Downregulation of renal TRPM7 and increased inflammation and fibrosis in aldosterone-infused mice: effects of magnesium

Hypertension. 2008 Apr;51(4):915-21. doi: 10.1161/HYPERTENSIONAHA.107.100339. Epub 2008 Feb 11.

Abstract

Hyperaldosteronism is associated with hypertension, cardiovascular fibrosis, and electrolyte disturbances, including hypomagnesemia. Mechanisms underlying aldosterone-mediated Mg(2+) changes are unclear, but the novel Mg(2+) transporters TRPM6 and TRPM7 may be important. We examined whether aldosterone influences renal TRPM6/7 and the TRPM7 downstream target annexin-1 and tested the hypothesis that Mg(2+) administration ameliorates aldosterone-induced cardiovascular and renal injury and prevents aldosterone-associated hypertension. C57B6 mice were studied (12 weeks, n=8 to 9/group); (1) control group (0.2% dietary Mg(2+)), (2) Mg(2+) group (0.75% dietary Mg(2+)), (3) aldosterone group (Aldo, 400 microg/kg/min and 0.9% NaCl drinking water), and (4) Aldo+Mg(2+) group. Blood pressure was unaltered by aldosterone and was similar in all groups throughout the experiment. Serum Na(+) was increased and serum K(+) and Mg(2+) decreased in the Aldo group. Aldo mice had hypomagnesuria and proteinuria, and renal, cardiac, and aortic fibrosis, which were normalized by Mg(2+) supplementation. Renal and cardiovascular expression of interleukin-6, VCAM1 and COX2 was increased in the Aldo group. Magnesium attenuated renal and cardiac interleukin-6 content and decreased renal VCAM1 and cardiac COX2 expression (P<0.05). Aldosterone decreased expression of renal TRPM7 and the downstream target annexin-1 (P<0.05) without effect on TRPM6. Whereas Mg(2+) increased mRNA expression of TRPM6 and TRPM7, it had no effect on TRPM7 and annexin-1 protein content. Our data demonstrate that aldosterone mediates blood pressure-independent renal and cardiovascular fibrosis and inflammation through Mg(2+)-sensitive pathways. We suggest that altered Mg(2+) metabolism in hyperaldosteronism may relate to TRPM7 downregulation and that Mg(2+) protects against cardiovascular and renal damaging actions of aldosterone.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aldosterone / pharmacology*
  • Animals
  • Blood Pressure / drug effects
  • Body Weight
  • Down-Regulation / drug effects
  • Down-Regulation / immunology
  • Fibrosis
  • Gene Expression / physiology
  • Hyperaldosteronism / chemically induced
  • Hyperaldosteronism / immunology
  • Hyperaldosteronism / pathology
  • Kidney / immunology
  • Kidney / pathology*
  • Magnesium / blood
  • Magnesium / pharmacology*
  • Magnesium / urine
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Nephritis / immunology
  • Nephritis / pathology*
  • Organ Size
  • Sodium / blood
  • Sodium / urine
  • TRPM Cation Channels / genetics*
  • TRPM Cation Channels / metabolism

Substances

  • TRPM Cation Channels
  • Aldosterone
  • Sodium
  • Trpm7 protein, mouse
  • Magnesium