Regulation of Urea Transport in Diabetic Rat Kidney

描述（由申请人提供）：糖尿病患者多尿通常归因于渗透性利尿。然而，我们认为其机制更为复杂。本提案的主要目标是确定在不受控制的糖尿病中导致水和溶质稳态变化的细胞和分子机制。糖尿病中存在的几种代谢和激素异常可能导致水分流失，以及限制这些流失的溶质或代偿机制。我们计划评估加压素和糖皮质激素在糖尿病大鼠调节髓质转运蛋白中的作用，因为这些动物（和人类）的激素水平升高。我们还计划评估血管紧张素II的作用，因为它的抑制是目前治疗糖尿病的主要方法。确定这些机制可以为必须发生在肾脏中的代偿机制提供新的见解，这些代偿机制允许未控制的I型糖尿病患者限制水和溶质的流失，从而限制体积损耗。假设：肾脏对不受控制的糖尿病的代偿反应是改变髓质转运蛋白的表达和功能，以限制水和溶质的流失。特异性目的1：我们将测试尿素转运蛋白、水通道蛋白、离子通道或转运蛋白的表达是否在未控制的糖尿病大鼠中发生改变。理由：我们有初步数据显示，10-20天的糖尿病导致UT-A1， AQP2和NKCC2/BSC1蛋白丰度增加。

DESCRIPTION (provided by applicant): The polyuria that occurs in diabetic patients is generally ascribed to an osmotic diuresis. However, we believe that the mechanisms are more complex. The major goal of this proposal is to identify the cellular and molecular mechanisms that contribute to changes in water and solute homeostasis that occur in uncontrolled diabetes. Several metabolic and hormonal abnormalities present in diabetes could contribute to a loss of water and solute or compensatory mechanisms to limit these losses. We plan to evaluate the role of vasopressin and glucocorticoids in regulating medullary transport proteins in diabetic rats since these animals (and humans) have elevated levels of both hormones. We also plan to evaluate the role of angiotensin II since its inhibition is a mainstay of current therapy for diabetes. Identifying these mechanisms could provide novel insights into the compensatory mechanisms that must occur in the kidney that permit patients with uncontrolled type I diabetes to limit the loss of water and solute, thereby limiting volume depletion. HYPOTHESIS - A compensatory response by the kidney to uncontrolled diabetes is to alter the expression and function of medullary transport proteins to limit the loss of water and solute. Specific Aim 1: we will test whether expression of urea transporters, aquaporins, and ion channels or transporters are altered in rats with uncontrolled diabetes. Rationale: we have preliminary data showing that 10-20 days of diabetes results in an increase in UT-A1, AQP2, and NKCC2/BSC1 protein abundances. Specific Aim 2: we will determine the requirement for vasopressin and/or glucocorticoids in the regulation of urea, water, and sodium transporter proteins in rats with diabetes. Rationale: we have preliminary data showing that UT-A1 and AQP2 protein abundances do not increase in the absence of glucocorticoids or vasopressin. Specific Aim 3: we will determine whether blockade of the renin-angiotensin system alters the regulation of urea, water, and sodium transporter proteins in rats with diabetes. Rationale: blockade of the renin-angiotensin system may prevent compensatory changes and worsen water and solute loss. Specific Aim 4: we will test whether rapid regulation of urea transporter phosphorylation or function is altered by vasopressin and/or angiotensin II in inner medullary collecting ducts (IMCDs) from rats with diabetes. Rationale: angiotensin II increases phosphorylation of UT-A1 in rat IMCDs through PKC. We have preliminary data showing that PKC inhibition reduces UT-A1 phosphorylation in inner medulla from diabetic rats.