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2-adrenergic stimulation
during NOS inhibition-induced hypertension
Department of Physiology, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131
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ABSTRACT |
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Increased
vascular resistance during systemic nitric oxide synthase (NOS)
inhibition is dependent on adrenergic vasoconstriction. This study
tested the hypothesis that increased vascular sensitivity to adrenergic
agonists contributes to this vasoconstriction. Superior mesenteric
arteries and thoracic aortae from male Sprague-Dawley rats drinking
water containing
N
-nitro-L-arginine
(L-NNA; 14 days, 60 mg · kg
1 · day
1)
and control rats were cut into helical strips, and endothelium was
removed for contractile experiments.
L-NNA arteries were more sensitive to UK-14304
(
2-adrenergic agonist) and
norepinephrine (NE), whereas responses to phenylephrine (PE) were not
different [concentration causing 50% maximal response
(EC50),
L-NNA vs. control: UK-14304,
0.071 vs. 0.71 µmol/l; NE, 1.15 vs. 9.95 nmol/l]. Yohimbine, an
2-selective antagonist, caused
a concentration-dependent inhibition of contraction to NE only in
L-NNA arteries
(EC50 = 6.3 vs. 1.6 nmol/l at 1 nmol/l yohimbine), whereas prazosin shifted NE curves similarly in
arteries from both groups. Yohimbine (10 nmol/l) inhibited contractions
to UK-14304 (EC50 = 59 µmol/l
vs. 17 µmol/l) but not contractions to PE, whereas prazosin inhibited both. These data indicate that
L-NNA-induced hypertension leads to increased sensitivity of prazosin-sensitive
2-adrenoceptors, an
upregulation that could cause the increased vasoconstrictor response to
NE in this model of hypertension.
nitric oxide; nitric oxide synthase;
2-adrenoceptors; UK-14304; vascular smooth muscle
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INTRODUCTION |
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THE ROLE OF NITRIC OXIDE (NO) in chronic blood pressure regulation has been conclusively established both in pharmacological antagonism studies (4, 23, 30) and in genetic deletion studies (9, 35). In addition, it is apparent that activation of the sympathetic nervous system participates in the hypertension that develops during chronic blockade of NO production (23, 30). However, it is not clear whether the increased sympathetic vasoconstrictor tone depends entirely on elevated sympathetic outflow or elevated vascular sensitivity to sympathetic discharge may also play a role. Previous studies examining vascular reactivity to adrenergic vasoconstrictors in this model of hypertension showed that endothelium-intact aortic rings have profound inhibition of relaxation to acetylcholine but no change in contractile response to norepinephrine (see Ref. 11). Another study also in endothelium-intact aortic rings found decreased force generation at maximal concentrations of phenylephrine and angiotensin II, suggesting that elevated vasoconstriction through these systems might downregulate the maximal contractile responses (7). However, neither of these previous studies examined contractile responses in the absence of endothelium, and it is not clear whether the changes were at the level of the endothelium or the smooth muscle. The current study was designed to determine whether the hypertension induced by inhibition of NO synthase (NOS) alters vascular smooth muscle sensitivity to adrenergic vasoconstrictors, independently of the loss of endothelial vasodilation.
To test this hypothesis, the contractile responses to
-adrenergic
agonists were compared in superior mesenteric artery and thoracic aorta
from NOS-inhibitor-treated and control rats. These studies examined the
hypothesis that increased sensitivity to
-adrenoceptor (AR)
stimulation contributes to the elevated vascular tone in NOS-inhibited
rats.
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METHODS |
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Animals
One hundred male Sprague-Dawley rats (250-300 g) were divided into two groups, treated and control. The treated group drank water containing the NOS inhibitor N
-nitro-L-arginine
(L-NNA, 0.5 g/l), whereas
control rats drank tap water. Systolic blood pressure was measured
every 3-4 days using an indirect tail cuff method
(plethysmographic detection, IITC, Woodland Hills, CA), and daily water
intake was monitored. All procedures were approved by the animal use
committee at the University of New Mexico and conform to National
Institutes of Health guidelines for animal use.
