Original Contributions |
From the Departments of Internal Medicine and Physiology & Biophysics (R.L.D., C.D.S.), Department of Anatomy and Cell Biology (G.Y., M.D.C.), and Department of Psychology (T.G.B., A.K.J.), The University of Iowa College of Medicine, Iowa City, Iowa.
Correspondence to Curt D. Sigmund, PhD, Director, Transgenic Animal Facility, Departments of Internal Medicine, University of Iowa College of Medicine, 2191 Medical Laboratory (ML), Iowa City, IA 52242. E mail curt-sigmund{at}uiowa.edu
| Abstract |
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Key Words: transgenic mice angiotensin blood pressure genetics pharmacology
| Introduction |
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The finding that the pressor response to central AII is attenuated by systemic administration of either an arginine vasopressin (AVP) V1 antagonist3 or agents that block sympathetic neural transmission or adrenergic receptors3 4 suggests that activation of both the sympathetic nervous system and AVP secretion is involved in mediating the hemodynamic effects of central AII. Indeed, neuronal AII type 1 (AT-1) receptors are densely localized in brain regions controlling sympathetic and AVP outflow, including brain stem sites, such as the ventrolateral medulla5 and the nucleus tractus solitarius,6 and hypothalamic nuclei, such as the paraventricular nucleus (PVN).7 8 Microinjection of AII into such AT-1 receptor-rich sites causes dose-dependent pressor responses.9 10 11 Moreover, intracerebroventricular (ICV) pretreatment with the selective AT-1 receptor antagonist losartan prevents not only the ICV AII-mediated increase in BP, but also the concomitant increase in AVP secretion and sympathetic activity.12 Central AII-mediated increases in AVP release are also attenuated by inhibition of brain AT-1 receptor gene expression.13
In addition to these intrinsic brain sites, AII is also an important mediator at cardiovascular control centers located at the blood-brain interface. Neurons of the circumventricular organs (CVOs) such as the subfornical organ (SFO) and the area postrema (AP) are not only rich in AT-1 receptors, but are extremely sensitive to AII.7 8 14 15 16 Losartan-sensitive pressor responses are elicited with very low doses of AII microinjected into both SFO and AP.14 15 16 Moreover, application of AII antagonists or lesions of these CVOs attenuates or abolishes the pressor response to central or systemic administration of AII.17 18 Activation of AT-1 receptors in both intrinsic brain regions and in CVOs by centrally and systemically derived AII is thought to modulate normal processing of sensory homeostatic information, as well as neurohumoral outflow. Abnormal activation of these central RAS pathways may lead to pathological regulation of BP and volume homeostasis. Indeed, the brain RAS has been implicated in several types of experimental and genetic hypertension.19 20 21 22
To examine the effects of lifelong overexpression of the RAS on complex cardiovascular function, we have developed a transgenic mouse model containing both the human renin (HREN) and human angiotensinogen (HAGT) transgenes (RA+). We have reported that these mice exhibit chronic hypertension and AII-mediated resetting of baroreflex control of heart rate (HR).23 In addition to elevated plasma AII levels (approximately 4-fold), there is appropriate widespread tissue- and cell-specific expression of the transgenes.23 24 25 26 In the present studies, we wanted to examine the possibility that the brain RAS, either through its activation at intrinsic parenchymal sites or at the blood-brain interface, contributes to the hypertension exhibited by this model. More specifically, we examined the role of central AT-1 receptors, as well as the relative contribution of sympathetic nerve activity and AVP secretion, in the maintenance of elevated baseline BP in conscious RA+ mice. In addition, because one potential mechanism of a brain RASmediated alteration in BP in this model is via expression of the human transgenes in brain with potential overproduction of AII locally, we explored whether HREN and HAGT mRNA are present in brain of RA+ mice.
| Materials and Methods |
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All mice were fed standard mouse chow (LM-485; Teklad Premier Laboratory Diets) and water ad libitum. Care of the mice used in the experiments exceeded the standards set forth by the National Institutes of Health in their guidelines for the care and use of experimental animals. All procedures were approved by the University Animal Care and Use Committee at the University of Iowa.
Surgical Procedures
Chronic Catheterization
At least 3 days before experiments, mice (n=35) were weighed,
anesthetized with ketamine (120 mg/kg IP) and
acepromazine maleate (12 mg/kg IP), and surgically instrumented with
intra-arterial catheters for direct measurement of
pulsatile and mean arterial pressure (MAP) and HR (with a
pulse pressure-triggered cardiotachometer) and jugular vein catheters
for administration of drugs. Mice were shaved, a neck incision was
made, and the left common carotid artery and right jugular vein were
dissected free of fat and connective tissue. Sterile heparinized
saline-filled (50 U/mL) catheters were inserted into the carotid artery
(Microrenathane; Braintree Science Inc) (0.04-in outer
diameterx0.025-in inner diameter, drawn over heat) and the jugular
vein (polyethylene tubing, PE-10). Catheters were tunneled
subcutaneously, exteriorized, and sutured in place between the scapulae
as described previously.28 Lines were flushed
daily with dilute sterile heparinized saline (25 U/mL).
Chronic ICV Cannulation
After catheterization, some mice (n=14) were
also instrumented with ICV cannulae for microinjection of drugs into
the lateral ventricles. Animals were placed in a
stereotaxic apparatus (Kopf Instruments), and a
guide cannula (30 gauge, 8 mm in total length, Small Parts) was
implanted. The head of the mouse was aligned so the lambda-bregma plane
was horizontal, and a hole was made 0.3 mm posterior and 1.0
mm lateral to the bregma (coordinates according to Paxinos and
Watson,29 modified for mouse). The cannula was
inserted 3.0 mm below the skull surface and fixed in place with
acrylic dental cement (Dentsply International, Inc) and 1 anchoring
skull screw. A stylus protruding 0.5 mm past the tip of the guide
cannula was inserted to maintain patency. Injections were made through
a 36-gauge stainless steel injector (Small Parts) connected to tubing
(PE-10, drawn over heat) fitted with a microsyringe (Hamilton).
