- Research article
- Open Access
Testosterone influences renal electrolyte excretion in SHR/y and WKY males
© Toot et al; licensee BioMed Central Ltd. 2008
- Received: 10 September 2007
- Accepted: 26 March 2008
- Published: 26 March 2008
The Y-chromosome (Yc) and testosterone (T) increase blood pressure and may also influence renal electrolyte excretion. Therefore, the goal of this study was to determine if the Yc combined with T manipulation could influence renal Na and K excretion.
To investigate the role of the Yc and T, consomic borderline hypertensive (SHR/y) and normotensive Wistar-Kyoto (WKY) rat strains were used (15 weeks) in three T treatment groups: castrate, castrate with T implant and gonadally intact males. Urine was collected (24 hrs at 15 weeks of age) for Na and K measurements by flame photometry. RT-PCR was used to demonstrate the presence of renal androgen receptor (AR) transcripts. Plasma T and aldosterone were measured by RIA. In another experiment the androgen receptor was blocked using flutamide in the diet.
Na and K excretion were decreased by T in SHR/y and WKY. AR transcripts were identified in SHR/y and WKY kidneys. Plasma aldosterone was decreased in the presence of T. Blockade of the AR resulted in a significant increase in Na excretion but not in K excretion in both SHR/y and WKY males.
T influences electrolyte excretion through an androgen receptor dependent mechanism. There was not a differential Yc involvement in electrolyte excretion between WKY and SHR/y males.
- Androgen Receptor
- Electrolyte Excretion
Human [1, 2] and animal studies  have implicated Y-chromosome (Yc) loci as influencing the onset of male hypertension. In the Spontaneously Hypertensive Rat strain (SHR), the SHR Yc contains a locus which increases blood pressure (BP) approximately 20 mmHg compared to the normotensive Wistar Kyoto (WKY) Y chromosome. The Yc is only one genetic component of the total SHR hypertension. In SHR males, the presences of testosterone and androgen receptors through puberty are required for development of the hypertension and associated sympathetic nervous system potentiation, including the Yc component [4, 5]. In examining phenotypes that mapped to the Yc and differed between SHR and WKY, our laboratory demonstrated an earlier rise of testosterone (T) levels in SHR males leading into puberty  and this phenotype mapped to the SHR Yc. Because of the unique biology of the mammalian Yc the blood pressure phenotype and the T timing phenotype cannot be separated using linkage. With the interaction of T and the development of the Yc hypertension, it is possible the two phenotypes are related and a single genetic locus is responsible for both phenotypes. In further support of a physiological T-SNS interaction , we have previously reported that T increases the storage and release of norepinephrine in isolated kidney studies more in SHR, as compared to the WKY males . Reckelhoff et al.  reported that in SHR, T increased renal Na reabsorption, potentially through an androgen receptor (AR) mediated mechanism in the kidney. These results suggest a possible renal AR mediated response that may influence one of the renal BP control mechanisms.
The renal system operates under a well auto-regulated negative feedback system that maintains glomerular filtration rate and the filtered load of ions , as well as playing an important role in long-term BP regulation. As part of this regulation in genetic models of hypertension, the kidney requires a high level of arterial pressure to excrete Na and water  and the increase in renal arterial perfusion pressure results in increased excretion of water and Na. Fluctuations in BP and ion concentration can initiate renal and cardiovascular compensatory mechanisms through the renin angiotensin system, and aldosterone secretion . Other studies comparing urinary Na excretion of SHR and WKY males [12, 13] have found decreased urinary Na excretion and a reduced renal ability to excrete Na, in spite of BP differences. Therefore, the hypothesis to be tested was that testosterone and the hypertensive Yc would increase renal sodium reabsorption.
The following 3 studies ask the questions: Study 1-Does testosterone influence urinary sodium and potassium excretion, as well as, systolic BP?; Study 2-Will blocking the androgen receptor mimic the effects of castration on electrolyte excretion?; Study 3-Is there evidence for AR transcripts in the kidney?