Tissue Preparation
On day 14 of treatment, animals were anesthetized with pentobarbital sodium (50 mg/kg) and exsanguinated. The thoracic aorta and superior mesenteric artery were removed and placed in physiological saline solution containing (in mmol/l) 130 NaCl, 4.7 KCl, 1.18 KH2PO4, 1.17 MgSO4 · 7H2O, 14.9 NaHCO3, 5.5 dextrose, 0.026 CaNa2-EDTA, and 1.6 CaCl2, pH 7.3. Vessels were cleaned, cut into helical strips, and denuded of endothelium by gently rubbing the lumen side of the strip with a moistened cotton-tipped applicator. The denuded strips were mounted in tissue baths filled with physiological saline solution (PSS) maintained at 37°C and aerated with 95% O2-5% CO2. The removal of the endothelium was confirmed by failure of contracted strips (10
7 mol/l phenylephrine)
to relax to acetylcholine
(10
6 mol/l, <5%
relaxation). Two strips were cut from each artery for use in the
antagonist studies, and n indicates
the number of animals used. One segment from an
L-NNA-treated rat and one from a
control rat were paired in each bath, and isometric force generation
was recorded with FT03 Grass transducers (Quincy, MA) connected to
Gould recorders (Harvard, MA).Mesenteric artery strips were
stretched with 700-mg passive force and aortic strips with 1,200-mg
force to allow a maximum detection of contraction. After the stretch,
strips were equilibrated 1 h with washing every 15 min before
experiments were performed.
Experimental Protocols
Sensitivity to adrenergic agonists.
After equilibration, cumulative concentration-response curves were
generated for each of three different adrenergic agonists. These
studies were conducted to evaluate the ability of selective
1- and
2-adrenergic agonists to
contract mesenteric arteries via postsynaptic receptors. Contractile
responses to norepinephrine (nonselective), phenylephrine
(
1-selective), and UK-14304
(
2-selective) were evaluated by
adding increasing concentrations of agonist to the tissue baths and
recording the tension generated. Contractions are expressed as
milligrams of developed force.
Sensitivity to adrenergic antagonists.
A second set of experiments using mesenteric artery strips evaluated
the contribution of
1- and
2-AR activation to
norepinephrine contraction in arteries from
L-NNA-treated and control rats.
Cumulative concentration-response curves to norepinephrine were
obtained in the absence and presence of increasing concentrations of
either the
1-selective
antagonist prazosin (0.1, 1.0, 10 nmol/l) or the
2-selective antagonist
yohimbine (1.0, 10, 100, 1,000 nmol/l). Vehicle-treated tissues were
used to evaluate the ability of mesenteric arteries to develop
consistent force during repeated concentration-response curves.
Contractions are expressed as milligrams of developed force.
Specificity of UK-14304.
A third series of experiments in mesenteric arteries evaluated the
specificity of UK-14304 to cause contraction through activation of
2-ARs. Tissues were treated
with prazosin (1 nmol/l), yohimbine (100 nmol/l), or vehicle (distilled
H2O), and then cumulative concentration-response curves to either UK-14304 or phenylephrine were
generated.
Role of voltage-sensitive Ca2+ influx. The following two protocols were designed to evaluate sensitivity to membrane depolarization and to changes in intracellular Ca2+. First, aortic strips were placed in normal PSS containing 1.6 mmol/l CaCl2. Increasing concentrations of KCl were added to the bath to depolarize the membrane by disrupting the K+ gradient across the cell membrane to stop K+ efflux from the cell and raise the membrane potential toward the activation potential for voltage-sensitive Ca2+ channels (8). An increased sensitivity to K+ depolarization would suggest that the membrane already exists in a depolarized condition. The second protocol placed arterial segments in a depolarizing solution (high K+ concn) that was Ca2+ free. Ca2+ was then added, and contractile responses were recorded. An increased sensitivity to Ca2+ under depolarizing conditions would suggest that there is either a difference in permeability to Ca2+, such as more available channels or larger conductance channels, or increased sensitivity to Ca2+ at the level of the contractile proteins.
Data Analysis and Statistics
Data are reported as means ± SE. Responses were expressed as a percentage of the maximum, and a logit-log transformation was performed for calculation of EC50 (concentration that caused 50% maximal response) values. Transformed data were curve fitted using an unweighted least-squares linear regression. Individual points on concentration-response curves for the two groups were compared using a one-way analysis of variance with the Kruskal-Wallace post hoc test of significance. Unpaired Student's t-test was used to compare systolic blood pressures, absolute force measurements, threshold values, and EC50 values of the transformed data between animal groups. When multiple t-tests were used for comparisons between groups, the Bonferroni adjustment for multiple testing was employed. A P value
0.05 was
considered statistically significant.
