Integrative Physiology |
From the Smooth Muscle Research Group, Department of Pharmacology and Therapeutics, University of Calgary, Alberta, Canada.
Correspondence to Rodger D. Loutzenhiser, PhD, Department of Pharmacology and Therapeutics, The University of Calgary, Health Sciences Centre, 3330 Hospital Dr NW, Calgary, Alberta T2N 4N1, Canada. E-mail rloutzen{at}ucalgary.ca
| Abstract |
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Key Words: renal microcirculation renal hemodynamics nifedipine cyclopiazonic acid SKF 96365
| Introduction |
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Alterations in membrane potential and voltage-mediated changes in L-type Ca2+ channel activity play a prominent role in smooth-muscle excitation-contraction coupling and are especially important for the regulation of tone in resistance vessels.7 The efferent arteriole is a notable exception. L-type Ca2+ channel blockers have no effect on this vessel (reviewed in Reference 8 ), and efferent tone is refractory to depolarizing and hyperpolarizing stimuli.9 10 Moreover, we have shown that Ang IIinduced afferent vasoconstriction is closely coupled to membrane depolarization, whereas the contractile response of the efferent arteriole to Ang II is fully dissociated from changes in membrane potential.11 Thus, although evidence implicates membrane depolarization and voltage-gated Ca2+ entry in afferent vasoconstrictor responses, the mechanisms mediating efferent vasoconstriction and the role of Ca2+ influx in this vessel are unknown.
The present study was undertaken to determine whether Ang II activates distinct Ca2+ entry mechanisms in the afferent and efferent arteriole. To address this issue, we used fura-2 to assess Ca2+ signaling in freshly isolated single renal arterioles, and we used the manganese quench technique to assess Ca2+ influx in this preparation. The possible role of store-operated Ca2+ influx was investigated using myocytes freshly dispersed from individually isolated afferent and efferent arterioles.
| Materials and Methods |
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Arterioles were loaded in 5 µmol/L fura 2--acetoxymethyl ester at room temperature, warmed to 37°C, washed, and placed on a heated microscope stage. Fluorescence was measured using a Nikon inverted microscope equipped with a dual-image module and 535-nm dichroic splitter. The vessels were transilluminated with red light (650 nmol/L) for imaging and epi-illuminated using alternating 340/380 nmol/L (dye ratio) or 360 nm light (Mn2+ quench studies). Fluorescence (510 nmol/L) was measured at 10 to 15 Hz, and data were averaged over 1-second intervals. Medium was pumped through the perfusion chamber (2 mL/min), which was maintained at 37°C and equilibrated with 5% CO2 (95% air).
Initial studies assessed the contribution of the
endothelium to the responses of the intact arterioles.
As shown in Figure 2A
, acetylcholine attenuated the response to Ang II, indicating a
functional endothelium and a predominant reporting of
the smooth muscle [Ca2+]. When added alone,
acetylcholine did elicit a Ca2+ increase (Figure 2B
). However, Ang II (10 nmol/L) did not alter
[Ca2+] in endothelial cells
isolated from efferent arterioles (Figure 2C
). We conclude that
although the endothelium is present, it does not
contribute directly to the Ang II response. Nevertheless, the presence
of these 2 differing cell types precluded the calculation of
[Ca2+]i from the fura 2
ratio. Thus, the ratio itself was used as a qualitative index of
[Ca2+]i. Ang II elicited
concentration-dependent responses over 0.1 to 10 nmol/L (see online
Figure 1
; data supplement available at http://www.circresaha.org).
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The Mn2+ quench technique was used to investigate Ca2+ entry in fura-2loaded arterioles. Fluorescence was monitored in nominally Ca2+-free DMEM. MnCl2 (100 µmol/L) and the experimental agent (Ang II, KCl) were then added sequentially. The rate of decline in fluorescence (percentage per second) was calculated by linear regression. An increase in the quench rate was interpreted as an increase in Ca2+/Mn2+ entry.
Single myocytes were used to study store-operated
Ca2+ influx (SOCI). Myocytes were isolated from
individual arterioles, attached to coverslips, and loaded with fura-2,
as described above (see expanded Materials and Methods online; data
supplement available at http://www.circresaha.org). The morphology of
the 2 myocyte types was quite different. Afferent myocytes exhibited a
typical spindle-shape morphology (Figure 1B
), whereas efferent
myocytes were characterized by a bifurcation at each pole (Figure 1C
). To assay for SOCI, myocytes were treated with 0.1
µmol/L nifedipine, followed by 30 µmol/L
cyclopiazonic acid (CPA) to deplete
[Ca2+]i stores. The
dependence of the resultant response on
[Ca2+]o was then
assessed.
