Kidney Week

Abstract: FR-OR073

Sex-Related Differences in the Intratubular Renin-Angiotensin System (RAS) in 2-Kidney 1-Clip Hypertensive Rats

Session Information

• Hypertension and CVD: Mechanisms
  November 08, 2019 | Location: 206, Walter E. Washington Convention Center
  Abstract Time: 04:54 PM - 05:06 PM

Category: Hypertension and CVD

• 1403 Hypertension and CVD: Mechanisms

Authors

• Kim, Yang gyun, Kyung Hee University Hospital at Gang-Dong, Seoul, Korea (the Republic of)

Yang gyun Kim, MD



Name: Yang Gyun Kim, MD, PhD Affiliation: Kyung Hee University Hospital at Gangdong, Seoul, Korea

• Lee, Sangho, Kyung Hee University Hospital at Gang-Dong, Seoul, Korea (the Republic of)

Sangho Lee,

• Jung, Su Woong, Kyung Hee University Hospital at Gang-Dong, Seoul, Korea (the Republic of)

Su Woong Jung,

• Cho, Won-Hee, Kyung Hee University Hospital at Gang-Dong, Seoul, Korea (the Republic of)

Won-Hee Cho,

• Jeong, Kyung hwan, Kyung Hee University College of Medicine, Gangdong-gu, Seoul, Korea (the Republic of)

Kyung hwan Jeong,

• Moon, Ju young, Kyung Hee University Hospital at Gang-Dong, Seoul, Korea (the Republic of)

Ju young Moon,

Background

The intratubular renin-angiotensin system (RAS) is thought to play an essential role in hypertensive renal disease, but information regarding sex-related differences in this system is limited. This study investigated the sexual differences in the intratubular RAS in 2-kidney 1-clip (2K1C) rats.

Methods

A 2.5-mm clip was placed on the left renal artery of Sprague Dawley rats, and the rats were euthanized 3 or 5 weeks following the operation.

Results

Systolic blood pressure (SBP) increased in 2K1C rats of both sexes but was significantly higher in males than in females, and an antihypertensive effect disappeared in 2K1C ovariectomized(OVX) female rats. Intratubular angiotensin-converting enzyme (ACE) and Ang II were repressed, and intratubular ACE2, Ang 1-7, and MasR were increased in both kidneys of 2K1C female rats at five weeks after surgery compared with those of male 2K1C rats. Intratubular mRNA levels of ACE and AT₁R were augmented in OVX female rats regardless of clipping surgery at three weeks after operation in comparison with those in male and female rats. The AT₂R was upregulated in female rats with or without OVX; thus, the AT₁/AT₂ ratio was higher in female rats than in male rats.

Conclusion

Female rats were protected from hypertensive injury after renal artery clipping. An increase in intratubular nonclassic RAS (ACE2/angiotensin 1-7/MasR) and a decrease in the AT₁/AT₂ ratio could limit the adverse effects of classic RAS during renovascular hypertension in female rats, and estrogen is suggested to have a primary role in regulating intratubular RAS components.

Funding

• Private Foundation Support