Integrative Physiology |
From the Department of Pharmacology and Therapeutics, University of Calgary, Calgary, Alberta, Canada.
Correspondence to Rodger D. Loutzenhiser, PhD, Department of Pharmacology and Therapeutics, 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 hemodynamics renal microcirculation membrane potential barium ouabain
| Introduction |
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K+-induced vasodilation has long
been recognized as a mechanism for regulating local blood supply. In
general, modest increases in local K+
concentration result in vasodilation and increased blood
flow.9 This vasodilation is
mediated, in part, by the outward current carried by Kir. Patch-clamp
studies using smooth-muscle myocytes from vessels exhibiting
K+-induced dilation demonstrate that
elevations in external K+ increase outward
current through
Kir.10 11 12
This effect is attributable to a displacement by
K+ of polyamine or
Mg2+ binding within the pore, which reduces
rectification and increases outward
current.13 An alternate
mechanism whereby external K+ can induce
vasodilation is by stimulating the ouabain-sensitive, electrogenic
Na+-K+
ATPase.6 7 14
Ba2+ blocks Kir at micromolar concentrations
and can be used to distinguish Kir-induced vasodilation from effects
mediated by other K+ channels or from
ouabain-sensitive
vasodilation.10 11 12 14
In addition, the
-adrenoceptor agonist/antagonist
chloroethylclonidine (CEC) has recently been shown to block
Kir.15 Hence, the
combination of K+-induced vasodilation
together with micromolar sensitivity to Ba2+
and lack of effect of ouabain provides reasonable evidence for a
functional role of Kir in intact vessels.
In the present study, the role of Kir in the renal afferent arteriole was investigated using the in vitroperfused hydronephrotic rat kidney preparation.16 We determined the ability of 15 mmol/L KCl to dilate the afferent arteriole and the effects of Ba2+, CEC, and ouabain on this response. The contribution of Kir to resting membrane potential (RMP) was assessed by simultaneously measuring afferent arteriolar RMP and diameter during blockade of Kir. Finally, we examined the impact of blocking Kir on myogenic reactivity. Our findings provide the first evidence of a functional role for Kir in the renal microcirculation.
| Materials and Methods |
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Afferent arteriolar RMPs were measured as described
previously.17 Hydronephrotic
kidneys were excised as described above. The capsule was removed, and
the perfused kidney was mounted on a Plexiglas post, allowing access to
the surface. A custom microscope with a water-immersion ceramic
objective, coupled to a projection lens and video system, provided high
magnification for impalements and diameter measurements. A
microelectrode (2 mmol/L KCl and beveled at 30° to 80 to 100 M
)
was placed within a patch-type pipette (tip diameter 10 to 20 µm)
using a custom holder with motorized positioner. The patch pipette was
then positioned against the vessel wall and held with suction to
stabilize the impalement site. A piezo device was used to impale the
vessel. We have shown that RMP measurements obtained using this
approach are similar to those obtained using conventional
microelectrodes.17 An
impalement was considered successful if each of the following criteria
were met: sudden negative deflection in membrane potential, stable
recording of membrane potential for at least 1 minute before treatment
with Ba2+, and no change in microelectrode
tip resistance on withdrawal. The effects of
Ba2+ on RMP and diameter were recorded
simultaneously using this approach.
Glibenclamide and ibuprofen were obtained from Research Biochemicals International. All other chemicals were obtained from Sigma. KCl solutions 10 and 15 mmol/L were prepared by isotonic substitution for NaCl. Ouabain was made fresh for each experiment (3 mmol/L in DMEM). Phentolamine and propranolol were added during the ouabain experiment to avoid effects mediated by neurotransmitter release and to the CEC experiments to avoid effects of adrenoceptor modulation.
