PMID- 37511174 OWN - NLM STAT- MEDLINE DCOM- 20230807 LR - 20230807 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 14 DP - 2023 Jul 13 TI - Interaction of Angiotensin II AT1 Receptors with Purinergic P2X Receptors in Regulating Renal Afferent Arterioles in Angiotensin II-Dependent Hypertension. LID - 10.3390/ijms241411413 [doi] LID - 11413 AB - In angiotensin II (Ang II)-dependent hypertension, Ang II activates angiotensin II type 1 receptors (AT1R) on renal vascular smooth muscle cells, leading to renal vasoconstriction with eventual glomerular and tubular injury and interstitial inflammation. While afferent arteriolar vasoconstriction is initiated by the increased intrarenal levels of Ang II activating AT1R, the progressive increases in arterial pressure stimulate the paracrine secretion of adenosine triphosphate (ATP), leading to the purinergic P2X receptor (P2XR)-mediated constriction of afferent arterioles. Thus, the afferent arteriolar tone is maintained by two powerful systems eliciting the co-existing activation of P2XR and AT1R. This raises the conundrum of how the AT1R and P2XR can both be responsible for most of the increased renal afferent vascular resistance existing in angiotensin-dependent hypertension. Its resolution implies that AT1R and P2XR share common receptor or post receptor signaling mechanisms which converge to maintain renal vasoconstriction in Ang II-dependent hypertension. In this review, we briefly discuss (1) the regulation of renal afferent arterioles in Ang II-dependent hypertension, (2) the interaction of AT1R and P2XR activation in regulating renal afferent arterioles in a setting of hypertension, (3) mechanisms regulating ATP release and effect of angiotensin II on ATP release, and (4) the possible intracellular pathways involved in AT1R and P2XR interactions. Emerging evidence supports the hypothesis that P2X1R, P2X7R, and AT1R actions converge at receptor or post-receptor signaling pathways but that P2XR exerts a dominant influence abrogating the actions of AT1R on renal afferent arterioles in Ang II-dependent hypertension. This finding raises clinical implications for the design of therapeutic interventions that will prevent the impairment of kidney function and subsequent tissue injury. FAU - Kulthinee, Supaporn AU - Kulthinee S AD - Department of Physiology, Hypertension and Renal Center of Excellence, Tulane University School of Medicine, New Orleans, LA 70112, USA. FAU - Tasanarong, Adis AU - Tasanarong A AD - Chulabhorn International College of Medicine, Thammasat University, Klong Luang 12120, Thailand. FAU - Franco, Martha AU - Franco M AUID- ORCID: 0000-0003-4073-524X AD - Department of Cardio-Renal Physiopathology, Instituto Nacional de Cardiologia "Ignacio Chavez", Mexico City 14080, Mexico. FAU - Navar, Luis Gabriel AU - Navar LG AUID- ORCID: 0000-0002-3777-7564 AD - Department of Physiology, Hypertension and Renal Center of Excellence, Tulane University School of Medicine, New Orleans, LA 70112, USA. LA - eng GR - NIGMS; CoBRE P30GM103337/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Review DEP - 20230713 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 8L70Q75FXE (Adenosine Triphosphate) RN - 11128-99-7 (Angiotensin II) RN - 0 (Receptor, Angiotensin, Type 1) RN - 0 (Receptors, Angiotensin) RN - 0 (Receptors, Purinergic P2X) SB - IM MH - Humans MH - Adenosine Triphosphate/metabolism MH - *Angiotensin II/metabolism MH - Arterioles/metabolism MH - *Hypertension/metabolism MH - *Kidney/blood supply MH - *Receptor, Angiotensin, Type 1/metabolism MH - Receptors, Angiotensin/metabolism MH - *Receptors, Purinergic P2X/metabolism PMC - PMC10380633 OTO - NOTNLM OT - AT1 receptors OT - P2X receptors OT - afferent arteriole OT - angiotensin II infusions OT - hypertension COIS- The authors declare no conflict of interest. EDAT- 2023/07/29 11:45 MHDA- 2023/07/31 06:43 PMCR- 2023/07/13 CRDT- 2023/07/29 01:22 PHST- 2023/06/02 00:00 [received] PHST- 2023/07/09 00:00 [accepted] PHST- 2023/07/31 06:43 [medline] PHST- 2023/07/29 11:45 [pubmed] PHST- 2023/07/29 01:22 [entrez] PHST- 2023/07/13 00:00 [pmc-release] AID - ijms241411413 [pii] AID - ijms-24-11413 [pii] AID - 10.3390/ijms241411413 [doi] PST - epublish SO - Int J Mol Sci. 2023 Jul 13;24(14):11413. doi: 10.3390/ijms241411413.