Abstract
The nephron in the kidney regulates its fluid flow by several autoregulatory mechanisms. Two primary mechanisms are the myogenic response and the tubuloglomerular feedback (TGF). The myogenic response is a property of the pre-glomerular vasculature in which a rise in intravascular pressure elicits vasoconstriction that generates a compensatory increase in vascular resistance. TGF is a negative feedback response that balances glomerular filtration with tubular reabsorptive capacity. While each nephron has its own autoregulatory response, the responses of the kidney's many nephrons do not act autonomously but are instead coupled through the pre-glomerular vasculature. To better understand the conduction of these signals along the pre-glomerular arterioles and the impacts of internephron coupling on nephron flow dynamics, we developed a mathematical model of renal haemodynamics of two neighbouring nephrons that are coupled in that their afferent arterioles arise from a common cortical radial artery. Simulations were conducted to estimate internephron coupling strength, determine its dependence on vascular properties and to investigate the effect of coupling on TGF-mediated flow oscillations. Simulation results suggest that reduced gap-junctional conductances may yield stronger internephron TGF coupling and highly irregular TGF-mediated oscillations in nephron dynamics, both of which experimentally have been associated with hypertensive rats.
Keywords: haemodynamics, tubuloglomerular feedback, myogenic response, afferent arteriole, non-linear dynamics
1. Introduction
The fundamental role of the kidney is to remove metabolic waste from the body while maintaining a balance of volume, electrolytes and acid–base (Eaton & Pooler, 2004). That balance is achieved, in large part, by processes that take place in the individual functional unit of the kidney, the nephron. Each nephron consists of a filtering component, termed glomerulus and a renal tubule. A single afferent arteriole delivers blood to the glomerulus. About one-fifth of the blood plasma is filtered through the glomerular capillaries to become filtrate that enters the renal tubule. The epithelial transport processes along the tubule continuously modify the composition of the filtrate, such that eventually most of the filtered water and electrolytes are reabsorbed and returned to general circulation. The number of nephrons in a kidney depends on body size. A rat kidney is composed of 30,000–40,000 nephrons (Han et al., 1992); a human kidney contains up to a million nephrons (Nyengaard & Bendtsen, 1992).
Epithelial transport and tubular luminal fluid composition are influenced substantially by fluid flow, which is in turn determined, in part, by the glomerular filtration rate (GFR). Thus, regulation of the GFR is essential for proper kidney function. One regulatory mechanism is the myogenic response, in which the afferent arteriolar muscles respond to perturbations in intraluminal pressure or stretch with active force development, thereby enabling the arteriole to constrict, reducing glomerular blood delivery and the GFR (Holstein-Rathlou & Marsh, 1994; Just, 2007).
Another contributing mechanism is a negative feedback system, termed tubuloglomerular feedback (TGF), by which the nephron controls incoming blood flow and the GFR by responding to variations in the ionic composition of loop of Henle outflow (Holstein-Rathlou & Marsh, 1994; Just, 2007). A specialized cluster of cells, termed macula densa (MD), senses the Cl concentration in the tubular fluid flowing past that area and generates a signal that adjusts the GFR by changing the afferent arteriole smooth muscle tone. Taken in isolation, a higher GFR results in a higher tubular fluid Cl concentration. The MD cells respond by inducing a constriction of smooth muscles in the afferent arteriole to increase vascular resistance, thereby lowering blood flow and thus the GFR. Conversely, the TGF system responds to a low [Cl] by dilating the afferent arteriole to increase blood flow and the GFR.
In a series of studies, we developed a detailed mathematical model of renal haemodynamics (Chen et al., 2011; Sgouralis & Layton, 2012, 2014a, b). The model by Sgouralis & Layton (2014b) represents an afferent arteriole, glomerular filtration, Cl transport along the proximal segments of a short-loop nephron and TGF. The model afferent arteriole is myogenically active and represents smooth muscle membrane potential and gap-junctional coupling. The activity of non-selective cation channels is assumed to be shifted by changes in intravascular pressure, and thus the smooth muscle membrane depolarizes with increasing intravascular pressure, such that elevation in pressure induces vasoconstriction which increases resistance to blood flow. We used that model to assess the individual contributions of TGF and myogenic response to GFR regulation in the rat kidney.
The model by Sgouralis & Layton (2014b) represents an isolated nephron with the associated vasculature, whereas, as noted above, 30,000–40,000 nephrons are packed inside a rat kidney. Indeed, experimental observation in rats has indicated that individual nephrons do not operate independently but interact constantly with the neighbouring nephrons. This coupling effect is mediated by the propagation of TGF-induced electrotonic signals along the pre-glomerular vasculature (Holstein-Rathlou, 1987; Källskog & Marsh, 1990; Yip et al., 1992). For instance, if two afferent arterioles associated with two nephrons are fed by a common cortical radial artery, then the contraction of one nephron's afferent arteriole likely causes the other afferent arteriole to contract too.
Results of previous modelling studies have suggested that internephron coupling may have a significant impact on the TGF-mediated dynamics of nephron flow and other variables (Pitman et al., 2004; Layton et al., 2006, 2009, 2011). While those studies represent Cl transport along the thick ascending limb in detail, the afferent arteriole is not represented explicitly, and the conduction of the TGF signal via the coupled afferent arterioles is represented only phenomenologically. A goal of this study is to better characterize the coupling, in the context of TGF, between two neighbouring nephrons.
