VASOPRESSIN-DEPENDENT RENAL VASOCONSTRICTION AND HYPOXIA AFTER TREADMILL RUNNING IN MICE: A POTENTIAL MECHANISM OF EXERCISE-INDUCED ACUTE KIDNEY INJURY

 

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https://storage.unitedwebnetwork.com/files/1099/c6d60b2384fcd4ff68f983dbc3117aa4.pdf
VASOPRESSIN-DEPENDENT RENAL VASOCONSTRICTION AND HYPOXIA AFTER TREADMILL RUNNING IN MICE: A POTENTIAL MECHANISM OF EXERCISE-INDUCED ACUTE KIDNEY INJURY

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Kazutoshi
Nomura
Kazutoshi Nomura k-nomura@kanazawa-med.ac.jp Kanazawa Medical University Department of Nephrology Kahoku-gun Japan *
Mamoru Tanida mtanida@kanazawa-med.ac.jp Kanazawa Medical University Department of Physiology II Kahoku-gun Japan -
Ryoko Akai r-akai@kanazawa-med.ac.jp Kanazawa Medical University Division of Cell Medicine, Department of Life Science, Medical Research Institute Kahoku-gun Japan -
Tomohisa Yabe t-yabe@kanazawa-med.ac.jp Kanazawa Medical University Department of Nephrology Kahoku-gun Japan -
Ai Fujii fujiiai@kanazawa-med.ac.jp Kanazawa Medical University Department of Nephrology Kahoku-gun Japan -
Kanae Nomura kanae-n@kanazawa-med.ac.jp Kanazawa Medical University Department of Nephrology Kahoku-gun Japan -
Keiichiro Okada k-okada@kanazawa-med.ac.jp Kanazawa Medical University Department of Nephrology Kahoku-gun Japan -
Kazuaki Okino taro1985@kanazawa-med.ac.jp Kanazawa Medical University Department of Nephrology Kahoku-gun Japan -
Norifumi Hayashi nori924@kanazawa-med.ac.jp Kanazawa Medical University Department of Nephrology Kahoku-gun Japan -
Keiji Fujimoto k-2210@kanazawa-med.ac.jp Kanazawa Medical University Department of Nephrology Kahoku-gun Japan -
Yasutaka Kurata yasu@kanazawa-med.ac.jp Kanazawa Medical University Department of Physiology II Kahoku-gun Japan -
Takao Iwawaki iwawaki@kanazawa-med.ac.jp Kanazawa Medical University Division of Cell Medicine, Department of Life Science, Medical Research Institute Kahoku-gun Japan -
Kengo Furuichi furuichi@kanazawa-med.ac.jp Kanazawa Medical University Department of Nephrology Kahoku-gun Japan -
 
 

Acute renal failure with severe loin pain and patchy renal ischemia after high-intensity exercise (ALPE) is a unique form of acute kidney injury. Although heterogeneous renal vasoconstriction has been implicated, its molecular mechanism remains unclear. Arginine Vasopressin (AVP) have a potent vasoconstrictor acting through the AVP receptor 1A (AVPR1A). This study aimed to clarify whether exercise augments AVP-induced renal vasoconstriction and hypoxia via AVPR1A signaling.

Male mice underwent brief high-intensity treadmill running (22 m/min, 1 min) followed by intravenous vasopressin (0.03 µg/g). Continuous recordings of mean arterial blood pressure, mean renal venous pressure, and renal arterial blood flow were obtained to calculate renal vascular resistance. Renal hypoxia was assessed by in vivo bioluminescence imaging using hypoxia-reporter (ODD-Luc) mice and by pimonidazole staining. The selective AVPR1A antagonist SR49059 (10 µg/g i.v.) was administered to test receptor specificity.

Treadmill-primed mice exhibited a rapid fall in renal arterial blood flow and a rise in renal vascular resistance after vasopressin injection, whereas mean arterial blood pressure changes were comparable between groups. Pimonidazole staining revealed stronger corticomedullary-predominant hypoxia in the treadmill group than in the vasopressin-only group. In vivo imaging demonstrated sustained renal hypoxia for 24–48 hours in treadmill-primed mice. Pretreatment with SR49059 abolished or markedly attenuated these hemodynamic and hypoxic changes, confirming AVPR1A-mediated vasoconstriction.

Short high-intensity exercise enhances AVPR1A-dependent renal vasoconstriction and prolongs renal hypoxia, providing a mechanistic explanation for exercise-induced acute kidney injury such as ALPE. Pharmacological AVPR1A blockade may represent a potential therapeutic strategy for preventing exercise-related renal ischemia.

Kewords