Kang Yu-Ming, Ma Ying, Zheng Jin-Ping, Elks Carrie, Sriramula Srinivas, Yang Zhi-Ming, Francis Joseph
Shantou University Medical College, Shantou 515041, People's Republic of China.
Cardiovasc Res. 2009 Jun 1;82(3):503-12. doi: 10.1093/cvr/cvp073. Epub 2009 Feb 25.
Angiotensin II (ANG II)-induced inflammatory and oxidative stress responses contribute to the pathogenesis of hypertension. In this study, we determined whether nuclear factor-kappa B (NF-kappaB) activation in the hypothalamic paraventricular nucleus (PVN) increases oxidative stress and contributes to the ANG II-induced hypertensive response.
Rats were infused intravenously with ANG II (10 ng/kg per min) or saline for 4 weeks. These rats received either vehicle or losartan (LOS, 20 microg/h), an angiotensin II type 1 receptor (AT1-R) antagonist; pyrrolidine dithiocarbamate (PDTC, 5 microg/h), a NF-kappaB inhibitor; tempol (TEMP, 80 microg/h), a superoxide scavenger; LOS (20 microg/h), and PDTC (5 microg/h); or TEMP (80 microg/h) and PDTC (5 microg/h), given intracerebroventricularly (ICV) via osmotic minipump. ANG II infusion resulted in increased mean arterial pressure, renal sympathetic nerve activity, plasma proinflammatory cytokines (PIC), norepinephrine, and aldosterone. These rats also had higher levels of Fra-LI (an indicator of chronic neuronal activation), PIC, phosphorylated IKKbeta, NF-kappaB subunits, AT1-R, superoxide, and gp91phox (a subunit of NADP(H) oxidase) and lower levels of IkappaBalpha in the PVN than control animals. ICV treatment with LOS, PDTC, or TEMP attenuated these changes, and combined treatment with ICV LOS and PDTC, or ICV TEMP and PDTC prevented these ANG II-induced hypertensive responses.
These findings suggest that an ANG II-induced increase in the brain renin-angiotensin system activates NF-kappaB in the PVN and contributes to sympathoexcitation in hypertension. The increased superoxide in the PVN contributes to NF-kappaB activation and neurohumoral excitation in hypertension.
血管紧张素II(ANG II)诱导的炎症和氧化应激反应参与高血压的发病机制。在本研究中,我们确定下丘脑室旁核(PVN)中核因子-κB(NF-κB)的激活是否会增加氧化应激并导致ANG II诱导的高血压反应。
大鼠静脉注射ANG II(每分钟10 ng/kg)或生理盐水,持续4周。这些大鼠接受溶剂或氯沙坦(LOS,20微克/小时),一种血管紧张素II 1型受体(AT1-R)拮抗剂;吡咯烷二硫代氨基甲酸盐(PDTC,5微克/小时),一种NF-κB抑制剂;tempol(TEMP,80微克/小时),一种超氧化物清除剂;LOS(20微克/小时)和PDTC(5微克/小时);或TEMP(80微克/小时)和PDTC(5微克/小时),通过渗透微型泵脑室内(ICV)给药。输注ANG II导致平均动脉压、肾交感神经活动、血浆促炎细胞因子(PIC)、去甲肾上腺素和醛固酮增加。与对照动物相比,这些大鼠PVN中的Fra-LI(慢性神经元激活指标)、PIC、磷酸化IKKβ、NF-κB亚基、AT1-R、超氧化物和gp91phox(NADP(H)氧化酶的一个亚基)水平也更高,而IkappaBalpha水平更低。ICV给予LOS、PDTC或TEMP可减轻这些变化,ICV LOS和PDTC联合治疗或ICV TEMP和PDTC联合治疗可预防这些ANG II诱导的高血压反应。
这些发现表明,ANG II诱导的脑肾素-血管紧张素系统激活会激活PVN中的NF-κB,并导致高血压中的交感神经兴奋。PVN中超氧化物的增加有助于高血压中NF-κB的激活和神经体液兴奋。