Um estudo renal das interações entre uroguanilia, urodilatina e bradicinina na presença dos bloqueadores da guanilato ciclase isatin e ODQ

Abstract

Guanylins, natriuretic peptides (ANP and urodilatina) and bradykinin are involved in the pathophysiology, with therapeutic potential, of salt metabolism and hypertension. Objective: To study the mechanism of action and possible interactions of these peptides, with the employment of guanylate cyclase inhibitors isatina and ODQ. Method: Experiments were performed on isolated perfused rat kidney with pharmacological tools, isatin (IS; 0.3 or 10μM) or with ODQ (37μM), in studies with uroguanylin (UGN, 0.3 or 0.6μM), bradykinin (BK , 0.3 or 0.9 or 1.8nM) or urodilatin (UD, 0.03nM). It was also investigated possible interactions between those peptides. Results: Alone, IS (0.3μM), ODQ, UGN (0.3μM), BK (0.9 or 0.3nM) did not interfere significantly in perfusion perfusion (PP), in diuresis or in fractional renal tubular reabsorption of electrolytes (sodium - %TNa+; potassium - %TK+; chloride - %TCl-). In experimental conditions, ODQ proved to be effective (p<0.05) in inhibiting the effects of BK (1.8nM) on the PP (ODQ+BK120min: 111+3mmHg; BK120min: 139+5mm Hg) and %TNa+ (ODQ+BK120min: 80+1%; BK120min: 76+2%). IS (3μM) proved to be partially effective in inhibiting effects of UGN (0.6μM; IS+UGN90min: 76+2%; UGN90min: 72+2%) and BK (1.8nM; IS+BK90min: 81+2%; BK60min: 0.76+2%) on %TNa+. UD (0.03nM90min: 86+2%; UGN+UD90min: 73+4%, p<0.05) increased the natriuresis produced by UGN (0.3μM90min: 83+2%), whose vascular effects were inhibited with BK (0.3nM90min: 104+5mmHg; UGN0, 6μM; 90min: 135+4mmHg; UGN+BK90min: 110+2mmHg). Conclusions: IS and ODQ confirmed the participation of the NO-GMP signalling pathway in the mechanism of action of peptides studied. The infusion simultaneously over a peptide, proved that there are interactions in their different signalling pathway.