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1 Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, Mississippi 39216; and 2 Department of Medicine, Harvard Medical School, and Department of Veterans Affairs Medical Center, West Roxbury, Massachusetts 02132
Reduction of uterine perfusion
pressure (RUPP) during late pregnancy has been suggested to trigger
increases in renal vascular resistance and lead to hypertension of
pregnancy. We investigated whether the increased renal vascular
resistance associated with RUPP in late pregnancy reflects increases in
intracellular Ca2+ concentration
([Ca2+]i) and contraction of renal arterial
smooth muscle. Single smooth muscle cells were isolated from renal
interlobular arteries of normal pregnant Sprague-Dawley rats and a rat
model of RUPP during late pregnancy. The cells were loaded with fura 2 and both cell length and [Ca2+]i were
measured. In cells of normal pregnant rats incubated in Hanks'
solution (1 mM Ca2+), ANG II (10
7 M) caused
an initial increase in [Ca2+]i to 414 ± 13 nM, a maintained increase to 149 ± 8 nM, and 21 ± 1%
cell contraction. In RUPP rats, the initial ANG II-induced [Ca2+]i (431 ± 18 nM) was not different
from pregnant rats, but both the maintained
[Ca2+]i (225 ± 9 nM) and cell
contraction (48 ± 2%) were increased. Membrane depolarization by
51 mM KCl and the Ca2+ channel agonist BAY K 8644 (10
6 M), which stimulate Ca2+ entry from the
extracellular space, caused maintained increases in
[Ca2+]i and cell contraction that were
greater in RUPP rats than control pregnant rats. In
Ca2+-free (2 mM EGTA) Hanks' solution, the ANG II- and
caffeine (10 mM)-induced [Ca2+]i transient
and cell contraction were not different between normal pregnant and
RUPP rats, suggesting no difference in Ca2+ release from
the intracellular stores. The enhanced maintained ANG II-, KCl- and BAY
K 8644-induced [Ca2+]i and cell contraction
in RUPP rats compared with normal pregnant rats suggest enhanced
Ca2+ entry mechanisms of smooth muscle contraction in
resistance renal arteries and may explain the increased renal vascular
resistance associated with hypertension of pregnancy.
vascular resistance; hypertension; calcium; vascular smooth muscle; contraction
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