All data are expressed as the mean±SE. Data were analyzed by ANOVA and paired or unpaired Student t test. P<0.05 was considered to be significant.
An expanded Materials and Methods section can be found in an online data supplement available at http://www.circresaha.org.
| Results |
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The Ca2+ response of the efferent arteriole to
Ang II was more biphasic in character (Figure 4
). In this vessel, the peak and
sustained components corresponded to 144±5% (P<0.001) and
122±5% (P<0.01) of the basal value. As seen with the
afferent arteriole, the sustained component was dependent on
[Ca2+]o. However, in
contrast to the afferent arteriole, nifedipine did not
alter either the peak or sustained component of the efferent response
to Ang II (n=9). As seen with the afferent arteriole, after removal of
[Ca2+]o, the application
of Ang II elicited only a phasic Ca2+ response
(see online Figure 2
; data supplement available at
http://www.circresaha.org), reflecting the release of SR
Ca2+ stores.
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Our finding that the sustained Ca2+ response of
both arterioles depends on
[Ca2+]o implicates a role
of Ca2+ influx in each vessel type. To further
evaluate this postulate, we used the Mn2+ quench
technique. This approach takes advantage of the fact that
Mn2+ binding eliminates fura-2
fluorescence. Thus, the addition of extracellular
Mn2+ triggers a decay in fluorescence
that reflects the rate of Mn2+ entry.
Accordingly, a stimulation of divalent cation influx increases the
Mn2+ quench rate. As shown in Figure 5
, Ang II stimulated divalent influx in
both arterioles, increasing the quench rate from 0.18±0.03% to
0.43±0.7% per second (n=7, P<0.025) in afferent
arterioles and from 0.18±0.03% to 0.41±0.07% per second (n=8,
P<0.005) in efferent arterioles. This corresponds to
increases to 276±60% and 243±36% of the respective controls. As
further depicted in Figure 5
, pretreatment with 0.1 nmol/L
nifedipine blocked the afferent arteriolar response to Ang
II (126±11% of basal, from 0.06±0.01% to 0.08±0.01% per second,
n=6, P>0.05). However, nifedipine did not alter
the efferent response to Ang II. Thus, Ang II increased influx to
284±60% of control in the presence of nifedipine (from
0.18±0.01% to 0.53±0.13% per second, n=7, P<0.05), a
value similar to that seen in untreated vessels (246±36%,
P>0.50).
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We used KCl-induced depolarization to examine the role of voltage-gated
Ca2+ entry in each vessel (Figure 6
). In the afferent arteriole, elevating
KCl from 5 to 30 or 80 mmol/L increased the quench rate from
0.16±0.03% to 0.31±0.03% per second (n=5, P<0.01) and
from 0.16±0.03% to 0.56±0.10% per second (n=5,
P<0.025), respectively. This corresponds to influx rates of
214±31% and 367±56% of control. In contrast, KCl reduced influx by
25±6% and 37±13% (n=5, P<0.05 versus basal) in the
efferent arteriole. Thus, voltage-activated
Ca2+ influx, seen in the afferent arteriole, is
absent in the efferent arteriole.
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We next examined the role of store-operated Ca2+
influx (SOCI). SOCI is insensitive to
dihydropyridines and is activated by
depletion of SR/endoplasmic reticulum Ca2+
stores.12 To test for the presence of SOCI, we sought to
determine whether the sarcoplasmic/endoplasmic reticulum
Ca2+ ATPase (SERCA) inhibitor CPA
(30 µmol/L) elicited a sustained Ca2+
response that was dependent on
[Ca2+]o but insensitive
to nifedipine. Because SOCI is known to be present in
the endothelium (see References 12 and
13 ), these studies were conducted using single
myocytes isolated from each arteriole type. Figure 7
depicts signal-averaged fura-2 tracings
and mean data. In afferent myocytes, CPA elicited only a phasic
response, suggesting a lack of SOCI in this vessel. In contrast, CPA
elicited a sustained Ca2+ signal in efferent
myocytes that was clearly dependent on the presence of
[Ca2+]o.