Study 1 utilized a two strain by three treatment design, using SHR/y and WKY males 8 weeks of age. The treatments consisted of gonadally intact controls (control, n = 8/strain), castrates (cast, n = 6/strain), and castrates with testosterone implants (cast+Ti, n = 6/strain). Also 4 age matched females of each strain were tested for 24 hr urinary Na as a comparison to males. Study 2 used two strains-WKY(n = 6) and SHR/y(n = 6), and two treatments-starting with the control period followed by 4 wks of dietary flutamide administration (83 mg/kg body weight; Sigma Chemical Co., St. Louis, MO) in the same animals. Study 3 used kidneys collected from 3 adult males each from two strains (WKY, SHR/y).
The Y-chromosome (Yc) animal model used in this study consisted of the consomic borderline hypertensive (SHR/y), and normotensive Wistar-Kyoto (WKY) rats . SHR and WKY rats were originally obtained from Harlan Sprague-Dawley (Indianapolis, IN) in 1981 (SHR/hsd and WKY/hsd), and colonies have been maintained at the University of Akron research facility. To develop the SHR/y consomic strain, an SHR male was crossed with a WKY female. A male offspring was then crossed to a WKY female and then a son of this cross was crossed to a WKY female. These crosses have been repeated for over 20 generations, creating the strain designated SHR/y. The repeated crosses have replaced the autosomal and X-linked loci of the parental SHR with the alleles of the maternal WKY strain, while the SHR Y chromosome remains. Therefore, the SHR/y male has an SHR Yc, with the autosomes and an X-chromosome from the WKY female. In comparison, the WKY male has a WKY Yc, with the autosomes and an X-chromosome from the WKY. Comparisons between WKY and SHR/y males allow us to investigate the role of the SHR Yc in a WKY genetic background and any genetic differences between strains must map to the Y chromosomes. For a detailed review, see Ely et al. . All animals were treated in a humane manner according to NIH guidelines, and the University of Akron Institutional Animal Care and Use Committee (IACUC) approved all experiments.
Animals were housed in pairs according to their strain and maintained in polycarbonate cages (48 cm × 27 cm × 20 cm) with stainless steel covers and heat-treated bedding (R.J. Murphy hardwood Sani Chips). Rats were subjected to a 12 h/12 h light/dark cycle and maintained on a normal sodium diet (0.3% Na, Prolab 3000 Rat/chow 3000, PMI Feeds, St. Louis, MS). Food and water was accessible ad libitum. The amount of Na in the food was 0.3% and previous studies have not shown that testosterone treatment increases Na intake.
Male rats to be castrated were initially 8 weeks old, sedated with Sodium Brevital (50 mg/kg, IP; E. Lilly, Indianapolis, IN), and both testes were removed. In a similar manner, male rats to be implanted (8 weeks old) were castrated, shaved along the base of the neck, and an incision 0.5 cm long was made. The T implant was inserted beneath the skin parallel to the longitudinal axis of the rat. Briefly testosterone implants [6, 7] for castrated rats at 8 weeks of age were prepared by cutting single lumen clear 50 Silastic tubing (0.062" ID × 0.125" OD) into strips that measured 16 mm in length with 12 mm of the tube packed with testosterone propionate (Sigma Chemical Co., St. Louis, MO. Each implant was replaced every two weeks for duration of the experiment .
Testosterone and Aldosterone Assays
Animals were anesthetized at 15 weeks of age with Sodium Brevital (50 mg/kg, IP; E. Lilly, Indianapolis, IN) and a 2–3 ml retro-orbital blood sample was collected between 1100 and 1700 hours and centrifuged for 5 minutes (5,000 ×G) to obtain plasma. Testosterone levels were analyzed by RIA (Bio-Rad Laboratories, Hercules, CA) . The correlation with another kit was r = 0.991, sensitivity was 0.08 ng/mL at the 95% confidence limit, and the highest cross-reactivity with potential interfering steroids was with dihydrotestosterone (6.65%). The coefficient of variation for our sample intra-run was 7.4% to 11.6% and for inter-run was 12.5% to 16.96%.
