Abstract P642: Two Pools of Eicosatrienoic Acids in Humans: Alterations in Salt Sensitive Normotensive Subjects
We measured eicosatrienoic acids in 21 normotensive subjects classified as salt-resistant (SR=13) or salt-sensitive (SS=8) with the rapid protocol of Indiana University (high salt, HS=460 mEq Na/24 hrs, low-salt, LS=10 mEq Na/24 hrs + furosemide 40 mg x 3). No EETs were detected in urine; hence, ELISA 14-15 DHETs were taken to represent the total pool of this urine isoform (U-TP). Plasma total pools (8-9,11-12,14-15 and 14-15 P-TP) are the sum of EETs+DHETs (HPLC-MS), and their results were similar, so the former are reported. Analyses required log-transformation of not normally distributed data. U-TP was not changed by HS but decreased with LS (Δlog -0.47±0.19, p<0.01), consistent with the response of a natriuretic system. Further, in the baseline, HS and LS periods combined, U-TP correlated positively with UNaV (r=0.35, p<0.005), fractional excretion of Na (r=0.37, p<0.003) and Na/K ratio (r=0.39, p<0.002), indicating inhibition of ENaC. P-TP was not changed by HS (due to inhibited soluble epoxide hydrolase with reduction in DHETs and increase in EETs) but was increased by LS (Δlog 0.05±0.02, p<0.01), including EETs (0.04±0.02, p<0.03), inconsistent with a natriuretic system. P-TP did not correlate with urine parameters. Instead, plasma DHETs correlated with aldosterone (r=0.34, p<0.005) and plasma EETs with catecholamines (r=0.45, p<0.001). Differences between SR and SS subjects included: a) lower levels of U-TP and P-TP in SS than SR, significant in some stages of the experiment, b) lack of response of U-TP to changes in salt balance in SS, c) lack of the correlations between U-TP and natriuresis/ENaC activity and between DHET/aldosterone in SS, all observed only in SR. We conclude that: 1. Urine eicosatrienoic acids reflect a renal pool involved in regulation of natriuresis whereas plasma ones are probably of systemic origin and uninvolved in Na excretion, 2. There may be a feed-forward mechanism for the systemic, non-renal effects of aldosterone, by stimulation of inactive DHETs, 3. Catecholamines may stimulate epoxygenases or EETs may produce neuronal release of catecholamines, which remains to be investigated, and 4. Differences between SS and SR suggest abnormalities of eicosatrienoic acid regulation of natriuresis in SS subjects.
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