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Journal of Physiology

9 Springer-Verlag 1992

Disparate effects of calcium channel blockers on pressure dependence of renin secretion and flow in the isolated perfused rat kidney

Holger Scholz 1'* and Armin Kurtz 2

Physiologisches Institut der Universitfit, Winterthurerstrasse 190, CH-8057 Ziirich, Switzerland 2 Institut ffir Physiologie I, Universitfit Regensburg, W-8400 Regensburg, Federal Republic of Germany Received November 12, 1991/Received after revision February 26, 1992/Accepted March 30, 1992

Abstract. Using the model of isolated perfused rat kidneys this study was performed to investigate whether or not voltage-operated calcium channels are essentially in- volved in the pressure control of renin secretion from the kidneys. At a perfusion pressure of 100 mm Hg (13.3 kPa) renin secretory rates were 4.2 _+ 0.7 (ng angiotensin I h - 1) min-1 g-1. Stepwise reduction of renal perfusion pres- sure to 80, 60, and 40 mm Hg (10.6, 8.0, 5.3 kPa) resulted in an increase of renin release yielding a 30-fold stimu- lation at 40 mm Hg vs 100 mm Hg. Increasing the per- fusion pressure above 100 mm Hg did not further signifi- cantly decrease renin secretion. The perfusate flow rate was also pressure-dependent. Flow rates increased lin- early with pressure and reached a plateau at 100 mm Hg, which was maintained up to 160 mm Hg (21.3 kPa). The averaged flow rate at the plateau was 15.5 ml rain- 1 g - 1.

In the presence of the three different calcium antagonists nifedipine (5 gM), nitrendipine (3 gM) and verapamil (5 laM), myogenic autoregulation of flow was abolished as indicated by the rise of the pressure/flow curve between 40 and 160 mm Hg. At the same time, however, these calcium channel blockers did not alter the relationship between perfusion pressure and renin secretion. More- over, the calcium channel agonist Bay K 8644 (5 gM) caused a strong and long-lasting vasoconstriction, with- out changing renin secretion. Taken together, our findings indicate that organic calcium antagonists at con- centrations sufficient to block voltage-operated calcium channels in vascular smooth muscle cells have no influ- ence on the pressure-dependent control ofrenin secretion.

In consequence, it appears unlikely that voltage-operated calcium channels are essentially involved in the signal transduction mechanism that links renin secretion and blood pressure.

Key words: Renal vascular tone - Calcium channels - Juxtaglomerular cells

* Present address: Institut fiir Physiologic I, Universitfit Re- gensburg, W-8400 Regensburg, F R G

Offprint requests to: H. Scholz

Introduction

Since the original work by Goldblatt [10] it has been well established that the blood pressure is an essential control factor for the secretion of renin from the kidneys [7, 17, 20, 34, 38]. Within the kidneys renin is released from the juxtaglomerular epitheloid (JG) cells, which are meta- plastically transformed vascular smooth muscle cells lo- cated in the media layer of afferent arterioles [2, 36]. The cellular mechanisms by which a drop of blood pressure enhances the secretion and an increase of pressure inhibits the secretion of renin are not well understood. Tobian [37] proposed the existence of a renal "baroreceptor" that responds to stretching of the afferent arteriole. This idea was further developed by Fray [8], who presented a math- ematical stretch receptor model based on his studies of the perfused rat kidney. According to this model it has been suggested that the intraluminal pressure in the affer- ent arterioles has influence on the stretch of the smooth muscle cells in the media layer. Tension of renal vascular smooth muscle cells leads to membrane depolarization [15] and in consequence to the activation of voltage- operated calcium channels (VOCC), which mediate trans- membrane calcium influx and an increase of the cytosolic concentration of calcium (cf. [18]). A rise of intracellular calcium is the key event for smooth muscle cell contrac- tion. It is likely, therefore, that this sequence of events provides the explanation for the myogenic autoregulation of renal flow [18]. Since JG cells are transformed vascular smooth muscle cells and since calcium is considered as an inhibitory signal for renin secretion (cf. [14]) it has been speculated that a similar mechanism involving the activation of VOCC also mediates the control of renin secretion by the pressure [9]. Experimental evidence for a functional role of VOCC in JG cells, however, is not unequivocal. On the one hand there are findings showing that the pressure effect on renin secretion is attenuated by the calcium channel blocker verapamil ([9], cf. [14]).