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To further characterize Ca2+ influx in the
efferent arteriole, we examined the effects of SKF 96365 both on the
response of the intact vessel to Ang II and on the response of the
efferent myocyte to CPA. SKF 96365 inhibits a wide range of
Ca2+ influx mechanisms, including SOCI. The
protocol is illustrated by the tracing presented in Figure 8A
. Arterioles or myocytes were treated
with either Ang II or CPA, and the effects of SKF 96365 on the
[Ca2+]o-dependent
responses were assessed. As shown in Figure 8B
, SKF 96265 caused
an identical blockade of the efferent responses to CPA and Ang II over
concentrations of 1 to 100 µmol/L. This finding is
consistent with the postulate that Ang II, by depleting SR
Ca2+ stores, activates SOCI in the
efferent arteriole.
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| Discussion |
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Our findings agree with those of previous studies assessing renal microvascular contractile responses, which also suggest divergent signaling mechanisms in these 2 vessels. We previously reported that the afferent vasoconstriction elicited by Ang II is closely coupled to membrane depolarization, whereas the efferent vasoconstriction is not.11 Contractile studies using a variety of experimental approaches consistently show that L-type Ca2+ channel blockers inhibit afferent vasoconstriction without affecting the efferent arteriole (eg, Reference 14 ). Functional studies, assessing the actions of Ca2+ antagonists on GFR and renal hemodynamics in the intact kidney, also indicate a preferential preglomerular action (see Reference 8 ). In addition, afferent and efferent arterioles exhibit differing responses to hyperpolarizing and depolarizing stimuli. We found pinacidil, a K-channel opener, to act preferentially on the afferent arteriole10 and KCl-induced depolarization, an experimental means of directly activating L-type Ca2+ channels, to elicit preferential afferent vasoconstriction.9 These findings are consistent with the current observation that KCl stimulates Ca2+ influx in afferent, but not efferent, arterioles. However, in contrast to the above observations, Conger et al15 and Inscho et al16 reported efferent constrictor responses to KCl. The reasons for the latter findings are not clear, because Ca2+ antagonists do not effect efferent responses to agonists in the preparations used by these investigators (see Reference 14 ).
Our findings are also largely consistent with previous
investigations of Ang IIinduced Ca2+ signaling
in renal arterioles, although some discrepancies in this regard must
also be noted. Conger et al17 found that Ang II increased
Ca2+ in both afferent and efferent arterioles and
that diltiazem selectively blocked the afferent response. Conger et
al15 also found that removal of
[Ca2+]o resulted in a
phasic response to Ang II in both vessels and that dantroline abolished
this component, suggesting Ang IIinduced release of SR
Ca2+ in each vessel type. Iversen and
Arendshorst18 also reported that nifedipine
and [Ca2+]o removal
inhibited the responses of preglomerular arteriolar
segments to Ang II. However, in contrast to the above study, these
authors did not observe phasic Ca2+ transients
after treatment with either nifedipine or
[Ca2+]o removal. The
present findings agree with those of Conger et al,15
in that we observed transient Ang II responses in
[Ca2+]o-free media in
both afferent and efferent arterioles, indicating that Ang II releases
Ca2+ from SR stores in both vessels.
Interestingly, in the afferent arteriole, 0.1 µmol/L
nifedipine reduced this initial phasic
Ca2+ signal by
50%, suggesting a possible
contribution of both Ca2+-induced
Ca2+ release and inositol
1,4,5-triphosphatedependent Ca2+ release.
In contrast to the above studies, Helou and Marchetti19 reported that 1.0 µmol/L nifedipine only partially blocked Ang II signaling in the afferent arteriole (ie, by only 40%). These authors found 2 populations of efferent arterioles, thin-walled vessels from the outer cortex that were insensitive to nifedipine and thick-walled vessels from the inner cortex that were partially sensitive to nifedipine. The reasons for these discrepancies are unclear, but differences in experimental conditions may be involved. Our studies are conducted at 37°C and use physiological levels of PCO2 and HCO3. These conditions are essential for normal pHi regulation. Ang II can cause alkalinization in the absence of physiological HCO3, thereby altering smooth muscle Ca2+ signaling (reviewed in Reference 20 ). The studies by Helou and Marchetti,19 Iversen and Arendshorst,18 and Fellner and Arendshorst21 used atmospheric PCO2 and low [HCO3] and were conducted at room temperature.
