1,25-Dihydroxyvitamin D(3) is a negative endocrine regulator of the renin-angiotensin system

J Clin Invest. 2002 Jul;110(2):229-38. doi: 10.1172/JCI15219.

Abstract

Inappropriate activation of the renin-angiotensin system, which plays a central role in the regulation of blood pressure, electrolyte, and volume homeostasis, may represent a major risk factor for hypertension, heart attack, and stroke. Mounting evidence from clinical studies has demonstrated an inverse relationship between circulating vitamin D levels and the blood pressure and/or plasma renin activity, but the mechanism is not understood. We show here that renin expression and plasma angiotensin II production were increased severalfold in vitamin D receptor-null (VDR-null) mice, leading to hypertension, cardiac hypertrophy, and increased water intake. However, the salt- and volume-sensing mechanisms that control renin synthesis are still intact in the mutant mice. In wild-type mice, inhibition of 1,25-dihydroxyvitamin D(3) [1,25(OH)(2)D(3)] synthesis also led to an increase in renin expression, whereas 1,25(OH)(2)D(3) injection led to renin suppression. We found that vitamin D regulation of renin expression was independent of calcium metabolism and that 1,25(OH)(2)D(3) markedly suppressed renin transcription by a VDR-mediated mechanism in cell cultures. Hence, 1,25(OH)(2)D(3) is a novel negative endocrine regulator of the renin-angiotensin system. Its apparent critical role in electrolytes, volume, and blood pressure homeostasis suggests that vitamin D analogues could help prevent or ameliorate hypertension.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Angiotensin II / blood
  • Animals
  • Calcitriol / biosynthesis
  • Calcitriol / pharmacology*
  • Drinking Behavior / physiology
  • Gene Expression / drug effects
  • Hypertension / etiology
  • Hypertension / genetics
  • Hypertension / physiopathology
  • Hypocalcemia / genetics
  • Hypocalcemia / metabolism
  • In Vitro Techniques
  • Mice
  • Mice, Knockout
  • Neuropeptides / deficiency
  • Neuropeptides / genetics
  • Promoter Regions, Genetic / drug effects
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Receptors, Calcitriol / deficiency
  • Receptors, Calcitriol / genetics
  • Renin / genetics
  • Renin-Angiotensin System / drug effects*
  • Renin-Angiotensin System / genetics
  • Renin-Angiotensin System / physiology
  • Signal Transduction
  • Sodium, Dietary / administration & dosage
  • Trans-Activators / deficiency
  • Trans-Activators / genetics

Substances

  • Neuropeptides
  • RNA, Messenger
  • Receptors, Calcitriol
  • Sodium, Dietary
  • Trans-Activators
  • Angiotensin II
  • Renin
  • Calcitriol