Zhang Zhi-Hua, Yu Yang, Kang Yu-Ming, Wei Shun-Guang, Felder Robert B
Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
Am J Physiol Heart Circ Physiol. 2008 Feb;294(2):H1067-74. doi: 10.1152/ajpheart.01131.2007. Epub 2007 Dec 27.
Aldosterone acts upon mineralocorticoid receptors in the brain to increase blood pressure and sympathetic nerve activity, but the mechanisms are still poorly understood. We hypothesized that aldosterone increases sympathetic nerve activity by upregulating the renin-angiotensin system (RAS) and oxidative stress in the brain, as it does in peripheral tissues. In Sprague-Dawley rats, aldosterone (Aldo) or vehicle (Veh) was infused for 1 wk via an intracerebroventricular (ICV) cannula, while RU-28318 (selective mineralocorticoid receptor antagonist), Tempol (superoxide dismutase mimetic), losartan [angiotensin II type 1 receptor (AT(1)R) antagonist], or Veh was infused simultaneously via a second ICV cannula. After 1 wk of ICV Aldo, plasma norepinephrine was increased and mean arterial pressure was slightly elevated, but heart rate was unchanged. These effects were ameliorated by ICV infusion of RU-28318, Tempol or losartan. Aldo increased expression of AT(1)R and angiotensin-converting enzyme (ACE) mRNA in hypothalamic tissue. RU-28318 minimized and Tempol prevented the increase in AT(1)R mRNA; RU-28318 prevented the increase in ACE mRNA. Losartan had no effect on AT(1)R or ACE mRNA. Immunohistochemistry revealed Aldo-induced increases in dihydroethidium staining (indicating oxidative stress) and Fra-like activity (indicating neuronal excitation) in neurons of the hypothalamic paraventricular nucleus (PVN). RU-28318 prevented the increases in superoxide and Fra-like activity in PVN; Tempol and losartan minimized these effects. Acute ICV infusions of sarthran (AT(1)R antagonist) or Tempol produced greater sympathoinhibition in Aldo-treated than in Veh-treated rats. Thus aldosterone upregulates key elements of brain RAS and induces oxidative stress in the hypothalamus. Aldosterone may increase sympathetic nerve activity by these mechanisms.
醛固酮作用于大脑中的盐皮质激素受体以升高血压和增加交感神经活性,但其机制仍知之甚少。我们推测,醛固酮通过上调大脑中的肾素 - 血管紧张素系统(RAS)和氧化应激来增加交感神经活性,就像它在外周组织中所起的作用一样。在斯普拉格 - 道利大鼠中,通过脑室内(ICV)插管注入醛固酮(Aldo)或赋形剂(Veh)1周,同时通过第二个ICV插管同时注入RU - 28318(选择性盐皮质激素受体拮抗剂)、Tempol(超氧化物歧化酶模拟物)、氯沙坦[血管紧张素II 1型受体(AT(1)R)拮抗剂]或赋形剂。ICV注入Aldo 1周后,血浆去甲肾上腺素增加,平均动脉压略有升高,但心率未改变。ICV注入RU - 28318、Tempol或氯沙坦可改善这些作用。Aldo增加了下丘脑组织中AT(1)R和血管紧张素转换酶(ACE)mRNA的表达。RU - 28318使AT(1)R mRNA的增加最小化,Tempol阻止了其增加;RU - 28318阻止了ACE mRNA的增加。氯沙坦对AT(1)R或ACE mRNA无影响。免疫组织化学显示,醛固酮诱导下丘脑室旁核(PVN)神经元中二氢乙锭染色增加(表明氧化应激)和Fra样活性增加(表明神经元兴奋)。RU - 28318阻止了PVN中超氧化物和Fra样活性的增加;Tempol和氯沙坦使这些作用最小化。急性ICV注入sarathran(AT(1)R拮抗剂)或Tempol在醛固酮处理的大鼠中比在赋形剂处理的大鼠中产生更大的交感神经抑制作用。因此,醛固酮上调大脑RAS的关键成分并在下丘脑中诱导氧化应激。醛固酮可能通过这些机制增加交感神经活性。