Urinary Proteolytic Activation of Renal Epithelial Na+ Channels in Chronic Heart Failure

Hong Zheng, Xuefei Liu, Neeru M. Sharma, Yulong Li, Rainer U. Pliquett, Kaushik P Patel

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

One of the key mechanisms involved in renal Na+ retention in chronic heart failure (CHF) is activation of epithelial Na+ channels (ENaC) in collecting tubules. Proteolytic cleavage has an important role in activating ENaC. We hypothesized that enhanced levels of proteases in renal tubular fluid activate ENaC, resulting in renal Na+ retention in rats with CHF. CHF was produced by left coronary artery ligation in rats. By immunoblotting, we found that several urinary serine proteases were significantly increased in CHF rats compared with sham rats (fold increases: furin 6.7, prostasin 23.6, plasminogen 2.06, and plasmin 3.57 versus sham). Similar increases were observed in urinary samples from patients with CHF. Whole-cell patch clamp was conducted in cultured renal collecting duct M-1 cells to record Na+ currents. Protease-rich urine (from rats and patients with CHF) significantly increased the Na+ inward current in M-1 cells. Two weeks of protease inhibitor treatment significantly abrogated the enhanced diuretic and natriuretic responses to ENaC inhibitor benzamil in rats with CHF. Increased podocyte lesions were observed in the kidneys of rats with CHF by transmission electron microscopy. Consistent with these results, podocyte damage markers desmin and podocin expressions were also increased in rats with CHF (increased ≈2-folds). These findings suggest that podocyte damage may lead to increased proteases in the tubular fluid, which in turn contributes to the enhanced renal ENaC activity, providing a novel mechanistic insight for Na+ retention commonly observed in CHF.

Original languageEnglish (US)
Pages (from-to)197-205
Number of pages9
JournalHypertension
Volume67
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Epithelial Sodium Channels
Heart Failure
Kidney
Podocytes
Peptide Hydrolases
Furin
Desmin
Plasminogen
Fibrinolysin
Serine Proteases
Protease Inhibitors
Transmission Electron Microscopy
Diuretics
Immunoblotting
Ligation
Coronary Vessels
Urine

Keywords

  • Na and water retention
  • heart failure
  • podocyte
  • protease
  • renal function

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Urinary Proteolytic Activation of Renal Epithelial Na+ Channels in Chronic Heart Failure. / Zheng, Hong; Liu, Xuefei; Sharma, Neeru M.; Li, Yulong; Pliquett, Rainer U.; Patel, Kaushik P.

In: Hypertension, Vol. 67, No. 1, 01.01.2016, p. 197-205.

Research output: Contribution to journalArticle

Zheng, Hong ; Liu, Xuefei ; Sharma, Neeru M. ; Li, Yulong ; Pliquett, Rainer U. ; Patel, Kaushik P. / Urinary Proteolytic Activation of Renal Epithelial Na+ Channels in Chronic Heart Failure. In: Hypertension. 2016 ; Vol. 67, No. 1. pp. 197-205.
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