No description available.

Human multidrug and toxin extrusion 1 (hMATE1) is a major candidate for being the molecular identity of organic cation/proton (OC/H+) exchange activity in the luminal membrane of renal proximal tubules (RPT). Although physiological function of hMATE1 supports luminal OC efflux, the kinetics of hMATE1-mediated OC transport have typically been characterized through measurement of uptake i.e., the interaction between outward-facing hMATE1 and OCs. To examine kinetics of hMATE1-mediated transport in a more physiologically relevant direction i.e., an interaction between inward-facing hMATE1 and cytoplasmic substrates, I measured the time course of hMATE1-mediated efflux of the prototypic MATE1-substrate, [3H]1-methyl-4-phenylpyridinium ([3H]MPP), under a variety of conditions, including different values for intra- and extracellular pH, from CHO cells that stably expressed hMATE1. I showed that an IC50/Ki for interaction between extracellular H+ and outward-facing hMATE1 determined from conventional uptake experiments [12.9 ± 1.23 nM (pH 7.89); n = 9] and from the efflux protocol [14.7 ± 3.45 nM (pH 7.83); n = 3] were not significantly different (P = 0.6). To test a hypothesis that H+ interacts symmetrically with each face of hMATE1, kinetics of interaction between intracellular H+ and inward-facing hMATE1 were determined using the efflux protocol. The IC50 for interaction with H+ was 11.5 nM (pH 7.91), consistent with symmetrical interactions of H+ with the inward-facing and outward-facing aspects of hMATE1. The efflux protocols demonstrated in this study are a potential means to examine kinetics at cytoplasmic face of hMATE1 and also a practical tool to screen uptake of substrates at extracellular face of hMATE1.

No description available.

Chronic kidney disease is a substantial health problem effecting a large portion of the US population. Presence of excess protein, particularly albumin, in the urine of patients with chronic kidney disease is an independent risk factor for cardiovascular disease and progression to end stage renal disease. In addition, excess protein reabsorption in the proximal tubule is sufficient to cause damage to the proximal tubule independent of the initial condition that lead to chronic disease. In the last decade, excess protein reabsorption by the proximal tubule as a result of chronic kidney damage has been shown to cause oxidative and ER stress, cell death, as well as tubule inflammation and fibrosis in the proximal tubule cell. Only recently have two studies investigated the role of autophagy in protein-induced tubule damage. Autophagy is a dynamic catabolic mechanism used to degrade cytosolic elements in times of cell starvation and is an important process in the cell's response to stress. The results of the studies by Wei Jin Liu et al. and Yamahara et. al. provide important first steps to determine whether autophagy of excess protein in proteinuric states prevents proximal tubule cell toxicity and potentially slow the progression of chronic kidney disease (CKD). This thesis will explore the results of these two studies in the context of proximal tubule damage in chronic kidney disease, and discuss the potential for protein autophagy to improve our understanding and treatment of chronic kidney disease.

京都大学 / 0048 / 新制・論文博士 / 博士(医学) / 乙第13330号 / 論医博第2198号 / 新制||医||1044(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 長船 健二, 教授 羽賀 博典, 教授 山下 潤 / 学位規則第4条第2項該当 / Doctor of Medical Science / Kyoto University / DFAM

No description available.

O presente estudo indica que o pHi basal do segmento S3 do túbulo proximal é 7.10 ? 0.007 (n = 444/2117), sendo a extrusão celular de H+ feita pelo trocador Na+/H+ (marjoritariamante) e pela H+-ATPase. Nossos resultados sugerem um papel do cálcio citosólico na regulação do processo de recuperação do pHi após carga ácida, mediada pelo trocador Na+/H+ e pela H+-ATPase. O trocador é estimulado por Aldosterona (10-12, 10-10 e 10-8 M) e inibido por Aldosterona (10-6 M) via ação genômica e não-genômica. Esses resultados são compatíveis com a estimulação do trocador por moderado aumento da [Ca2+]i citosólico (com Aldosterona 10-12 M) e sua inibição por pronunciado aumento da [Ca2+]i (com Aldosterona 10-6 M). A H+-ATPase é estimulada por Aldosterona em todas as doses utilizadas via ação genômica e não-genômica e esses resultados são coincidentes com um aumento da [Ca2+]i, dose dependente. Esses nossos achados são também compatíveis com a demonstração de uma ação hormonal não-genômica (após 1 ou 15 min) e genômica (após 1 hora) na [Ca2+]i, no trocador e na H+-ATPase. Adicionalmente, nossos resultados indicando que os efeitos hormonais genômicos ocorrem via receptor MR são coincidentes com nossos dados demonstrando a expressão desses receptores no segmento S3. Esses efeitos da Aldosterona que acabamos de descrever podem representar uma regulação fisiológica relevante, em condições de depleção e expansão de volume no animal intacto. / The present study indicate that the basal pHi of proximal S3 segment is 7.10 ? 0.007 (n = 444/2117), being made the extrusion by of Na+/H+ exchanger (mainly) and H+-ATPase. Our results suggest a role for cell calcium in regulating the process of pHi recovery after the acid load induced by NH4Cl, mostly mediated by a basolateral Na+/H+ exchanger, and stimulated by Aldosterone (10-12, 10-10 e 10-8 M) and impaired by Aldosterone (10-6 M) via a genomic and nongenomic action. They are compatible with stimulation of the Na+/H+ exchanger by increases in cell calcium in the lower range (at Aldosterone 10-12 M) and inhibition at high cell calcium levels (at Aldosterone 10-6 M). The H+-ATPase is stimulated in all the used doses via a genomic and nongenomic action, this is coincident with the dose-dependent increase in [Ca2+]i. This finding is also compatible with the demonstration of a hormonal nongenomic (after 1 min or 15 min) and genomic (after 1 h) action on [Ca2+]i, on the Na+/H+ exchanger and on H+-ATPase. Our results indicating that the genomics effects are via MR receptor are in accordanc with our finding showing expression of the receptors in the proximal S3 segment of rat. These Aldosterone effects may represent physiologically relevant regulation in conditions of volume depletion or expansion in the intact animal.