Aldosterone levels were analyzed in plasma by RIA (Diagnostic Systems Laboratories, Inc. Webster, Texas). Sensitivity was 7.64 pg/mL. The highest cross-reactivity with potential interfering steroids was with corticosterone (0.02%). The coefficient of variation for our sample intra-run was 3.3% to 4.5% and for inter-run was 5.9% to 9.8%.
Plasma was collected for sodium levels in control and castrated animals of each strain at 15 weeks of age using pentothal anesthetic (50 mg/kg, i.p). Urine was collected for 24 hours at 16 weeks of age in order that the volume was not affected by the blood collection at 15 weeks, while the animals were housed in metabolic cages and maintained on their food and water. One ml of mineral oil was placed into each urine-collecting cup prior to the collection period to prevent evaporation of the urine. Sodium and potassium concentrations were measured by flame photometry (Coleman model 51; Bacharach, Inc., Pittsburgh, PA).
Systolic Blood Pressure
Weekly systolic blood pressure for each strain and treatment group was monitored for the duration of the study. Blood pressure was measured via tail sphygmomanometry and recorded on a physiograph (Desk Model Type DMP 4A, E& M Instruments Co., Inc., Houston, TX) between 1100 and 1400 hrs. The animals were placed into a warming chamber for 20 minutes at 38°C to dilate tail arteries, transferred to a restraint, and a tail cuff was slipped around the base of the tail. Pressures were then determined from the average of 5 systolic blood pressure recordings, which took 2–3 min [3, 14].
Study 3: Is There Evidence for Androgen Receptors in the Kidney?
The objective of this experiment was to determine if androgen receptor (AR) transcripts were present in the kidney of SHR, SHR/y and WKY males. Spontaneously hypertensive rats (SHR) were used to see if WKY and SHR/y rats were similar in AR presence. Gonadally intact males at 15 weeks of age (n = 3/group) from our stock colonies, as previously described, were used to study the presence of AR transcripts in each strain. Animals were anesthetized with pentothal (50 mg/kg, ip) and kidneys removed and placed on foil on dry ice. All animals were housed in a similar manner to study 1.
Androgen Receptor RT-PCR
Total cellular RNA was isolated from frozen kidneys from SHR, SHR/y and WKY males with RNA STAT-60 (TEL-TEST, Friendswood, TX). For cDNA production the RNA was DNased (Ambion, Austin, TX) with 2 μg used as a template with avian reverse transcriptase (Enhanced Avian HS RT, Sigma Chemical Co., St.Louis, MS), 10× Buffer, dNTPmix, a mix of random nonamers (Sigma Chemical Co., St. Louis, MS), and water to a total volume of 20 μl. RNase inhibitor (SUPER-In, Ambion, Austin, TX) was included to insure RNA integrity. A RT control minus the RT enzyme was included for each sample. The cDNA was amplified at 94°C for 4 min.; 35 cycles of 94°C for 1 min., 52°C for 1 min., 72°C for 1 min.; 72°C for 7 min. Primers were designed from Genbank sequence J05454 for the rat AR receptor gene cDNA. Primer sequences consisted of the reverse primer, DK2 5'TGCTGCCTTCGGATATTACC and the forward primer DK3 5' TAGGGCTGGGAAGGGTCTAC. A positive control (cDNA from testis) and negative control (no template) were included in each set of PCR reactions. PCR products were visually observed on 1% agarose gels and bands of 580 bp were identified as the androgen receptor transcript.
Data were analyzed and graphed with Sigma Statistical Software (Sigma Stat and Sigma Plot, Jandel Scientific Software, San Rafael, CA). Two-way ANOVA using flutamide or T treatment and strain as factors were used to analyze plasma T and aldosterone, urinary electrolytes, and kidney weight related variables with appropriate follow up t-tests (Tukey's or Neuman-Keuls). Significance was assumed with a p < 0.05.
