Abstract
Introduction and objectives
Reactive oxygen species (ROS) are produced during the interaction between oxalate/calcium oxalate monohydrate (COM) crystals and renal epithelial cells and are responsible for the various cellular responses through the activation of NADPH oxidase (Nox). Ox and COM also activate the renin–angiotensin–aldosterone system (RAAS). Aldosterone stimulates ROS production through activation of Nox with the involvement of mineralocorticoid receptor (MR), Rac1 and mitogen-activated protein kinases (MAPK). We investigated RAAS pathways in vivo in an animal model of hyperoxaluria and in vitro by exposing renal epithelial cells to COM crystals.
Methods
Hyperoxaluria was induced in male SD rats by administering ethylene glycol. One group of rats was additionally given spironolactone. Total RNA was extracted and subjected to genomic microarrays to obtain global transcriptome data. Normal rat kidney cell line (NRK-52E) was incubated with aldosterone(10−7 M) and COM(67 μg/cm2) with or without spironolactone(10−5 M), a selective inhibitor of SRC family of kinases; protein phosphatase 2(pp2) (10−5 M) and Nox inhibitor; diphenylene iodonium (DPI) (10−5 M).
Results
Relative expression of genes encoding for AGT, angiotensin receptors 1b and 2, Renin 1, Cyp11b, HSD11B2, Nr3c2, NOx4 and Rac1 was upregulated in the kidneys of rats with hyperoxaluria. Treatment with spironolactone reversed the effect of hyperoxaluria. Both aldosterone and COM crystals activated Nox and Rac1 expression in NRK52E, while spironolactone inhibited Nox and Rac1 expression. Increased Rac1 expression was significantly attenuated by treatment with PP2 and spironolactone.
Conclusions
Results indicate that hyperoxaluria-induced production of ROS, injury and inflammation are in part associated with the activation of Nox through renin–angiotensin–aldosterone pathway.
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Acknowledgments
The studies were approved by the University of Florida’s IACUC and were conducted in accord with the recommendations of the NIH Guide for the Care and Use of Laboratory Animals. The funding for the research was provided by National Institute of Health (NIH) grant number RO1-DK078602.
Conflict of interest
The authors declare that they have no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.
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Tsuji, H., Wang, W., Sunil, J. et al. Involvement of renin–angiotensin–aldosterone system in calcium oxalate crystal induced activation of NADPH oxidase and renal cell injury. World J Urol 34, 89–95 (2016). https://doi.org/10.1007/s00345-015-1563-y
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DOI: https://doi.org/10.1007/s00345-015-1563-y