O presente estudo indica que o pHi basal do segmento S3 do túbulo proximal é 7.10 ? 0.007 (n = 444/2117), sendo a extrusão celular de H+ feita pelo trocador Na+/H+ (marjoritariamante) e pela H+-ATPase. Nossos resultados sugerem um papel do cálcio citosólico na regulação do processo de recuperação do pHi após carga ácida, mediada pelo trocador Na+/H+ e pela H+-ATPase. O trocador é estimulado por Aldosterona (10-12, 10-10 e 10-8 M) e inibido por Aldosterona (10-6 M) via ação genômica e não-genômica. Esses resultados são compatíveis com a estimulação do trocador por moderado aumento da [Ca2+]i citosólico (com Aldosterona 10-12 M) e sua inibição por pronunciado aumento da [Ca2+]i (com Aldosterona 10-6 M). A H+-ATPase é estimulada por Aldosterona em todas as doses utilizadas via ação genômica e não-genômica e esses resultados são coincidentes com um aumento da [Ca2+]i, dose dependente. Esses nossos achados são também compatíveis com a demonstração de uma ação hormonal não-genômica (após 1 ou 15 min) e genômica (após 1 hora) na [Ca2+]i, no trocador e na H+-ATPase. Adicionalmente, nossos resultados indicando que os efeitos hormonais genômicos ocorrem via receptor MR são coincidentes com nossos dados demonstrando a expressão desses receptores no segmento S3. Esses efeitos da Aldosterona que acabamos de descrever podem representar uma regulação fisiológica relevante, em condições de depleção e expansão de volume no animal intacto. / The present study indicate that the basal pHi of proximal S3 segment is 7.10 ? 0.007 (n = 444/2117), being made the extrusion by of Na+/H+ exchanger (mainly) and H+-ATPase. Our results suggest a role for cell calcium in regulating the process of pHi recovery after the acid load induced by NH4Cl, mostly mediated by a basolateral Na+/H+ exchanger, and stimulated by Aldosterone (10-12, 10-10 e 10-8 M) and impaired by Aldosterone (10-6 M) via a genomic and nongenomic action. They are compatible with stimulation of the Na+/H+ exchanger by increases in cell calcium in the lower range (at Aldosterone 10-12 M) and inhibition at high cell calcium levels (at Aldosterone 10-6 M). The H+-ATPase is stimulated in all the used doses via a genomic and nongenomic action, this is coincident with the dose-dependent increase in [Ca2+]i. This finding is also compatible with the demonstration of a hormonal nongenomic (after 1 min or 15 min) and genomic (after 1 h) action on [Ca2+]i, on the Na+/H+ exchanger and on H+-ATPase. Our results indicating that the genomics effects are via MR receptor are in accordanc with our finding showing expression of the receptors in the proximal S3 segment of rat. These Aldosterone effects may represent physiologically relevant regulation in conditions of volume depletion or expansion in the intact animal.

O rim é tanto um órgão-alvo como a principal fonte de produção de ET-1, peptídio que regula a excreção de Na+ e água por este órgão que expressa os seus respectivos receptores, ETA e ETB, além dos trocadores NHE1 e NHE3 que são essenciais para o equilíbrio ácido base e hidroeletrolítico das células. Assim, o objetivo deste estudo foi investigar, em células IRPTC, o papel de ET-1 na atividade dos trocadores NHE1 e NHE3. Nossos resultados indicam que o tratamento agudo com ET-1 (10-9 M) aumenta a velocidade de recuperação do pHi (dpHi/dt) nos dois primeiros minutos após o pulso ácido, sugerindo aumento na atividade dos trocadores NHE1 e NHE3, que ocorre via ativação dos receptores ETA e ETB e parece ser secundária à atividade da p90RSk e p38MAPK. O tratamento crônico com ET-1 (10-9 M) reduz a dpHi/dt nos dois primeiros minutos após o pulso ácido, o que sugere redução na atividade dos trocadores NHE1 e NHE3, que pode ser secundária à inibição da Na+, K+-ATPase por ET-1. / The kidney is both a target organ and the main source of ET-1 production, a peptide that regulates the excretion of Na+ and water by this organ that expresses its respective receptors, ETA and ETB, in addition to the NHE1 and NHE3 exchanger which are Essential for the basic acid and electrolyte balance of cells. Thus, the objective of this study was to investigate, in IRPTC cells, the role of ET-1 in the activity of the NHE1 and NHE3 exchanger. Our results indicate that the acute treatment with ET-1 (10-9 M) increases the rate of recovery of pHi (dpHi/dt) in the first two minutes after the acid pulse, suggesting an increase in the activity of the NHE1 and NHE3 exchanger, which occurs via activation Of ETA and ETB receptors and appears to be secondary to the activity of p90RSk and p38MAPK. Chronic treatment with ET-1 (10-9 M) reduces dpHi/dt in the first two minutes after the acid pulse, suggesting a reduction in NHE1 and NHE3 exchanger activity, which may be secondary to inhibition of Na+, K+- ATPase by ET-1.

