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EFFECTS OF EXCESS SALT
DIET ON ANGITENSINOGEN
SECRETIONS IN THE KIDNEY
OVER TIME


             Chieh-Yin Kuo,
   Vivien Thomas Summer Research Program;
   Department of Pharmacology & Toxicology,
    Morehouse School of Medicine, Atlanta.
SALT (SODIUM CHLORIDE, NACL)
    INTAKE
•    Add flavor to our food.

•    Adults need ~6g (or around about a teaspoon) of salt a
     day.

•    According to the World Health Organization (WHO), the
     current global average intake of salt is between 9g and
     12g per day or more.
KIDNEY
   An essential organ in the urinary system
   Serve for homeostatic functions
    (the regulation of electrolytes, maintenance of acid–base
    balance, and regulation of blood pressure via maintaining salt
    and water balance)
KIDNEY DISEASES

   Kidney removes waste products from blood and regulate the
    water fluid

   High salt diet reduce function and removed less water in the
    kidney. This result in high blood pressure (BP) and kidney
    disease .

   African American are 3-5 times more likely to suffer kidney
    failure than Caucasian.

   African American with diabetes are 10 times more likely to
    have kidney failure.
ANGIOTENSINOGEN

   Oligopeptide hormone precursor serving as a
    substrate for renin in the formation of angiotensin I

   Angiotensinogen produced in liver

   Causes vasoconstriction and a subsequent increase in
    blood pressure.
RENIN- ANGIOTENSINOGEN
   Renin, which is primarily released by the kidneys, stimulates the
    formation of angiotensin in blood and tissues, which in turn
    stimulates the release of aldosterone from the adrenal cortex.




                                              Dr Bayorh’s lab has
                                              previously shown that a HS
                                              diet increases Angiotensin II.
                                              My job was to see if HS diet
                                              increases Ang II by
                                              increasing
                                              Angiotensinogen.
RENIN- ANGIOTENSINOGEN

   Acts on the adrenal cortex to release aldosterone, which in turn
    acts on the kidneys to increase sodium and fluid retention

   Stimulates the release of vasopressin (antidiuretic hormone,
    ADH) from the posterior pituitary, which increases fluid retention
    by the kidneys

   Stimulates thirst centers within the brain
HYPOTHESIS

   We hypothesized that angiotensinogen secretion
    increases in the kidney and urine with high salt diet.
METHODS
Dahl salt sensitive (SS) rat and salt resistance (SR) rats (8 weeks old)
  were divided into following groups and treated as mentioned below
  for 21 days.


   Group 1 : low salt (0.3% NaCl) control
   Group 2 : high salt (8% NaCl) diet
   Group 3 : low salt diet + aldosterone (ALDO; 0.2 mg pellet)
   Group 4 : high diet + aldosterone (ALDO; 0.2 mg pellet)
   Group 5 : high diet + apocynin (APC, 1.5 mM in the drinking water)
   Group 6 : high diet + Eplerenone (EPL)




Apocynin, is a NADPH oxidase inhibitor; blocks the bad effects of angiotensin II

Eplerenone, is an aldosterone antagonist; blocks the effects of aldosterone
METHODS
   Microassay Procedure was used to analyzed total protein
    content in the urine sample of rats.
WESTERN BLOT (WB)-TOTAL PROTEIN
SEPARATION
USING SDS-PAGE
WESTERN BLOT (WB)-TRANSFER OF PEPTIDE
TO PBDF MEMBRANE
RESULT
S

                       Effect of salt on body weight                    EFFECT OF SALT ON BLOOD PRESSURE




                                                               systolic blood pressure
                       300                                                               250
   Body Weight (gms)




                                 low salt                                                          low salt
                       280                                                               225
                                                                                                   high salt
                                 high salt
                       260                                                               200




                                                                       (mmHg)
                       240                                                               175
                       220                                                               150
                       200                                                               125
                       180
                                                                                         100
                       160                                                                     0       1       2   3   4
                             0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5
                                                                                               WEEKS OF DIET
                                  Weeks on diet




Normal rat :
Average systolic pressure = 121 mmHg; Average diastolic pressure = 84 mmHg;
Average mean pressure = 103 mmHg; Heart rate = 380 beats per minute
RESULT
S