Compounds injected intraventricularly were
dissolved in artificial cerebrospinal fluid (in mmol/L: NaCl 136,
KCl 5.6, NaHCO3 16.2,
NaH2PO3 1.2,
MgCl2 1.2, and CaCl2 2.2,
pH 7.4) and delivered in a 1-µL volume over at least 30 seconds.
The coordinates for the ICV injection site were confirmed in
preliminary studies (n=3), in which AII (100 ng, 1 µL) was injected,
and MAP and HR were recorded. ICV AII has been shown repeatedly in
several species to elicit characteristic pressor and bradycardic
responses. Indeed, this dose of AII did produce a significant pressor
response and bradycardia in RA- mice in these preliminary studies and
was taken as indication of a correct ICV injection site. To further
confirm that the coordinates were correct, ICV AII was followed by dye
injection (Evans blue dye, 0.5 µL) into the ventricles. Mice were
then anesthetized (Nembutal, 50 mg/g IP) and perfused
transcardially, and the brain was removed and sectioned (400 µm)
to verify diffusion of the injected dye throughout the
ventricular system (see Figure 1B
). For the studies reported herein, the
ICV AII-induced pressor response and bradycardia at the time of
experimentation alone were used for injection site verification.
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Experimental Protocols
Effect of ICV AII and Losartan
RA+ (n=8) and RA- (n=6) mice were surgically prepared as
described above, allowed at least 3 days of recovery, and tested in the
conscious, freely moving state in their home cages. Food and water were
removed from the cage during testing. After connection of the
arterial line to a Beckman Dynograph-coupled pressure
transducer (Cobe Laboratories, Inc), connection of the venous line to a
syringe, and insertion of the microinjector into the
ventricular guide cannula, mice were allowed a 30- to
60-minute stabilization period before testing. A mouse instrumented and
prepared for experimentation is shown in Figure 1A
. Baseline pulsatile
pressure, MAP, and HR were recorded for 30 minutes before injection
of the first drug, and these parameters were monitored
continuously throughout the experiment. First, to confirm correct
placement of the ICV injector and to determine the central effect of
AII in RA+ and RA- mice, cardiovascular responses to
ICV AII (100 ng, 1 µL volume) were recorded. Mice that did not
respond to the central injection of AII were not used in the
experiments, because it was possible that this indicated an incorrect
cannula placement. Indeed, during the course of the present
studies, 3 mice (RA-) were excluded based on the lack of a central
AII-induced cardiovascular response (n=3). Because a
lack of response to losartan would be difficult to interpret
given the possibility of incorrect cannula placement, these mice were
not further tested, and no data from them are included in any of the
figures.
After return of MAP and HR to baseline following AII administration (by 20 minutes), the ICV injector was removed and replaced with one for microinjection of the selective AT-1 receptor antagonist losartan. Animals were allowed another 10- to 15-minute stabilization period before ICV administration of losartan (10 µg, 1-µL volume). In preliminary studies, it was determined that this dose of losartan was sufficient to cause complete blockade of ICV AII (10 to 200 ng)-induced pressor and bradycardic responses in control mice (n=4). After return of MAP and HR to baseline following ICV losartan administration (by 30 minutes), 10 µg of losartan was administered intravenously to determine whether systemic administration of this dose of the AT-1 antagonist affected cardiovascular parameters.
The magnitude of the effects of AII and losartan on MAP and HR were calculated as the difference between the mean of multiple MAP and HR samplings taken before drug administration and the mean of multiple samplings taken during the maximal drug-induced changes in the cardiovascular parameters.
Effect of Blockade of the Sympathetic Nervous System and
Peripheral AVP V1 Receptors
In separate groups of animals, the effects of blockade of
sympathetic ganglionic transmission with hexamethonium
(HEX, 5 mg/kg IV) (RA+, n=6; RA-, n=6) and of antagonism of
peripheral AVP V1 receptors (AVPX,
Manning Compound
[d(CH2)5Tyr2(ME)Arg8]-vasopressin,
10 µg/kg IV; RA+, n=5; RA-, n=4) on baseline MAP were determined.
Mice were surgically prepared with arterial and venous
catheters and allowed 3 days of recovery, and MAP was measured as
described above. Baseline BP was measured for at least 30 minutes
before injection of either HEX or AVPX and was continuously monitored
throughout drug-induced responses and return to baseline. The choice of
these doses of HEX and AVPX were based on preliminary studies in RA-
mice (n=4). Adequate ganglionic blockade was indicated by the absence
of a sodium nitroprusside (8 µg/kg IV)-induced reflex
tachycardia in HEX-treated mice. In the same animals but on
the following day, blockade of AVP (5 to 100 ng/kg IV)-induced pressor
responses in mice pretreated with this dose of the
V1 antagonist was taken to indicate
blockade of peripheral V1 receptors.
Again, the data in the figures reflect the difference between the mean
of multiple samplings of MAP before and during peak drug-induced
changes in MAP.
Plasma AVP Levels
To determine baseline levels of AVP in plasma, separate groups
of RA+ (n=3) and RA- mice (n=3) were decapitated, and trunk blood (0.5
to 1.0 mL) was collected in chilled tubes containing heparin. Samples
were stored on ice for a maximum of 20 minutes before
centrifugation (1600g for 15 minutes) at
4°C. Plasma (0.25 mL) was collected and stored at -80°C until
processed. Plasma proteins were initially precipitated with cold
acetone. The acetone was extracted with cold petroleum ether, the
phases were separated by centrifugation, and the ether
phase was discarded. The lower phase containing the AVP was taken to
dryness and stored at -20°C until the assay was performed.
