Since arginine vasopressin may play a role in mlneralocorticoid hypertension, we examined the effects of deoxycorticosterone acetate (DOCA)-salt on vasopressin V, and V 2 receptor binding and their second messengers, inositol phosphate and adenylate cyclase, respectively, in liver and kidney to determine whether altered vasopressin receptor binding is pathogenetic in mineralocorticoid hypertension. The mean arterial blood pressure of mineralocorticoid (DOCA-salt)-treated rats (163±1 mm Hg) was increased compared with control salt-treated rats (salt) (122±1 mm Hg) and water-treated rats (120±l mm Hg;p<0.001). Mineralocorticoid treatment also increased plasma sodium, osmolality, and vasopressin concentration (p< 0.001). In the hypertensive animals, there was a reduction in hepatic V, (DOCA-salt, 91 ±12; salt, 132 ±13; and water, 145 ±13 fraol/mg protein; p<0.05) and renal V 2 receptor binding density (DOCA-salt, 53±5; salt, 93±9; and water, 95±9 fraol/mg protein; p<0.01), although receptor affinities remained unaltered. In contrast, the density of renal V, receptors was increased by mineralocorticoid treatment (DOCA-salt, 24±2; salt, 16±2; water, 18±1 fmol/mg protein; p<0.05), although the affinity was unchanged. Downregulation of V 2 receptors was associated with a decrease in maximum cyclic adenosine monophosphate levels (DOCA-salt, 19±4; salt, 49±6; water, 53±9 pmol • mg protein" 1 • 10 min~';p<0.05), whereas changes in V, receptor levels were not associated with changes in maximum inositol phosphate levels. Therefore, changes in plasma vasopressin levels rather than changes in vasopressin receptors and their maximum second messenger levels are more likely to play a role in the development of mineralocorticoid hypertension. 2 -4 Also the administration of an AVP antibody reduces blood pressure.1 -5 However, the strongest evidence is obtained from experiments using the Battleboro rat, which is unable to synthesize functional AVP and does not develop hypertension when treated with DOCA-salt.
56AVP mediates its physiological effects through two types of membrane-bound receptors that have been classified Vi and V 2 . The V! receptors are located in many tissues, including the vasculature, brain, liver, and kidney, are coupled to inositol phosphate turnover, and mediate the vasopressor and grycogenolytic effects of AVP. The V 2 receptors are found mainly in the kidney, are linked to adenylate cyclase and the production of cyclic adenosine monophosphate (cAMP), and are associated with antidiuresis.7 However, V 2 agonists also have extrarenal effects, including increased plasma factor VIII and von Willebrand factor levels 8 and vasodilatation.
9The importance of V] receptors in DOCA-salt hypertension is unclear. The reported effects of V, antagonists have been contradictory; studies suggest that these peptides produce moderate reductions 610 or no change 1112 in blood pressure in DOCA-salt-treated animals. However, V 2 receptors appear to be involved in the development of DOCA-salt hypertension since the use of a V 2 ...