                                          Effect of low salt diet on                                                                         Effect of high salt diet on
                                         vascular function over time                                                                        vascular function over time
                            2.5                                                                                                                 4




                                                                                             CONTRACTILE FORCE
                                                1 week
                                                                                                                                                                3 weeks
                            2.0                 2 weeks
                                                                                                                                                3               2 weeks




                                                                                                                 (g/mg of aortic ring dry wt)
(g/mg aortic ring dry wt)
 CONTRACTILE FORCE




                                                3 weeks
                                                                                                                                                                1 week
                            1.5
                                                                                                                                                2

                            1.0

                                                                                                                                                1
                            0.5


                                                                                                                                                0
                            0.0


                                                                                                                                                    -12   -11   -10   -9   -8   -7   -6   -5   -4   -3
                            -0.5
                                   -12    -11      -10    -9   -8   -7   -6   -5   -4   -3                                                          Concentrations of norepinephrine (M)
                                                     CONCENTRATION OF NE (M)
RESULTS-
WESTERN BLOT ANALYSIS ON
ANGINOTENSINOGEN


     Rat Urine Sample
RESULTS-
    WESTERN BLOT ANALYSIS ON
    ANGINOTENSINOGEN




Additional analysis required to better understand the results above.
CONCLUSIONS


   These findings suggest that consuming high salt
    diets increase Angiotensinogen that leads to an
    increase in Angiotensin II which may cause an
    increase in blood pressure.
Take Home Message
    Key messages to protect kidney health
• Become a label reader

• Take every day fresh fruits and vegetables as a major part of diet

• Avoid fast foods and processed food

• Drink more water
Future goal

• Increase the number of samples for this
study.

• Also, examine how high salt diet affects
kidney functions.
ACKNOWLEDGEMENT

 Dr. Danita Eatman
 Dr. Mohamed A. Bayorh

 Mrs. Aisha Rollins-Hairston

 Ms. Nithya Rajendran

 Ms Raeonda Williams

 Mrs. Wanda Harvey

 Vivien Thomas Summer Research Program,
  Morehouse School of Medicine, Atlanta.
RESOURCES
   http://www.news-medical.net/news/20120521/Salt-intake-why-is-it-bad-
    for-you.aspx
   http://pcwww.liv.ac.uk/~petesmif/petesmif/why%20do%20we%20need
    %20kidneys/the%20kidney%20and%20homeostasis.htm
   http://totalhealthforall.com/physical-health-fitness/salt-the-silent-killer-
    also-known-as-white-death/
Chieh yinkuosigmaxi2013