Data are expressed as mean±SEM. The number of replicates (n) refers to the number of vessels. Generally, no more than 2 vessels were studied per kidney (where appropriate, N refers to number of kidneys). Differences between means were evaluated by Students paired t test unless otherwise noted. P<0.05 was considered significant.
| Results |
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We next assessed the effects of
Ba2+ and CEC on
K+-induced vasodilation. The control studies
presented in
Figure 2A
illustrate that repetitive
K+-induced responses were stable over time.
As shown in
Figure 2B
, Ba2+ attenuated this
response in a concentration-dependent manner.
Ba2+ also reduced basal diameters
(considered in detail below), precluding a calculation of the
ED50. Nevertheless,
Ba2+ reduced the
K+-induced dilation over concentrations that
selectively block
Kir10 11 12
(10 to 100 µmol/L). Complete blockade was observed at 100 µmol/L
(P=0.54, n=6). At 100 µmol/L,
Ba2+ may block ATP-sensitive
K+ channels
(KATP).14
However, glibenclamide had no effect. Thus, 15 mmol/L KCl increased
diameters from 8±1.4 to 15.1±2.1 µm in the presence of vehicle
(ethanol) and from 8.3±2.6 to 15.1±2.5 µm in the presence of 10
µmol/L glibenclamide (n=3,
P=0.9). The
K+-induced dilation was also blocked by 100
µmol/L CEC, an agent recently shown to block
Kir15
(Figure 2C
). Before application of CEC, 15 mmol/L
K+ induced dilation in preconstricted
arterioles (9.5±1.6 versus 15.5±0.9 µm with 15 mmol/L KCl, RAP=140
mm Hg, n=5). CEC caused additional constriction, reducing diameters to
6.4±1.1 µm, and completely blocked the
K+-induced dilation. Notably, application of
15 mmol/L KCl during CEC treatment caused additional constriction (to
4.9±1.1 µm, n=5), consistent with the change in the
K+ equilibrium potential.
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The above findings suggest that the
K+-induced dilation is mediated by Kir on
the basis of the effects of Ba2+ and CEC. We
next examined the effects of blockade of the
Na+-K+ ATPase.
Vessels were preconstricted by administering 3 mmol/L ouabain (RAP 80
mm Hg), a concentration sufficient to block the rat
isoform.14 Kidneys were
pretreated with phentolamine and propranolol (10 µmol/L) to prevent
effects attributable to the release of neurotransmitters. As shown in
Figure 3
, ouabain reduced diameters from 16.3±1.5 to
4.2±1.5 µm (n=4, P=0.022),
but K+-induced vasodilation was preserved
(increasing diameters from 4.2±1.5 to 13.7±0.9 µm,
P=0.0246). In these studies, 10
mmol/L KCl was used to allow for the decrease in internal
[K+] induced by ouabain. When kidneys were
treated with both 100 µmol/L Ba2+ and
ouabain, diameters decreased from 18±0.9 to 3.8±1 µm (n=4,
P=0.0033), and KCl-induced
dilation was blocked (3.9±1.2 µm,
P=0.56). The ability of
Ba2+ to block KCl-induced dilation was
readily reversed when Ba2+ was removed from
the perfusate
(Figure 4A
).
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Kir is thought to contribute to RMP and resting tone in
other vessel
types.10 11 12
We thus determined the effects of Ba2+
blockade of Kir on resting diameter and RMP in the afferent arteriole.
As shown in
Figure 4B
, Ba2+ elicited a
vasoconstrictor response of the afferent arteriole that was reversed on
Ba2+ removal.
Ba2+ blockade of Kir elicited dose-dependent
vasoconstriction over concentrations of 1 to 100 µmol/L. At 80
mm Hg, 30 µmol/L Ba2+ reduced afferent
arteriolar diameter from 15.6±0.5 to 7.6±1.6 µm (51±9% decrease,
n=6, P=0.0041). Half-maximal
constriction (EC50) was seen at 19±3 µmol/L
Ba2+
(Figure 5
). As described below,
Ba2+ altered the threshold for myogenic
vasoconstriction, shifting the response to lower pressures. We
therefore characterized the effects of Ba2+
at low perfusion pressure (40 mm Hg). Under these conditions, 30
µmol/L Ba2+ reduced RMP from -47±2 to
-34±2 mV (P<0.0001) and
reduced diameter from 14.5±1 to 10.9±0.8 µm (n=10, N=8,
P=0.002). These data are
summarized in
Figure 6
.