Urine Electrolyte Analysis
Testosterone, Aldosterone, Blood Pressure and Kidney Weight
Serum Testosterone and Systolic Blood Pressure at 15 Weeks
Serum Testosterone (ng/ml)
Systolic Blood Pressure (SBP, mmHg)
Relative Kidney Weight (mg/100 g BW)
Gender differences in electrolyte excretion have been reported in rats and SHR females excrete more Na than males [16, 17]. It makes sense that females would excrete more Na since in most mammals, females have a higher Na intake than males . This may be a protective mechanism to maintain blood volume in times of hemorrhagic injury and during pregnancy, but in resting steady state situations, the Na would need to be excreted. There is evidence that males have more physiological difficulty in responding to blood loss than females [19, 20]. Also there are reports of the presence of androgen receptors in female kidneys of rats and mice [21, 22]. In our studies, the presence or absence of testosterone (T) altered renal excretion of Na and K in the male borderline hypertensive SHR/y and normotensive WKY strains. In addition, the presence of the androgen receptor (AR) transcripts in the kidney of each strain is consistent with the idea that T binds to the AR in the kidney to play a role controlling Na regulation. With regards to localization of the AR studies have shown AR in proximal and distal tubules , and in other locations within the kidney (pars recta and cortical collecting duct (by real-time PCR) and low but detectable levels in medullary and cortical parts of the thick ascending limb of Henle's loop .
Androgens could also be operating through the transcriptional control of specific renal genes. Androgen regulated genes in the kidney include several organic anion transporters , which could be involved in the androgen produced retention of electrolytes [24, 25]. Indeed, Quinkler et al. showed that testosterone increased the expression of the alpha-subunit of the epithelial sodium channel in a human renal proximal tubule cell line 2–3 fold which was blocked by flutamide . This T effect on renal function is not unique to males. Ovarectomized females given T excreted less Na than ovarectomized females , further supporting the notion that there may be ARs present in the proximal tubules in both genders . To further support this data we found that SHR females on a high Na diet with T implants excreted less Na than intact females . Plasma Na levels were constant across treatments and cannot be used to explain urinary Na differences. There are many regulatory mechanisms to maintain plasma Na balance so it is not surprising that in spite of Na intake or circulating hormone variations, plasma Na remains constant. For instance, in a study from our lab  we found that male, female and testicular feminized males (mutant AR) had the same constant plasma Na levels (145, 146,144 meq/L, respectively) in spite of gender and AR differences.
Androgen receptor blockade produced a significant rise in SHR/y and WKY male Na excretion suggesting a T dependence on Na reabsorption in both strains similar to the effects observed with castration. Flutamide has been used as an anticancer drug and is classified as a nonsteroidal antiandrogen. It competively blocks T at the AR forming inactive complexes which cannot translocate to the nucleus. The increased Na excretion was not as great with flutamide as with castration, which may be due to some ARs still functioning or possibly T working through non-genomic AR mechanisms. Testosterone signaling through non-genomic AR mechanisms has been described in rat osteoblasts , AR free macrophages , and murine T cells [31, 32]; whereby T mediates only ligand-induced Ca2+ import through non-voltage-gated Ca2+ channels [31, 32]. Recently, our lab has shown that T via the AR influences Ca2+ signaling through an increase in Ca2+ mobilization in coronary artery adventitial fibroblasts and consequently elevates collagen Type I production . In support of this finding Vicencio  has also found that T induces Ca2+ increase by a nongenomic mechanism in cultured rat cardiac myocytes.