Levels of AVP in plasma extracts were determined by radioimmunoassay using an AVP antibody generated and generously provided by W.K. Samson.30 Briefly, antibodies to synthetic AVP (Peninsula Laboratories) conjugated to bovine thyroglobulin (Sigma) using carboiimide were raised in adult male rabbits (New Zealand White, Hickory Hill Farms). Antibody and cold standards (Peninsula Labs) or sample extracts (diluted in acidic saline) were preincubated overnight and 125I AVP (New England Nuclear, Boston, Mass) added on the second day. After an additional overnight incubation, the antibody-bound AVP was precipitated by the polyethylene glycol separation technique (PEG 8000, 12.5%). AVP assay buffer used to dilute antibody and tracer consisted of 0.05 mol/L Tris, pH 8.0, 0.01 mol/L Na2-EDTA, and 0.01% NaN3 containing 0.1% BSA.
Analysis of Nucleic Acids
RNase Protection Assay
To determine whether HAGT mRNA was expressed in brain
tissue in the double-transgenic mice, RNase protection assay was
performed on brain sections and kidneys from RA+ and nontransgenic
controls. We have previously demonstrated a high level of
HAGT expression in kidneys of RA+ mice; therefore, we used
renal tissue as a positive control.23 Mice were
killed by CO2 asphyxiation, and tissues were
removed. Kidneys were frozen immediately, whereas brains were dissected
into regions before freezing. Cortex, diencephalon, brain stem, and
cerebellum were carefully dissected from separated forebrain and
hindbrain tissue. Total RNA was isolated from tissues by
homogenization in guanidine isothiocyanate followed
by phenol emulsion extraction at pH 4.0 as described
previously.23 Samples of RNA (20 µg) were
hybridized with single-stranded labeled antisense RNA probes
transcribed by SP6 polymerase using the Maxiscript Kit (Ambion, Inc).
The template for the HAGT probe was a partial PCR-amplified
cDNA derived from exon 2 of the HAGT gene (coordinates 302
to 811), and a partial mouse GAPDH cDNA (Ambion, Inc, Austin, Tex) was
the template used to generate a probe employed as a control for sample
loading. RNase protection was performed as described by the
manufacturer, and products were separated on 5%
acrylamide urea gels and visualized via
autoradiography. Fragments of 539 and 300 bp were
expected for protected HAGT and mouse GAPDH mRNA,
respectively.
Reverse Transcriptase PCR
To determine whether HREN mRNA was present in
brain of double-transgenic mice, we used reverse transcriptase
(RT)PCR. Brains were collected, specific regions were dissected, and
tissues and total RNA were extracted from RA+ mice; nontransgenic
controls were obtained as described above, except that whole brain
tissue was used. Kidney RNA was again used as an internal positive
control, because we have shown previously that HREN mRNA is
expressed at a high level in renal tissue of RA+
mice.23 We treated 20 µg of brain and kidney
RNA with DNase and subjected it to RT-PCR as described in detail
previously.31 RT was left out of control
reactions, and 2 µL of the RT reaction was used for PCR
amplification. PCR products were visualized by ethidium bromide
staining after agarose gel electrophoresis. A 720-bp fragment was
expected using the following primers:
5'-GACACTGGTTCGT-CCAATG-3' and
5'-CTGGTGAGCGTGTATTCT-3'.
In Situ Hybridization
Mice were killed by CO2 asphyxiation, and
the brain was removed, immersed in 30% dextrose, and frozen in dry
ice. Frozen sections were cut 8 µm thick on a Reichert-Jung
cryostat and were fixed in 4% paraformaldehyde for 15
minutes. Prehybridization was performed by washing the tissue sections
with 3x PBS (in mmol/L: NaCl 137, KCl 2.7, 4.3
Na2HPO4 4.3, and
KH2PO4 1.4) and 1x PBS.
Pronase E treatment was used to increase target RNA accessibility and
was inactivated by washing in glycine solution (2 mg/mL in
1x PBS) and 1x PBS. Tissue sections were treated with acetic
anhydride (0.25%) to decrease nonspecific electrostatic binding of
probe, rinsed in 2x SSC, and dehydrated. An antisense RNA probe
colabeled with [3H]UTP and
[3H]CTP was generated by in vitro transcription
and hydrolyzed as described.25 Hybridization was
in 300 mmol/L NaCl, 10 mmol/L Tris-Cl, 1 mmol/L EDTA,
50% formamide, 1x Denhardt's solution, and 10% dextran sulfate at
60°C for 16 hours. Sections were treated with RNase A (0.002%) and
RNase T1 (500 U) for 30 minutes to remove nonhybridized RNAs and
washed. Autoradiography was as previously
described.25
Statistics
Data are expressed as mean±SEM. SEM was determined by the
formula (EMS/n)1/2, where EMS is the error mean square
term from the ANOVA, and n is the number of mice per group. Data were
analyzed by repeated-measures ANOVA32
followed by the Student modified t test with Bonferroni
correction for multiple comparisons between means using the modified
EMS term from the ANOVA.33
| Results |
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Effects of ICV Losartan and AII on MAP and HR
Mice containing both the HREN and HAGT
transgenes (RA+) and mice containing either 1 or no transgenes (RA-)
were identified by PCR analysis of tail DNA samples. To
determine whether the central RAS is important in the
maintenance of elevated baseline BP in the double-transgenic
mice, the selective AT-1 receptor antagonist
losartan was administered
intraventricularly in conscious, unrestrained RA+
(n=8) and RA- (n=6) mice. We examined the effects of central
losartan on BP, because AT-1 is the predominant AII receptor
subtype in cardiovascular control regions in both
intrinsic and CVO sites.5 6 7 8 Before
losartan, AII was administered ICV to check for correct ICV
cannula placement. An AII-mediated pressor and bradycardic response was
required for continuation of the losartan experiment.