The effects of KCl on renal arteriolar Ca2+ signaling have also been studied by other laboratories. Carmines et al22 reported that KCl-induced depolarization increased [Ca2+]i in the afferent arteriole and reduced [Ca2+]i in the efferent arteriole, observations similar to our findings. The attenuated rate of Mn2+ quenching in the efferent arteriole seen on the addition of KCl likely reflects the reduction in the electrical gradient induced by depolarization. In contrast to both our findings and those of Carmines et al,22 Helou and Marchetti19 found that KCl increased [Ca2+]i in both vessel types.
A major finding of the present study is that Ang II activates a distinct Ca2+ influx mechanism in the efferent arteriole. Previous studies have shown that Ang II elicits a sustained elevation of Ca2+ in the efferent arteriole.17 19 23 Previous reports that SERCA inhibitors block Ang IIinduced efferent vasoconstriction prompted suggestions that Ca2+ released from the SR accounts for the observed increase in efferent [Ca2+]i.15 16 However, although Ca2+ release accounts for the initial Ca2+ transient, this mechanism alone cannot support the sustained, [Ca2+]o-dependent response. Moreover, SERCA inhibition can block vasoconstriction indirectly, as this manipulation activates the endothelium to release endothelium-derived relaxing factors12 13 and elicits NO-dependent renal vasodilation.24 Our findings indicate that the sustained Ca2+ response of the efferent arteriole is not due to Ca2+ release per se but rather is mediated by Ca2+ influx. A role of Ca2+ influx was previously suggested by Takenaka et al,25 who demonstrated that removal of [Ca2+]o or application of MnCl2 attenuated the efferent arteriolar contractile responses to Ang II.
Our findings further suggest that the Ca2+ influx mechanism in the efferent arteriole is store operated. Calcium influx linked to membrane depolarization and activation of voltage-gated Ca2+ channels, such as is seen in the afferent arteriole, is a common signaling event in excitable tissues, including most vascular smooth muscle. In nonexcitable cells, such as leukocytes and endothelial cells, membrane depolarization is not involved in cell signaling, and voltage-gated Ca2+ channels are not expressed. In these tissues, nifedipine-insensitive SOCI contributes to Ca2+ signaling (reviewed in Reference 12 ). Efferent arteriolar smooth muscle can be considered as a nonexcitable tissue, in that membrane depolarization is not linked to contraction9 11 and voltage-gated Ca2+ entry appears to be absent. Our finding that CPA elicits a sustained Ca2+ signal and that this response depends on [Ca2+]o but is insensitive to nifedipine suggests that SOCI is present in efferent myocytes. Ang II would activate this pathway in the intact vessel through 1,4,5-triphosphatemediated Ca2+ release and depletion of SR Ca2+ stores. Our finding that the efferent myocyte response to CPA and the response of the intact efferent arteriole to Ang II were inhibited in an identical manner by SKF 96365 supports this interpretation. Although there are currently no pharmacological agents that exhibit absolute selectivity for SOCI, SKF 96365 has been shown to inhibit this pathway over the concentrations we used.26 We recognize that our studies do not rule out the possibility that Ang II may activate a Ca2+ entry mechanism in the efferent arteriole that differs from SOCI but is similarly inhibited by SKF 96365. For example, Ang II might activate a nonselective cation channel or a novel Ca2+ channel in this vessel. Given that the reversal potential for nonselective cation channel is more positive than the resting membrane potential, the activation of these channels would evoke depolarization. We have previously shown that Ang IIinduced efferent vasoconstriction is not associated with depolarization,11 arguing against this possibility.
Ang II also releases SR stores in the afferent arteriole and should activate SOCI in this vessel, if this mechanism is present. However, we found that nifedipine completely abolished Ang II influx in this vessel. Furthermore, unlike efferent myocytes, afferent myocytes exhibited only a phasic Ca2+ response to CPA. We interpret the 2 findings as indicating that SOCI is not present in the afferent arteriole. In contrast, Fellner and Arendshorst21 reported that SOCI is present in preglomerular vessels obtained by iron oxide sieving. Curiously, these Ca2+ signals were reported to be sustained even in the absence of [Ca2+]o, suggesting unusual characteristics of their assay. Furthermore, this same laboratory had previously reported that nifedipine fully blocked the response of this preparation to Ang II18 whereas, as discussed above, SOCI would not be affected by dihydropyridines. It is important to note that endothelial cells express SOCI, and thus the presence of contaminating endothelial cells would contribute to erroneous findings. For this reason, our studies were conducted with single myocytes.