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RESULTS |
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Animals
Systolic blood pressure was significantly increased by day 4 (L-NNA = 178 ± 7 mmHg, control = 138 ± 3 mmHg) and remained elevated through day 14 (L-NNA = 217 ± 7 mmHg, control = 140 ± 2 mmHg) (Table 1). The addition of L-NNA to the drinking water caused a slight decrease in daily water intake (L-NNA = 40 ± 0.4 ml, control = 44 ± 0.4 ml), but intake was still in the normal range and drug intake averaged 63 ± 0.7 mg · kg
1 · day
1
throughout the treatment period (Table 1). These data show
that L-NNA causes sustained
hypertension and that rats were hypertensive for at least 10 days
before contractile experiments.
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Sensitivity to Adrenergic Agonists
There was no difference in the sensitivity to phenylephrine in arterial segments from the two groups (Fig. 1). In contrast, the sensitivity to norepinephrine was significantly increased in the L-NNA arteries, evidenced as a rightward shift at low concentrations of the nonselective agonist (Fig. 2). The
2-agonist UK-14304 caused a concentration-dependent contraction in all of the tissues (Fig. 3), but only the artery segments from
L-NNA rats responded at
concentrations <0.1 µmol/l. This indicates that the response to
UK-14304 in the control tissues might have been caused by
nonspecific activation of
1-ARs
(31). The response to this
2-agonist was shifted leftward
and upward in the L-NNA
arteries, indicating increased sensitivity to this contractile agent
(Fig. 3 and Table 2). These
data indicate that there is a selective increase in sensitivity to
2- compared with
1-agonists in arterial segments from L-NNA-treated rats.
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Sensitivity to Adrenergic Antagonists
Yohimbine (0.001-1 µmol/l) inhibited norepinephrine contraction in all tissues, but a 100-fold higher concentration was required to shift the concentration-response curves in arterial segments from control rats. Only at 1 µmol/l was there a significant increase in the EC50 value for the control arteries (Fig. 4A). In contrast, prazosin (0.1-10 nmol/l) caused similar concentration-dependent rightward shifts in norepinephrine curves in both control and L-NNA arteries (Fig. 5, A and B, respectively). These data provide further support of a selective increase in sensitivity of
2-AR after
L-NNA treatment in vivo.
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Specificity of UK-14304
To determine whether contraction to the adrenergic agonist UK-14304 was mediated by
1- or
2-ARs, cumulative
concentration-response curves to both phenylephrine and UK-14304 were
constructed in the presence of 10 nmol/l yohimbine or 1 nmol/l
prazosin. Yohimbine (10 nmol/l) did not inhibit contractions to
phenylephrine [Fig. 6,
A (control) and
B
(L-NNA)] but did cause a
rightward shift in the UK-14304 curves in
L-NNA tissues [Fig. 6,
C (control) and D
(L-NNA)]. This provides
additional evidence that
2-AR
mediate a portion of the contraction to norepinephrine only in
L-NNA tissues and that the
augmented response to UK-14304 in arteries from
L-NNA-treated rats is mediated
by
2-AR.
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The response to phenylephrine in the presence of prazosin was shifted
to the right in a parallel manner [Fig.
7, A
(control) and B
(L-NNA)], illustrating the
ability of this concentration of prazosin to inhibit
1-mediated contraction. In
addition, the contractile response to UK-14304 was also significantly
inhibited by prazosin [Fig. 7, C
(control) and D
(L-NNA)]. This indicates that UK-14304 causes contraction through an
-AR that is sensitive to
prazosin. This includes
1-AR
and
2B- and
2C-AR (24).
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Role of Voltage-Sensitive Ca2+ Influx
Arteries from L-NNA rats were extremely sensitive to KCl, and the addition of 0.5 mmol/l KCl caused a large contraction in arterial strips from L-NNA rats (Fig. 8, A and B), whereas much higher concentrations were required to contract control arteries. In contrast, arteries from both groups displayed similar contractile responses to increasing concentrations of Ca2+ under depolarizing conditions (Fig. 8, C and D). This suggests that membrane potential may be altered in arterial smooth muscle during L-NNA-induced hypertension but that Ca2+ sensitivity is not altered (8).
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DISCUSSION |
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Chronic inhibition of NOS causes an increase in blood pressure that is
dependent on elevated total peripheral resistance (4). Previous studies
suggest that this increased vasoconstriction requires an intact
sympathetic nervous system (30) and is mediated by increased adrenergic
vascular tone (23), which can be caused by either increased release of
adrenergic catecholamines or by increased sensitivity of vascular
smooth muscle to catecholamines. The current study tested the
hypothesis that NOS-inhibition hypertension increases the sensitivity
of vascular smooth muscle to
-adrenergic agonists. The results
revealed that after 2 wk of systemic NOS inhibition, there is an
increased sensitivity to the nonselective adrenergic agonist
norepinephrine in endothelium-denuded thoracic aorta and superior
mesenteric artery. Furthermore, this increased sensitivity appears to
be mediated by upregulation of
2-AR without a change in
1-AR.
