Korean Journal of Nephrology 1998;17(5):679-685.
신장내 Renin-Angiotensin계에 미치는 Cyclosporine의 영향 (Effects of Cyclosporine on the Intrarenal Renin-Angiotensin System)
김종성, 안미라, 김남호, 최기철, 이종은 (Jong Seong Kim, Mi Ra An, Nam Ho Kim, Ki Chul Choi and Jong Un Lee)
Abstract
The present study was aimed at investigating the effect of cyclosporine A(CsA) on the renal renin-angiotensin systems. In rats chronically treated with CsA, the intrarenal expression of various genes of the renin-angiotensin system was assessed by Northern blot analysis. Along with the increases in plasma and renal renin activities, chronic CsA-treatment differentially affected the renal expression of renin-angiotensin system. The treatment with CsA for one week did not significantly alter the expression of either type 1 angiotensin II receptor(AT1A) or angiotensinogen gene, but increased the renin mRNA level. The three-week-treatment caused increases in the expression not only of renin but also of AT1A and angiotensinogen genes. Supplementation with L-arginine kept the expression of renin mRNA normal in the one-week-treated, but failed to prevent the alterations of the gene expression in the three-week-treated. Feedback control among components of the renin-angiotensin system also influences angiotesinogen. In the liver, the expression of angiotensinogen mRNA was decreased by the CsA-treatment for either one- or three-weeks. In conclusion, chronic CsA-treatment is associated with a differential expression of various genes for the renin-angiotensin system. L-Arginine may be effective in maintaining the normality of renin-angiotensin system only during early period after beginning the use of CsA.
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