Activation of Ca2+ entry by SERCA inhibition is the defining feature of SOCI. However, the intervening mechanisms and the identity of the store-operated Ca2+ channels are not presently defined (see Reference 12 ). Products of the trp gene family remain the most promising candidates for the latter (see Reference 27 ). Clearly, a resolution of these issues is required to further define the role of SOCI in the efferent arteriole. Future studies characterizing the nature of Ca2+ currents and the expression of SOCI signaling genes in efferent myocytes will be needed. This question is of significant therapeutic interest, as the identification of the efferent Ca2+ influx mechanism could contribute to the development of an efferent-specific vasodilator. In settings such as diabetes, efferent vasodilation is a potential therapeutic approach for reducing glomerular hypertension, a primary factor in the progression of diabetic nephropathy.
In conclusion, we have demonstrated that Ang II activates differing Ca2+ influx mechanisms in renal afferent and efferent arterioles. In afferent arterioles, Ang II activates L-type Ca2+ channels, as does KCl-induced depolarization. This Ca2+ influx mechanism is absent in the efferent arteriole. In the efferent arteriole, Ang II activates a voltage-independent and nifedipine-insensitive Ca2+ influx, as does the SERCA inhibitor CPA. This CPA-activated SOCI is absent in afferent myocytes. We suggest that Ang IIinduced depletion of SR Ca2+ stores activates SOCI in the efferent arteriole. Our finding that SKF 96365 produces identical concentration-dependent blockade of Ang II and CPA-induced responses supports this interpretation. Because the efferent arteriole lacks electromechanical coupling, we suggest that this vessel is a unique example of a nonexcitable vascular smooth muscle and that SOCI plays a prominent role in its activation.
| Acknowledgments |
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Received April 12, 2000; revision received July 31, 2000; accepted August 23, 2000.
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A. J. Fuller, B. C. Hauschild, R. Gonzalez-Villalobos, M. S. Awayda, J. D. Imig, E. W. Inscho, and L. G. Navar Calcium and chloride channel activation by angiotensin II-AT1 receptors in preglomerular vascular smooth muscle cells Am J Physiol Renal Physiol, October 1, 2005; 289(4): F760 - F767. [Abstract] [Full Text] [PDF] |
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C. S. Facemire and W. J. Arendshorst Calmodulin mediates norepinephrine-induced receptor-operated calcium entry in preglomerular resistance arteries Am J Physiol Renal Physiol, July 1, 2005; 289(1): F127 - F136. [Abstract] [Full Text] [PDF] |
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F. H. Hansen, O. B. Vagnes, and B. M. Iversen Enhanced response to AVP in the interlobular artery from the spontaneously hypertensive rat Am J Physiol Renal Physiol, May 1, 2005; 288(5): F1023 - F1031. [Abstract] [Full Text] [PDF] |
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Q. Che and P. K. Carmines Src family kinase involvement in rat preglomerular microvascular contractile and [Ca2+]i responses to ANG II Am J Physiol Renal Physiol, April 1, 2005; 288(4): F658 - F664. [Abstract] [Full Text] [PDF] |
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R. W. Fallet, H. Ikenaga, J. P. Bast, and P. K. Carmines Relative contributions of Ca2+ mobilization and influx in renal arteriolar contractile responses to arginine vasopressin Am J Physiol Renal Physiol, March 1, 2005; 288(3): F545 - F551. [Abstract] [Full Text] [PDF] |
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T. L. Pallone, C. Cao, and Z. Zhang Inhibition of K+ conductance in descending vasa recta pericytes by ANG II Am J Physiol Renal Physiol, December 1, 2004; 287(6): F1213 - F1222. [Abstract] [Full Text] [PDF] |
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D. J. Beech, K. Muraki, and R. Flemming Non-selective cationic channels of smooth muscle and the mammalian homologues of Drosophila TRP J. Physiol., September 15, 2004; 559(3): 685 - 706. [Abstract] [Full Text] [PDF] |
