Groban Leanne, Wang Hao, Machado Frederico S M, Trask Aaron J, Kritchevsky Stephen B, Ferrario Carlos M, Diz Debra I
Department of Anesthesiology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA ; Department of Physiology and Pharmacology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA ; Hypertension and Vascular Research Center, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA.
Cardiovasc Endocrinol. 2012 Sep 1;1(3):49-58. doi: 10.1097/XCE.0b013e32835a2159.
Long-term systemic blockade of the renin-angiotensin system (RAS) with either an angiotensin (Ang) II type 1 receptor antagonist or an angiotensin-converting enzyme inhibitor attenuates age-related cardiac remodeling and oxidative damage, and improves myocardial relaxation. However, the role of the brain RAS in mediating the development of diastolic dysfunction during aging is not known. We hypothesized that low brain RAS protects against the development of age-related diastolic dysfunction and left ventricular remodeling.
Sixty-week-old transgenic male ASrAOGEN rats ( =9), with normal circulating Ang II and functionally low brain Ang II, because of a GFAP promoter-linked angiotensinogen antisense targeted to glia, and age-matched and sex-matched Hannover Sprague-Dawley (SD; = 9) rats, with normal levels of both circulating and brain Ang II, underwent echocardiograms to evaluate cardiac structure and function. Postmortem hearts were further compared for histological, molecular, and biochemical changes consistent with cardiac aging.
ASrAOGEN rats showed preserved systolic and diastolic function at mid-life and this was associated with a lower, more favorable ratio of the phospholamban-SERCA2 ratio, reduced incidence of histological changes in the left ventricle, and increased cardiac Ang-(1-7) when compared with the in-vivo functional, and ex-vivo structural and biochemical indices from age-matched SD rats. Moreover, ASrAOGEN rats had lower percent body fat and a superior exercise tolerance when compared with SD rats of the same age.
Our data indicate that the central RAS plays a role in the maintenance of diastolic function and exercise tolerance in mid-life and this may be related to effects on body habitus.
使用1型血管紧张素(Ang)II受体拮抗剂或血管紧张素转换酶抑制剂对肾素-血管紧张素系统(RAS)进行长期全身阻断,可减轻与年龄相关的心脏重塑和氧化损伤,并改善心肌舒张功能。然而,脑RAS在衰老过程中介导舒张功能障碍发展中的作用尚不清楚。我们假设低脑RAS可预防与年龄相关的舒张功能障碍和左心室重塑的发展。
60周龄的转基因雄性ASrAOGEN大鼠(n = 9),由于靶向胶质细胞的GFAP启动子连接的血管紧张素原反义序列,其循环Ang II正常而脑Ang II功能低下,以及年龄和性别匹配的汉诺威-斯普拉格-道利(SD;n = 9)大鼠,其循环和脑Ang II水平均正常,接受超声心动图检查以评估心脏结构和功能。对死后心脏进行进一步比较,以观察与心脏衰老一致的组织学、分子和生化变化。
与年龄匹配的SD大鼠的体内功能、体外结构和生化指标相比,ASrAOGEN大鼠在中年时收缩和舒张功能得以保留,这与较低且更有利的受磷蛋白-SERCA2比率、左心室组织学变化发生率降低以及心脏Ang-(1-7)增加有关。此外,与同龄SD大鼠相比,ASrAOGEN大鼠的体脂百分比更低,运动耐力更强。
我们的数据表明,中枢RAS在中年时舒张功能和运动耐力的维持中起作用,这可能与对身体状况的影响有关。