To that end, we extend the renal haemodynamics model of Sgouralis & Layton (2014b) to a pair of nephrons whose afferent arterioles arise from the same cortical radial artery. We use the coupled nephron model to study the conduction of TGF signals along the afferent arterioles, and we investigate how TGF-mediated tubular flow dynamics is impacted by internephron coupling.
2. Mathematical model
A schematic diagram of the coupled-nephron model is given in Fig. 1. The model represents a connecting artery that branches off the cortical radial artery and divides into a pair of afferent arterioles. Model geometry is based on anatomic findings by Casellas et al. (1994). Each afferent arteriole is connected to a model glomerulus and a short-loop nephron segment. The representation of model components is based on our previous work (Sgouralis & Layton, 2014b). Below we describe the vascular and tubular components. The two nephrons are indexed by , where or 2.
2.1. Vascular submodel
The th model afferent arteriole consists of a series of smooth muscle cell models (Sgouralis & Layton, 2012, 2014a, b), electrically coupled via gap-junctions and via an endothelial layer. The cellular ionic transport dynamics of each smooth muscle cell, influenced by the autoregulatory mechanisms, determine the local vascular tone. The resulting vascular resistance is the main determinant of blood flow and single-nephron glomerular filtration rate (SNGFR).
Each smooth muscle cell model incorporates cell membrane potential, transmembrane ionic transport, cytosolic Ca regulation and muscle contraction. The interactions between the Ca and K fluxes, which are mediated by voltage-gated and voltage–calcium-gated channels, respectively, give rise to the development of spontaneous oscillations in membrane potential. This in turn results in oscillations in cytoplasmic Ca concentration and muscle tone. Details of the ionic transport, Ca dynamics, crossbridges phosphorylation and muscle mechanics can be found in Chen et al. (2011), Sgouralis & Layton (2012) and Sgouralis & Layton (2014a, b). Below we summarize key model components.
2.1.1. Smooth muscle cell membrane potential
The smooth muscle cells that form the th afferent arteriole are indexed by , where and denote the cells closest to the connecting artery () and glomerulus (), respectively. The associated endothelial compartments are indexed analogously. Throughout this study, let subscripts and denote the muscle and endothelial cells, respectively. The rate of change of the membrane potentials of the th smooth muscle and endothelial cells, denoted by and , respectively, are given by
(2.1) |
(2.2) |
where and denote cellular capacitances, assumed spatially independent but may differ between arterioles. By , and we denote transmembrane leak current, potassium current and calcium current, respectively; , and are gap-junctional currents; and and are myogenic- and TGF-induced currents.
The transmembrane currents are given by
(2.3) |
(2.4) |
(2.5) |
where and denote the fraction of open K and Ca channels, respectively. The model assumes that depends on as well as on cytosolic [Ca], whereas depends only on . For details see Chen et al. (2011) and Sgouralis & Layton (2014a). The remaining currents, and , arise from the operation of the myogenic response and TGF (see below).
Neighbouring afferent arteriole smooth muscle cells communicate via homocellular and heterocellular gap-junctions (Brink, 1998; Wagner, 2008). We consider gap-junctional currents passing between smooth muscles, denoted by , between smooth muscles and the endothelium, denoted by , and between endothelial cells, denoted by . (Recall subscripts and indicate smooth muscle and endothelial cells, respectively.) The smooth muscle–endothelium gap-junction current in Equation (2.2) is given by Ohm's law
(2.6) |
Similarly, away from the boundaries, i.e. for , the gap-junction currents and are, respectively, given by
(2.7) |
(2.8) |
To implement electrotonic coupling of the two nephrons, we assume that, at the junction with the connecting artery (), the two afferent arterioles are attached to a common node with potentials and , with gap-junctional conductances denoted by and , respectively; see Fig. 2. (The subscript indicates ‘connection’.) This yields the boundary conditions
(2.9) |
(2.10) |
In the base case, and .
The boundary condition at , which represents current leakage out of the vessel, can be found in Sgouralis & Layton (2012, 2014a).
2.1.2. Myogenic response
We assume that the activity of non-selective cation channels responds to changes in intravascular pressure, such that elevations in intravascular pressure depolarize the smooth muscle membrane and vice versa. To induce pressure-dependent changes in membrane potential, we apply a current in Equation (2.1), which is described by
(2.11) |
where denotes the intravascular pressure. Equation (2.11) describes a rate-dependent myogenic response, in which at time depends on the direction that is changing at an earlier time , as indicated by experimental observations (Loutzenhiser et al., 2002, 2004). The asymmetric rate constants and are set to 0.55 and 0.13 s for both nephrons, consistent with experimental measurements (Loutzenhiser & Loutzenhiser, 2000). Similarly, the response delay of both nephrons is set to 0.3 s for pressure increases and to 1 s for pressure decreases (Loutzenhiser et al., 2002, 2004).
To represent a depolarizing current at elevated blood pressure, we assume that the target current is an increasing function of luminal pressure having the saturable form
(2.12) |
The reference pressure is chosen such that at baseline perfusion pressure is zero.
2.1.3. Tubuloglomerular feedback
The TGF current is applied to the smooth muscles spanning only the distal of the afferent arterioles (Christensen & Bohle, 1978). The current is assumed to exhibit a sigmoidal dependence on intratubular macula densa [Cl] (denoted by ),
(2.13) |
where denotes the operating macula densa [Cl], set to 32 mM for both nephrons (Layton et al., 1991). The parameters , and determine the dynamic range and open-loop gain of TGF; for details see Sgouralis & Layton (2014b).