The thoracic aorta is not innervated, whereas the superior mesenteric artery is well innervated by sympathetic fibers, yet the two arteries showed similar changes in sensitivity to adrenergic stimulation. The similarity in the changes in the two arteries suggests that sympathetic innervation in not responsible for, nor does it modulate, the vascular changes observed (i.e., increased norepinephrine release acting locally on the smooth muscle does not cause the change). Rather, local inhibition of endothelial NOS, circulating factors (such as epinephrine or endothelin), or the elevated pressure per se caused the changes. The current study does not differentiate between these possibilities, but future studies to address these points would be of great interest.
In contrast to the current findings, two previous studies in this model
of hypertension observed either no change (11) or a decreased (7)
contractile response to adrenergic stimulation in the thoracic aorta.
These two previous studies used endothelium-intact aortic rings, so it
appears that there may be an increased endothelium-dependent vasodilation counteracting contraction after chronic NOS inhibition. In
addition, the other two studies both used a different strain of rat
(Wistar or Wistar-Kyoto rats compared with Sprague-Dawley rats in the
current study), so there may be some strain-specific differences.
Finally, the other two studies treated rats for 21 rather than 14 days,
so the decreased contractility may be a later consequence of the
hypertension. The influence of endothelium is the most obvious
difference between the studies. In the study by Küng et al. (11),
acute incubation of the endothelium-intact aortic rings with
N
-nitro-L-arginine methyl ester
(L-NAME) normalized
contractile responses so that the inhibition appears to be dependent on
endothelial NO production. Therefore, during the in vivo condition of
L-NAME inhibition, it is not
likely that there was a suppressed contractile response. In addition,
our study suggests that during the in vivo condition, there would
actually be an enhanced response to contractile agents. From
these studies, the increased sensitivity to
2-AR stimulation appears to
depend completely on a change in the arterial smooth muscle. Indeed,
UK-14304 does not cause a contraction in the presence of endothelium in
tissues from normotensive rats (unpublished observations).
Although the role of postsynaptic
2-AR in regulating arterial
pressure is presently undetermined, there is evidence that
2-AR contribute to
vasoconstriction in vivo. First,
2-AR have been found in many
vascular beds. PCR amplification detected
1- and
2-AR mRNA in rat mesenteric
artery and aorta (22), and
2-binding sites were observed
in rat tail artery (5, 15) and in dog mesenteric artery (26). In
contrast, several autoradiographic studies detected only
1-binding sites in arterial
segments from normotensive rats (37). Therefore,
2-AR appear to be present in
most arteries, but expression may be heterogeneous between vascular
beds and at lower levels than
1-AR.
The contribution of
2-AR to
vasoconstriction is also unresolved. There are several reports that
2-agonists elicit contraction in veins but not arteries (3, 6), whereas others observe significant
contraction of arteries with
2-agonists (15, 16). Most
evidence from in vitro studies indicates that
1-AR are the primary mediators
of vasoconstriction in large arteries, whereas
2-AR contribute to contraction
in small arteries and in veins (14, 17, 20). In vivo recordings,
however, have shown that
2-AR
mediate most of the arterial contraction in certain vascular beds such
as the rabbit knee joint (19).
In addition,
2-agonists, which
are not very potent as contractile agents alone, can act
synergistically with other vasoconstrictors to facilitate contraction.
In the dog mesenteric artery, the contraction to
2-agonist UK-14304 was leftward
shifted after treatment with either KCl or endothelin (27), whereas the
2- agonists UK-14304 and
BHT-920 enhanced contraction to
1-AR agonists (31). Finally, exercise-induced coronary vasoconstriction has an
2-AR component in the presence
of OS inhibition (10). These observations suggest that
postsynaptic
2-AR are important
mediators of peripheral sympathetic vasoconstriction under certain
conditions.
In hypertension, there is evidence both supporting and refuting the
hypothesis that
2-AR contribute
to elevated adrenergic vasoconstriction. A significant portion of the
constriction in tail arteries from spontaneously hypertensive rats
depends on
2-AR stimulation
after neural stimulation and norepinephrine infusion, whereas that in
normotensive controls does not (15, 36). Antagonists of
2-AR lower blood pressure only
in hypertensives (24), and both hypertensives and their prehypertensive
offspring are characterized by increased platelet
2-AR expression (16). However,
Van Zweiten and co-workers (33) observed no differences in vascular
2-AR-mediated forearm blood
flow in normotensive and hypertensive patients, so that the
contribution of altered
2-AR in
hypertension is still undecided.
