Rinne Petteri, Penttinen Anna-Maija, Nordlund Wendy, Ahotupa Markku, Savontaus Eriika
Department of Pharmacology, Drug Development and Therapeutics, and Turku Center for Disease Modeling, University of Turku, Turku, Finland.
PLoS One. 2013 Aug 16;8(8):e72857. doi: 10.1371/journal.pone.0072857. eCollection 2013.
Melanocyte-stimulating hormones, α-, β- and γ-MSH, regulate important physiological functions including energy homeostasis, inflammation and sodium metabolism. Previous studies have shown that α-MSH increases sodium excretion and promotes vascular function in rodents, but it is unexplored whether these characteristics of α-MSH could translate into therapeutic benefits in the treatment of hypertension. Therefore, we first assessed the diuretic and natriuretic properties of the stable α-MSH analogue [Nle(4), D-Phe(7)]-α-MSH (NDP-α-MSH) and investigated whether it has protective effects in deoxycorticosterone acetate (DOCA)-salt hypertensive mice. Adult male C57Bl/6N mice were subjected to DOCA-salt treatment and randomized to receive intraperitoneal injections of either saline as vehicle or NDP-α-MSH (0.3 mg/kg/day for 14 days) starting 7 days after the DOCA-salt treatment. Systemic hemodynamics, serum and urine electrolytes, and oxidative stress markers were assessed in control sham-operated and DOCA-salt mice. NDP-α-MSH elicited marked diuretic and natriuretic responses that were reversible with the MC3/4 receptor antagonist SHU9119. Chronic NDP-α-MSH treatment attenuated blood pressure elevation in DOCA-salt mice without affecting the blood pressure of normotensive control animals. Owing to the enhanced sodium excretion, NDP-α-MSH-treated mice were protected from DOCA-salt-induced hypernatremia. DOCA-salt treatment mildly increased oxidative stress at the tissue level, but NDP-α-MSH had no significant effects on the oxidative stress markers. In conclusion, treatment with NDP-α-MSH increases urinary sodium excretion and protects against DOCA-salt-induced hypertension. These findings point to the potential future use of α-MSH analogues in the treatment of hypertension.
促黑素,α-、β-和γ-促黑素,调节包括能量稳态、炎症和钠代谢在内的重要生理功能。先前的研究表明,α-促黑素可增加啮齿动物的钠排泄并促进血管功能,但α-促黑素的这些特性是否能转化为治疗高血压的益处尚不清楚。因此,我们首先评估了稳定的α-促黑素类似物[Nle(4),D-Phe(7)]-α-促黑素(NDP-α-促黑素)的利尿和排钠特性,并研究了其在醋酸脱氧皮质酮(DOCA)-盐性高血压小鼠中是否具有保护作用。成年雄性C57Bl/6N小鼠接受DOCA-盐处理,并随机分为两组,从DOCA-盐处理7天后开始,分别腹腔注射生理盐水作为对照或NDP-α-促黑素(0.3 mg/kg/天,共14天)。在假手术对照和DOCA-盐小鼠中评估全身血流动力学、血清和尿液电解质以及氧化应激标志物。NDP-α-促黑素引起明显的利尿和排钠反应,可被MC3/4受体拮抗剂SHU9119逆转。慢性NDP-α-促黑素治疗可减轻DOCA-盐小鼠的血压升高,而不影响正常血压对照动物的血压。由于钠排泄增加,NDP-α-促黑素治疗的小鼠免受DOCA-盐诱导的高钠血症影响。DOCA-盐处理在组织水平上轻度增加氧化应激,但NDP-α-促黑素对氧化应激标志物无显著影响。总之,NDP-α-促黑素治疗可增加尿钠排泄并预防DOCA-盐诱导的高血压。这些发现表明α-促黑素类似物在未来治疗高血压方面具有潜在用途。