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These findings suggest an important role of Kir in the
setting of RMP and basal tone in the afferent arteriole. However, this
interpretation is based exclusively on the premise that 30 µmol/L
Ba2+ selectively blocks Kir. To
independently test this postulate, we examined the effects of reducing
external K+
([K+]o). The inward
rectification that is characteristic of Kir is attributed to polyamine
or Mg2+ block. Elevated
[K+]o reduces
rectification by displacing these blocking agents and enhancing outward
current, thereby causing
vasodilation.10 11 12 13
Conversely, reducing
[K+]o will enhance
the effects of the blocking agents and reduce outward current carried
by Kir. Thus, if Kir is the predominant K+
channel influencing RMP, then reducing
[K+]o should cause
vasoconstriction. On the other hand, reducing
[K+]o shifts the
K+ equilibrium potential to more negative
values and will enhance the hyperpolarizing current carried by other
K+ channel types. Kir is the only
K+ channel in vascular smooth muscle in
which reduced [K+]o
would enhance intrinsic block. Hence, if K+
channels other than Kir are dominant, reducing
[K+]o would cause
vasodilation, not vasoconstriction. As shown in
Figure 7
, reducing
[K+]o from 5 to 1.5
mmol/L induced a constriction at 40 mm Hg, reducing diameters from
15±0.6 to 12.8±0.9 µm (n=6, N=5,
P=0.0088). To rule out the
possibility that lowering
[K+]o induced
vasoconstriction by reducing activity of the electrogenic
Na+-K+ ATPase, we
conducted additional experiments in the presence of 3 mmol/L ouabain.
The ouabain-induced vasoconstriction was minimized by reducing RAP to
30 mm Hg. In the presence of ouabain, lowering
[K+]o from 5 to 1.5
mmol/L caused additional constriction, reducing diameters from 14±8.2
to 8.2±1.2 µm (P=0.0014,
n=5). We next examined the effects of lowering
[K+]o at elevated
RAP, conditions in which channels other than Kir, such as voltage- or
Ca2+-activated K+
channels (Kv and KCa), might be active. We have
shown that KCa is activated at elevated
pressure, modulating myogenic
vasoconstriction.18
Elevating RAP from 80 to 120 mm Hg reduced afferent diameters from
15.8±0.8 to 9.9±0.8 µm (n=6,
P=0.0008). In this setting,
reducing [K+]o to
1.5 mmol/L increased diameters from 9.9±0.8 to 14.1±0.5 µm (n=6,
P=0.0006). In concert with the
Ba2+ data, these observations provide
compelling evidence that Kir is the predominant
K+ channel responsible for setting resting
afferent arteriolar tone at low levels of perfusion
pressure.
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Accordingly, alterations in Kir might contribute to myogenic
activation. Therefore, we examined the effects of
Ba2+ on the myogenic response. As shown in
Figure 8A
, graded afferent vasoconstriction is elicited when
RAP is increased from 20 to 180 mm Hg.
Figure 8A
additionally illustrates that in a series of time
controls, 6 repeated challenges to increased renal arterial pressure
(administered over a 7-hour period) elicited identical myogenic
responses (n=4). As shown in
Figure 8B
, 1
to 100 µmol/L Ba2+
elicited vasoconstriction at low RAP but did not prevent additional
constriction when RAP was increased. This is additionally illustrated
in
Figure 8C
, which depicts the response as the percent change
in diameter. Ba2+ caused a leftward shift in
the activation curve, perhaps reflecting the impact of blockade of Kir
on basal tone and RMP. However, despite the
Ba2+-induced preconstriction, the arterioles
responded in an incremental manner to elevations in RAP, suggesting
that Kir modulation is not a requisite component of myogenic signaling
in this vessel.