On the other hand there are also findings that verapamil can even inhibit renin secretion in dog kidneys [28]. More- over, evidence for a functional role of dihydropyridine-

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sensitive c a l c i u m c h a n n e l s i n the c o n t r o l o f r e n i n secretion f r o m isolated r a t k i d n e y s is c o n t r o v e r s i a l [6, 13, 16, 24].

I n o r d e r to get basic i n f o r m a t i o n a b o u t the cellular m e c h a n i s m s u n d e r l y i n g the r e n a l b a r o r e c e p t o r c o n - t r o l l i n g r e n i n release it a p p e a r e d r e a s o n a b l e to e x a m i n e t h o r o u g h l y the f u n c t i o n a l role o f V O C C in this process.

F o r c o n t r o l it also seemed m e a n i n g f u l to m o n i t o r r e n a l v a s c u l a r resistance in parallel, b e c a u s e this p a r a m e t e r is k n o w n to be s t r o n g l y d e p e n d e n t o n the activity o f V O C C . We have recently s h o w n t h a t the isolated r a t k i d n e y is a s u i t a b l e m o d e l for the s t u d y o f r e n i n secretion a n d r e n a l v a s c u l a r resistance i n parallel [31]. W i t h this m o d e l we h a v e therefore e x a m i n e d the effects o f o r g a n i c c a l c i u m a n t a g o n i s t s a n d a g o n i s t s o n the pressure d e p e n d e n c e o f r e n i n secretion a n d flow.

We f o u n d t h a t o r g a n i c c a l c i u m c h a n n e l b l o c k e r s a b o l i s h e d the p r e s s u r e - i n d u c e d c h a n g e s i n r e n a l v a s c u l a r resistance. N e i t h e r c a l c i u m c h a n n e l a g o n i s t s n o r a n t a g - onists, however, h a d i n f l u e n c e o n p r e s s u r e - d e p e n d e n t re- n i n secretion.

flow rate was obtained from the revolutions of the peristaltic pump, which was calibrated before and after each experiment. Renal flow rate and perfusion pressure were continuously monitored by a po- tentiometric recorder (Kipp & Zonen, Delft, Netherlands). Stock solutions of the drugs to be tested (see below) were dissolved in freshly prepared perfusate and infused into the arterial limb of the perfusion circuit directly before the kidneys (peristaltic pump 2132 Microperpex, LKB, Bomma, Sweden) at 1% of the rate of perfusate flow. For determination of perfusate renin activity (pRA) aliquots (about 100 gl) were drawn from the arterial limb of the circulation and the renal venous effluent. The samples were centrifuged (4 ~ C) at 1500 g for 15 min (Sorvall RT 6000) and the supernatants were stored at - 2 0 ~ until assayed for renin activity.

Experimental protocol. After a 25-min equilibration period at con- stant perfusion pressure of 100 mm Hg, renal artery pressure was increased stepwise (20 mm Hg) to 120, 140, and 160 mm Hg (16, 18.6 and 21.3 kPa). Each pressure level was maintained for 5 min and perfusate samples for determination of renin activity were taken after 1, 3 and 5 rain. From the maximum of 160 mm Hg, renal perfusion pressure was first returned to 100 mm Hg and, after a 5- min period, was lowered stepwise to 80, 60, and 40 mm Hg (10.6, 8.0, 5.3 kPa) in the same way as it had previously been increased to 160 mm Hg. Controls and the experiments with calcium antagonists were performed with the same kidney preparations.

Materials and methods

Male SIV strain rats (250-350 g body weight), having free access to commercial pellet chow and tap water, were obtained from the local animal house and used throughout. Kidney perfusion was performed in a recycling system according to the technique of Schurek and Alt [33] as described in detail previously [31]. In brief:

the animals were anaesthetized with 150 mg kg -1 5-ethyl-(U- methytpropyl)-2-thiobarbituric acid (Inactin, Byk Gulden, Kon- stanz, FRG). Volume loss during the preparation was compensated by intermittent injections of physiological saline (about 2.5 ml totally) via a catheter that was inserted into the jugular vein. After opening of the abdominal cavity by a midline incision the right kidney was exposed and placed in a thermostatically controlled metal chamber. The right ureter was cannulated with a small polypropylene tube (PP-10), which was connected to a larger poly- ethylene catheter (PE-50). After intravenous heparin injection (2 U g-1, Liquemin, Roche, Basel, Switzerland) the aorta was clamped distal to the right renal artery and the large vessels branching off the abdominal aorta were ligated. A double-barrelled cannula was inserted into the abdominal aorta and placed close to the origin of the right renal artery. After ligation of the aorta proximal to the right renal artery the aortic clamp was quickly removed and perfusion was started in situ with an initial flow rate of 8 ml rain- 1. The right kidney was excised and perfusion at constant pressure (100 mm Hg, 13.3 kPa) was established. To this end renal artery pressure was monitored through the inner part of the perfusion cannula (Statham transducer P 10 EZ) and the pressure signal was used for feedback control of a peristaltic pump. The perfusion circuit was closed by draining the renal venous effluent via a metal cannuta back into a reservoir (200-220 ml). The basic perfusion medium, which was taken from the thermostated (37 ~ C) reservoir, consisted of a modi- fied Krebs-Henseleit solution containing all physiological amino acids in concentrations between 0.2 mM and 2.0 mM plus 8.7 mM glucose, 0.3 mM pyruvate, 2.0mM L-lactate, 1.0mM 2-oxo- glutarate, 1.0 mM L-malate and 6.0 mM urea. The perfusate was supplemented with 6 g/100 ml bovine serum albumin, 0.1 g/100 ml inulin, and with freshly washed human red blood cells (10 + 2%

