We propose that a) the intrarenal tubuloglomerular feedback system (TGF) is critical to the regulation of the relation between tubular reabsorption and nephron filtration rate (SNGFR) and b) the mesangial cell contributes importantly by several mechanisms to the regulation of glomerular hemodynamics and ultrafiltration. Demonstration of the important regulatory contributions of TGF requires accurate methods to evaluate the sensitivity or slope around the turning point and the operating point (the normal late proximal tubular flow rate and SNGFR in unperturbed nephrons) and the half maximal SNGFR response (V1/2). Previous methods have relied upon evaluations using micropuncture tubular fluid collections while tubular flow rates are varied from the late proximal tubule. These methods generate very few data points around the operating point and data are discontinuous with very low time resolution due to the time required for collections. The sensitivity of TGF may have been underestimated by prior methods. Better high resolution methods of assessment are required to define these TGF parameters. We will utilize on-line methods to measure early proximal tubular flow rate, as an index of SNGFR, and late proximal flow rates using videometric methods to assess flow velocity and tubular diameter, in relation to the on-line evaluation of glomerular capillary hydrostatic pressure (Pg) and distal tubular C concentration using microelectrode in the same nephron units in both free flowing tubules and in the open loop mode. We propose that changes in TGF slope, operating point, open loop gain (OLG), and V1 2 are critical to renal regulatory responses to a) volume status, b) adaptations over time, & will c) define mechanisms of nephron:nephron TGF interaction, d) factors which influence the degree of nephron heterogeneity of TGF parameters and e) the role of the renin-angiotensin system, eicosanoids and EDRF or nitric oxide in TGF regulatory processes. We will also utilize antibodies to thymocyte-1 antigen on mesangial cells to produce mesangial cell lysis (1 day) to verify and examine the concept that the mesangial cell is critical to a) TGF, b) glomerular hemodynamic responses to volume status, c) autoregulation and d) response to hormonal agonists. Utilizing these studies a deductive process will permit conclusions as to the role of the mesangial cell in regulation of afferent and efferent arteriolar resistances, the ultrafiltration coefficient and transduction of TGF signals to the effector. TGF contributions to a variety of physiologic and pathophysiologic conditions, i.e. 1) renal functional reserve, 2) tubular injury and 3) reductions in renal mass will be specifically examined using these newer techniques. Newer on-line methods in relatively undisturbed nephrons are superior to previous approaches because of the greater data generated and the continuous nature of these data and will permit detailed evaluation of the dynamic role and regulation of TGF and the function of the glomerular mesangial cell.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK028602-23
Application #
2138199
Study Section
General Medicine B Study Section (GMB)
Project Start
1982-02-01
Project End
1997-09-29
Budget Start
1995-09-30
Budget End
1996-09-29
Support Year
23
Fiscal Year
1995
Total Cost
Indirect Cost
Name
University of California San Diego
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
077758407
City
La Jolla
State
CA
Country
United States
Zip Code
92093
Blantz, Roland C; Steiner, Robert W (2015) Benign hyperfiltration after living kidney donation. J Clin Invest 125:972-4
Blantz, Roland C; Singh, Prabhleen (2014) Glomerular and tubular function in the diabetic kidney. Adv Chronic Kidney Dis 21:297-303
Declèves, Anne-Emilie; Sharma, Kumar; Satriano, Joseph (2014) Beneficial Effects of AMP-Activated Protein Kinase Agonists in Kidney Ischemia-Reperfusion: Autophagy and Cellular Stress Markers. Nephron Exp Nephrol :
Blantz, Roland C (2014) Phenotypic characteristics of diabetic kidney involvement. Kidney Int 86:7-9
Rieg, Timo; Tang, Tong; Uchida, Shinichi et al. (2013) Adenylyl cyclase 6 enhances NKCC2 expression and mediates vasopressin-induced phosphorylation of NKCC2 and NCC. Am J Pathol 182:96-106
Satriano, Joseph; Sharma, Kumar; Blantz, Roland C et al. (2013) Induction of AMPK activity corrects early pathophysiological alterations in the subtotal nephrectomy model of chronic kidney disease. Am J Physiol Renal Physiol 305:F727-33
Hansell, Peter; Welch, William J; Blantz, Roland C et al. (2013) Determinants of kidney oxygen consumption and their relationship to tissue oxygen tension in diabetes and hypertension. Clin Exp Pharmacol Physiol 40:123-37
Vallon, Volker; Rose, Michael; Gerasimova, Maria et al. (2013) Knockout of Na-glucose transporter SGLT2 attenuates hyperglycemia and glomerular hyperfiltration but not kidney growth or injury in diabetes mellitus. Am J Physiol Renal Physiol 304:F156-67
Satriano, Joseph; Sharma, Kumar (2013) Autophagy and metabolic changes in obesity-related chronic kidney disease. Nephrol Dial Transplant 28 Suppl 4:iv29-36
Vallon, Volker; Stockand, James; Rieg, Timo (2012) P2Y receptors and kidney function. Wiley Interdiscip Rev Membr Transp Signal 1:731-742

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