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| Discussion |
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The properties of the K+-induced
dilation in the afferent arteriole are similar to those attributed to
Kir in other vessel types. Application of 6 to 16 mmol/L KCl to
preconstricted isolated posterior cerebral
arteries,6 14
middle cerebral arteries,19
and coronary arteries6
results in dilation, and this response is blocked by micromolar levels
of Ba2+. In these preparations, as in the
present study, neither ouabain nor glibenclamide prevented this
response. Electrophysiological characterization of Kir in vascular
smooth muscle was first reported by Hirst and
Neild,4 who described
currents exhibiting inward rectification in submucosal arterioles of
guinea pig ileum. Similar inwardly rectifying currents have been
described in carotid artery5
and middle cerebral
arteriole.20 21
Studies using patch-clamp techniques have identified
K+-induced increases in outward current and
inhibition of this current by micromolar
Ba2+ in myocytes isolated from posterior
cerebral artery2 6
and coronary
artery.3 6 22
Recently, the targeted disruption of the Kir2.1 gene in mice was shown
to be associated with a loss of both the inwardly rectifying
K+ current and
K+-induced dilation in cerebral arteries,
suggesting its essential role in the
response.23 Our finding that
CEC inhibited K+-induced vasodilation
additionally supports a role for Kir. CEC is an irreversible agonist at
2 adrenoceptors and an antagonist at
1
adrenoceptors24 but was
recently reported to selectively inhibit inward rectifier
K+ currents in skeletal muscle fibers and
whole-cell K+ currents in cultured cell
lines transfected with
Kir2.1.15 These effects did
not involve adrenoceptors, because they were not mimicked or altered by
adrenoceptor ligands and could be demonstrated in cells that do not
express adrenoceptors.15
Similarly, the inhibition of K+-induced
dilation by CEC in the afferent arteriole that we observed occurred in
the presence of phentolamine and propranolol, indicating that
adrenoceptors are not involved.
Two previous studies have addressed the possible role of Kir in the renal circulation. Kurtz and Penner25 described inward rectifying K+ currents in mouse juxtaglomerular cells, renin-secreting cells in the terminal segment of the afferent arteriole. They recorded whole-cell currents that were sensitive to changes in external K+ but did not assess Ba2+ sensitivity. More recently, Prior et al7 evaluated the Ba2+ and ouabain sensitivity of K+-induced dilation of rabbit renal arcuate arteries. In contrast to our findings with the afferent arteriole, these authors found that K+-induced dilation of the arcuate artery was attenuated by ouabain but not blocked by Ba2+, suggesting that Kir is not involved. As mentioned previously, Kir is thought to be more prevalent in resistance vessels than in conduit arteries, such as the arcuate artery. Our findings, together with those of Prior et al,7 indicate that this pattern holds in the kidney.
In our studies, 30 µmol/L Ba2+
produced marked constriction of the afferent arteriole and membrane
depolarization (13 mV) at low RAP, suggesting a role for Kir in
maintaining RMP and resting tone. A more modest
Ba2+-induced constriction (8%, from 208±7
to 191±19 µm with 120 µmol/L Ba2+) was
described in isolated perfused rat middle cerebral arteries by Johnson
et al.19 In our studies,
Ba2+ inhibited
K+-induced vasodilation at 10 to 100
µmol/L and elicited vasoconstriction in the same concentration range
(ED50=19±3 µmol/L). The
ED50 for Ba2+-induced
vasoconstriction in the middle cerebral artery is
60 µmol/L
(see
Figure 6
in Johnson et al). Similarly, the
IC50 for Ba2+ block
of K+-induced dilation in middle cerebral
arteries was 20 to 40 µmol/L (see Figure 3
in Johnson et
al19 ). These values are
close to the range for Ba2+ blockade of Kir
channels. At -45 mV, the
Kd for
Ba2+-induced inhibition of Kir in posterior
cerebral artery myocytes was estimated at 8
µmol/L.2 6
Similar
Kd
values, 3 µmol/L6
Ba2+ and 4.7
µmol/L22
Ba2+ at -40 mV, were reported for coronary
artery myocytes.