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B. L. Jensen, U. G. Friis, P. B. Hansen, D. Andreasen, T. Uhrenholt, J. Schjerning, and O. Skott Voltage-dependent calcium channels in the renal microcirculation Nephrol. Dial. Transplant., June 1, 2004; 19(6): 1368 - 1373. [Full Text] [PDF] |
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O. B. Vagnes, F. H. Hansen, R. E. F. Christiansen, C. Gjerstad, and B. M. Iversen Age-dependent regulation of vasopressin V1a receptors in preglomerular vessels from the spontaneously hypertensive rat Am J Physiol Renal Physiol, May 1, 2004; 286(5): F997 - F1003. [Abstract] [Full Text] [PDF] |
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M.-G. Feng, M. Li, and L. G. Navar T-type calcium channels in the regulation of afferent and efferent arterioles in rats Am J Physiol Renal Physiol, February 1, 2004; 286(2): F331 - F337. [Abstract] [Full Text] [PDF] |
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T. L. Pallone, Z. Zhang, and K. Rhinehart Physiology of the renal medullary microcirculation Am J Physiol Renal Physiol, February 1, 2003; 284(2): F253 - F266. [Abstract] [Full Text] [PDF] |
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J. G. Murphy, J. N. Herrington, J. P. Granger, and R. A. Khalil Enhanced [Ca2+]i in renal arterial smooth muscle cells of pregnant rats with reduced uterine perfusion pressure Am J Physiol Heart Circ Physiol, January 1, 2003; 284(1): H393 - H403. [Abstract] [Full Text] [PDF] |
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Q. Che and P. K. Carmines Angiotensin II Triggers EGFR Tyrosine Kinase-Dependent Ca2+ Influx in Afferent Arterioles Hypertension, November 1, 2002; 40(5): 700 - 706. [Abstract] [Full Text] [PDF] |
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Z. Zhang, K. Rhinehart, and T. L. Pallone Membrane potential controls calcium entry into descending vasa recta pericytes Am J Physiol Regulatory Integrative Comp Physiol, October 1, 2002; 283(4): R949 - R957. [Abstract] [Full Text] [PDF] |
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R Flemming, A Cheong, A M Dedman, and D J Beech Discrete store-operated calcium influx into an intracellular compartment in rabbit arteriolar smooth muscle J. Physiol., September 1, 2002; 543(2): 455 - 464. [Abstract] [Full Text] [PDF] |
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L. L. Cribbs Vascular Smooth Muscle Calcium Channels: Could "T" Be a Target? Circ. Res., September 28, 2001; 89(7): 560 - 562. [Full Text] [PDF] |
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P. K. Carmines, R. W. Fallet, Q. Che, and K. Fujiwara Tyrosine Kinase Involvement in Renal Arteriolar Constrictor Responses to Angiotensin II Hypertension, February 1, 2001; 37(2): 569 - 573. [Abstract] [Full Text] [PDF] |
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E. W. Inscho and A. K. Cook P2 receptor-mediated afferent arteriolar vasoconstriction during calcium blockade Am J Physiol Renal Physiol, February 1, 2002; 282(2): F245 - F255. [Abstract] [Full Text] [PDF] |
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X. Wang and R. Loutzenhiser Determinants of renal microvascular response to ACh: afferent and efferent arteriolar actions of EDHF Am J Physiol Renal Physiol, January 1, 2002; 282(1): F124 - F132. [Abstract] [Full Text] [PDF] |
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G. Trottier, M. Hollenberg, X. Wang, Y. Gui, K. Loutzenhiser, and R. Loutzenhiser PAR-2 elicits afferent arteriolar vasodilation by NO-dependent and NO-independent actions Am J Physiol Renal Physiol, May 1, 2002; 282(5): F891 - F897. [Abstract] [Full Text] [PDF] |
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T. L. Pallone and J. M.-C. Huang Control of descending vasa recta pericyte membrane potential by angiotensin II Am J Physiol Renal Physiol, June 1, 2002; 282(6): F1064 - F1074. [Abstract] [Full Text] [PDF] |
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P. B. Hansen, B. L. Jensen, D. Andreasen, and O. Skott Differential Expression of T- and L-Type Voltage-Dependent Calcium Channels in Renal Resistance Vessels Circ. Res., September 28, 2001; 89(7): 630 - 638. [Abstract] [Full Text] [PDF] |
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