Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing.
Department of Cardiology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, Jiangsu, P.R. China.
J Hypertens. 2024 Aug 1;42(8):1409-1420. doi: 10.1097/HJH.0000000000003748. Epub 2024 May 1.
Denervation of renal or perirenal adipose tissue (PRAT) can reduce arterial blood pressure in various hypertensive experimental models. Trpv1 (transient receptor potential vanillin 1) channel is highly expressed in the renal sensory nerves and the dorsal root ganglias (DRGs) projected by PRAT. However, it is currently unclear whether Trpv1 in DRGs projected from PRAT can regulate renal hypertension.
We used resintoxin (RTX) to block the afferent sensory nerves of rat PRAT. We also constructed Trpv1 -/- mice and Trpv1 +/- mice or used the injection of AAV2-retro-shTrpv1 to detect the effects of Trpv1 knockout or knockdown of PRAT-projected DRGs on deoxycorticosterone acetate (DOCA)-Salt-induced hypertension and kidney injury.
Blocking the afferent sensory nerves of PRAT with RTX can alleviate DOCA-Salt-induced hypertension and renal injury in rats. And this blockade reduces the expression of Trpv1 in the DRGs projected by PRAT. Injecting AAV2-retro-shTrpv1 into the PRAT of DOCA-Salt mice also achieved the same therapeutic effect. However, DOCA-Salt-induced hypertension and renal injury can be treated in Trpv1 +/- mice but not alleviated or even worsened in Trpv1 -/- mice, possibly because of compensatory increase of Trpv5 in DRG of Trpv1 -/- mice.
Reducing, rather than eliminating, Trpv1 in DRG from PRAT-projection can reduce blood pressure and kidney damage in DOCA-Salt in rats or mice. Trpv1 in PRAT-DRGs may serve as a therapeutic target for salt-sensitive hypertension and its renal complications.
肾脏或肾周脂肪组织(PRAT)去神经支配可降低各种高血压实验模型中的动脉血压。TRPV1(香草素瞬时受体 1)通道在肾感觉神经和 PRAT 投射的背根神经节(DRG)中高度表达。然而,目前尚不清楚来自 PRAT 的投射 DRG 中的 TRPV1 是否可以调节肾性高血压。
我们使用树脂毒素(RTX)阻断大鼠 PRAT 的传入感觉神经。我们还构建了 TRPV1 -/- 小鼠和 TRPV1 +/- 小鼠,或使用 AAV2-retro-shTrpv1 注射来检测 PRAT 投射 DRG 中 TRPV1 敲除或敲低对醛固酮盐诱导高血压和肾脏损伤的影响。
用 RTX 阻断 PRAT 的传入感觉神经可缓解 DOCA-盐诱导的大鼠高血压和肾脏损伤。这种阻断降低了 PRAT 投射的 DRG 中 TRPV1 的表达。将 AAV2-retro-shTrpv1 注射到 DOCA-盐小鼠的 PRAT 中也取得了相同的治疗效果。然而,DOCA-盐诱导的高血压和肾脏损伤可以在 TRPV1 +/- 小鼠中得到治疗,但在 TRPV1 -/- 小鼠中则不能缓解甚至加重,这可能是由于 TRPV1 -/- 小鼠 DRG 中 TRPV5 的代偿性增加所致。
降低而不是消除 PRAT 投射 DRG 中的 TRPV1 可降低 DOCA-盐诱导的大鼠或小鼠的血压和肾脏损伤。PRAT-DRG 中的 TRPV1 可能是盐敏感性高血压及其肾脏并发症的治疗靶点。