2.1.4. Connecting artery
Representation of the connecting artery follows that of the afferent arteriole. Smooth muscle membrane and endothelium potentials are given by
(2.14) |
(2.15) |
where denotes the connecting artery. At the junction with the arterioles (), muscle and endothelial potentials are connected to and with conductances and , respectively; see Fig. 2. The values of and are determined by conservation of current
(2.16) |
(2.17) |
2.1.5. Blood flow
Blood enters the cortical radial artery at the renal perfusion pressure , which is assumed known a priori and is given by
(2.18) |
where mmHg is the mean arterial pressure, mmHg is the pulse amplitude and Hz is the heart rate typical of a rat. The pulse amplitude is chosen to be smaller than the heart beat amplitude to reflect the damping that occurs upstream of the connecting artery and the afferent arterioles.
We assume simple Poiseuille flow so that blood flow can be computed from the pressure drop along the vessel and the vascular resistance. Let and denote blood flow along the connecting artery and the th afferent arteriole, respectively. Then
(2.19) |
where is the pressure profile along the th afferent arteriole. Conservation of mass implies
(2.20) |
The overall resistance of each afferent arteriole is computed from the radius profile
(2.21) |
where denotes arteriolar radius and denotes the apparent blood viscosity.
We assume that each model afferent arteriole is connected in series to a post-glomerular resistor at the end of which pressure is mmHg. Post-glomerular blood flow is given by the difference between arteriolar flow and SNGFR (denoted by ), and is related to pressure drop and vascular resistance according to
(2.22) |
where is the blood pressure at the end of the glomerular capillary. The relation between and can be found in Sgouralis & Layton (2014b). The values of are chosen such that, in the base case, they account for 47% of the pressure drop between and .
The pressure gradient along the vascular lumens is given by the Poiseuille equation
(2.23) |
(2.24) |
where is the pressure along the connecting artery. Before entering the connecting artery, blood is assumed passing through a fixed resistor , thus pressure at the connecting artery's inlet is given by . The value of is chosen such that at baseline it accounts for a pressure drop of 5 mmHg, (Sgouralis & Layton, 2014b). At the vascular junction, continuity of blood pressure implies for and 2.
To represent the differences in the geometric dimensions between the afferent arterioles and the connecting arteries, as seen in Casellas et al. (1994) and Wagner et al. (1997), the baseline vascular tone of the smooth muscles forming the connecting artery is adjusted to yield a baseline luminal radius that is 20% larger than that of the arterioles.
2.2. Tubule submodel
The tubule model represents a proximal tubule followed by a short-loop of Henle, extending from (connection with the glomerulus) to (site of the macula densa). The model predicts intratubular pressure (), water flow rate () and Cl concentration (). Tubular walls are assumed to be compliant, with a radius that depends passively on the transmural pressure gradient
(2.25) |
where characterizes tubular compliance and is the unpressurized radius.
2.2.1. Water transport
Tubular water flow is assumed to be pressure driven. The proximal tubule and the initial segment of the descending limb of Henle's loop are water permeable. Taking the transmural water flux into account, pressure and flow rate along the model nephron are, respectively, given by
(2.26) |
(2.27) |
At its outlet (site of the macula densa), the model tubule is connected to a resistance , at the end of which pressure is assumed to be fixed at . Thus, tubular outlet pressure and flow are related by
(2.28) |
For details see Sgouralis & Layton (2014b).
Transmural water flux depends on the SNGFR:
(2.29) |
where is the baseline water flux profile. The factor is a dimensionless scaling that models glomerulotubular balance (Thomson et al., 2001; Thomson & Blantz, 2008), which is given by
(2.30) |
where is the operating point, set to 30 nl/min for both nephrons.
2.2.2. Chloride transport
Chloride concentration along the tubule is given by conservation of mass
(2.31) |
where is the steady-state tubular radius. Interstitial Cl concentration, denoted by , is set to 115 mM in the cortex and increases to 275 mM at the outer–inner medullary boundary (Layton et al., 1991). The first term in the last pair of parentheses corresponds to active solute transport characterized by Michaelis–Menten-like kinetics, and the second term represents transepithelial diffusion with transmural permeability . Strictly speaking, Na ion is actively transported via the Na/K-ATP pump, with Cl ion transported passively through the basolateral membrane. On the apical side, the NKCC2 transporter binds one Na ion for each K or NH ion plus two Cl ions. Thus, the Michaelis–Menten term in Equation (2.31) is an approximation and appears to be sufficient. At the entrance of the proximal tubule (), tubular fluid [Cl] is set to 115 mM.
The proximal tubule exhibits glomerulotubular balance, whereby NaCl and water reabsorption along the proximal tubular varies in tandem. To represent glomerulotubular balance, we assume that, along the proximal tubule, maximum active Cl transport exhibits an analogous dependence upon the SNGFR as the transmural water flux . That dependence is given by
(2.32) |
where is the baseline maximum transport rate along the proximal tubule. Note that the above relation applies only along the proximal tubule, not the downstream segments.
2.3. Model parameters
The model involves a large number of parameters, which have been adopted from Sgouralis & Layton (2014b) unless specified otherwise. A list of selected key parameter values can be found in Table 1.
Table 1.