Additionally, we also wanted to compare the central AII-elicited
cardiovascular responses in these 2 groups of mice.
Resting MAP and HR values before ICV administration of both AII and
losartan are summarized in the
Table
. Baseline MAP was significantly
elevated in RA+ before any experimental treatment. No difference in HR
between RA+ and RA- was observed. These findings are
consistent with our previously reported data in RA+
mice.23 After ICV AII administration, MAP and HR
returned to pre-AII levels in both groups before administration of
losartan.
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A summary and comparison of the peak AII-induced
cardiovascular responses in RA+ and RA- mice is shown
in Figure 2
. Central AII (100 ng, 1 µL)
produced a transient (15 to 20 minutes) pressor response and
bradycardia (latency 30 to 60 seconds) in both groups of animals. The
pattern and time course of this hemodynamic response is
similar to that produced by AII administered
intraventricularly at this dose in other
species.3 34 35 ICV AII caused significant
increases in MAP (panels A and B) and reductions in HR (panels C and D)
compared with baseline in both groups. The absolute changes in MAP and
HR after AII administration were marginally greater (P=0.048
and P=0.046 for MAP and HR, respectively) in RA+ mice
compared with controls. However, when calculated as a percentage
change, the AII-induced pressor and bradycardic responses were not
significantly different in these 2 groups (MAP, 15%±1 versus 14%±2;
HR, -10%±2 versus -12% ±1 [for RA+ versus RA-, respectively;
P>0.05]). Because of the well-known effects of central AII
in modulating baroreflex function, we also compared the relative
reduction in HR accompanying the pressor response produced by this dose
of ICV AII in RA+ and RA- mice. Indeed, RA+ mice had a significantly
reduced bradycardic response to a given AII-elicited pressor response
compared with controls (
HR/
MAP, -2.4±0.2 versus -4.8±0.6
bpm/mm Hg [P=0.01]; %
HR/%
MAP, -0.6±0.04 versus
-0.9±0.16 [P=0.043]). Although this is not a complete
analysis of the relationship between the change in HR versus
the change in MAP over a range of doses of central AII, these results
suggest that centrally induced baroreflex responses may be blunted in
RA+ mice. Whether this diminished baroreflex-mediated bradycardia in
RA+ mice is specific to central AII-elicited pressor responses, or if
other centrally administered pressor agents would induce a similarly
blunted reflex HR response in these mice, is not known.
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After return of cardiovascular parameters
to baseline following AII, losartan was administered. Typical
examples of the ICV losartan-induced changes in
cardiovascular parameters in RA+ and RA-
mice are shown in Figure 3A
.
Losartan (10 µg, 1 µL) caused slight reductions in HR and
MAP in RA- mice, whereas a marked depressor response was observed in
RA+ mice (latency 1 to 2 minutes). A small tachycardia
accompanying the losartan-induced depressor response was also
observed in RA+ mice. These responses were sustained for 20 to 30
minutes. ICV losartan-induced changes in MAP in both groups are
summarized in Figure 3B
and 3C
. Central AT-1 receptor antagonism caused
an approximately 30 mm Hg fall in MAP in RA+ mice, reducing MAP
in these animals to nearly baseline MAP values in controls. In
contrast, intravenous administration of this dose of
losartan had no effect on MAP in RA+ mice (data not shown).
Baseline MAP in RA- mice was not significantly altered by either ICV
or intravenous losartan. These results suggest that
there is an exaggerated contribution of central AT-1 receptors to the
maintenance of the elevated BP in the double-transgenic mice,
and this cannot be attributed to systemic effects of losartan
because of partial leakage of it into the circulation. In contrast,
there is not a significant role for central AII/AT-1 receptors in the
regulation of baseline BP in the controls. Widely variable HR
responses to ICV losartan were observed in both RA+ (590±29
pre- versus 621±33 postlosartan administration,
HR 31±18
bpm, P>0.05) and RA- (614 ± 24 pre- versus 600±26
postlosartan administration,
HR -13±19 bpm,
P>0.05). This variable effect of ICV losartan
on HR is consistent with data reported in other
species.4 34
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Effects of Intravenous HEX and AVP V1
Antagonism on BP
Evidence for an enhanced role of the brain RAS in RA+ mice in
these initial experiments prompted us to investigate the pressor
systems that may be involved in mediating this effect. Because the
major mechanisms of central AII effects on BP are via activation of the
sympathetic nervous system and/or AVP secretion from the posterior
pituitary, we wanted to determine the relative contribution of these 2
pressor mechanisms to the maintenance of elevated BP in RA+
mice. We hypothesized that the effects of one or both of these systems
may be elevated in RA+ mice as a result of enhanced central RAS
activity. As an index of sympathetic nerve activity, the depressor
responses to intravenous administration of the ganglionic
blocking agent HEX were compared in RA+ (n=6) and RA- (n=6) mice.
Similarly, the role of circulating AVP was determined by examining the
intravenous AVPX-induced depressor responses in RA+ (n=5)
and RA- (n=4) mice.
A summary of the effects of AVPX and HEX on MAP is shown in
Figure 4
. Baseline MAP was elevated to
similar levels in both RA+ groups receiving either HEX (panels A and B)
or AVPX (panels C and D). This level of hypertension is similar to that
observed in mice in the present study receiving ICV AII and
losartan, and also to that previously
reported.23 Ganglionic blockade with HEX caused
equivalent depressor responses in RA+ and control mice, reducing MAP by
about 50 mm Hg in both groups. In contrast, AVPX caused a
significantly greater reduction in MAP in RA+ mice. No significant
change in MAP was elicited by intravenous AVPX in RA-
mice. These results suggest that the basal hemodynamic
tone associated with neural activity is not enhanced in RA+ mice,
whereas the contribution of AVP to baseline BP is augmented in these
animals.