K+-induced vasodilation is an
important physiological mechanism in the cerebral and coronary
circulations but has not been studied in the renal circulation. Periods
of high neural activity, such as seizure, and ischemic, hypoxic, or
hypoglycemic conditions increase K+ levels
in cerebral spinal fluid to >10
mmol/L.26 The resultant
K+-induced dilation increases blood supply
to areas of high metabolic
demand.14 Similarly, in the
coronary circulation, interstitial K+ levels
may rise during periods of ischemia to levels sufficient to activate
K+-induced
dilation.27 In the canine
kidney, elevation of plasma [K+] to
10
mmol/L has been shown to increase renal blood flow (RBF) and glomerular
filtration rate (GFR).28
Similar effects of acute hyperkalemia on RBF and GFR have been reported
in conscious sheep29 and in
rats30 and
rabbits.31 Although these
investigations did not consider the possible role of Kir, our finding
that elevated K+ promotes afferent
arteriolar vasodilation through Kir is consistent with the observed
increase in RBF and GFR.
By modulating glomerular inflow resistance, the afferent arteriole regulates glomerular capillary pressure and GFR when renal perfusion pressure is altered. Pressure-induced afferent vasoconstriction mediates this effect. Our observation that Kir is a major determinant of RMP in this vessel prompted an investigation into the possible involvement of Kir in myogenic signaling. Our findings do not support this postulate. Thus, although Ba2+ elicited membrane depolarization and vasoconstriction at low pressure, it did not prevent elevations in RAP from causing additional vasoconstriction. These data agree with findings from Kir2.1 knockout mice.23 In this model, cerebral arteries showed normal myogenic reactivity but no K+-induced dilation. The observed changes in myogenic responses, including a leftward shift in the myogenic threshold, likely reflect the increase in basal tone and more positive RMP in the presence of Ba2+.
Defining the determinants of RMP under physiological conditions is of critical importance in regard to potential activation mechanisms. Agonists have been shown to inhibit specific K+ channels in isolated myocytes.10 11 12 However, such mechanisms could contribute to physiological responses only if the affected K+ channel contributes to RMP in the intact setting. The model we used allowed direct assessment of RMP and contractions in the intact afferent arteriole in situ under physiological conditions in regard to perfusion and transmural pressure. Our findings clearly indicate that Kir is a primary determinant of RMP under these conditions. Our model requires the induction of hydronephrosis to visualize the microvasculature. This preparation is well characterized and exhibits responses that are not only comparable to those observed using other renal microvascular models8 32 but also similar to those of the normal, intact kidney.16 33 Thus, there is no indication that hydronephrosis alters vascular K+ channel expression. Nevertheless, this possibility cannot be excluded. As described above, K+-induced vasodilation is observed in the normal kidney,28 29 30 31 but the role of Kir in this response has not been investigated. Moreover, barium-sensitive K+ currents have not been studied in myocytes or endothelial cells of the afferent arteriole. Information on the expression and regulation of Kir in this vessel would be of major interest.
In conclusion, this study provides the first functional evidence for Kir in renal afferent arterioles. Our findings suggest that Kir is a major determinant of in situ RMP and resting tone in this vessel. Accordingly, alterations in Kir activity or expression would likely impact on renal microvascular reactivity and could contribute to physiological or pathophysiological alterations in renal hemodynamics.
| Acknowledgments |
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| Footnotes |
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| References |
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-adrenoceptor-mediated actions of
chloroethylclonidine. Gen
Pharmacol. 1997;28:197201.[Medline]
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