Vitamin D Increases Plasma Renin Activity Independently of Plasma Ca2+ via Hypovolemia and β-Adrenergic Activity.

Vitamin D Increases Plasma Renin Activity Independently of Plasma Ca2+ via Hypovolemia and β-Adrenergic Activity. Am J Physiol Renal Physiol. 2013 Aug 7; Authors: Atchison DK, Harding P, Beierwaltes WH Abstract 1, 25-dihydroxycholechalciferol (calcitriol) and 19-nor-1, 25-dihydroxyvitamin D2 (paricalcitol) are vitamin-D receptor (VDR) agonists. Previous data suggest VDR agonists may actually increase renin-angiotensin activity, and this has always been assumed to be mediated by hypercalcemia. We hypothesized that calcitriol and paricalcitol would increase plasma renin activity (PRA) independently of plasma Ca(2+) via hypercalciuria-mediated polyuria, hypovolemia and subsequent increased β-adrenergic sympathetic activity. We found that both calcitriol and paricalcitol increased PRA 3-fold, p<0.01). Calcitriol caused hypercalcemia, but paricalcitol did not. Both calcitriol and paricalcitol caused hypercalciuria (9 and 7-fold vs control, p<0.01) and polyuria (increasing 2.6 and 2.2-fold vs control, p<0.01). Paricalcitol increased renal calcium-sensing receptor (CaSR) expression, suggesting a potential cause of paricalcitol-mediated hypercalciuria and polyuria. Volume replacement completely normalized calcitriol-stimulated PRA and lowered plasma epinephrine by 43% (p<0.05). β-adrenergic blockade also normalized calcitriol-stimulated PRA. Cyclooxygenase-2 inhibition had no effect on calcitriol-stimulated PRA. Our data demonstrate tha...
Source: Am J Physiol Renal P... - Category: Urology & Nephrology Authors: Tags: Am J Physiol Renal Physiol Source Type: research