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Circulation. 1999;99:2185-2191

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(Circulation. 1999;99:2185-2191.)
© 1999 American Heart Association, Inc.


Basic Science Reports

Vascular Endothelin-1 Gene Expression and Synthesis and Effect on Renal Type I Collagen Synthesis and Nephroangiosclerosis During Nitric Oxide Synthase Inhibition in Rats

Pierre-Louis Tharaux, MD; Christos Chatziantoniou, PhD; Daniel Casellas, PhD; Laura Fouassier, MS; Raymond Ardaillou, MD; Jean-Claude Dussaule, MD, PhD

From INSERM U 489, Paris (P.-L.T., C.C., R.A., J.-C.D.); IURC, Montpellier (D.C.); INSERM U 402, Paris (L.F.); and Service de Physiologie, CHU Saint-Antoine, Paris (J.-C.D.), France.

Correspondence to Jean-Claude Dussaule, MD, PhD, Service de Physiologie, CHU Saint-Antoine, 184 rue du Faubourg Saint-Antoine, 75571 Paris Cedex 12, France. E-mail jean-claude.dussaule{at}sat.ap-hop-paris.fr

Background—The progression of hypertension during NO deficiency is associated with renal vascular fibrosis due to increased extracellular matrix (mainly collagen I) formation. The purpose of the present study was to investigate whether endothelin-1 (ET-1) is involved in this pathophysiological process.

Methods and Results—Treatment of rats for 4 weeks with the NO synthase inhibitor N{omega}-nitro-L-arginine methyl ester (L-NAME) 50 mg · kg-1 · d-1 increased systolic blood pressure to 159±12 mm Hg. In animals treated with L-NAME, histological evaluation of renal sections revealed an increased formation of extracellular matrix (Masson's trichrome), and specifically of collagens (Sirius red). A part of this fibrosis was attributed to abnormal collagen I presence, because mRNA expression of the collagen I {alpha}1 chain (reverse transcription–polymerase chain reaction) and procollagen I formation (radioimmunoassay) were increased 3- and 2.5-fold, respectively, in the renal resistance vessels of hypertensive animals. In subsequent experiments, we examined whether ET-1 was involved in activation of collagen I formation. mRNA expression (RNase protection assay) of preproET-1 and ET-1 content (radioimmunoassay) were 10-fold and 3-fold increased, respectively, in renal microvessels of rats treated with L-NAME. Interestingly, in these vessels, ET-1 (immunostaining) was colocalized with sudanophilic lesions. Bosentan, an ET receptor antagonist (20 mg · kg-1 · d-1), coadministered with L-NAME canceled the increased mRNA expression and synthesis of collagen I and attenuated the severity of renal vascular lesions without affecting L-NAME–induced high blood pressure.

Conclusions—These data demonstrate that ET-1 synthesis is increased in renal microvessels when NO production is suppressed. In this model of hypertension, ET-1 is a major activator of collagen I formation in renal resistance vessels and participates in the development of renal fibrosis without affecting systolic blood pressure.


Key Words: hypertension • nitric oxide • endothelin • kidney • fibrosis




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