NOX4/H2O2/mTORC1 Pathway in Salt-Induced Hypertension and Kidney Injury

Hypertension. 2020 Jul;76(1):133-143. doi: 10.1161/HYPERTENSIONAHA.120.15058. Epub 2020 Jun 1.

Abstract

We have reported that a high-salt (4.0% NaCl) dietary intake activates mTORC1 and inhibition of this pathway with rapamycin blunts the chronic phase of salt-induced hypertension and renal injury in Dahl salt-sensitive (SS) rats. In SS rats, high-salt intake is known to increase the renal production of H2O2 by NOX4, the most abundant NOX isoform in the kidney, and the global knockout of NOX4 blunts salt-sensitivity in these rats. Here, we explored the hypothesis that elevations of H2O2 by NOX4 in high-salt fed SS rat stimulate mTORC1 for the full development of salt-induced hypertension and renal injury. Our in vitro studies found that H2O2 activates mTORC1 independent of PI3K/AKT and AMPK pathways. To determine the in vivo relevance of NOX4/H2O2/mTORC1 in the salt-induced hypertension, SS-Nox4 knockout (SSNox4-/-) rats were daily administrated with vehicle/rapamycin fed a high-salt diet for 21 days. Rapamycin treatment of SSNox4-/- rats had shown no augmented effect on the salt-induced hypertension nor upon indices of renal injury. Significant reductions of renal T lymphocyte and macrophage together with inhibition of cell proliferation were observed in rapamycin treated rats suggesting a role of mTORC1 independent of NOX4 in the proliferation of immune cell. Given the direct activation of mTORC1 by H2O2 and absence of any further protection from salt-induced hypertension in rapamycin-treated SSNox4-/- rats, we conclude that NOX4-H2O2 is a major upstream activator of mTORC1 that contributes importantly to salt-induced hypertension and renal injury in the SS rat model.

Keywords: amino acid; glucose; insulin; rapamycin; reactive oxygen species.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adenylate Kinase / metabolism
  • Animals
  • Cell Line
  • Chromones / pharmacology
  • Hydrogen Peroxide / metabolism*
  • Hypertension / genetics
  • Hypertension / physiopathology*
  • Hypertension / prevention & control
  • Kidney / metabolism*
  • Kidney Diseases / etiology
  • Kidney Diseases / physiopathology*
  • Kidney Diseases / prevention & control
  • Male
  • Mechanistic Target of Rapamycin Complex 1 / antagonists & inhibitors
  • Mechanistic Target of Rapamycin Complex 1 / physiology*
  • Morpholines / pharmacology
  • NADPH Oxidase 4 / deficiency
  • NADPH Oxidase 4 / genetics
  • NADPH Oxidase 4 / physiology*
  • Phosphatidylinositol 3-Kinases / physiology
  • Phosphorylation
  • Protein Processing, Post-Translational / drug effects
  • Proto-Oncogene Proteins c-akt / physiology
  • Rats
  • Rats, Inbred Dahl
  • Sirolimus / pharmacology
  • Sirolimus / therapeutic use
  • Sodium Chloride, Dietary / toxicity*

Substances

  • Chromones
  • LY 290042
  • Morpholines
  • Sodium Chloride, Dietary
  • Hydrogen Peroxide
  • NADPH Oxidase 4
  • Nox4 protein, rat
  • Akt1 protein, rat
  • Mechanistic Target of Rapamycin Complex 1
  • Proto-Oncogene Proteins c-akt
  • Adenylate Kinase
  • Sirolimus