Aliskiren accumulation in the kidney: no major role for binding to renin or prorenin
Standard
Aliskiren accumulation in the kidney: no major role for binding to renin or prorenin. / Lange, Sascha; Fraune, Christoph; Alenina, Natalia; Bader, Michael; Danser, A H Jan; Frenay, Anne-Roos; van Goor, Harry; Stahl, Rolf; Nguyen, Genevieve; Schwedhelm, Edzard; Wenzel, Ulrich Otto.
In: J HYPERTENS, Vol. 31, No. 4, 01.04.2013, p. 713-9.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Aliskiren accumulation in the kidney: no major role for binding to renin or prorenin
AU - Lange, Sascha
AU - Fraune, Christoph
AU - Alenina, Natalia
AU - Bader, Michael
AU - Danser, A H Jan
AU - Frenay, Anne-Roos
AU - van Goor, Harry
AU - Stahl, Rolf
AU - Nguyen, Genevieve
AU - Schwedhelm, Edzard
AU - Wenzel, Ulrich Otto
PY - 2013/4/1
Y1 - 2013/4/1
N2 - BACKGROUND AND OBJECTIVE: The antihypertensive effects of the direct renin inhibitor aliskiren last substantially longer after treatment withdrawal than expected based upon its plasma half-life. This may be attributable to drug accumulation in the kidney as recently shown in rats and mice. Since aliskiren binds to renin we examined in the present study whether this accumulation depends on the renin content of the kidney.METHODS: For this we measured the aliskiren concentration in the kidney of wild-type as well as AT1a receptor(-/-) and Ren1c(-/-) mice. AT1a receptor(-/-) mice overexpress renin due to the lack of angiotensin II-mediated negative feedback, whereas Ren1c(-/-) mice lack renal renin expression.RESULTS: Accumulation of aliskiren was found in the kidney of wild-type mice. However, renal accumulation was neither influenced by the overexpression nor by the absence of renin in the kidney. It was recently shown that the effects of aliskiren can be blocked by a handle region peptide, which inhibits the nonproteolytic activation of prorenin bound to the (pro)renin receptor. To investigate whether this putative (pro)renin receptor blocker influences renal aliskiren accumulation, we administered the blocker in addition to aliskiren. No influence on renal aliskiren accumulation was observed.CONCLUSION: These data confirm accumulation of aliskiren in the murine kidney and demonstrate that neither renin nor (pro)renin receptor-bound prorenin are major players in this process.
AB - BACKGROUND AND OBJECTIVE: The antihypertensive effects of the direct renin inhibitor aliskiren last substantially longer after treatment withdrawal than expected based upon its plasma half-life. This may be attributable to drug accumulation in the kidney as recently shown in rats and mice. Since aliskiren binds to renin we examined in the present study whether this accumulation depends on the renin content of the kidney.METHODS: For this we measured the aliskiren concentration in the kidney of wild-type as well as AT1a receptor(-/-) and Ren1c(-/-) mice. AT1a receptor(-/-) mice overexpress renin due to the lack of angiotensin II-mediated negative feedback, whereas Ren1c(-/-) mice lack renal renin expression.RESULTS: Accumulation of aliskiren was found in the kidney of wild-type mice. However, renal accumulation was neither influenced by the overexpression nor by the absence of renin in the kidney. It was recently shown that the effects of aliskiren can be blocked by a handle region peptide, which inhibits the nonproteolytic activation of prorenin bound to the (pro)renin receptor. To investigate whether this putative (pro)renin receptor blocker influences renal aliskiren accumulation, we administered the blocker in addition to aliskiren. No influence on renal aliskiren accumulation was observed.CONCLUSION: These data confirm accumulation of aliskiren in the murine kidney and demonstrate that neither renin nor (pro)renin receptor-bound prorenin are major players in this process.
KW - Amides
KW - Animals
KW - Antihypertensive Agents
KW - Fumarates
KW - Humans
KW - Immunohistochemistry
KW - Kidney
KW - Mice
KW - Mice, Inbred C57BL
KW - Mice, Knockout
KW - Protein Binding
KW - Renin
U2 - 10.1097/HJH.0b013e32835e226b
DO - 10.1097/HJH.0b013e32835e226b
M3 - SCORING: Journal article
C2 - 23407438
VL - 31
SP - 713
EP - 719
JO - J HYPERTENS
JF - J HYPERTENS
SN - 0263-6352
IS - 4
ER -