Further evidence that T is playing a role in Na reabsorption is provided by the aldosterone data. The removal of T by castration produced a rise in plasma aldosterone and T replacement lowered the aldosterone. This suggests that T was acting to conserve renal Na and its removal caused aldosterone to rise as a compensation. Again, there appears to be a T threshold level for its influence on aldosterone levels since even when T increased 3–4x with replacement the aldosterone levels did not suppress below control values. Indeed, the same results were found in male Sprague Dawley rats castrated and given T replacement . Based on in vitro data, T appeared to exert a direct inhibitory effect on basal aldosterone release at the level of adrenal zona glomerulosa cells, but there was no effect on intracellular cAMP . Further studies strongly suggested that the specific inhibitory effect of T on aldosterone was through inhibition of aldosterone synthase . This is further supported by clinical observations in hyperandrogenic women suggesting that circulating T may inhibit adrenal 21- and/or 11B-hydroxylase activity . In our groups that were castrated and received T replacement one might expect to observe greater Na reabsorption since T levels were 3–4x higher with replacement, but the urinary Na levels were comparable to that of the controls for each strain suggesting that there may be a threshold level of T whereby further increases to not affect Na retention mechanisms.
The renin angiotensin system (RAS) and specifically, angiotensinogen (AGT) has been shown to be modulated by sex hormones . Androgens can stimulate synthesis of AGT in animal models  and this induction is tissue specific. For instance, androgen has been reported to increase kidney AGT mRNA levels, whereas it has only a slight effect on liver AGT mRNA levels . Androgens may directly upregulate the proximal tubule renin-angiotensin system, increase the volume reabsorptive rate, and thereby increase extracellular volume and blood pressure and secondarily decrease serum angiotensin II levels . We do not have tissue RAS measures, so it is not possible to determine if the T effects are operating through a tissue RAS system in the proximal tubules. Similarily, there is a RAS-dopamine interaction that influences renal proximal tubule cells . Zeng et al. showed that AT1 and D1 receptors interacted differently in renal proximal tubule cells from SHR and WKY . Therefore, it is possible that T can indirectly dopamine to produce renal electrolyte effects. Further research is needed to clarify these RAS-catecholamine interactions.
The same trend of decreased Na excretion in the presence of T was observed with K excretion. K is passively transported across the cell membrane via one of several types of channels in tubules . This was surprising to us since most often there is a reciprocal relationship between renal Na/K exchange. Na and K, are largely exchanged via the Na/K transporter. When the ratio of Na to K excreted was compared, there were no differences between strains or treatment groups. In the SHR/y and WKY strains, the absence of T produced increased K excretion, and T replacement normalized the effect. The AR blockade study showed similar results except the K excretion with the AR blocker was not as great as with castration. Most likely this was due to not all of the ARs are functionally blocked with the drug dosage used. Also relative kidney weight cannot explain the excretion differences found with testosterone manipulation, since the WKY strain did not have significant kidney weight changes but did have excretion differences. The decrease in kidney weight in the SHR/y strain that was castrated and its rescue in the castrates treated with testosterone supports the findings of others who have shown an anabolic effect of testosterone on kidney weight [44–46].
Blood pressure cannot be used to explain the electrolyte excretion differences with T manipulation since BP decreased after castration and Na excretion increased. The BP profile for each strain and treatment group is similar to previously reported data from our lab [4, 5, 47] showing decreased BP with castration and T treatment restored BP to control or above control levels. In a Na balance study comparing SHR and WKY males, Lundin et al.  did not find increased SHR urinary Na excretion as expected due to high BP, but instead a decreased urinary Na excretion was found. Similar SHR urinary Na excretion results were found by Osborn et al.  with a reduced renal ability to excrete Na, in spite of increased blood pressure. Since T was not measured in Osborn's studies, it is not known if the reduced Na excretion may have been due to elevated T.
The excretion of Na and K in both SHR/y and WKY males appear to be partially T dependent. In addition, the elevated Na excretion in SHR/y and WKY following castration, further suggests that T can be an important player in renal Na excretion. These differences in renal excretion of Na and K cannot be solely and consistently explained by changes in BP or anabolic effects on kidney weight. In conclusion, the increased Na and K excretion following castration, identification of renal AR transcripts, and loss of Na with androgen blockade suggests that T is involved in the regulation of Na balance.
The authors thank Lisa Shauver, Jon Swink and Traci Warner for technical assistance.
This research was supported by: the Department of Biology, University of Akron, and the following grants:(NIH RO1-HL71579-01A3, and AHA Ohio Valley Affiliate 0255081B).
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