In the current study, UK-14304 elicited a contraction in arteries from
control rats only at concentrations previously shown to activate
1-AR
[
logEC50
(pD2) value = 5.9, Refs. 27 and 31]. In mesenteric arteries from
L-NNA treated rats, however, the
pD2 value was 6.9, a value close
to that reported for
2-AR in
veins (2, 26). In addition, the contraction to UK-14304 in arteries
from the L-NNA rats was
sensitive to yohimbine, further supporting the assertion of increased
sensitivity at
2-AR. In contrast, the pD2 values for the
1-agonist phenylephrine were not different between the two groups (7.6 vs. 7.8), and norepinephrine sensitivity to prazosin was the same in both groups. These data indicate that the contractile response to
2-AR activation in arteries
from L-NNA rats is potentiated,
even in the absence of other contractile agents. Therefore, even normal
levels of NE acting on
2-AR
could contribute to the elevated sympathetic tone evident in this model
of hypertension (38).
A recent study using genetically altered mice indicates that
2-agonists cause
vasoconstriction through
2B-AR,
because UK-14304 does not raise arterial pressure in the absence of
functional
2B-AR but does in
the absence of either
2C- or
2A-AR (13). Therefore, changes
in
2B-AR should lead to
enhanced vasoconstriction such as that observed in the present study.
Because
2B-AR are sensitive to
yohimbine and prazosin, whereas
2A-AR are insensitive to
prazosin (2), the current observation that UK-14304 contraction of
L-NNA arteries was shifted
leftward by both antagonists suggests that
2B-AR mediate this response. In
contrast, as previously observed (12), UK-14304 in control tissues was
insensitive to both antagonists, confirming that only
L-NNA arteries exhibit
2-AR contraction.
The signal cascade for
2-AR in
vascular smooth muscle has not been absolutely determined but appears
to depend almost entirely on Ca2+
entry through sarcolemmal channels (3, 21, 32). In contrast,
1-AR primarily couple to
phospholipase C (18) and depend on release of
Ca2+ from sarcoplasmic reticulum
stores followed by sustained Ca2+
entry (3, 18). Because
2-AR are
totally dependent on activation of
Ca2+ influx, the
2-AR response is maximally
effected by changes in membrane potential (31). Therefore, the
increased sensitivity to UK-14304 in the present study could be caused
by partial membrane depolarization as observed in other models of
hypertension (25). Indeed, the increased responsiveness to
extracellular K+ suggests that
L-NNA treatment may lead to
partial depolarization of vascular smooth muscle cells. Further support
comes from a previous study in
L-NNA-treated rats, in which
mesenteric artery had increased sensitivity to the
Ca2+ channel activator BAY K 8644 (34). Indeed, there are numerous indications in the literature that NO
alters membrane potential through its unique effects on
K+ channels. Specifically,
blockade of NOS decreases guanosine 3',5'-cyclic monophosphate (cGMP) production and the activity of cGMP-dependent protein kinase (PKG). Both L-type Ca channels (28) and
Ca2+-sensitive
K+ channels (1) are phosphorylated
by PKG, inhibiting Ca2+ entry
(29). Although not tested directly, NOS inhibition may have decreased K+ current, to
produce the changes observed.
In summary, the current study found that there is an increase in
2-AR-mediated contraction of
artery segments after 2 wk of systemic NOS inhibition. Although this
study was performed in large arteries, previous studies confirm that
contractile changes in large arteries parallel changes in smaller
resistance vessels and in whole animal responses (35). Therefore, the
observed upregulation suggests that changes in vascular
2-AR could contribute to
elevated peripheral resistance in this model of hypertension, and the
mechanism responsible for this upregulation is an intriguing area for
future studies.
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ACKNOWLEDGEMENTS |
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Special thanks are given to Shadin Dais, Tim Caudill, and Mick McGee for expert technical assistance.
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FOOTNOTES |
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This work was supported by a grant-in-aid from the New Mexico Affiliate of the American Heart Association and a Career Development Award through the Howard Hughes Institute.
Address for reprint requests: N. L. Kanagy, 237 Basic Medical Sciences Bldg., Dept. of Cell Biology and Physiology, Univ. of New Mexico, Albuquerque, NM 87131-0063.
Received 12 May 1997; accepted in final form 20 August 1997.
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