haematocrit). Ampicillin (3 mg/100 ml) and flucloxacillin (3 mg/

100 ml) were added to inhibit possible bacterial contamination of the medium. To improve the functional preservation of the prep- aration, the perfusate was continuously dialysed against a 25-fold volume of the same composition but without erythrocytes and albu- min. For oxygenation of the perfusion medium the dialysate was gassed with a 95% oxygen, 5% carbon dioxide mixture. Perfusate

Determination of renin activity. Perfusate samples were incubated for 1.5 h at 37~ with plasma of bilaterally nephrectomized male rats as renin substrate [27]. The angiotensin I generated was deter- mined by radioimmunoassay (Medipro AG, Teufen, Switzerland).

Renin release. In a previous study performed with the same exper- imental model we have found that renin is not inactivated during its passage through isolated perfused rat kidneys [31]. Therefore, renin secretory rates could be calculated from the arteriovenous differences of perfusate renin activity and the corresponding renal flow rates.

Determination of sodium and potassium. Sodium and potassium con- centrations were measured in perfusate and urine samples by means of a flame photometer equipped with an internal caesium standard (Instrumentation Laboratory 943).

Calculation of glomerular filtration rate. The glomerular filtration rate was calculated from the inulin clearance. Following acid hy- drolysis of inulin, the fructose concentration was measured spectrophotometrically according to the method described by Schmidt [30].

Agents. Pyruvate and the kit for fructose determination were obtained from Boehringer, Mannheim, FRG. Ampicillin and flucloxacillin were from Beecham, Bern, Switzerland. Glutamate, urea, and 2-oxoglutarate were obtained from Merck, Darmstadt, FRG. L-Malic acid and L-lactate as sodium salts were provided by Serva, Heidelberg, FRG. L-Amino acids were from Braun/Mel- sungen, FRG (Aminoplasmal paediatric free of carbon hydrate).

Inulin was provided by Laevosan, Linz, Austria. Nifedipine, verapamil, angiotensin II, isoproterenol, bumetanide and bovine serum albumin (fraction V powder) were purchased from Sigma International. Bay K 8644 and nitrendipine were provided by Bayer, Leverkusen, FRG. Stock solutions of the drugs to be tested were 0.1 M in dimethylsulphoxide. The final dimethylsulphoxide concen- tration in the perfusion medium was less than 0.01%.

Statistics. Levels of significance were calculated by using Student's t-test. P < 0.05 was considered significant.

Results

K i d n e y s were u s u a l l y p e r f u s e d i n vitro for 2 h. I n o r d e r to perceive a possible f u n c t i o n a l i n s t a b i l i t y o f the p r e p -

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Table I. Parameters of excretory kidney function"

Parameter 30 min 60 min 90 min

Urine flow rate

(glmin-lg-1) 43+ 5 58_+ 7 96 4-11

G F R ( p l m i n - l g -1) 958+12 9 6 1 + _ 1 0 967-1-12 TN~ (% of filtered load) 95 4- 2 92 _+ 3 87 _+ 2

Isolated rat kidneys were perfused at renal artery pressure of 100 mm Hg (13.3 kPa). Urine samples for determination of glom- erular filtration rate (GFR) and tubular sodium reabsorption (TN~) were collected at 30, 60 and 90 min after the onset of perfusion.

