Aoyagi Yukihiko, Furuyama Tadashi, Inoue Kentaro, Matsuda Daisuke, Matsubara Yutaka, Okahara Arihide, Ago Tetsuro, Nakashima Yutaka, Mori Masaki, Matsumoto Takuya
Department of Surgery and Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Departments of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka Japan.
J Am Heart Assoc. 2019 Dec 3;8(23):e011911. doi: 10.1161/JAHA.118.011911. Epub 2019 Nov 30.
Background Angiotensin II (Ang II) can cause hypertension and tissue impairment via AGTR1 (Ang II receptor type 1), particularly in renal proximal tubule cells, and can cause DNA damage in renal cells via nicotinamide adenine dinucleotide phosphate oxidase. BubR1 (budding uninhibited by benzimidazole-related 1) is a multifaceted kinase that functions as a mitotic checkpoint. BubR1 expression can be induced by Ang II in smooth muscle cells in vitro, but the relationship between systemic BubR1 expression and the Ang II response is unclear. Methods and Results Twenty 24-week-old male BubR1 low-expression mice (BubR1 mice) and age-matched BubR1 mice were used in this study. We investigated how Ang II stimulation affects BubR1 mice. The elevated systolic blood pressure caused by Ang II stimulation in BubR1 mice was significantly attenuated in BubR1 mice. Additionally, an attenuated level of Ang II-induced perivascular fibrosis was observed in the kidneys of BubR1 mice. Immunohistochemistry revealed that the overexpression of AGTR1 induced by Ang II stimulation was repressed in BubR1 mice. We evaluated AGTR1 and Nox-4 (nicotinamide adenine dinucleotide phosphate oxidase-4) levels to determine the role of BubR1 in the Ang II response. Results from in vitro assays of renal proximal tubule cells suggest that treatment with small interfering RNA targeting BubR1 suppressed Ang II-induced overexpression of AGTR1. Similarly, the upregulation in Nox4 and Jun N-terminal kinase induced by Ang II administration was repressed by treatment with small interfering RNA targeting BubR1. Conclusions Ang II-induced hypertension is caused by AGTR1 overexpression in the kidneys via the upregulation of BubR1 and Nox4.
背景 血管紧张素II(Ang II)可通过AGTR1(1型血管紧张素II受体)导致高血压和组织损伤,尤其在肾近端小管细胞中,并且可通过烟酰胺腺嘌呤二核苷酸磷酸氧化酶在肾细胞中引起DNA损伤。BubR1(芽殖不受苯并咪唑相关蛋白1抑制)是一种多功能激酶,起有丝分裂检查点的作用。体外实验中,Ang II可诱导平滑肌细胞中BubR1的表达,但全身BubR1表达与Ang II反应之间的关系尚不清楚。
方法与结果 本研究使用了20只24周龄的雄性BubR1低表达小鼠(BubR1小鼠)和年龄匹配的正常BubR1小鼠。我们研究了Ang II刺激如何影响BubR1小鼠。BubR1小鼠中由Ang II刺激引起的收缩压升高在正常BubR1小鼠中显著减轻。此外,在BubR1小鼠的肾脏中观察到Ang II诱导的血管周围纤维化水平减弱。免疫组织化学显示,Ang II刺激诱导的AGTR1过表达在BubR1小鼠中受到抑制。我们评估了AGTR1和Nox-4(烟酰胺腺嘌呤二核苷酸磷酸氧化酶-4)水平,以确定BubR1在Ang II反应中的作用。肾近端小管细胞的体外实验结果表明,用靶向BubR1的小干扰RNA处理可抑制Ang II诱导的AGTR1过表达。同样,用靶向BubR1的小干扰RNA处理可抑制Ang II给药诱导的Nox4和Jun N末端激酶的上调。
结论 Ang II诱导的高血压是通过上调BubR1和Nox4导致肾脏中AGTR1过表达所致。