Differential effects of uridine adenosine tetraphosphate on purinoceptors in the rat isolated perfused kidney

BACKGROUND AND PURPOSE

Purinergic signalling plays an important role in vascular tone regulation in humans. We have identified uridine adenosine tetraphosphate (Up₄A) as a novel and highly potent endothelial-derived contracting factor. Up₄A induces strong vasoconstrictive effects in the renal vascular system mainly by P2X₁ receptor activation. However, other purinoceptors are also involved and were analysed here.

EXPERIMENTAL APPROACH

The rat isolated perfused kidney was used to characterize vasoactive actions of Up₄A.

KEY RESULTS

After desensitization of the P2X₁ receptor by α,β-methylene ATP (α,β-meATP), Up₄A showed dose-dependent P2Y₂-mediated vasoconstriction. Continuous perfusion with Up₄A evoked a biphasic vasoconstrictor effect: there was a strong and rapidly desensitizing vasoconstriction, inhibited by P2X₁ receptor desensitization. In addition, there is a long-lasting P2Y₂-mediated vasoconstriction. This vasoconstriction could be blocked by suramin, but not by PPADS or reactive blue 2. In preparations of the rat isolated perfused kidney model with an elevated vascular tone, bolus application of Up₄A showed a dose-dependent vasoconstriction that was followed by a dose-dependent vasodilation. The vasoconstriction was in part sensitive to P2X₁ receptor desensitization by α,β-meATP, and the remaining P2Y₂-mediated vasoconstriction was only inhibited by suramin. The Up₄A-induced vasodilation depended on activation of nitric oxide synthases, and was mediated by P2Y₁ and P2Y₂ receptor activation.

CONCLUSIONS AND IMPLICATIONS

Up₄A activated P2X₁ and P2Y₂ receptors to act as a vasoconstrictor, whereas endothelium-dependent vasodilation was induced by P2Y_1/2 receptor activation. Up₄A might be of relevance in the physiology and pathophysiology of vascular tone regulation.