Rodríguez-Iturbe Bernardo, Ferrebuz Atilio, Vanegas Valentina, Quiroz Yasmir, Mezzano Sergio, Vaziri Nosratola D
Renal Service, Hospital Universitario, Universidad del Zulia, Instituto de Investigaciones Biomédicas, Maracaibo, Venezuela.
J Pharmacol Exp Ther. 2005 Oct;315(1):51-7. doi: 10.1124/jpet.105.088062. Epub 2005 Jun 10.
Compelling evidence has emerged pointing to the interaction of oxidative stress and renal interstitial inflammation and their mutual contribution to the pathogenesis of hypertension in experimental animals. Renal interstitial inflammation in spontaneously hypertensive rats (SHR) is accompanied by and largely due to activation of redox-sensitive, proinflammatory nuclear transcription factor-kappaB (NF-kappaB). Therefore, the present study was designed to test the hypothesis that long-term inhibition of NF-kappaB, beginning early in the course of the disease, may attenuate renal interstitial inflammation and hypertension in SHR. To this end, we administered the reputed NF-kappaB inhibitor pyrrolidine dithiocarbamate (PDTC) (100 mg/kg daily intraperitoneally) to SHR from 7 to 25 weeks of age and compared the results with vehicle-treated SHR. Vehicle-treated and PDTC-treated Wistar Kyoto (WKY) rats served as controls. The untreated SHR exhibited a significant rise in arterial pressure; increased NF-kappaB activation, elevated intercellular adhesion molecule (ICAM)-1 and in situ mRNA macrophage chemoattractant molecule-1 (MCP-1) expressions; and interstitial accumulation of lymphocytes, macrophages, and angiotensin-II-positive cells. PDTC administration prevented the rise in blood pressure, and normalized renal cortical NF-kappaB activity as well as ICAM-1 and MCP-1 expressions. This was accompanied by a significant reduction in infiltration of immune cells, angiotensin II-expressing cells, and renal tissue malondialdehyde content to values that matched those found in the control WKY rats. Results suggest that NF-kappaB-driven intrarenal inflammatory reactivity play a major role in the pathogenesis of hypertension in the SHR.
越来越多的确凿证据表明,氧化应激与肾间质炎症相互作用,并且它们在实验动物高血压发病机制中相互影响。自发性高血压大鼠(SHR)的肾间质炎症伴随着氧化还原敏感的促炎核转录因子κB(NF-κB)的激活,并且很大程度上归因于此。因此,本研究旨在验证以下假设:在疾病早期开始长期抑制NF-κB,可能会减轻SHR的肾间质炎症和高血压。为此,我们从7至25周龄开始,每天给SHR腹腔注射著名的NF-κB抑制剂吡咯烷二硫代氨基甲酸盐(PDTC)(100mg/kg),并将结果与用赋形剂处理的SHR进行比较。用赋形剂处理和用PDTC处理的Wistar Kyoto(WKY)大鼠作为对照。未治疗的SHR表现出动脉压显著升高;NF-κB激活增加、细胞间黏附分子(ICAM)-1和原位mRNA巨噬细胞趋化因子分子-1(MCP-1)表达升高;淋巴细胞、巨噬细胞和血管紧张素II阳性细胞的间质积聚。给予PDTC可防止血压升高,并使肾皮质NF-κB活性以及ICAM-1和MCP-1表达恢复正常。这伴随着免疫细胞、表达血管紧张素II的细胞浸润以及肾组织丙二醛含量显著降低,降至与对照WKY大鼠相当的值。结果表明,NF-κB驱动的肾内炎症反应在SHR高血压发病机制中起主要作用。