Description | Parameter | Value | Units | |
---|---|---|---|---|
Afferent arteriole size | 81 | — | ||
Connecting artery size | 20 | — | — | |
Afferent arteriole length | 243 | |||
Connecting artery length | 60 | — | ||
Muscle membrane capacitance | 6.5 | pF | ||
Endothelium compartment capacitance | 0.41 | pF | ||
Muscle–muscle gap-junctional conductance | 6175 | pS | ||
Muscle–endothelium gap-junctional conductance | 553 | pS | ||
Endothelium–endothelium gap-junctional conductance | 12350 | pS | ||
Whole muscle leak conductance | 6.5 | pS | ||
Whole muscle potassium conductance | 26 | pS | ||
Whole muscle calcium conductance | 13 | pS | ||
Leak reversal potential | mV | |||
Potassium reversal potential | mV | |||
Calcium reversal potential | 80 | mV | ||
Myogenic response minimum current | fA | |||
Myogenic response maximum current | 195 | fA | ||
Myogenic response sensitivity | 0.06 | mmHg | ||
Tubuloglomerular feedback minimum current | fA | |||
Tubuloglomerular feedback maximum current | 60 | fA | ||
Tubuloglomerular feedback sensitivity | 0.16 | mM |
3. Results
3.1. Effect of coupling on TGF-mediated dynamics
We first consider two isolated nephrons. The goal is to understand the behaviours of blood flow and solute transport in the absence of internephron coupling, and how those behaviours are affected by TGF. Similar to previous modelling studies, the afferent arterioles are assumed to be long (Sgouralis & Layton, 2012, 2014a, b). The connecting artery is not represented; instead, perfusion pressure is applied at the entrance of separate pre-arteriolar resistors and , with each one having half the baseline value of . With this configuration, the nephrons are fed by non-overlapping vasculatures, and thus each one operates independently of the other.
In nephron 1, the TGF parameter is set to 0. This corresponds to an open-loop gain of 0, and thus complete absence of TGF. SNGFR and macula densa luminal [Cl] time courses, shown in Fig. 3(A1 and A2) (blue line), exhibit limit-cycle oscillations at a frequency of . Those oscillations arise from the spontaneous vasomotion of the afferent arteriole, which, in turn, results from the interactions between cellular ionic fluxes and membrane potential (for a detailed explanation of the origin of the spontaneous vasomotion, see Chen et al., 2011). Spontaneous vasomotion yields oscillations in arteriolar resistance, and thus the SNGFR.
In nephron 2, is set to 0.16 mM, which gives an open-loop gain of 3.1. At this gain, TGF-mediated oscillations in blood flow and related variables emerge, at a frequency of ; see Fig. 3(A1 and A2) (red line).
Another frequency signature (6 Hz) in the blood flow arises from the heart beat (Equation (2.18)). Those oscillations are significantly attenuated by the glomerular filtration process, and then further damped by the compliance of the renal tubule. As a result, oscillations at heart rate are distinguishable only at the SNGFR (Fig. 3A1) and entirely removed from the time courses at the site of the macula densa (Fig. 3A2).
In the next set of simulations, the two nephrons are connected to a common connecting artery, as shown in Fig. 1. The SNGFR and the macula densa [Cl] of each nephron are shown in Fig. 3(B1 and B2). The oscillating TGF signal in nephron 2 propagates along the two arterioles and drives nephron 1, whose TGF has been inhibited, to oscillate too.
The propagation of the TGF signal is mediated by two pathways: (i) electrotonic conduction along the smooth muscle and endothelium layers of the arteriolar walls, and (ii) blood flow hydrodynamics. Electrotonic conduction (i) induces simultaneous vasoconstriction in both nephrons, whereas, owing to mass conservation, hydrodynamic coupling (ii) induces opposing changes in the two nephrons. Both pathways are represented in Fig. 3(B1 and B2). Synchronicity of the oscillations suggests the dominance of the electrotonic pathway over hydrodynamics. To further clarify the importance of electrotonic conduction, we set and to zero, thereby completely disabling pathway (i). The resulting SNGFR and macula densa [Cl] are shown in Fig. 3(C1 and C2). The TGF-mediated macula densa [Cl] oscillations become out of phrase and significantly weaker relative to those in Fig. 3(B1 and B2).
3.2. Estimation of internephron coupling coefficient
In the next set of simulations, we determine , which quantifies the ability of one nephron to influence the other nephron's SNGFR via TGF. To that end, we disable TGF in nephron 2 (by fixing at 32 mM), vary values from 30 to 34 mM, and compute changes in the two nephrons’ SNGFR. As previously noted, even in the absence of TGF, tubular flow and other variables exhibit oscillations owing to the spontaneous vasomotion and, to a lesser extent due to heart beat. Thus, to estimate internephron coupling strength, we use time-averaged SNGFR values for each nephron. The predicted SNGFR of both nephrons, as functions of , are shown in Fig. 4(A). Owing to the decay of the electrotonic signal along the afferent arterioles, perturbations in are smaller than in . Fig. 4(B) shows the ratio of these perturbations. This ratio provides an estimation of the internephron coupling coefficient , which is defined as this ratio evaluated at the operating macula densa [Cl], i.e.
(3.1) |
The baseline coupling coefficient is , which is consistent with experimental observation (Chen et al., 1995).
3.2.1. Effect of afferent arteriole length on internephron coupling
Because the electrotonic signal decays along the afferent arterioles, is expected to be a decreasing function of vessel length. Figure 5(A) shows as a function of total afferent arteriole length (sum of the lengths of the two arterioles). These results were obtained with the assumption that the two model arterioles are of identical length. Anatomic findings have yielded a range of afferent arteriole lengths, – (Casellas et al., 1994; Nordsletten et al., 2006). Given these estimates, our model suggests that ranges in an approximately linear fashion, from nearly 90% at a total arteriolar length of , to nearly 0 at . It is interesting that for sufficiently long arterioles, becomes negative, which indicates a shift in the dominant pathway from electrotonic conduction to hydrodynamics.
