the putative renal medullary depressor hormone: medullipin rises like phoenix from the ashes?
TRANSCRIPT
Editor’s Choice
Capillary growth in response toexercise training is retained inageing human skeletal muscleand can be demonstratednon-invasively
�Microvascular filtration rate and
microvascular tortuosity changed in
like manner after exercise training in
the elderly suggesting a preserved
adaptation capacity�.
In skeletal muscles, an increase in
capillary numbers is a hallmark of
adaptation to endurance exercise
training, contributing to increased
aerobic capacity. This has been shown
in both young and elderly humans
based usually on the analysis of inva-
sively obtained muscle biopsies. The
study by Charles and colleagues in this
issue has employed a non-invasive
method of evaluating fluid filtration
rate in human lower limbs as an index
of microvascular exchange surface
area and compared it to histological
data on capillarity from quadriceps
muscle biopsy samples in elderly men
(mean age 74 years) undertaking a
14 week endurance exercise training
programme. Peak oxygen consump-
tion increased by 11%, muscle citrate
synthase activity by 28% and calf
reactive hyperaemia by 21%, con-
firming training effects. In muscle
biopsies, the length of microvessel wall
in contact with the muscle fibre peri-
meter increased 26% overall after
training, while calf microvascular fil-
tration rate determined non-invasively
by venous occlusion plethysmography
increased by 79%. Within all subjects,
the two indices correlated significantly
implying a common effect of training
on exchange surface area albeit in
different leg muscles. Increased contact
length between microvessels <15 lmdiameter and fibres in muscle cross-
sections also suggests that growth has
occurred by transverse sprouting and/
or lengthening of existing vessels.
M. D. BrownSchool of Sport and Exercise
Sciences, University ofBirmingham, Birmingham, UK
[email protected] editor
The putative renal medullarydepressor hormone: medullipinrises like Phoenix from theashes?
�The vasodepressor principle is con-
tained in the kidney medulla, but not
in the cortex. It can be separated from
endogenous emulsifying substances, is
chromatographically stable and amen-
able to purification and chemical
characterization.�
The notion that the renal medulla
secretes a blood pressure lowering
hormone, �the yin to angiotensin’s
yang�, stretches back many decades.
The champion of this concept, Eric
Muirhead, died in 1994. Since then,
there has been virtually no published
account of original work aimed at
extraction, isolation and chemical
characterization of this putative factor.
The study by Glodny and Pauli in this
issue utilized state-of-the-art analytical
methods to investigate the chemistry of
a lipid extract from medullary tissue
with depressor activity. This was
clearly a mammoth task, involving at
the outset extraction of lipid from
3500 porcine kidneys. Crude chloro-
form extraction procedures were fol-
lowed by large scale vacuum
chromatography, and individual frac-
tions were tested for depressor activity
in anaesthetized rats. Fractions with
depressor activity were then subjected
to gas chromatography and mass
spectrometry. The authors� major
finding was that vasodilator prosta-
noids (A2, E2, F2a I2) could not be
detected in the lipid fractions with
depressor activity. Interestingly, the
time course of the depressor response
to the lipid extract bore a striking
resemblance to that of Muirhead’s
�antihypertensive neutral renomedul-
lary lipid� (medullipin). Thus, the
authors have provided the basis for
isolation and chemical characteriza-
tion of the putative renal medullary
depressor hormone.
Roger EvansDepartment of Physiology,
Monash University, Melbourne,Australia
[email protected] editor
Acta Physiol 2006, 187, 355
� 2006 Scandinavian Physiological Society, doi: 10.1111/j.1748-1716.2006.1590.x 355