PMID- 15361768 OWN - NLM STAT- MEDLINE DCOM- 20050131 LR - 20220309 IS - 0263-6352 (Print) IS - 0263-6352 (Linking) VI - 22 IP - 10 DP - 2004 Oct TI - Rho kinase and PAI-1 in Bartter's/Gitelman's syndromes: relationship to angiotensin II signaling. PG - 1963-9 AB - OBJECTIVE: Angiotensin II (Ang II)-mediated activation of Rho kinase (ROK) is involved in the pathophysiology of hypertension and cardiovascular remodeling. ROK also controls plasminogen activator inhibitor-1 (PAI-1) which promotes vascular fibrosis contributing to atherogenesis. Bartter's and Gitelman's syndromes (BS/GS) are useful models to investigate abnormalities of vascular tone regulation, due to their reduced short- and long-term signaling pathways of Ang II. This study evaluated, using BS/GS as a model, ROK and PAI-1 gene and protein expression and the effect of Ang II co-incubation on ROK and PAI-1 gene and protein expression. DESIGN, METHODS AND RESULTS: We measured ROK and PAI-1 gene and protein expression [reverse transcription-polymerase chain reaction (RT-PCR) and Western blot] in mononuclear cells (PBM) from one BS and eight GS patients. The effect of Ang II on ROK and PAI-1 gene and protein expression was also evaluated and compared with 10 controls. ROK gene and protein expression was reduced in BS/GS [0.47 +/- 0.11 densitometric units (d.u.) versus 0.70 +/- 0.04 d.u., P = 0.0038 and 0.39 +/- 0.07 d.u. versus 0.55 +/- 0.07 d.u., P = 0.0026, respectively]. The basal level of PAI-1 gene and protein expression did not differ (0.40 +/- 0.03 d.u. versus 0.39 +/- 0.02 d.u. and 0.81 +/- 0.02 d.u. versus 0.83 +/- 0.02 d.u., respectively). Ang II increased ROK and PAI-1 gene and protein expression only in controls: from 0.70 +/- 0.04 to 0.90 +/- 0.06 d.u., P = 0.007 (ROK mRNA); from 0.55 +/- 0.07 to 0.86 +/- 0.07 d.u., P = 0.0005 (ROK protein); from 0.40 +/- 0.02 to 0.63 +/- 0.03 d.u., P = 0.001 (PAI-1 mRNA); and from 0.83 +/- 0.02 to 1.34 +/- 0.16 d.u., P = 0.0023 (PAI-1 protein). CONCLUSIONS: This study confirms BS/GS as a human model to investigate interrelated systems involved in the pathophysiology of hypertension and throws more light on the cellular mechanisms of BS/GS reduced Ang II short- and long-term signaling pathways. FAU - Pagnin, Elisa AU - Pagnin E AD - Department of Clinical and Experimental Medicine, Clinica Medica 4, University of Padova, Italy. FAU - Davis, Paul A AU - Davis PA FAU - Sartori, Michelangelo AU - Sartori M FAU - Semplicini, Andrea AU - Semplicini A FAU - Pessina, Achille C AU - Pessina AC FAU - Calo, Lorenzo A AU - Calo LA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Hypertens JT - Journal of hypertension JID - 8306882 RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (Plasminogen Activator Inhibitor 1) RN - 0 (RNA, Messenger) RN - 11128-99-7 (Angiotensin II) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (rho-Associated Kinases) SB - IM MH - Adult MH - Angiotensin II/*metabolism/pharmacology MH - Bartter Syndrome/*metabolism MH - Case-Control Studies MH - Female MH - Gene Expression/drug effects MH - Humans MH - Intracellular Signaling Peptides and Proteins MH - Kidney Diseases/*metabolism MH - Male MH - Middle Aged MH - Plasminogen Activator Inhibitor 1/genetics/*metabolism MH - Protein Serine-Threonine Kinases/genetics/*metabolism MH - RNA, Messenger/metabolism MH - *Signal Transduction MH - Syndrome MH - rho-Associated Kinases EDAT- 2004/09/14 05:00 MHDA- 2005/02/03 09:00 CRDT- 2004/09/14 05:00 PHST- 2004/09/14 05:00 [pubmed] PHST- 2005/02/03 09:00 [medline] PHST- 2004/09/14 05:00 [entrez] AID - 00004872-200410000-00019 [pii] AID - 10.1097/00004872-200410000-00019 [doi] PST - ppublish SO - J Hypertens. 2004 Oct;22(10):1963-9. doi: 10.1097/00004872-200410000-00019.