Itani Hana A, Dikalova Anna E, McMaster William G, Nazarewicz Rafal R, Bikineyeva Alfiya T, Harrison David G, Dikalov Sergey I
From the Division of Clinical Pharmacology, Vanderbilt University Medical Center, Nashville, TN.
Hypertension. 2016 Jun;67(6):1218-27. doi: 10.1161/HYPERTENSIONAHA.115.07085. Epub 2016 Apr 11.
Vascular superoxide (O˙2 (-)) and inflammation contribute to hypertension. The mitochondria are an important source of O˙2 (-); however, the regulation of mitochondrial O˙2 (-) and the antihypertensive potential of targeting the mitochondria remain poorly defined. Angiotensin II and inflammatory cytokines, such as interleukin 17A and tumor necrosis factor-α (TNFα) significantly contribute to hypertension. We hypothesized that angiotensin II and cytokines co-operatively induce cyclophilin D (CypD)-dependent mitochondrial O˙2 (-) production in hypertension. We tested whether CypD inhibition attenuates endothelial oxidative stress and reduces hypertension. CypD depletion in CypD(-/-) mice prevents overproduction of mitochondrial O˙2 (-) in angiotensin II-infused mice, attenuates hypertension by 20 mm Hg, and improves vascular relaxation compared with wild-type C57Bl/6J mice. Treatment of hypertensive mice with the specific CypD inhibitor Sanglifehrin A reduces blood pressure by 28 mm Hg, inhibits production of mitochondrial O˙2 (-) by 40%, and improves vascular relaxation. Angiotensin II-induced hypertension was associated with CypD redox activation by S-glutathionylation, and expression of the mitochondria-targeted H2O2 scavenger, catalase, abolished CypD S-glutathionylation, prevented stimulation mitochondrial O˙2 (-), and attenuated hypertension. The functional role of cytokine-angiotensin II interplay was confirmed by co-operative stimulation of mitochondrial O˙2 (-) by 3-fold in cultured endothelial cells and impairment of aortic relaxation incubated with combination of angiotensin II, interleukin 17A, and tumor necrosis factor-α which was prevented by CypD depletion or expression of mitochondria-targeted SOD2 and catalase. These data support a novel role of CypD in hypertension and demonstrate that targeting CypD decreases mitochondrial O˙2 (-), improves vascular relaxation, and reduces hypertension.
血管超氧化物(O˙2 (-))和炎症与高血压有关。线粒体是O˙2 (-)的重要来源;然而,线粒体O˙2 (-)的调节以及靶向线粒体的降压潜力仍不清楚。血管紧张素II和炎性细胞因子,如白细胞介素17A和肿瘤坏死因子-α(TNFα),在高血压中起重要作用。我们假设血管紧张素II和细胞因子协同诱导高血压中亲环蛋白D(CypD)依赖性线粒体O˙2 (-)的产生。我们测试了CypD抑制是否能减轻内皮氧化应激并降低高血压。与野生型C57Bl/6J小鼠相比,CypD(-/-)小鼠中CypD的缺失可防止输注血管紧张素II的小鼠中线粒体O˙2 (-)的过量产生,使高血压降低20 mmHg,并改善血管舒张功能。用特异性CypD抑制剂桑佛莱素A治疗高血压小鼠可使血压降低28 mmHg,抑制线粒体O˙2 (-)的产生40%,并改善血管舒张功能。血管紧张素II诱导的高血压与CypD通过S-谷胱甘肽化的氧化还原激活有关,而线粒体靶向的过氧化氢清除剂过氧化氢酶的表达消除了CypD的S-谷胱甘肽化,防止了线粒体O˙2 (-)的刺激,并减轻了高血压。细胞因子-血管紧张素II相互作用的功能作用通过培养的内皮细胞中线粒体O˙2 (-)协同刺激3倍以及与血管紧张素II、白细胞介素17A和肿瘤坏死因子-α联合孵育的主动脉舒张功能受损得到证实,而CypD缺失或线粒体靶向的超氧化物歧化酶2和过氧化氢酶的表达可防止这种情况。这些数据支持CypD在高血压中的新作用,并表明靶向CypD可减少线粒体O˙2 (-),改善血管舒张功能,并降低高血压。