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Effect of irbesartan on angiotensin Ⅱ-induced hypertrophy of human proximal tubular cells
引用本文:Liu BC,Sun J,Chen Q,Luo DD,Ma KL,Ruan XZ. Effect of irbesartan on angiotensin Ⅱ-induced hypertrophy of human proximal tubular cells[J]. 中华医学杂志(英文版), 2004, 117(4): 547-551
作者姓名:Liu BC  Sun J  Chen Q  Luo DD  Ma KL  Ruan XZ
作者单位:刘必成,孙静,罗冬冬,马坤岭(Institute of Nephrology, Zhongda Hospital, Southeast University School of Medicine, Nanjing 210009, China);陈琪(Department of Pathophysiology, Nanjing Medical University, Nanjing 210029, China);阮雄中(Centre for Nephrology, Royal Free & University College Medical School, University College London, London NW3 2PF, UK) 
基金项目:ThisprojectwassupportedbytheJiangsuProvinceNaturalScienceFund(No BK2 0 0 2 0 5 2 )andtheKeyMedicalTalentTrainingProgramoftheJiangsuProvinceHealthBureau (No RC2 0 0 2 0 72 )
摘    要:Background Intrarenal activation of the renin angiotensin system (RAS) plays an important role in mediating renal fibrosis. Both angiotensin converting enzyme inhibitors (ACEIs) and angiotensin Ⅱ (AngⅡ) receptor antagonists have been shown to exert a protective role against diabetic and non-diabetic nephropathy. However, the exact mechanism of how blocking local RAS prevents renal fibrosis is unclear. The present study was to investigate the influence of a new AngⅡ receptor antagonist, irbesartan (Irb), on AngⅡ-induced hypertrophy in human proximal tubular cell line (HK-2). Methods The cell line, HK-2, was grown in Dulbeccos’s Modified Eagle’s Medium containing 10% heat-inactivated fetal calf serum. After rested in serum-free medium for 24 hours, the effects of Irb on AngⅡ (10(-7) mol/L)-induced [3H]-leucine incorporation, total protein content (measured by the Coomassie brilliant blue G250 method), and change in cell size (determined by scanning electron microscopy) were observed. The influence of Irb on the cell cycle was analyzed by fluorescence activated cell sorter (FACS) flow cytometry. Results AngⅡ induced cell hypertrophy in a time and dose dependent manner. Stimulation of cells with AngⅡ for 48 hours resulted in a increase in [3H]-leucine incorporation [0 hour: (5584±1016) cpm/10(5)cells vs 48 hours: (10741±802) cpm/10(5)cells, P<0.05], which was significantly attenuated by treatment with Irb. AngⅡ significantly increased the total protein content in HK-2 cells [control: (0.169±0.011) mg/10(5)cells vs AngⅡ group: (0.202±0.010) mg/10(5) cells, P<0.05], which was also markedly inhibited by cotreatment with Irb (P<0.01). Scanning electron microscopy showed that AngⅡ induced an increase in average physical cell size, which was significantly inhibited by Irb [control: (11.92±1.62) μm; AngⅡ group: (20.63±3.83) μm; AngⅡ+Irb group: (13.59±3.15) μm; P<0.01 vs control, respectively]. Furthermore, flow cytometry revealed that AngⅡ arrested cells in the G0-G1 phase, which was significantly reversed by treatment with Irb [G0-G1 cells in AngⅡ group: (76.09±1.82)%, in AngⅡ+Irb group: (67.00±2.52)%, P<0.05].Conclusion Irb can inhibit AngⅡ-induced hypertrophy in HK-2 cells.

关 键 词:厄贝沙坦 血管紧缩素Ⅱ 肾素血管紧张素系统 肾纤维化 糖尿病肾病

Effect of irbesartan on angiotensin II-induced hypertrophy of human proximal tubular cells
Liu Bi-Cheng,Sun Jing,Chen Qi,Luo Dong-Dong,Ma Kun-Ling,Ruan Xiong-Zhong. Effect of irbesartan on angiotensin II-induced hypertrophy of human proximal tubular cells[J]. Chinese medical journal, 2004, 117(4): 547-551
Authors:Liu Bi-Cheng  Sun Jing  Chen Qi  Luo Dong-Dong  Ma Kun-Ling  Ruan Xiong-Zhong
Affiliation:1. Institute of Nephrology, Zhongda Hospital, Southeast University School of Medicine, Nanjing 210009, China
2. Department of Pathophysiology, Nanjing Medical University, Nanjing 210029, China
3. Centre for Nephrology, Royal Free & University College Medical School, University College London, London NW3 2PF, UK
Abstract:BACKGROUND: Intrarenal activation of the renin angiotensin system (RAS) plays an important role in mediating renal fibrosis. Both angiotensin converting enzyme inhibitors (ACEIs) and angiotensin II (AngII) receptor antagonists have been shown to exert a protective role against diabetic and non-diabetic nephropathy. However, the exact mechanism of how blocking local RAS prevents renal fibrosis is unclear. The present study was to investigate the influence of a new AngII receptor antagonist, irbesartan (Irb), on AngII-induced hypertrophy in human proximal tubular cell line (HK-2). METHODS: The cell line, HK-2, was grown in Dulbeccos's Modified Eagle's Medium containing 10% heat-inactivated fetal calf serum. After rested in serum-free medium for 24 hours, the effects of Irb on AngII (10(-7) mol/L)-induced [(3)H]-leucine incorporation, total protein content (measured by the Coomassie brilliant blue G250 method), and change in cell size (determined by scanning electron microscopy) were observed. The influence of Irb on the cell cycle was analyzed by fluorescence activated cell sorter (FACS) flow cytometry. RESULTS: AngII induced cell hypertrophy in a time and dose dependent manner. Stimulation of cells with AngII for 48 hours resulted in a increase in [(3)H]-leucine incorporation [0 hour: (5584 +/- 1016) cpm/10(5) cells vs 48 hours: (10741 +/- 802) cpm/10(5) cells, P < 0.05], which was significantly attenuated by treatment with Irb. AngII significantly increased the total protein content in HK-2 cells [control: (0.169 +/- 0.011) mg/10(5) cells vs AngII group: (0.202 +/- 0.010) mg/10(5) cells, P < 0.05], which was also markedly inhibited by cotreatment with Irb (P < 0.01). Scanning electron microscopy showed that AngII induced an increase in average physical cell size, which was significantly inhibited by Irb [control: (11.92 +/- 1.62) microm; AngII group: (20.63 +/- 3.83) micro m; AngII + Irb group: (13.59 +/- 3.15) micro m; P < 0.01 vs control, respectively]. Furthermore, flow cytometry revealed that AngII arrested cells in the G(0)-G(1) phase, which was significantly reversed by treatment with Irb [G(0)-G(1) cells in AngII group: (76.09 +/- 1.82)%, in AngII + Irb group: (67.00 +/- 2.52)%, P < 0.05]. CONCLUSION: Irb can inhibit AngII-induced hypertrophy in HK-2 cells.
Keywords:irbesartan  angiotensin Ⅱ  hypertrophy  epithelial cells
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