Wang Qing-Guang, Xue Xiao, Yang Yang, Gong Peng-Yu, Jiang Teng, Zhang Ying-Dong
1 Department of Neurology, Nanjing First Hospital, Nanjing Medical University, People's Republic of China.
2 Department of Neurology, Jiangyin People's Hospital, Nanjing Medical University, People's Republic of China.
J Renin Angiotensin Aldosterone Syst. 2018 Jul-Sep;19(3):1470320318799587. doi: 10.1177/1470320318799587.
This study aimed to evaluate the influence of central angiotensin IV (Ang IV) infusion on chronic cerebral hypoperfusion (CCH)-related neuropathological changes including amyloid-β (Aβ), hyperphosphorylated tau (p-tau) and the inflammatory response.
Rats with CCH received central infusion of Ang IV, its receptor ATR antagonist divalinal-Ang IV or artificial cerebrospinal fluid for six weeks. During this procedure, the systolic blood pressure (SBP) was monitored, and the levels of Aβ, p-tau and pro-inflammatory cytokines in the brain were detected.
Rats with CCH exhibited higher levels of Aβ, p-tau and pro-inflammatory cytokines in the brain when compared with controls. Infusion of Ang IV significantly reduced the expression of pro-inflammatory cytokines in the brains of rats with CCH. Meanwhile, the reduction of pro-inflammatory cytokines levels caused by Ang IV was reversed by divalinal-Ang IV. During the treatment, the SBP in rats was not significantly altered.
This study demonstrates for the first time that Ang IV dose-dependently suppresses inflammation through ATR in the brains of rats with CCH, which is independent from SBP. These findings suggest that Ang IV/ATR may represent a potential therapeutic target for CCH-related neurological diseases.
本研究旨在评估中枢输注血管紧张素IV(Ang IV)对慢性脑灌注不足(CCH)相关神经病理变化的影响,这些变化包括β淀粉样蛋白(Aβ)、过度磷酸化tau蛋白(p-tau)以及炎症反应。
CCH大鼠接受中枢输注Ang IV、其受体ATR拮抗剂二缬氨酸-Ang IV或人工脑脊液,持续六周。在此过程中,监测收缩压(SBP),并检测脑中Aβ、p-tau和促炎细胞因子的水平。
与对照组相比,CCH大鼠脑内Aβ、p-tau和促炎细胞因子水平更高。输注Ang IV可显著降低CCH大鼠脑中促炎细胞因子的表达。同时,二缬氨酸-Ang IV可逆转Ang IV引起的促炎细胞因子水平降低。治疗期间,大鼠的SBP无显著变化。
本研究首次证明,在CCH大鼠脑中,Ang IV通过ATR剂量依赖性地抑制炎症,且这一作用独立于SBP。这些发现表明,Ang IV/ATR可能是CCH相关神经疾病的潜在治疗靶点。