3.2.2. Internephron coupling sensitivity on gap-junctions
Electrotonic signal propagation between the two nephrons is mediated by gap-junctions developed at the interfaces of smooth muscle and endothelium cells. Each interface is associated with a different conductance, and thus impacts differently. To assess the impact of these conductances on , we conducted simulations where we separately varied each conductance by 20% of its baseline value. Results, which are summarized in Fig. 6, indicate that is most sensitive to and . In contrast, appears relatively insensitive to conductances developed near the vascular junction (i.e. , , , ). This suggests that geometric considerations near the vascular junction do not have a significant impact on overall coupling strength.
Next we compare the relative contributions of the smooth muscle and endothelial pathways in the conduction of the TGF signal. To that end, we individually vary and , from 10% to about 200% its baseline value, and compute the resulting coupling coefficient . As can be observed from Fig. 7, the dependence of on is significantly stronger than that on . This implies the majority of the TGF signal is conducted via the endothelial layer. This is further illustrated in Fig. 8, which shows the membrane potential of the smooth muscle and endothelial cells along the arterioles, as well as the connecting artery, under maximal stimulation of TGF. One can see that the signal decays more rapidly along the smooth muscle layer, owing to its lower gap-junctional conductance, relative to the endothelial layer.
3.3. Effect of gap-junctions on TGF responses
As noted above, the baseline model exhibits regular oscillations with key frequencies at and (Fig. 3), which correspond to oscillations mediated by spontaneous ionic fluxes and TGF, respectively. Those oscillations are transmitted to blood and solute flows through the contractile mechanics of the vascular smooth muscles of the arteriolar walls. Fluctuations in the myogenic tone of a given smooth muscle is initiated by changes in its membrane potential, which is coupled to that of the neighbouring smooth muscles via the gap-junctions.
Gap-junctional coupling is known to be altered in hypertension (Rummery & Hill, 2004; Figueroa et al., 2006; Wagner, 2008; Brisset et al., 2009; Figueroa & Duling, 2009), and blood flow in spontaneously hypertensive rats has been observed to exhibit highly irregular oscillations (Holstein-Rathlou & Marsh, 1994). Thus, we seek to investigate the role of gap-junctional coupling in maintaining or disrupting the regularity of flow oscillations. To that end, we computed the time courses of proximal tubule pressure for a range of gap-junctional conductance values. Two selected cases are shown in Fig. 9: (A) corresponds to baseline , , , and (B) to the same parameters reduced by 55% of the baseline values. As can be seen, the lower conductances yield highly irregular oscillations. In none of the simulations with conductances higher than baseline did we observe similarly irregular oscillations (results not shown).
The spontaneously hypertensive rats that exhibit irregular oscillations (Holstein-Rathlou & Marsh, 1994) have also been found to exhibit stronger vasomotor coupling among neighbouring nephrons (Wagner et al., 1997). To better understand the relation between gap-junctional conductance and vasomotor coupling strength, we conducted open TGF-loop simulations for conductances at baseline values and reduced by 55%, as above. In both simulations, was kept at 32 mM, and was chosen to yield a local vasoconstriction of 20%. Figure 10 shows the resulting profiles of time-averaged muscle potential and vasoconstriction along the afferent arterioles. Reduced gap-junctional conductances appear to yield stronger conducted responses in both membrane potential and vasoconstriction.
To understand the above predictions, which may appear counter-intuitive, we revisit the spontaneous limit-cycle oscillations of the smooth muscle membrane potential, which arise from the interactions between the membrane potential, and the voltage-gated Ca and K channels (Equations (2.4) and (2.5)). Figure 11(A) shows the limit cycles of the smooth muscle located upstream of the TGF application site, for the simulations with baseline and reduced conductances. Each cycle can be divided into four regions, according to the open state of the Ca and K channels: AB, where Ca channels close and K channels open; BC, where Ca and K channels close; CD, where Ca channels open and K channels close; DA, where Ca and K channels open. Clearly, the electrotonic influence is stronger along ABC, which is associated with the closing of K channels, than along CDA, which is associated with the opening of K channels. Owing to the gap-junctional communications among the smooth muscles, different conductances yield different deformations of the limit cycles. In particular, the reduced conductances case yield a smaller limit cycle. How does this explain the stronger vasoconstriction?
To answer this question, we consider the net gap-junctional currents (between two smooth muscle cells, and between smooth muscle and endothelial cells, ). As shown in Fig. 11(B), the reduced conductance values yield smaller currents than the base case (compare maximum currents at 11.3 (reduced) versus 17.2 mV/s (baseline), minimum currents at (reduced) versus mV/s (baseline)). This is to be expected and does not explain the stronger coupling in the reduced conductance case. However, consider point B, which marks the beginning of the closing of the K channels. Coincidentally, B is close to the peaks of in both cases. That current is depolarizing, which opposes the closing of the K channels. Thus, the stronger the current, the slower is the closing of K channels. Because is stronger with the baseline conductances, K channels are prone to slower closing. To quantify these observations, we compute the time-averaged fraction of open K channels by
(3.2) |
where and are the corresponding time averages of and . For the muscles shown in Fig. 11, and 11.2% for baseline and reduced conductances, respectively. Consequently, the time-averaged membrane potentials are and mV, respectively. That is, the reduced conductances result in a larger degree of depolarization, and a stronger vasoconstrictive response (radius compared with in the base case).
