Pf. Mento et al., INCREASED EXPRESSION OF GLOMERULAR AT(1) RECEPTORS IN RATS WITH MYOCARDIAL-INFARCTION, American journal of physiology. Heart and circulatory physiology, 44(4), 1998, pp. 1247-1253
Rats with congestive heart failure demonstrate striking intrarenal vas
oconstriction that contributes to reduced renal excretory function. We
previously demonstrated that inhibition of angiotensin action reverse
s intrarenal vasoconstriction in rats 4-6 wk after coronary artery lig
ation. In the present study we tested the hypothesis that abnormalitie
s in the expression and regulation of glomerular angiotensin receptors
contribute to the intrarenal vasoconstriction. Because glomerular ang
iotensin type 1 (AT(1)) receptors normally downregulate in response to
high local ANG II concentrations, we anticipated that glomerular AT(1
)-receptor expression would be reduced in rats after myocardial infarc
tion (MI). To our surprise, the density of glomerular AT1 receptors wa
s nearly double (97% increase, P < 0.002) that of controls, indicating
an acquired abnormality in angiotensin receptor regulation. This was
specific for renal glomeruli, because the density of angiotensin recep
tors on renal vasculature was decreased in rats after MI compared with
normal controls. Glomerular AT1-receptor expression was downregulated
by an acute pharmacological infusion of ANG II and upregulated by acu
te angiotensin-converting enzyme inhibition to a similar extent in MI
and control rats. Renal cortical mRNA expression showed an increase in
the renin mRNA-to-actin ratio and angiotensinogen-to-actin ratio, ind
icating stimulation of the intrarenal angiotensin system in rats after
MI. The data indicate a specific dysregulation of AT(1) receptors in
glomeruli but not blood vessels after MI.