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Nrf2 Deficiency Upregulates Intrarenal Angiotensin-Converting Enzyme-2 and Angiotensin 1-7 Receptor Expression and Attenuates Hypertension and Nephropathy in Diabetic Mice.

Endocrinology | 2018

We investigated the role of nuclear factor erythroid 2-related factor 2 (Nrf2) in renin-angiotensin system (RAS) gene expression in renal proximal tubule cells (RPTCs) and in the development of systemic hypertension and kidney injury in diabetic Akita mice. We used adult male Akita Nrf2 knockout mice and Akita mice treated with trigonelline (an Nrf2 inhibitor) or oltipraz (an Nrf2 activator). We also examined rat immortalized RPTCs (IRPTCs) stably transfected with control plasmids or plasmids containing rat angiotensinogen (Agt), angiotensin-converting enzyme (ACE), angiotensin-converting enzyme-2 (Ace2), or angiotensin 1-7 (Ang 1-7) receptor (MasR) gene promoters. Genetic deletion of Nrf2 or pharmacological inhibition of Nrf2 in Akita mice attenuated hypertension, renal injury, tubulointerstitial fibrosis, and the urinary albumin/creatinine ratio. Furthermore, loss of Nrf2 upregulated RPTC Ace2 and MasR expression, increased urinary Ang 1-7 levels, and downregulated expression of Agt, ACE, and profibrotic genes in Akita mice. In cultured IRPTCs, Nrf2 small interfering RNA transfection or trigonelline treatment prevented high glucose stimulation of Nrf2 nuclear translocation, Agt, and ACE transcription with augmentation of Ace2 and MasR transcription, which was reversed by oltipraz. These data identify a mechanism, Nrf2-mediated stimulation of intrarenal RAS gene expression, by which chronic hyperglycemia induces hypertension and renal injury in diabetes.

Pubmed ID: 29211853 RIS Download

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Anti-β-Actin Antibody (antibody)

RRID:AB_476744

This monoclonal targets slightly modified β-cytoplasmic actin N-terminal peptide, Ac-Asp-Asp-Asp-Ile-Ala-Ala-Leu-Val-Ile-Asp-Asn-Gly-Ser-Gly-Lys, conjugated to KLH

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MAS1 Antibody (antibody)

RRID:AB_11039164

This unknown targets MAS1

View all literature mentions

ACE (N-20) (antibody)

RRID:AB_2273625

This polyclonal targets ACE (N-20)

View all literature mentions

Anti-Angiotensinogen (antibody)

RRID:AB_2631321

This polyclonal targets Angiotensinogen

View all literature mentions

NQO1 (C-19) (antibody)

RRID:AB_2154339

This polyclonal targets NQO1

View all literature mentions

Nrf2 antibody (antibody)

RRID:AB_881705

This polyclonal targets Nrf2

View all literature mentions

Anti-β-Actin Antibody (antibody)

RRID:AB_476744

This monoclonal targets slightly modified β-cytoplasmic actin N-terminal peptide, Ac-Asp-Asp-Asp-Ile-Ala-Ala-Leu-Val-Ile-Asp-Asn-Gly-Ser-Gly-Lys, conjugated to KLH

View all literature mentions

MAS1 Antibody (antibody)

RRID:AB_11039164

This unknown targets MAS1

View all literature mentions

ACE (N-20) (antibody)

RRID:AB_2273625

This polyclonal targets ACE (N-20)

View all literature mentions

Anti-Angiotensinogen (antibody)

RRID:AB_2631321

This polyclonal targets Angiotensinogen

View all literature mentions

NQO1 (C-19) (antibody)

RRID:AB_2154339

This polyclonal targets NQO1

View all literature mentions

Nrf2 antibody (antibody)

RRID:AB_881705

This polyclonal targets Nrf2

View all literature mentions