4. Discussion
We have extended our previous detailed model of renal haemodynamics (Sgouralis & Layton, 2014b) to represent two coupled nephrons. The resulting coupled nephron model is used to study electrotonic conduction of TGF signal between coupled nephrons, factors that impact the coupling strength, and the effect of internephron coupling on TGF-mediated dynamics.
4.1. Comparison with previous modelling studies
In a series of studies (Layton et al., 2009, 2011; Ryu & Layton, 2014), we have previously used mathematical models to investigate the effects of internephron coupling on TGF-mediated dynamics. A major difference between the present study and the previous studies is that the latter represent only electrical coupling, whereas by including the afferent arterioles and connecting artery, the present study represents both hydrodynamic and electrical coupling.
Another major difference is that the previous models (Layton et al., 2009, 2011; Ryu & Layton, 2014) do not explicitly incorporate the afferent arterioles. Instead, internephron coupling is represented by applying a fraction (determined by a coupling parameter, ) of the TGF signal of the initiating nephron to its paired nephron. This implies that the coupling strength is known a priori. In contrast, the present model explicitly represents two paired afferent arterioles, along which the TGF signal propagates. This allows us to determine the internephron coupling strength. The base case coupling strength, , agrees well with values assumed in our previous studies (Layton et al., 2009, 2011; Ryu & Layton, 2014).
In a pioneering study, Marsh et al. (2013) published a similarly comprehensive model of a nephrovascular network that incorporates a large number of afferent arterioles, loops of Henle and TGF. In that model, each afferent arteriole is represented by only two myogenically active segments. Thus, each submodel represents a rather long segment along the afferent arteriole, whereas in the present study, each afferent arteriolar cell submodel has the dimensions of a renal smooth muscle cell (Loutzenhiser & Loutzenhiser, 2000). Also, the model of Marsh et al. (2013) uses a phenomenological representation of TGF signal propagation; the TGF input is applied to both arteriolar segments with a predefined decay based on the distance from the glomerulus. In contrast, in the current model TGF input is applied only to the distal smooth muscles of each arteriole and the signal propagates along the arterioles via electronic conduction.
4.2. Internephron coupling and hypertension
In the cardiovascular system, gap-junctions are made up of one or more of four connexin proteins: Cx37, Cx40, Cx43 and Cx45. Changes in Cx expression in hypertensive animal models have been reported, although those results are not always consistent. Cx40 and Cx45 are consistently reduced in endothelial cells, but results for Cx43 are mixed (Haefliger et al., 2000; Yeh et al., 2006). An interesting and likely relevant observation is that normalization of blood pressure in the spontaneously hypertensive rats using an angiotensin-converting enzyme inhibitor or candesartan restores endothelial connexin expression to normal in parallel with the normalization of blood pressure (Kansui et al., 2004; Rummery et al., 2005).
Our simulation results suggest that a reduction in gap-junctional conductances elevates internephron coupling, in the sense that it yields a stronger conducted TGF response (Fig. 11). This rather surprising prediction is a result of the interactions between the gap-junctional voltage signal and the K channels. Assuming that gap-junctional conductances are indeed reduced in spontaneously hypertensive rats, our result may explain the observed stronger TGF coupling (Wagner et al., 1997). There is experimental evidence which suggests that gap-junctional conductances may vary in different disease states (Heberlein et al., 2009). The relation between gap-junctional conductances and TGF coupling strength predicted by the present model can be tested provided these quantities can be measured in health and disease states.
Additionally, our simulation results suggest that reduced conductances give rise to irregular TGF-mediated oscillations in nephron flows and related variables (Fig. 9). Similar patterns have been observed in spontaneously hypertensive rats (Holstein-Rathlou & Marsh, 1994). This prediction is also consistent with findings by de Wit et al. (2003), which indicate that the absence of vascular Cx40 is associated with hypertension and irregular vasomotion. In particular, de Wit et al. reported diameter fluctuations reaching as low as in Cx40 arterioles. Similarly, our model predicts fluctuations reaching near complete occlusion when gap-junctional conductances are reduced to ≥40% of baseline values (results not shown).
Note, however, that we have limited our consideration to the effects of altered gap-junctional conductances. Other differences between hypertensive and normotensive animals, e.g. perfusion pressure, TGF gain (Dilley & Arendshorst, 1984), pressure natriuretic and diuretic responses (Granger et al., 2002; Beard & Mescam, 2012), etc. have not been incorporated. These factors will be considered in a future, more comprehensive study that focuses on autoregulation in a hypertensive kidney.
4.3. Myoendothelial gap-junction expression
The proper conduction of vasomotor responses relies on a high density of myoendothelial gap-junctions, which provide electrical communication between endothelial cells and smooth muscle cells. The expression of myoendothelial gap-junctions have been reported to be heterogeneous, among different vascular beds, with density inversely related to arteriolar size (Sandow et al., 2012). In a modelling study, Hald et al. (2014) show that heterogeneous distributions of myoendothelial gap-junction properties may have a profound impact on system behaviour. However, spatial heterogeneity in myoendothelial gap-junction expression within a given afferent arteriole has yet to be demonstrated, and direct measurements of myoendothelial gap-junction conductances do not exist. Given these uncertainties, we have assumed constant gap-junction conductances in the present model. Nonetheless, the impact of heterogeneous myoendothelial gap-junction distributions is a worthwhile consideration in a future study.
