Primary cultures of medullary thick ascending limb (mTAL) cells retain the
capacity to express calcium-sensing receptor (CaR) mRNA and protein. Increa
ses in cyclooxygenase-2 (COX-2) mRNA accumulation, protein expression, and
PGE(2) synthesis were observed in a dose- and time-dependent manner after e
xposure of these cells to extracellular calcium (Ca-o(2+)). Moreover, trans
fection of mTAL cells with a CaR overexpression vector significantly enhanc
ed COX-2 expression and PGE(2) production in response to calcium compared w
ith cells transfected with an empty vector. Challenge with the Call-selecti
ve agonist poly-L-arginine (PIA) also increased COX-2 mRNA accumulation, pr
otein expression, and PGE(2) synthesis. Furthermore, Ca-o(2+) and PLA-media
ted PGE(2) production was abolished in the presence of NS-398 or nimesulide
, two different COX-2-selective inhibitors. These data suggest that intrace
llular signaling mechanisms initiated via activation of Call contribute to
COX-2-dependent PGE(2) synthesis in the mTAL. Because Ca-o(2+) concentratio
n varies along Henle's loop, calcium may contribute to salt and water balan
ce via a COX-2- and Call-dependent mechanism. Thus novel calcimimetics migh
t be useful in conditions such as hypertension in which manipulation of ext
racellular fluid volume provides beneficial effects.