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Chieh yinkuosigmaxi2013

  • 1. EFFECTS OF EXCESS SALT DIET ON ANGITENSINOGEN SECRETIONS IN THE KIDNEY OVER TIME Chieh-Yin Kuo, Vivien Thomas Summer Research Program; Department of Pharmacology & Toxicology, Morehouse School of Medicine, Atlanta.
  • 2. SALT (SODIUM CHLORIDE, NACL) INTAKE • Add flavor to our food. • Adults need ~6g (or around about a teaspoon) of salt a day. • According to the World Health Organization (WHO), the current global average intake of salt is between 9g and 12g per day or more.
  • 3. KIDNEY  An essential organ in the urinary system  Serve for homeostatic functions (the regulation of electrolytes, maintenance of acid–base balance, and regulation of blood pressure via maintaining salt and water balance)
  • 4. KIDNEY DISEASES  Kidney removes waste products from blood and regulate the water fluid  High salt diet reduce function and removed less water in the kidney. This result in high blood pressure (BP) and kidney disease .  African American are 3-5 times more likely to suffer kidney failure than Caucasian.  African American with diabetes are 10 times more likely to have kidney failure.
  • 5. ANGIOTENSINOGEN  Oligopeptide hormone precursor serving as a substrate for renin in the formation of angiotensin I  Angiotensinogen produced in liver  Causes vasoconstriction and a subsequent increase in blood pressure.
  • 6. RENIN- ANGIOTENSINOGEN  Renin, which is primarily released by the kidneys, stimulates the formation of angiotensin in blood and tissues, which in turn stimulates the release of aldosterone from the adrenal cortex. Dr Bayorh’s lab has previously shown that a HS diet increases Angiotensin II. My job was to see if HS diet increases Ang II by increasing Angiotensinogen.
  • 7. RENIN- ANGIOTENSINOGEN  Acts on the adrenal cortex to release aldosterone, which in turn acts on the kidneys to increase sodium and fluid retention  Stimulates the release of vasopressin (antidiuretic hormone, ADH) from the posterior pituitary, which increases fluid retention by the kidneys  Stimulates thirst centers within the brain
  • 8. HYPOTHESIS  We hypothesized that angiotensinogen secretion increases in the kidney and urine with high salt diet.
  • 9. METHODS Dahl salt sensitive (SS) rat and salt resistance (SR) rats (8 weeks old) were divided into following groups and treated as mentioned below for 21 days.  Group 1 : low salt (0.3% NaCl) control  Group 2 : high salt (8% NaCl) diet  Group 3 : low salt diet + aldosterone (ALDO; 0.2 mg pellet)  Group 4 : high diet + aldosterone (ALDO; 0.2 mg pellet)  Group 5 : high diet + apocynin (APC, 1.5 mM in the drinking water)  Group 6 : high diet + Eplerenone (EPL) Apocynin, is a NADPH oxidase inhibitor; blocks the bad effects of angiotensin II Eplerenone, is an aldosterone antagonist; blocks the effects of aldosterone
  • 10. METHODS  Microassay Procedure was used to analyzed total protein content in the urine sample of rats.
  • 11. WESTERN BLOT (WB)-TOTAL PROTEIN SEPARATION USING SDS-PAGE
  • 12. WESTERN BLOT (WB)-TRANSFER OF PEPTIDE TO PBDF MEMBRANE
  • 13. RESULT S Effect of salt on body weight EFFECT OF SALT ON BLOOD PRESSURE systolic blood pressure 300 250 Body Weight (gms) low salt low salt 280 225 high salt high salt 260 200 (mmHg) 240 175 220 150 200 125 180 100 160 0 1 2 3 4 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 WEEKS OF DIET Weeks on diet Normal rat : Average systolic pressure = 121 mmHg; Average diastolic pressure = 84 mmHg; Average mean pressure = 103 mmHg; Heart rate = 380 beats per minute
  • 14. RESULT S Effect of low salt diet on Effect of high salt diet on vascular function over time vascular function over time 2.5 4 CONTRACTILE FORCE 1 week 3 weeks 2.0 2 weeks 3 2 weeks (g/mg of aortic ring dry wt) (g/mg aortic ring dry wt) CONTRACTILE FORCE 3 weeks 1 week 1.5 2 1.0 1 0.5 0 0.0 -12 -11 -10 -9 -8 -7 -6 -5 -4 -3 -0.5 -12 -11 -10 -9 -8 -7 -6 -5 -4 -3 Concentrations of norepinephrine (M) CONCENTRATION OF NE (M)
  • 15. RESULTS- WESTERN BLOT ANALYSIS ON ANGINOTENSINOGEN Rat Urine Sample
  • 16. RESULTS- WESTERN BLOT ANALYSIS ON ANGINOTENSINOGEN Additional analysis required to better understand the results above.
  • 17. CONCLUSIONS  These findings suggest that consuming high salt diets increase Angiotensinogen that leads to an increase in Angiotensin II which may cause an increase in blood pressure.
  • 18. Take Home Message Key messages to protect kidney health • Become a label reader • Take every day fresh fruits and vegetables as a major part of diet • Avoid fast foods and processed food • Drink more water
  • 19. Future goal • Increase the number of samples for this study. • Also, examine how high salt diet affects kidney functions.
  • 20. ACKNOWLEDGEMENT  Dr. Danita Eatman  Dr. Mohamed A. Bayorh  Mrs. Aisha Rollins-Hairston  Ms. Nithya Rajendran  Ms Raeonda Williams  Mrs. Wanda Harvey  Vivien Thomas Summer Research Program, Morehouse School of Medicine, Atlanta.
  • 21. RESOURCES  http://www.news-medical.net/news/20120521/Salt-intake-why-is-it-bad- for-you.aspx  http://pcwww.liv.ac.uk/~petesmif/petesmif/why%20do%20we%20need %20kidneys/the%20kidney%20and%20homeostasis.htm  http://totalhealthforall.com/physical-health-fitness/salt-the-silent-killer- also-known-as-white-death/