Funding
This research was supported by the National Institutes of Health: National Institute of Diabetes and Digestive and Kidney Diseases, Grant DK089066. Part of the work was conducted while I.S. was a Postdoctoral Fellow at the National Institute for Mathematical and Biological Synthesis, an Institute sponsored by the National Science Foundation through NSF Award #DBI-1300426, with additional support from The University of Tennessee, Knoxville.
References
- Beard D., Mescam M. (2012) Mechanisms of pressure-diuresis and pressure-natriuresis in Dahl salt-resistant and Dahl salt-sensitive rats. BMC Physiol., 12, 6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brink P. (1998) Gap junctions in vascular smooth muscle. Acta Physiol. Scand., 164, 349–56. [DOI] [PubMed] [Google Scholar]
- Brisset A., Isakson B., Kwak B. (2009) Connexins in vascular physiology and pathology. Antioxid Redox Signal, 11, 267–282. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Casellas D., Dupont M., Bouriquet N., Moore L., Artuso A., Mimran A. (1994) Anatomic pairing of afferent arterioles and renin cell distribution in rat kidneys. Am. J. Physiol., 267, F931–F936. [DOI] [PubMed] [Google Scholar]
- Chen J., Sgouralis I., Moore L., Layton H., Layton A. (2011) A mathematical model of the myogenic response to systolic pressure in the afferent arteriole. Am. J. Physiol. Renal Physiol., 300, F669–F681. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chen Y., Yip K., Marsh D., Rathlou N. H. (1995) Magnitude of TGF-initiated nephron-nephron interaction is increased in SHR. Am. J. Physiol., 269, F198–F204. [DOI] [PubMed] [Google Scholar]
- Chilton L., Loutzenhiser K., Morales E., Breaks J., Kargacin G., Loutzenhiser R. (2008) Inward rectifier k(+) currents and kir2.1 expression in renal afferent and efferent arterioles. J. Am. Soc. Nephrol., 19, 69–76. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Christensen J., Bohle A. (1978) The juxtaglomerular apparatus in the normal rat kidney. Virchows Arch. A Path Anat. and Histol., 379, 143–150. [DOI] [PubMed] [Google Scholar]
- de Wit C., Roos F., Bolz S.-S., Pohl U. (2003) Lack of vascular connexin 40 is associated with hypertension and irregular arteriolar vasomotion. Physiol. Genom., 13, 169–177. [DOI] [PubMed] [Google Scholar]
- Dilley J., Arendshorst W. (1984) Enhanced tubuloglomerular feedback activity in rats developing spontaneous hypertension. Am. J. Physiol., 247, F672–F679. [DOI] [PubMed] [Google Scholar]
- Eaton D., Pooler J. (2004) Vander's Renal Physiology, 6th edn New York: McGraw-Hill Medical. [Google Scholar]
- Figueroa X., Duling B. (2009) Gap junctions in the control of vascular function. Antioxid Redox Signal, 11, 251–266. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Figueroa X., Isakson B., Duling B. (2006) Vascular gap junctions in hypertension. Hypertension, 48, 804–811. [DOI] [PubMed] [Google Scholar]
- Granger J., Alexander B., Llinas M. (2002) Mechanisms of pressure natriuresis. Curr. Hypertens Rep., 4, 152–159. [DOI] [PubMed] [Google Scholar]
- Haefliger J., Polikar R., Schnyder G., Burdet M., Sutter E., Pexieder T., Nicod P., Meda P. (2000) Connexin37 in normal and pathological development of mouse heart and great arteries. Dev. Dyn., 218, 331–344. [DOI] [PubMed] [Google Scholar]
- Hald B., Jacobsen J., Sandow S., Holstein-Rathlou N.-H., Welsh D. (2014) Less is more: minimal expression of myoendothelial gap junctions optimizes cell-cell communication in virtual arterioles. J. Physiol., 15, 3243–3255. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Han J., Thompson K., Chou C., Knepper M. (1992) Experimental tests of three-dimensional model of urinary concentrating mechanism. J. Am. Soc. Nephrol., 2, 1677–1688. [DOI] [PubMed] [Google Scholar]
- Heberlein K., Straub A., Isakson B. (2009) The myoendothelial junction: breaking through the matrix? Microcirculation, 16, 307–322. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Holstein-Rathlou N. (1987) Synchronization of proximal intratubular pressure oscillations: evidence for interaction between nephrons. Pflügers Arch., 408, 438–443. [DOI] [PubMed] [Google Scholar]
- Holstein-Rathlou N., Marsh D. (1994) Renal blood flow regulation and arterial pressure fluctuations: a case study in nonlinear dynamics. Physiol. Rev., 74, 637–681. [DOI] [PubMed] [Google Scholar]
- Just A. (2007) Mechanisms of renal blood flow autoregulation: dynamics and contributions. Am. J. Physiol. Regul. Integr. Comp. Physiol., 292, R1–R17. [DOI] [PubMed] [Google Scholar]
- Källskog Ö., Marsh D. (1990) TGF-initiated vascular interactions between adjacent nephrons in the rat kidney. Am. J. Physiol., 259, F60–F64. [DOI] [PubMed] [Google Scholar]
- Kansui Y., Fujii K., Nakamura K., Goto K., Oniki H., Abe I., Shibata Y., Iida M. (2004) Angiotensin II receptor blockade corrects altered expression of gap junctions in vascular endothelial cells from hypertensive rats. Am. J. Physiol. Heart Circ. Physiol., 287, H216–H224. [DOI] [PubMed] [Google Scholar]