Values are means _+ SEM of ten experiments

"5 r~

k

E

tJ

kt_

10 0

f

1 0

0

I

1 0

0

1 0

0 0

{, Control

. 100

§

50

~"" 0

, , . , , , , 9

100

__ 5o

\

>

?~Nitrend ipine ~ 4 x

, / ; / ; - - / " 100

f

r 0

" ~ - o - - o - - o - - o 0 20 40 60 80 100 120 140 160

Perfusion pressure ( mm Hg )

Fig. 1. Pressure/flow relationship (O) and pressure-dependent renin release (9 from isolated perfused rat kidneys run under control conditions (upper panel). Renin secretory rates (RSR) at distinct pressure levels were calculated from the arteriovenous difference of renin activity of perfusate and from the corresponding renal flow rates (ANG, angiotensin). Values are means _+ SEM from ten differ- ent experiments. Lower panels: effect of nifedipine (5pM), nitrendipine (3 I-tM) and verapamil (5 BM), three different organic calcium channel blockers, on renal autoregulation of flow and renin secretory rates. The drugs were continuously infused into the arterial limb of the circulation with a rate of 1% of renal perfusate flow.

Values are means • SEM, n = 5. *, Significantly different from control (P < 0.05)

arations we also determined excretory kidney function.

To this end, urine samples were collected half-hourly and glomerular filtration rate and tubular sodium reabsorp- tion were determined. Values for urine flow rates, glom- erular filtration rates and sodium r e a b s o r p t i o n are listed in Table 1.

During control periods, when kidneys were perfused at a renal artery pressure of 100 m m Hg, flow rates were 14.9 4- 0.4 ml rain -1

g-1

(mean • S E M ; n = 10) (Fig. 1, u p p e r panel). A stepwise increase o f perfusion pressure to values o f 120, 140 and 160 m m H g caused slight but not significant (P > 0.05) increases o f flow rates to 15.3 4- 0.6, 15.8 4- 0.5 and 16.1 4- 0.7 ml rain - t g - a respectively

'EYl X

X O __

,7 E

157

18 16 14 12 10 B 8

ll40mmHg Ang II

i n

x 20

c • 15 r" o~ i~ -

0= * 5mini

Fig. 2. Effect of o f increasing renal artery pressure from 100 to 140 m m Hg and of angiotensin I I (Ang H) (100 p M ) on renal flow

rate and renin release. Values are means 4- SEM, n = 5. *, Signifi- cantly different from control (P < 0.05)

(Fig. 1). Reductions o f renal artery pressure to 80, 60 and 40 m m Hg, on the other hand, resulted in almost linear decreases o f perfusate flow to 12.8 + 0.8, 9.4 + 0.5 and 5.5 + 0.3 ml m i n - t g - t respectively (Fig. 1).

Renin secretion rates at 100 m m H g were 4.2 + 0.7 (ng angiotensin I h -1) min - t g - t (mean_+ SEM, n = 10) (Fig. 1, u p p e r panel). A stepwise increase o f perfusion pressure to 120, 140 and 160 m m H g did n o t further significantly inhibit renin release (Fig. 1). Nonetheless, renin secretion was still inhibitable by angiotensin II ( 1 0 0 p M ) and could be stimulated by isoproterenol (10 n M ) within this pressure range (Figs. 2 and 8).

Stepwise reductions o f renal artery pressure below 100 m m H g were paralleled by exponential increases of renin secretory rates. A t pressure values o f 80, 60 and 40 m m Hg, renin secretion rates were 16 + 3, 63 + 8 and 129 + 10 (ng angiotensin I h - t ) min - t g - 1 respectively (n = 10) (Fig. 1). E n h a n c e m e n t o f renin secretion by a reduction o f perfusion pressure was o f rapid onset a n d was a p p a r e n t within the first 2 rain after the d r o p o f pressure (Fig. 3).

The organic calcium channel blocker nifedipine (5 g M ) caused significant increases o f renal flow rates (P < 0.05) in the pressure range 1 0 0 - 1 6 0 m m H g (n = 5) (Fig. 1). Perfusate flow rates in the presence of nifedipine (5 ~tM) were 17.1 4- 0.5, 19.2 4- 1.0, 22.0 4- 0.6 and 22.9 ___ 0.5 ml rain - t g - 1 at pressures o f 100, 120, 140 and 160 m m H g respectively. Flow rates at 80, 60 and 40 m m H g were not significantly altered by nifedipine (Fig. 1).

