Evidence map›Paper›PMID 24903104›Full record

ArticleCirculation research2014

AT₂ receptor activation induces natriuresis and lowers blood pressure.

Brandon A Kemp, Nancy L Howell, John J Gildea, Susanna R Keller, Shetal H Padia, Robert M Carey

Open access · greenAbstract read
In one paragraph

Article in Circulation research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
9.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 114 citations in OpenAlex.

  1. Article
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  6. Deletion of ATAmerican journal of physiology. Renal physiology · 2024
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  15. Effect of DCardiology discovery · 2023
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Brandon A KempFrom the Departments of Medicine (B.A.K., N.L.H., S.R.K., S.H.P., R.M.C.) and Pathology (J.J.G.), University of Virginia Health System, Charlottesville.
Nancy L HowellFrom the Departments of Medicine (B.A.K., N.L.H., S.R.K., S.H.P., R.M.C.) and Pathology (J.J.G.), University of Virginia Health System, Charlottesville.
John J GildeaFrom the Departments of Medicine (B.A.K., N.L.H., S.R.K., S.H.P., R.M.C.) and Pathology (J.J.G.), University of Virginia Health System, Charlottesville.
Susanna R KellerFrom the Departments of Medicine (B.A.K., N.L.H., S.R.K., S.H.P., R.M.C.) and Pathology (J.J.G.), University of Virginia Health System, Charlottesville.
Shetal H PadiaFrom the Departments of Medicine (B.A.K., N.L.H., S.R.K., S.H.P., R.M.C.) and Pathology (J.J.G.), University of Virginia Health System, Charlottesville.
Robert M CareyFrom the Departments of Medicine (B.A.K., N.L.H., S.R.K., S.H.P., R.M.C.) and Pathology (J.J.G.), University of Virginia Health System, Charlottesville. rmc4c@virginia.edu.
University of Virginia Health System · US

Funding

Renal AT2 Receptors in HypertensionR01HL095796 · NHLBI · UNIVERSITY OF VIRGINIA · PI CAREY, ROBERT MUNSON · 2010 to 2013
$1.7M
NHLBI NIH HHS R01 HL095796NHLBI NIH HHS R01-HL-095796
6 · The paper itself

Abstract

rationaleCompound 21 (C-21) is a highly selective nonpeptide AT2 receptor (AT2R) agonist.

objectiveTo test the hypothesis that renal proximal tubule AT2Rs induce natriuresis and lower blood pressure in Sprague-Dawley rats and mice. METHODS AND

resultsIn rats, AT2R activation with intravenous C-21 increased urinary sodium excretion by 10-fold (P<0.0001); this natriuresis was abolished by direct renal interstitial infusion of specific AT2R antagonist PD-123319. C-21 increased fractional excretion of Na(+) (P<0.05) and lithium (P<0.01) without altering renal hemodynamic function. AT2R activation increased renal proximal tubule cell apical membrane AT2R protein (P<0.001) without changing total AT2R expression and internalized/inactivated Na(+)-H(+) exchanger-3 and Na(+)/K(+)ATPase. C-21-induced natriuresis was accompanied by an increase in renal interstitial cGMP (P<0.01); C-21-induced increases in urinary sodium excretion and renal interstitial cGMP were abolished by renal interstitial nitric oxide synthase inhibitor l-N(6)-nitroarginine methyl ester or bradykinin B2 receptor antagonist icatibant. Renal AT2R activation with C-21 prevented Na(+) retention and lowered blood pressure in the angiotensin II infusion model of experimental hypertension.

conclusionsAT2R activation initiates its translocation to the renal proximal tubule cell apical membrane and the internalization of Na(+)-H(+) exchanger-3 and Na(+)/K(+)ATPase, inducing natriuresis in a bradykinin-nitric oxide-cGMP-dependent manner. Intrarenal AT2R activation prevents Na(+) retention and lowers blood pressure in angiotensin II-dependent hypertension. AT2R activation holds promise as a renal proximal tubule natriuretic/diuretic target for the treatment of fluid-retaining states and hypertension.

Indexed as

Angiotensin II Type 1 Receptor BlockersAngiotensin II Type 2 Receptor BlockersAnimalsBlood PressureBradykininBradykinin Receptor AntagonistsEnzyme InhibitorsFemaleGlomerular Filtration RateHypertension, RenalKidney Tubules, ProximalMaleMAP Kinase Signaling SystemMiceMice, Inbred C57BLMice, KnockoutAngiotensin II Type 1 Receptor BlockersAngiotensin II Type 2 Receptor BlockersBradykininBradykinin Receptor AntagonistsEnzyme InhibitorsicatibantN-butyloxycarbonyl-3-(4-imidazol-1-ylmethylphenyl)-5-isobutylthiophene-2-sulfonamideNG-Nitroarginine Methyl EsterReceptor, Angiotensin, Type 2SulfonamidesThiophenesblood pressurekidney tubules, proximalnatriuresissodium

Identifiers

PMID24903104
PMCPMC4116673
OpenAlexW2163843488

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.