Abstract

We have previously published that 11% of individuals in a salt sensitivity clinical trial are determined to be Inverse Salt Sensitive (ISS), and are associated with SNPs in the Dopamine D2 Receptor (D 2 R) that are shown to have decrease D 2 R expression in urine derived human renal proximal tubule cells (uRPTC) compared to salt resistant (SR) and salt sensitive (SS) individuals. We also previously have shown that ISS uRPTCs have increased expression of aminopeptidase N (APN), the enzyme capable of converting AngIII to AngIV. Inhibition of this activity in ISS may be a therapeutic strategy for ISS individuals. We previously reported that a nanobody designed to inhibit human APN activity added to cells reverses a number of adverse cell physiologic responses to low sodium conditions in ISS derived uRPTCs. Here we show evidence that the increased expression of APN in ISS uRPTCs is due to increased constitutive C-SRC activity. Three stable ISS uRPTCs, three SR uRPTCs and three SS uRPTCs were grown and lysed for analysis by Western blotting. The human homolog of the V-Src Avian Sarcoma viral oncogene tyrosine kinase (C-Src) activation state was measure using a Y-416 C-Src tyrosine phosphorylation specific antibody. There is a 266.1±21.7% increase in ISS Y416 p-Src vs SR (p<0.01 ISS vs SR, N=3) and no difference in SS vs SR. Plasma membrane localized APN was measured by In-cell Western and the increase in APN expression between ISS and SR was completely blocked by incubating cells for 4 hours with the C-Src inhibitor PP2 (ISS 49.1±8.8% increase over SR vs -14.6±11.9% with PP2, p<0.01, N=4 per group). Similarly lithium chloride (10 mM 4hrs), and D 2 R overexpression normalized the differential expression of D 2 R in ISS and completely blocked the increased APN expression found in ISS. In summary, low D 2 R expression in ISS leads to constitutively active C-Src and increased APN expression, and re-expression of D 2 R or inhibition of C-Src normalizes expression of APN. Future studies will determine if the tyrosine phosphorylation site in the intracellular domain of APN is a direct target of C-Src.

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