At the same time nifedipine did not significantly affect pressure-modulated renin secretion rates in the range 4 0 - 1 6 0 m m H g (Fig. 1). A t concentrations higher than 5 pM, nifedipine (25 gM, 50 p M ) did not further decrease renal vascular resistance a n d also did n o t stimulate renin release (Fig. 4). In addition to the renal vascular relax- ation, nifedipine (5 g M ) also increased urinary sodium excretion f r o m 7.7 4- 0.5 pmol m i n - ~ g - ~ under control conditions to maximally 11.8 4- 0.9 gmol rain -~ g - ~ at a perfusion pressure o f 100 m m Hg. A rise of the sodium chloride load at the m a c u l a densa acts as an inhibitory

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&OmmHg 16

~ ' i 12

O r-

,- ~ 10

o~X

q 140

x 120

"1

~" 100.

x 8 0 -

"i r 6 0 - x 4 0 . 2 0 . ,< c- rt"

5 r a i n

I I

Fig. 3. Time courses of renal flow rate and renin secretion rate in response to decreasing perfusion pressure from 100 to 40 mm Hg (13.3 to 5.3 kPa). Values are means + SEM, n = 10. *, Significantly different from control

"T

~ c~ x

~ .l_C

O __

f f _ E

"T

&

<

Nifedipine 5pN 25pM 50pM

140 140 mmHg

1 8 , , ~ . , _ , _ o ~ , . . .

3 0

10 o . o . o ~ o - - O - c - - o - c , - o - e - c - o - o - o ~ ) . o - o ~ ' o - o - o

5min

Fig. 4. Dose-dependent effects of the dihydropyridine calcium an- tagonist nifedipine on renal flow and renin secretory rates at pressure values of 100 mm Hg and 140 mm Hg (13.3 and 18,6 kPa). Values are means from three different experiments. *, Significantly differ- ent from control (P < 0.05)

u_ E

"r T .c E x

x

r r

m~

201

16

12

Bumetanide 50pM

N i f e d i p i n e 5 p M

I--- I

. L+4444

H.++eef+++'~

1

30

Fig. 5. Effect of nifedipine (5 I~M) on renal flow and renin secretion in the presence of 50 gM bumetanide, an inhibitor of the macula densa Na+-K+-2C1 cotransport. Perfusion pressure was held con- stant at 100 mm Hg. Values are means + SEM, n = 5. *, Signifi- cantly different from control (P < 0.05). The bar indicates 5 min on the time axis

Vlerapamil 5FIM Verlapamil 25~M Ve[aparnil 50~M

18] ,

16 ~ ~

• 10

O __

,-r E 8

"-=E 25-1 x 20- '.c 15 -

x 10-

==

rr < 5-

~ o-

Fig. 6. Dose/response curves of the organic calcium channel blocker verapamil. Perfusion pressure was held constant at 100 mm Hg.

Values are means _+ SEM, n-= 5. *, Significantly different from control (P < 0.05)

signal for renin secretion [35]. It appears, therefore, not unlikely that nifedipine stimulated renin release f r o m re- nal J G cells directly via inhibition o f V O C C and at the same time decreased renin secretion by activating the inhibitory m a c u l a densa mechanism. As a consequence, the net a m o u n t o f renin released f r o m J G cells would be unchanged. To test for the latter possibility we used bumetanide, an inhibitor of the m a c u l a densa N a + - K +- 2C1- c o t r a n s p o r t [11]. As shown in Fig. 5, bumetanide (50 g M ) increased the basal flow rate f r o m 15.8 + 0.5 to 17.0 _+ 0,5 ml m i n - ~ g - 1 and renin secretory rates f r o m 5.0 _+ 0.8 to 12 _ 1.2 (ng angiotensin I h - ] ) min -1 g - 1 . Those effects of bumetanide were paralleled by an in- crease o f urinary sodium excretion f r o m 6.5-t-0.5 to 26.4 _+ 2.0 gmol m i n - ~ g - 2. However, nifedipine (5 g M ) even in the presence o f 50 I~M bumetanide did not signifi- cantly affect renin secretion (Fig. 5).

Like nifedipine, nitrendipine, a n o t h e r dihydropyridine derivative [1] used at a concentration o f 3 g M , signifi- cantly increased renal flow rate at pressure values o f 100, 120, 140, and 160 m m H g resulting in an almost linear pressure/flow curve (n = 5) (Fig. 1). Like nifedipine, nitrendipine did not significantly affect pressure-depen- dent renin release (Fig. 1). Verapamil at 5 g M [1] also abolished renal autoregulation o f flow but h a d no effect on the relationship between renin secretion and perfusion pressure (Fig. 1). A t higher concentrations verapamil led to a m o d e r a t e and dose-dependent increase of renin se- cretion at 100 m m H g (Fig. 6).

