frölich1, Patrick Slattery1, Dominique Thomas1

  • 1Institute of Clinical Pharmacology, Johann Wolfgang Goethe-University, Frankfurt, Germany.

Kidney International
|January 2, 2017
PubMed

Insights

Cyclooxygenase-2 (COX-2) is crucial for kidney development. Blocking the renin-angiotensin system impairs kidney maturation in mice, but activating angiotensin II-AT1 receptors can rescue function and reduce damage in COX-2 deficient kidneys.

Area of Science:

  • Nephrology
  • Developmental Biology
  • Pharmacology

Background:

  • Cyclooxygenase-2 (COX-2) plays a vital role in postnatal kidney development.
  • The renin-angiotensin system's involvement in COX-2-dependent nephrogenesis is not fully understood.

Purpose of the Study:

  • To investigate the contribution of the renin-angiotensin system to COX-2-dependent kidney development in mice.
  • To determine if impaired renal development and function in COX-2 deficient mice can be rescued.

Main Methods:

  • Administered angiotensin II receptor AT1 antagonist telmisartan, AT2 receptor antagonist PD123319, renin inhibitor aliskiren, and ACE inhibitor enalapril to mouse pups.
  • Administered AT1 receptor agonist L162313 to COX-2 deficient (COX-2-/-) mouse pups.
  • Assessed renal development, glomerular morphology, renal function (serum urea, creatinine), albumin excretion, and glomerulosclerosis.

Main Results:

  • Telmisartan treatment during critical postnatal periods mimicked the renal defects observed in COX-2-/- mice, including hypoplastic glomeruli and maturational arrest.
  • Inhibition of the renin-angiotensin system by aliskiren and enalapril also caused similar glomerular defects.
  • L162313 administration improved kidney growth, ameliorated renal defects, rescued impaired renal function, and reduced glomerulosclerosis in COX-2-/- mice, though it did not increase cortical mass.

Conclusions:

  • Angiotensin II-AT1 receptor signaling is essential for normal COX-2-dependent postnatal kidney development and maturation.
  • Targeting the renin-angiotensin system, specifically the AT1 receptor, holds potential for therapeutic intervention in conditions with impaired nephrogenesis.

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