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Plasma Vasopressin Levels
To determine whether the exaggerated depressor effect of the AVP
V1 antagonist in RA+ mice could be
accounted for at least partially by increased levels of circulating
AVP, plasma was collected from RA+ (n=3) and RA- (n=3) mice and
evaluated by radioimmunoassay. RA+ had an approximately 3-fold
(2.92±0.44) elevation in basal plasma AVP levels compared with
controls (P<0.001). These results suggest that enhanced
levels of circulating AVP, perhaps mediated by overactivation of
central AII pathways involved in the secretion of this hormone, may
play a role in the chronic hypertension exhibited by RA+ mice. However,
the vascular reactivity to AVP in RA+ mice is not known, and therefore
enhanced vasoconstrictor effects of AVP cannot be ruled out as a
possible mechanism of the augmented depressor effect of the
V1 antagonist in these animals.
Expression of HREN and HAGT
Transgenes in Brain
We wanted to determine whether one possible mechanism of a brain
RAS-mediated increase in BP in RA+ mice is via expression of the human
transgenes in intrinsic brain tissue, with potentially increased local
AII production. To accomplish this, RNase protection assay and
RT-PCR were performed to detect HAGT and HREN
mRNA, respectively, in brain and kidney of RA+ and RA- mice (Figure 5
). Kidney RNA was used as a positive
control in both assays, because we have previously shown high-level
expression of both HREN and HAGT in this
tissue.23 24 25 The HAGT transgene was
expressed in all brain regions examined, including cortex,
diencephalon, brain stem, and cerebellum in RA+ mice (Figure 5A
). Even
with a 3-day exposure (Figure 5A
, top panel), no HAGT
expression was evident in nontransgenic controls (K-), demonstrating
the specificity and sensitivity of the assay.
|
In addition, we have performed in situ hybridization analysis
to elucidate the cellular localization of HAGT expression.
Neuronal expression of HAGT was shown in restricted areas of
the brain, including brain stem nuclei such as the parabrachial nucleus
(PBN) and the mesencephalic nucleus of the trigeminal (meV) (Figure 6
), as well as the SFO (Figure 7
). HAGT mRNA was also
detected in neurons of the PVN and in astrocytes in cortex,
diencephalon, brain stem, and cerebellum in transgenic mice (data not
shown). No in situ hybridization signal was detected on sections
hybridized to a sense probe.
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The precision and sensitivity of the RT-PCR assay were used to examine
expression of the HREN transgene in brain of RA+ mice
(Figure 5B
and 5C
). Specific RT-PCR products of the predicted size
(720 bp) were detected in whole brain, diencephalon, and brain stem,
but not in cortex and cerebellum, of RA+ mice. As expected, RT-PCR of
RA+ kidney RNA also resulted in the predicted 720-bp product. The
integrity of the RNA samples subjected to the assay was confirmed by
our RT-PCR detection of HAGT in each of the 4 brain regions,
confirming our RNase protection results (data not shown). No RT-PCR
products were evident either in reactions in which RT was omitted
or in brain or kidney RNA from nontransgenic controls. The low level of
expression of HREN in brain precluded us from determining
the precise cellular localization of this transgene in these regions by
in situ hybridization.
| Discussion |
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The present study demonstrates that there is an enhanced role for central AT-1 receptors in the maintenance of elevated BP in mice containing both the HREN and HAGT transgenes. At a dose that had no effect on BP when given peripherally, ICV injection of the selective AT-1 receptor antagonist losartan reduced BP in the double-transgenic mice to levels nearly equivalent to that of baseline in control animals. In contrast, we showed that central AT-1 receptors, at least those accessed by ICV administration of losartan, do not play a significant role in the regulation of baseline BP in normal mice. These results are consistent with previous reports that blockade of the formation or action of central AII does not alter baseline BP in normotensive rats.20 21 37 To examine the possibility that the exaggerated activation of central AT-1 receptors in RA+ mice results in altered sympathetic nerve and/or AVP outflow from the CNS, we determined the relative contribution of each of these pressor systems to BP in double-transgenic mice and controls. The finding that the depressor response to the V1 antagonist was significantly greater in RA+ mice compared with controls suggests an enhanced contribution of circulating AVP to vascular tone in this model. In contrast, vascular tone associated with sympathetic nerve activity is equivalent in RA+ and controls. An increased role for circulating AVP in BP regulation in RA+ mice was also supported by the approximately 3-fold greater levels of plasma AVP in these mice. Taken together, these results suggest that an enhanced AII-mediated activation of CNS AT-1 receptors, perhaps within brain regions involved in AVP secretion, plays a role in the chronic hypertension exhibited by mice with lifelong overexpression of the RAS.
Although the present study does not establish a direct cause-and-effect relationship between increased activity of the brain RAS and exaggerated release of AVP from the posterior pituitary, there is considerable evidence of the central RAS-AVP axis link and, therefore, several potential CNS pathways that could be involved in exaggerated AT-1-mediated release of AVP and hypertension in this model. There is considerable evidence that AII-mediated activation of both intrinsic brain sites and regions at the blood-brain interface elicit increases in BP and secretion of AVP from the posterior pituitary. Increased AII in either the systemic circulation or within the cerebrospinal fluid is known to activate AT-1 receptor-rich CVOs such as the SFO and organum vasculosum lamina terminalis, causing pressor responses and AVP release.10 17 38 39 40 41 42 Indeed, the AII-containing neural network among these CVOs and AVP-synthesizing magnocellular hypothalamic neurons, such as the supraoptic nucleus (SON) and the PVN, is necessary for this response pattern. AII-activated efferent projections from the SFO directly to the SON and PVN have been identified,39 40 41 and AII-mediated induction of cFos immunoreactivity in the SON and PVN was completely prevented by ablation of the SON.43 The brain stem CVO AP is also rich in AT-1 receptors and is activated by circulating AII, although the mechanism by which BP is increased is primarily activation of brain stem sites, leading to increases in sympathetic outflow.44 45 Brain sites that do not interact with blood-borne AII but are rich in AT-1 receptors, are involved in BP regulation, and contain neural pathways associated with AVP secretion include the SON and PVN themselves, the anterior hypothalamic area, and brain stem nuclei such as the nucleus tractus solitarius and ventrolateral medulla.2 37 38 It is thought that these intrinsic regions interact with AII produced locally within the brain.
