The P2X 7 receptor is a ligand-gated ion channel activated by extracellular ATP, and a common genetic variation in the P2X 7 gene significantly affects blood pressure. P2X 7 receptor expression is associated with renal injury and some inflammatory diseases. Brilliant blue G (BBG) is a selective rat P2X 7 receptor antagonist. In this study, to test whether BBG has protective effects on saltsensitive hypertension and renal injury, Dahl salt-sensitive (DS) rats fed an 8% NaCl diet were i.p. injected with BBG (50 mg kg À1 per day) for 4 weeks. We also tested another P2X 7 receptor antagonist, namely A-438079 (100 mg kg À1 per day), for 7 days. We found that P2X 7 antagonism markedly attenuated salt-sensitive hypertension, urinary protein or albumin excretion, renal interstitial fibrosis and macrophage and T-cell infiltration in the DS rats, and significantly improved creatinine clearance. In an in vitro experiment using macrophages, we showed that lipopolysaccharide (LPS)-primed macrophages from the DS rats released more interleukin-1 beta in response to BzATP, a P2X 7 receptor agonist, than the macrophages from Lewis rats, possibly due to higher P2X 7 expression in the DS rats. In conclusion, in vivo blockade of P2X 7 receptors attenuated salt-sensitive hypertension and renal injury in the DS rats. Thus, P2X 7 appears to be responsible for a vicious cycle of salt-sensitive hypertension and renal injury in the DS rats, through higher expression in the immune cells. Furthermore, P2X 7 antagonists can prevent the development of salt-sensitive hypertension and renal injury, thus confirming that the P2X 7 receptor is an important therapeutic target.
INTRODUCTIONThe P2X 7 receptor is an adenosine-5¢-triphosphate (ATP)-gated cation channel that is expressed mainly in certain immune cells, including macrophages and lymphocytes. 1,2 Stimulation of P2X 7 is proinflammatory, resulting in the release of inflammatory cytokines, such as interleukin (IL)-1 beta (b) and IL-18 from macrophages 2-5 and IL-2 from T cells, 5-7 as well as changes in the plasma membrane lipid distribution and cell death by necrosis or apoptosis. 2,3 P2X 7 has been reported to be involved in various nephropathy models, such as glomerular injury caused by diabetes and hypertension, 8 unilateral ureteral obstruction 9 and glomerulonephritis. 10 Dahl salt-sensitive (DS) rats fed on a high-sodium diet characteristically develop attenuated pressure natriuresis, hypertension and progressive renal injury, and this model has been widely used to study salt-sensitive hypertension. 11,12 In a previous study, we performed a genome-wide quantitative trait locus mapping analysis for blood pressure by using F2 rats derived from DS and Lewis (LEW) rats, and we identified a region on chromosome 12 near the D12Arb6 marker that influenced blood pressure. 13 The P2X 7 gene is also near the D12Arb6 marker. A common genetic variation in the region of the P2X 7 gene significantly affects blood pressure in a Caucasian population. 14 Although the pathophysiology of hypertension...