Organische-Anionen-Transporter (OATs) sind maßgeblich an der Ausscheidung von körpereigenen und körperfremden Substanzen über die Niere beteiligt. In Ratten, einem häufig verwendeten Tiermodell in präklinischen Studien, ist bekannt, dass die basolateral lokalisierten Organischen-Anionen-Transporter 1 (Oat1) und 3 (Oat3) in männlichen Tieren stärker und darüber hinaus Testosteron abhängig exprimiert werden. Beide Transporter sind an der Ausscheidung von organischen Anionen, einschließlich negativ geladener Medikamente wie zum Beispiel Adefovir, Furosemid oder Penicillin, beteiligt. In den menschlichen Nieren zählen der OAT1 und der OAT3 zu den klinisch relevanten Transportern, deren Funktionen im Laufe neuer Medikamentenentwicklung berücksichtigt werden sollten. Für das Antibiotikum Penicillin wurde bei Frauen ein vermehrtes Auftreten von Nebenwirkungen im Vergleich zu Männern gezeigt. Dieses erhöhte Risiko könnte möglicher Weise auf einer geschlechtsabhängigen Expression des OAT1 und OAT3 zurückzuführen sein. Ziel der vorliegenden Arbeit war es, den molekularen Mechanismus, der für die höhere Oat1 und Oat3 Expression in den männlichen Rattennieren verantwortlich ist, zu identifizieren. Mit Hilfe von Luciferase assays wurde die Aktivierung von Ratten und menschlichen Oat1/OAT1 und Oat3/OAT3 Promotoren untersucht. Hierzu wurden zunächst Oat1/OAT1 und Oat3/OAT3 Promotorkonstrukte generiert, welche unterschiedlich lange Promotorregionen enthielten, und diese anschließend transient in OK oder LLC-PK1 Zellen transfiziert. Mittels Co-Transfektion potentieller transkriptioneller Regulatoren konnte deren Einfluss auf die Promotoraktivität von Oat1/OAT1 und Oat3/OAT3 untersucht werden. Zur Identifikation geschlechtsabhängig exprimierter Gene in der proximalen Tubuluszelle der Rattennieren wurden von vier männlichen und vier weiblichen Tieren je eine Niere präpariert und deren RNA mit Hilfe eines microarrays und real-time PCR analysiert. Im Rahmen dieser Arbeit konnte gezeigt werden, dass die bereits bekannte männlich dominierende Expression von Oat1 und Oat3 in Rattennieren nicht durch den klassischen Testosteron/Androgenrezeptor vermittelten, transkriptionellen Mechanismus reguliert wird. Vergleichbar zu den Ratten Oat1 und Oat3, zeigten auch die menschlichen OAT1 und OAT3 Promotoren keine Aktivierung durch den Testosteron/Androgenrezeptor-Komplex. Während der Suche nach geschlechtsabhängig exprimierter transkriptioneller Regulatoren in der Rattenniere, konnte die Expression des Transkriptionsfaktors B-cell CLL/ lymphoma 6 (BCL6) erstmalig als männlich dominierend identifiziert werden. Die bereits bekannten Aktivatoren der Oats/OATs Expression, hepatocyte nuclear factor 1α (HNF1α), HNF1β und HNF4α zeigten keine geschlechtsabhängige Expression. Zudem konnte gezeigt werden, dass BCL6 die Promotoren der Ratten und menschlichen Oat1/OAT1 und Oat3/OAT3 aktiviert. Die BCL6-vermittelte Aktivierung von Oat1/OAT1 und Oat3/OAT3 erfolgt nicht über die bislang vorhergesagten BCL6-Bindungsstellen, aber möglicher Weise über Protein-Protein Interaktionen mit den Transkriptionsfaktoren HNF1 oder cAMP response element binding protein (CREB). Zusammenfassend konnte gezeigt werden, dass der Transkriptionsfaktor BCL6 einen vielversprechenden Regulator der geschlechtsabhängigen Expression von Oat1 und Oat3 in Ratten darstellt. Es ist anzunehmen, dass BCL6 ebenso die humane OAT1 und OAT3 Expression reguliert.