There are 2 possible mechanisms by which the increased AII-mediated activation of central AT-1 receptors, perhaps concomitant with enhanced AVP secretion, may occur in RA+ mice. The increased circulating AII in these animals could cause chronic increased activation of AT-1 receptors at CVOs such as the SFO, and the ICV losartan-induced lowering of BP in RA+ mice would be due mainly to blockade of the effects of systemically derived AII at AT-1 receptors located at the blood-brain interface. However, it has been reported that ICV administration of AT-1 receptor antagonists (at doses shown to block ICV AII-elicited responses) does not attenuate the hypertension produced by chronic intravenous AII infusion.46 47 Only when the antagonist was administered directly into the AP was a lowering of the BP observed, suggesting that chronic intravenous AII-hypertension does not involve activation of AT-1 receptors in intrinsic brain sites or in CVOs that are known to be penetrated by antagonists administered ICV (eg, SFO).47 48 In addition to evidence that ICV administered AT-1 receptor blockers may not reach AP neurons,47 49 a role for the AP in the hypertension of RA+ mice in the present study is not supported, because the mechanism of chronic intravenous AII/AP-mediated hypertension involves increased sympathetic nerve activity rather than enhanced AVP secretion.44 This does not, however, rule out a possible role for the AP in the maintenance of normal BP in the control mice in this study. The finding that the AP is necessary for the full expression of intravenous losartan-induced hypotension in normotensive rats suggests that AII-mediated activation of AP AT-1 receptors is important in tonic BP regulation.50
Alternatively, local overproduction of AII within intrinsic brain tissue of RA+ mice may stimulate AT-1 receptors at sites inside of the blood-brain barrier, leading to hypertension. If this is the case, the ICV losartan-induced reduction in BP in the RA+ mice would be due to blockade of the effects of locally derived AII. This latter possibility is supported by our findings that both the HREN and HAGT transgenes are expressed in brains of RA+ mice. Furthermore, the colocalization of expression of the transgenes in the diencephalon and the brain stem, both important cardiovascular control regions, suggests the possibility that increased AII production may result from the cleavage of HAGT by HREN in these areas. Indeed, increased AII production in either the diencephalon or the brain stem could potentially cause increased AVP release.3 Our finding that HAGT mRNA, as detected by in situ hybridization, was found in neurons in restricted regions of the brain, including the SFO and brain stem sites such as the PBN, PVN, and meV, further suggests a possible mechanism for increased AII production in sites involved in AVP release. We are currently examining the hypothesis that an upregulation of AT-1 receptor levels in these brain regions contributes to the mechanism of hypertension in these mice.
In contrast to models of chronic intravenous AII-mediated hypertension, ICV administration of blockers of the RAS has been shown to be effective in lowering BP in genetic models of hypertension in which the brain RAS is upregulated. For example, acute or chronic ICV administration of AII receptor antagonists markedly reduced BP in the adult spontaneously hypertensive rat (SHR),12 20 and chronic ICV-converting enzyme inhibitor prevented the development of hypertension in young SHRs.21 Indeed, compared with normotensive Wistar-Kyoto rats, SHRs have elevated levels of brain RAS components51 52 but normal plasma AII levels. Moreover, direct microinjection of losartan into the anterior hypothalamic area, an intrinsic brain site rich in AT-1 receptors with projections to PVN and SON, caused depressor responses in SHR but not WKY,37 suggesting a role for endogenous AII at this intrinsic brain site in SHR. Another genetic model of hypertension characterized by elevated brain renin expression and AII levels but normal plasma AII levels, the transgenic rat containing the mouse renin Ren-2d gene, is also sensitive to the BP-lowering effects of losartan administered ICV.22 53 Interestingly, these rats also have increased levels of AVP in several brain regions.54
Whether or not increased activation of central AT-1 receptors causes enhanced release of AVP from central pituitary sites, a role for AVP in the etiology of the hypertension in RA+ mice must be considered. Indeed, the significantly augmented depressor effect of the V1 antagonist, along with the marked elevations of plasma AVP levels in RA+ mice, suggests chronically increased AVP-mediated vasoconstriction as a possible mechanism of the elevated BP in this model. Although a role for AVP in the etiology of hypertension in humans and animal models is controversial, recent evidence suggests that chronic 4-fold elevations in plasma AVP concentrations result in sustained hypertension in rats via a V1 receptormediated mechanism independent of body fluid retention.55 Increases in renal medullary vascular resistance were implicated in the production of the systemic hypertension, and a role for vascular V2 receptors in opposing the vasoconstrictor effects of stimulation of V1 receptors was suggested.56 In addition, the initial fluid-retaining effects of infused AVP and resulting expansion of blood volume and hypertension, with eventual "escape" from these antidiuretic and hypertensive effects via pressure diuresis mechanisms, has been described.57 Neither the role of V2 receptors nor the body fluid profile of RA+ mice is known, but these are currently being investigated. Indeed, we believe that in addition to being an important model for understanding the hemodynamic effects of lifelong overexpression of the RAS, the long-term elevated levels of circulating AVP make these mice interesting from the standpoint of understanding AVP-mediated regulation of body fluid homeostasis.