To evaluate further the potential role of V O C C in the control o f renin secretion, we used Bay K 8644, a dihydropyridine calcium channel agonist [32] to enhance t r a n s m e m b r a n e calcium influx t h r o u g h voltage-operated

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"7 ~33 x

2'&

,~~

O __ x

16 14 12 10 8 6 4

Bay K 8644 ( ] Verapamil {

"7 X

`7

E

x _ c

x (33 t -

<s

o _ ~

"To3 1 0 X

"T r

E

x

5

x

<

o r o

[ 5rain I

Fig. 7. Action of Bay K 8644 (5 p.M) on basal flow and renin se- cretory rates from isolated rat kidneys perfused at constant pressure of 100 mm Hg. The middle trace indicates the renin activities in the arterial (O) and the venous (11) perfusate. The long-lasting vasoconstricting effect of Bay K 8644 was completely reversed by verapamil (5 gM). Values are means 4- SEM, n = 5. -k, Significantly different from control (P < 0.05)

1[:3) x

x o _ , T E

7- (33 x 7"

18 16 14 12 10 8

I s o p r o t e r e n o l B a y K 8 6 4 4

x

x 0 3

< c

<

' o h x 30 = ' c E 2 5 .

x 2 0 -

"T'.-c 1 5 -

1 0 -

o r < 5 -

0

5ram

i i

Fig. 8. Effect of Bay K 8644 (5 pM) on flow rates and renin secretion rates from isolated kidneys stimulated with isoproterenol (10 nM).

In the middle trace are shown the renin activities in the arterial (O) and the venous (11) perfusate. Values are means _+ SEM, n = 5. -k, Significantly different from control (P < 0.05)

calcium channels. As s h o w n in Fig. 7 Bay K 8644 (5 g M ) caused a prompt and long-lasting decrease o f renal flow rate from 14.8+_0.7 to 8 . 2 _ + 0 . 4 m l rain - t g - t w h e n kidneys were perfused at 100 m m Hg, and this vaso- constriction was completely reversed by verapamil (5 pM). The vasoconstrictor action o f Bay K 8644 was paralleled by an increase o f the arteriovenous difference o f renin activity in the perfusate in such a w a y that Bay K 8644 did n o t significantly affect renin secretion (Fig. 7).

Bay K 8644 (5 laM) also had no effect o n renin secretion stimulated by isoproterenol (J0 n M ) (Fig. 8).

Discussion

Pressure-dependent renin secretion from renal juxta- glomerular (JG) cells m a k e s an important contribution to the h o m e o s t a s i s o f systemic b l o o d pressure [12]. The cellular baroreceptor m e c h a n i s m that leads to stimulation o f renin secretion w h e n renal artery pressure falls is still

u n k n o w n . F r o m the finding that pressure-controlled re- nin release is also preserved in non-filtering kidneys it was concluded that renal "baroreception" resides in the renal vasculature rather than being related to tubular, in particular to the m a c u l a densa, function (cf. [14]).

In parallel to the inhibition o f renin secretion a rise o f renal perfusion pressure also causes an increase o f renal vascular tone thus keeping b l o o d f l o w through the kid- neys constant over a wide pressure range, a p h e n o m e n o n referred to as the renal autoregulation o f flow [18].

Since JG ceils develop from vascular s m o o t h muscle cells by reversible metaplastic transformation [2, 36], it is not unlikely that both renin secretion and m y o g e n i c control o f vascular tone could primarily be controlled by a similar cellular signal transduction m e c h a n i s m (cf. [14]).

In fact, a number o f vasoconstrictor agents such as angiotensin II have been f o u n d to inhibit renin release from JG cells, whereas renal vasodilators such as isoproterenol stimulate renin secretion [13, 14] suggesting that the a m o u n t o f renin released from JG cells is in-

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160

versely related to the state of tension of renal vascular smooth muscle cells.

The cellular mechanisms underlying myogenic control of vascular tone are not yet completely understood. Renal autoregulation of flow in vivo and in vitro, however, was blunted by organic calcium channel blockers [4, 23, 25]

suggesting that voltage-operated calcium channels (VOCC) are somehow involved in the pressure control of vascular resistance. On the other hand, an increase of the intracellular calcium concentration is believed to act as an inhibitory signal for renin secretion from JG cells [13, 14] and it is still an open question whether transmem- brane calcium influx through VOCC contributes to this phenomenon.

In our study we have therefore tested for a functional role of VOCC in the pressure control of renin secretion.

To this end we have used the model of isolated perfused rat kidneys because this preparation allows pharmaco- logical effects on renal function to be monitored under controlled in vitro conditions. Since functional deterio- ration of cell-free perfused isolated kidney preparations has been reported to be at least in part prevented by increasing the oxygen supply to the kidneys [22], a 10%

fraction of human red cells was added to the perfusate.