- Layton A., Bowen M., Wen A., Layton H. (2011) Feedback-mediated dynamics in a model of coupled nephrons with compliant thick ascending limbs. Math. Biosci., 230, 115–127. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Layton A., Moore L., Layton H. (2006) Multistability in tubuloglomerular feedback and spectral complexity in spontaneously hypertensive rats. Am. J. Physiol. Renal Physiol., 291, F79–F97. [DOI] [PubMed] [Google Scholar]
- Layton A., Moore L., Layton H. (2009) Multistable dynamics mediated by tubuloglomerular feedback in a model of coupled nephrons. Bull. Math. Biol., 71, 515–555. [DOI] [PubMed] [Google Scholar]
- Layton H., Pitman E., Moore L. (1991) Bifurcation analysis of TGF-mediated oscillations in SNGFR. Am. J. Physiol., 261, F904–F919. [DOI] [PubMed] [Google Scholar]
- Loutzenhiser R., Bidani A., Chilton L. (2002) Renal myogenic response: kinetic attributes and physiologic role. Circ. Res., 90, 1316–1324. [DOI] [PubMed] [Google Scholar]
- Loutzenhiser R., Bidani A., Wang X. (2004) Systolic pressure and the myogenic response of the renal afferent arteriole. Acta Physiol. Scand., 181, 404–413. [DOI] [PubMed] [Google Scholar]
- Loutzenhiser K., Loutzenhiser R. (2000) Angiotensin ii-induced ca(2+) influx in renal afferent and efferent arterioles: differing roles of voltage-gated and store-operated ca(2+) entry. Circ. Res., 87, 551–557. [DOI] [PubMed] [Google Scholar]
- Marsh D., Wexler A., Brazhe A., Postnov D., Sosnovtseva O., Rathlou N. H. (2013) Multinephron dynamics on the renal vascular network. Am. J. Physiol. Renal Physiol., 304, F88–F102. [DOI] [PubMed] [Google Scholar]
- Nordsletten D., Blackett S., Bentley M., Ritman E., Smith N. (2006) Structural morphology of renal vasculature. Am. J. Physiol. Heart Circ. Physiol., 291, H296–H309. [DOI] [PubMed] [Google Scholar]
- Nyengaard J., Bendtsen T. (1992) Glomerular number and size in relation to age, kidney weight, and body surface in normal man. Anat. Rec., 232, 194–201. [DOI] [PubMed] [Google Scholar]
- Pitman E., Zaritski R., Kesseler K., Moore L., Layton H. (2004) Feedback-mediated dynamics in two coupled nephrons. Bull. Math. Biol., 66, 1463–1492. [DOI] [PubMed] [Google Scholar]
- Rummery N., Grayson T., Hill C. (2005) Angiotensin-converting enzyme inhibition restores endothelial but not medial connexin expression in hypertensive rats. J. Hypertens., 23, 317–328. [DOI] [PubMed] [Google Scholar]
- Rummery N., Hill C. (2004) Vascular gap junctions and implications for hypertension. Clin. Exp. Pharmacol. Physiol., 31, 659–667. [DOI] [PubMed] [Google Scholar]
- Ryu H., Layton A. (2014) Tubular fluid flow and distal NaCl delivery mediated by tubuloglomerular feedback in the rat kidney. J. Math. Biol., 68, 1023–1049. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sandow S., Senadheera S., Bertrand P., Murphy T., Tare M. (2012) Myoendothelial contacts, gap junctions, and microdomains: anatomical links to function? Microcirculation, 19, 403–415. [DOI] [PubMed] [Google Scholar]
- Sgouralis I., Layton A. (2012) Autoregulation and conduction of vasomotor responses in a mathematical model of the rat afferent arteriole. Am. J. Physiol. Renal Physiol., 33, F229–F239. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sgouralis I., Layton A. (2014a) Control and modulation of fluid flow in the rat kidney. Bull. Math. Biol., 306, F1357–F1371. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sgouralis I., Layton A. (2014b) Theoretical assessment of renal autoregulatory mechanisms. Am. J. Physiol. Renal Physiol., 306, F1357–F1371. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thomson S., Blantz R. (2008) Glomerulotubular balance, tubuloglomerular feedback, and salt homeostasis. J. Am. Soc. Nephrol., 19, 2272–2275. [DOI] [PubMed] [Google Scholar]
- Thomson S., Deng A., Bao D., Satriano J., Blantz R., Vallon V. (2001) Ornithine decarboxylase, kidney size, and the tubular hypothesis of glomerular hyperfiltration in experimental diabetes. J. Clin. Invest., 107, 217–224. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wagner C. (2008) Function of connexins in the renal circulation. Kidney Int., 73, 547–555. [DOI] [PubMed] [Google Scholar]
- Wagner A., Holstein-Rathou N., Marsh D. (1997) Internephron coupling by conducted vasomotor responses in normotensive and spontaneously hypertensive rats. Am. J. Physiol., 272, F372–F379. [DOI] [PubMed] [Google Scholar]
- Yeh H., Lee P., Su C., Tian T., Ko Y., Tsai C. (2006) Reduced expression of endothelial connexins 43 and 37 in hypertensive rats is rectified after 7-day carvedilol treatment. Am. J. Hypertens., 19, 129–135. [DOI] [PubMed] [Google Scholar]
- Yip K., Holstein-Rathlou N., Marsh D. (1992) Dynamics of TGF-initiated nephron-nephron interactions in normotensive rats and SHR. Am. J. Physiol., 262, F980–F988. [DOI] [PubMed] [Google Scholar]