We have previously investigated baroreceptor reflex function in RA+ mice elicited by peripheral administration of vasoconstrictors and vasodilators.23 In these studies, we demonstrated an AII-mediated resetting of baroreflex control of HR to a higher pressure, but no alteration in gain or sensitivity of the reflex. In the present study, the decrease in HR elicited by the ICV AII-induced pressor response was significantly reduced in RA+ compared with control mice. Although not a complete profile of MAP and HR responses over a range of doses of ICV AII, these results suggest that centrally induced baroreflex responses may be blunted, at least to this dose of AII. This difference in baroreflex function with central versus peripheral administration of a pressor agent is consistent with a study by Barron et al,58 in which they report differences in HR responses elicited by ICV versus intravenous AII administration in rats. Because increases in BP initiated from the CNS can be influenced by both the buffering effects of peripheral activation of baroreceptors and direct interactions within the CNS between central baroreflex and central pressor pathways,58 it is possible that the diminished HR response to the central AII-induced pressor response in this study is due to greater direct modulating actions of AII in central pressor and/or baroreflex pathways in RA+ mice. Further study is required to determine the mechanism of such a central modulatory influence of AII, as well as to determine whether this is a central AII-specific effect or whether other central pressor agents elicit a similar response in RA+ animals.
As the first report of physiological recording in conscious, unrestrained mice during administration of agents into the brain, this study demonstrates an exaggerated central RAS component in the mechanism of chronic hypertension produced by lifelong overexpression of both the HAGT and HREN transgenes. Expression of both transgenes in the brain raises the possibility that augmented local production of AII in the CNS plays an important role in the production and/or maintenance of the elevated BP in these mice. We will examine whether increased levels of AT-1 receptors in brain tissue of RA+ mice is involved in the hypertension in this model. An exaggerated contribution of plasma AVP but not sympathetic nerve activity to BP, perhaps originating from increased central AII/AT-1 stimulation of AVP-secreting pathways, was also demonstrated in RA+ mice. Further site-specific brain lesion and microinjection studies are ongoing to elucidate the relative contribution of plasma AII and endogenous brain AII to the overactivation of central AT-1 receptors in these mice. Moreover, we believe this is a unique model for studying the role of long-term overproduction of both AII and AVP in the regulation of body fluid homeostasis. These studies illustrate the power of using an experimental strategy that combines genetic manipulation and classical physiological/pharmacological analyses in delineating determinants of BP control and hypertension in a way not possible before.
| Acknowledgments |
|---|
Received January 5, 1998; accepted September 10, 1998.
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Z. Li, M. Iwai, L. Wu, T. Shiuchi, T. Jinno, T.-X. Cui, and M. Horiuchi Role of AT2 receptor in the brain in regulation of blood pressure and water intake Am J Physiol Heart Circ Physiol, January 1, 2003; 284(1): H116 - H121. [Abstract] [Full Text] [PDF] |
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G. L. Baumbach, C. D. Sigmund, and F. M. Faraci Cerebral Arteriolar Structure in Mice Overexpressing Human Renin and Angiotensinogen Hypertension, January 1, 2003; 41(1): 50 - 55. [Abstract] [Full Text] [PDF] |
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B. Cvetkovic, H. L. Keen, X. Zhang, D. Davis, B. Yang, and C. D. Sigmund Physiological significance of two common haplotypes of human angiotensinogen using gene targeting in the mouse Physiol Genomics, December 3, 2002; 11(3): 253 - 262. [Abstract] [Full Text] [PDF] |
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M. C. Zimmerman, E. Lazartigues, J. A. Lang, P. Sinnayah, I. M. Ahmad, D. R. Spitz, and R. L. Davisson Superoxide Mediates the Actions of Angiotensin II in the Central Nervous System Circ. Res., November 29, 2002; 91(11): 1038 - 1045. [Abstract] [Full Text] [PDF] |
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S. Morimoto, M. D. Cassell, and C. D. Sigmund Glia- and Neuron-specific Expression of the Renin-Angiotensin System in Brain Alters Blood Pressure, Water Intake, and Salt Preference J. Biol. Chem., August 30, 2002; 277(36): 33235 - 33241. [Abstract] [Full Text] [PDF] |
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B. J. A. Janssen and J. F. M. Smits Autonomic control of blood pressure in mice: basic physiology and effects of genetic modification Am J Physiol Regulatory Integrative Comp Physiol, June 1, 2002; 282(6): R1545 - R1564. [Abstract] [Full Text] [PDF] |
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S. Morimoto, M. D. Cassell, and C. D. Sigmund Neuron-specific expression of human angiotensinogen in brain causes increased salt appetite Physiol Genomics, May 10, 2002; 9(2): 113 - 120. [Abstract] [Full Text] [PDF] |
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E. Lazartigues, S. M. Dunlay, A. K. Loihl, P. Sinnayah, J. A. Lang, J. J. Espelund, C. D. Sigmund, and R. L. Davisson Brain-Selective Overexpression of Angiotensin (AT1) Receptors Causes Enhanced Cardiovascular Sensitivity in Transgenic Mice Circ. Res., March 22, 2002; 90(5): 617 - 624. [Abstract] [Full Text] [PDF] |
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K. Rahmouni, W. G. Haynes, D. A. Morgan, and A. L. Mark Selective Resistance to Central Neural Administration of Leptin in Agouti Obese Mice Hypertension, February 1, 2002; 39(2): 486 - 490. [Abstract] [Full Text] [PDF] |