In previous studies pressure-dependent renin secretion and autoregulation of flow have been found to be rather well preserved under these conditions [38]. In addition, the perfusion medium was regenerated by continuous dialysis during the experiments and the comparably low urine flow rates and the relatively high reabsorption rate for sodium argue in favour for the functional conser- vation of the isolated kidneys. Our finding that decreasing perfusion pressure in the range 8 0 - 4 0 mm Hg resulted in a linear pressure/flow relationship (Fig. 1) suggests that the renal vasculature was maximally dilated and myogenic regulation of vascular tone was absent in this pressure range. At the same time, pressure-dependent renin secretion was well preserved corresponding to an increase of secretion rate of approximately 2.8 (ng angiotensin I h - l ) min-1 g-1 mm Hg -1 when renal artery pressures were lowered to values below 80 mm Hg (Fig. 1). This suggests that renin release was not related to renal vascular tone within this range of perfusion pres- sure, a finding that is compatible with results obtained with conscious rats [5] but at variance with findings obtained in dogs [7, 20]. In the dogs, pressure-dependent renin secretion was found mainly to occur within the autoregulatory range [7, 20] and it did not increase further when the renal artery pressure was reduced below 60 mm Hg [7, 20]. The reason for those differences between the pressure dependence of renin release in vitro and in the intact animal is not known. However, pressure modu- lation of renin secretion appears to require a basal flow to become effective. Thus, pressure-dependent renin release from rabbit afferent arterioles has only been found with a free-flow system allowing parallel changes of the perfusate flow [3], whereas pressure dependence was not preserved by using a similar stop-flow technique [29].

Since, in contrast to the in vivo situation, isolated per- fused kidney preparations are characterized by a rela- tively high basal flow rate in the lower pressure range

also, this could be a reason why we found pressure depen- dence to be preserved also at values lower than 60 mm Hg.

Elevating the perfusion pressure above 100 mm Hg only led to a slight increase of perfusate flow indicating that myogenic control of flow was preserved (Fig. 1).

Within this autoregulatory range the pressure/renin se- cretion relationship was characterized by a plateau level with increasing perfusion pressure causing no further sig- nificant inhibition of renin release (Fig. 1). Within the plateau phase renin secretion was still regulatible, as indi- cated by the inhibitory effect of angiotensin II and by the stimulatory effect of isoproterenol (Figs. 3 and 8). A similar relationship between renin secretion and renal artery pressure with a slope, threshold pressure and a plateau phase has also been obtained in conscious dogs [7, 20] and rats [5, 171.

Our finding that autoregulation of renal flow was blunted by different organic calcium entry blockers (Fig. 1) is in good accordance with previous studies suggesting that influx of calcium into renal vascular smooth muscle cells through VOCC plays an essential role in the myogenic response to increasing renal artery pressure [4, 23, 25]. The prompt and long-lasting vasocon- strictor effect of Bay K 8644, a dihydropyridine calcium channel agonist [32], which is thought to enhance trans- membrane calcium influx [19, 32], is also compatible with this concept (Fig. 7).

More unexpected was that three structurally different calcium antagonists did not alter renin secretion in the pressure range 4 0 - 1 6 0 mm Hg, which led to a disso- ciation of renin release from the myogenic control of flow (Fig. 1). Bay K 8644 also did not alter renin release from the isolated kidneys, not even if it had first been stimu- lated with isoproterenol (Fig. 8).

Under the assumption that VOCC in vascular smooth muscle cells and in renal juxtaglomerular cells should have similar pharmacological properties, the sum of our results suggests that VOCC are not essentially involved in the baroreceptor mechanism controlling renin se- cretion in the isolated rat kidney.

At a first view our findings and conclusions seem to be at odds with several reports suggesting an essential role of VOCC in the control of renin secretion from renal juxtaglomerular cells [9]. It must be noted, however, that the experimental evidence available on this question is already contradictory. For instance Hackenthal and Taugner [13] observed that 1 laM Bay K 8644 caused a 50% reduction of basal renin release and a 10% increase in vascular resistance in the isolated perfused rat kidney, while Dietz [6] found a 60% increase in vascular resistance and no change of renin secretion under the same con- ditions. The latter author also observed no effect of Bay K 8644 on renin secretion stimulated by hypotension.

With results very similar to our own (Figs. 4, 6), he also found that verapamil but not nifedipine at higher concen- trations increased renin secretion at high pressures [6].

