关键词: AQP2 TGR5 cAMP lithium

Mesh : Animals Aquaporin 2 / genetics metabolism Bile Acids and Salts / pharmacology Cells, Cultured Chenodeoxycholic Acid / analogs & derivatives pharmacology Cholic Acids / pharmacology Diabetes Insipidus, Nephrogenic / metabolism Homeostasis Kidney Tubules, Collecting / drug effects metabolism Lithocholic Acid / metabolism Male Mice Mice, Inbred C57BL Mice, Knockout RNA, Messenger / genetics metabolism Rats Rats, Wistar Receptors, Cytoplasmic and Nuclear / metabolism Receptors, G-Protein-Coupled / agonists deficiency genetics metabolism Signal Transduction Water / metabolism

来  源:   DOI:10.1681/ASN.2018030271   PDF(Pubmed)

Abstract:
The bile acid-activated receptors, including the membrane G protein-coupled receptor TGR5 and nuclear farnesoid X receptor (FXR), have roles in kidney diseases. In this study, we investigated the role of TGR5 in renal water handling and the underlying molecular mechanisms.
We used tubule suspensions of inner medullary collecting duct (IMCD) cells from rat kidneys to investigate the effect of TGR5 signaling on aquaporin-2 (AQP2) expression, and examined the in vivo effects of TGR5 in mice with lithium-induced nephrogenic diabetes insipidus (NDI) and Tgr5 knockout (Tgr5 -/-) mice.
Activation of TGR5 by lithocholic acid (LCA), an endogenous TGR5 ligand, or INT-777, a synthetic TGR5-specific agonist, induced AQP2 expression and intracellular trafficking in rat IMCD cells via a cAMP-protein kinase A signaling pathway. In mice with NDI, dietary supplementation with LCA markedly decreased urine output and increased urine osmolality, which was associated with significantly upregulated AQP2 expression in the kidney inner medulla. Supplementation with endogenous FXR agonist had no effect. In primary IMCD suspensions from lithium-treated rats, treatment with INT-767 (FXR and TGR5 dual agonist) or INT-777, but not INT-747 (FXR agonist), increased AQP2 expression. Tgr5 -/- mice exhibited an attenuated ability to concentrate urine in response to dehydration, which was associated with decreased AQP2 expression in the kidney inner medulla. In lithium-treated Tgr5 -/- mice, LCA treatment failed to prevent reduction of AQP2 expression.
TGR5 stimulation increases renal AQP2 expression and improves impaired urinary concentration in lithium-induced NDI. TGR5 is thus involved in regulating water metabolism in the kidney.
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