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P. Sinnayah, T. E. Lindley, P. D. Staber, M. D. Cassell, B. L. Davidson, and R. L. Davisson Selective Gene Transfer to Key Cardiovascular Regions of the Brain: Comparison of Two Viral Vector Systems Hypertension, February 1, 2002; 39(2): 603 - 608. [Abstract] [Full Text] [PDF] |
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D. E. Stec, H. L. Keen, and C. D. Sigmund Lower Blood Pressure in Floxed Angiotensinogen Mice After Adenoviral Delivery of Cre-Recombinase Hypertension, February 1, 2002; 39(2): 629 - 633. [Abstract] [Full Text] [PDF] |
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M. Bader and D. Ganten It's Renin in the Brain: Transgenic Animals Elucidate the Brain Renin-Angiotensin System Circ. Res., January 11, 2002; 90(1): 8 - 10. [Full Text] [PDF] |
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M. J. Ryan, S. P. Didion, D. R. Davis, F. M. Faraci, and C. D. Sigmund Endothelial Dysfunction and Blood Pressure Variability in Selected Inbred Mouse Strains Arterioscler Thromb Vasc Biol, January 1, 2002; 22(1): 42 - 48. [Abstract] [Full Text] [PDF] |
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V. A. Peotta, E. C. Vasquez, and S. S. Meyrelles Cardiovascular Neural Reflexes in L-NAME-Induced Hypertension in Mice Hypertension, September 1, 2001; 38(3): 555 - 559. [Abstract] [Full Text] [PDF] |
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G. M. BUTZ and R. L. DAVISSON Long-term telemetric measurement of cardiovascular parameters in awake mice: a physiological genomics tool Physiol Genomics, March 8, 2001; 5(2): 89 - 97. [Abstract] [Full Text] [PDF] |
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A. Just, J. Faulhaber, and H. Ehmke Autonomic cardiovascular control in conscious mice Am J Physiol Regulatory Integrative Comp Physiol, December 1, 2000; 279(6): R2214 - R2221. [Abstract] [Full Text] [PDF] |
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M. de Gasparo, K. J. Catt, T. Inagami, J. W. Wright, and Th. Unger International Union of Pharmacology. XXIII. The Angiotensin II Receptors Pharmacol. Rev., September 1, 2000; 52(3): 415 - 472. [Abstract] [Full Text] [PDF] |
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U. Ackermann and N. Azizi Increased central AT1-receptor activation, not systemic vasopressin, sustains hypertension in ANP knockout mice Am J Physiol Regulatory Integrative Comp Physiol, June 1, 2000; 278(6): R1441 - R1445. [Abstract] [Full Text] [PDF] |
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S. P. Didion, C. D. Sigmund, F. M. Faraci, and Z. S. Katusic Impaired Endothelial Function in Transgenic Mice Expressing Both Human Renin and Human Angiotensinogen • Editorial Comment Stroke, March 1, 2000; 31(3): 760 - 765. [Abstract] [Full Text] [PDF] |
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B. Cvetkovic, B. Yang, R. A. Williamson, and C. D. Sigmund Appropriate Tissue- and Cell-specific Expression of a Single Copy Human Angiotensinogen Transgene Specifically Targeted Upstream of the HPRT Locus by Homologous Recombination J. Biol. Chem., January 14, 2000; 275(2): 1073 - 1078. [Abstract] [Full Text] [PDF] |
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F. M. Faraci and C. D. Sigmund Vascular Biology in Genetically Altered Mice : Smaller Vessels, Bigger Insight Circ. Res., December 3, 1999; 85(12): 1214 - 1225. [Full Text] [PDF] |
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A. Reaux, M. C. Fournie-Zaluski, C. David, S. Zini, B. P. Roques, P. Corvol, and C. Llorens-Cortes Aminopeptidase A inhibitors as potential central antihypertensive agents PNAS, November 9, 1999; 96(23): 13415 - 13420. [Abstract] [Full Text] [PDF] |
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D. E. Stec, R. L. Davisson, R. E. Haskell, B. L. Davidson, and C. D. Sigmund Efficient Liver-specific Deletion of a Floxed Human Angiotensinogen Transgene by Adenoviral Delivery of Cre Recombinase in Vivo J. Biol. Chem., July 23, 1999; 274(30): 21285 - 21290. [Abstract] [Full Text] [PDF] |
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M. Schinke, O. Baltatu, M. Bohm, J. Peters, W. Rascher, G. Bricca, A. Lippoldt, D. Ganten, and M. Bader Blood pressure reduction and diabetes insipidus in transgenic rats deficient in brain angiotensinogen PNAS, March 30, 1999; 96(7): 3975 - 3980. [Abstract] [Full Text] [PDF] |
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Q. Shi, K. W. Gross, and C. D. Sigmund Retinoic Acid-mediated Activation of the Mouse Renin Enhancer J. Biol. Chem., January 26, 2001; 276(5): 3597 - 3603. [Abstract] [Full Text] [PDF] |
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S. Morimoto, M. D. Cassell, and C. D. Sigmund The Brain Renin-Angiotensin System in Transgenic Mice Carrying a Highly Regulated Human Renin Transgene Circ. Res., January 11, 2002; 90(1): 80 - 86. [Abstract] [Full Text] [PDF] |
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S. Morimoto, M. D. Cassell, T. G. Beltz, A. K. Johnson, R. L. Davisson, and C. D. Sigmund Elevated Blood Pressure in Transgenic Mice With Brain-Specific Expression of Human Angiotensinogen Driven by the Glial Fibrillary Acidic Protein Promoter Circ. Res., August 17, 2001; 89(4): 365 - 372. [Abstract] [Full Text] [PDF] |
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R. L. DAVISSON, Y. DING, D. E. STEC, J. F. CATTERALL, and C. D. SIGMUND Novel mechanism of hypertension revealed by cell-specific targeting of human angiotensinogen in transgenic mice Physiol Genomics, July 15, 1999; 1(1): 3 - 9. [Abstract] [Full Text] [PDF] |
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E. Lazartigues, S. M. Dunlay, A. K. Loihl, P. Sinnayah, J. A. Lang, J. J. Espelund, C. D. Sigmund, and R. L. Davisson Brain-Selective Overexpression of Angiotensin (AT1) Receptors Causes Enhanced Cardiovascular Sensitivity in Transgenic Mice Circ. Res., March 22, 2002; 90(5): 617 - 624. [Abstract] [Full Text] [PDF] |
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