Roy et al. [28] reported that intrarenal infusion of verapamil in anaesthetized dogs caused an inhibition of renin secretion. Only in postischaemic papaverine-treated kidneys did they find a stimulation of renin secretion by

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v e r a p a m i l [28]. S t i m u l a t o r y effects o f v e r a p a m i l o n r e n i n s e c r e t i o n a r e u s u a l l y seen a t c o n c e n t r a t i o n s h i g h e r t h a n 10 g M (cf. [14]), a f i n d i n g t h a t w a s also o b t a i n e d in this s t u d y (Fig. 6). I n h i b i t i o n o f V O C C b y v e r a p a m i l , h o w - ever, o c c u r s in t h e l o w m i c r o m o l a r c o n c e n t r a t i o n r a n g e as also seen in this s t u d y (Fig. 1). R e c e n t l y it w a s s h o w n t h a t v e r a p a m i l in the m i c r o m o l a r c o n c e n t r a t i o n r a n g e is c a p a b l e also o f b l o c k i n g p o t a s s i u m c h a n n e l s in v a s c u l a r s m o o t h m u s c l e cells [26]. Since p o t a s s i u m c h a n n e l s a r e p r e d o l r f i n a n t in J G cells [21] it c a n n o t be r u l e d o u t t h a t s t i m u l a t i o n o f r e n i n s e c r e t i o n b y v e r a p a m i l is d u e to i n t e r f e r e n c e w i t h n o n - c a l c i u m c h a n n e l s .

A l t h o u g h n i f e d i p i n e a n d r e l a t e d d r u g s s i g n i f i c a n t l y i n c r e a s e d u r i n a r y s o d i u m e x c r e t i o n , t h e p o s s i b i l i t y a p - p e a r s less l i k e l y t h a t i n h i b i t i o n o f r e n i n release via the m a c u l a d e n s a m e c h a n i s m n e u t r a l i z e d a d i r e c t s t i m u l a t o r y effect o n J G cells b y b l o c k i n g c a l c i u m i n f l u x t h r o u g h V O C C . T h u s , 50 g M b u m e t a n i d e , a n i n h i b i t o r o f the N a + - K + - 2 C 1 - c o t r a n s p o r t [11], r e d u c e d r e n a l v a s c u l a r r e s i s t a n c e a n d a t the s a m e t i m e s i g n i f i c a n t l y i n c r e a s e d u r i n a r y s o d i u m e x c r e t i o n a n d r e n i n release, s u g g e s t i n g t h a t t h e m a c u l a d e n s a t r a n s p o r t f u n c t i o n was effectively i n h i b i t e d . H o w e v e r , even u n d e r t h o s e c o n d i t i o n s n i f e d i p i n e d i d n o t s i g n i f i c a n t l y affect, a n d in p a r t i c u l a r d i d n o t s t i m u l a t e , r e n i n s e c r e t i o n f r o m i s o l a t e d p e r f u s e d k i d n e y s (Fig. 5).

T a k e n t o g e t h e r o u r f i n d i n g s i n d i c a t e a n d t h u s c o n f i r m p r e v i o u s results t h a t V O C C a r e e s s e n t i a l m e d i a t o r s o f t h e r e n a l v a s c u l a r m y o g e n i c r e s p o n s e t o p r e s s u r e b u t t h e y also s u g g e s t t h a t V O C C a r e n o t e s s e n t i a l l y i n v o l v e d in the b a r o r e c e p t o r m e c h a n i s m c o n t r o l l i n g r e n i n secretion.

T h u s , t h e e l u c i d a t i o n o f this m e c h a n i s m r e q u i r e s f u t u r e w o r k a n d we t h i n k t h a t t h e i s o l a t e d p e r f u s e d r a t k i d n e y is a s u i t a b l e m o d e l f o r t h e f u r t h e r i n v e s t i g a t i o n o f this q u e s t i o n . O u r f i n d i n g s s h o w t h a t the c e l l u l a r m e c h a n i s m s m e d i a t i n g the c o n t r o l o f r e n i n s e c r e t i o n b y p r e s s u r e a r e f a s t - o p e r a t i n g (Fig. 2). T h i s c h a r a c t e r i s t i c m a y b e h e l p f u l to n a r r o w - d o w n p o s s i b l e c a n d i d a t e s f o r b a r o r e c e p t o r sig- nals.

Acknowlegements. We wish to thank U. Vogel for expert technical assistance and C. Gasser and K. H. Goetz for doing the artwork.

This study was supported by a grant of the Swiss National Science Foundation (31-26381.89).

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