Water retention is characteristic of pregnancy but the mechanism(s) of the
altered water metabolism has yet to be
elucidated. The collecting duct water channel,
aquaporin 2 (
AQP2), plays a pivotal role in the renal water regulation, and we
hypothesized that
AQP2 expression could be
modified during pregnancy. Sprague-Dawley female rats were studied on days 7 (P7), 14 (P14), and 20 (P20) of pregnancy, and
expression of
AQP2 in papillae was examined. Nonpregnant (NP) littermates were used as controls.
Plasma osmolalities were significantly lower in pregnant rats by day 7 of
gestation (P7 283.8+/-1.82, P14 284.3+/-1.64, P < 0.001, P20 282. 4+/-1.32, P < 0.0001, vs. NP 291.8+/-1.06 mosmol/kgH2O). However, plasma vasopressin
concentrations in pregnant rats were not significantly different than in nonpregnant rats (NP 1.03+/-0.14, P7 1.11+/-0.21, P14 1.15+/-0.21, P20 1.36+/-0.24 pg/ml, NS). The
mRNA of
AQP2 was increased early during pregnancy: AQP2/beta
actin: P7 196+/-17.9, P14 200+/-6.8, and P20 208+/-15.5%, P < 0.005 vs. NP (100+/-11.1%).
AQP2 protein was also increased during pregnancy:
AQP2 protein: P7 269+/-10.0, P14 251+/-12.0, P < 0.0001, and P20 250+/-13.6%, P < 0.001 vs. NP (100+/-12.5%). The effect of V2 vasopressin receptor antagonist, OPC-31260, was then investigated.
AQP2 mRNA was
suppressed significantly by OPC-31260
administration to P14 rats (AQP2/beta
actin: P14 with OPC-31260 39.6+/-1.
7%, P < 0.001 vs. P14 with
vehicle) and was decreased to the same level of
expression as NP rats receiving OPC-31260. Similar findings were found with the
analysis of
AQP2 protein. The decreased
plasma osmolality of P14 rats was not
modified by OPC-31260. The results of the study indicate that
upregulation of
AQP2 contributes to the water retention in pregnancy through a
V2 receptor-
mediated effect. In addition to
vasopressin, other factors may be involved in this
upregulation.