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mediates estrogen protection from angiotensin II-induced hypertension in conscious female miceDepartments of 1Physiology and Biophysics and 2Psychology, University of Iowa; Iowa City, Iowa; and 3Dalton Cardiovascular Research Center and 4University of Missouri Center for Phytonutrient and Phytochemical Studies, University of Missouri-Columbia, Columbia, Missouri
Submitted 22 September 2005 ; accepted in final form 22 November 2006
| ABSTRACT |
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(ER
) is involved in the protective effects of estrogen against ANG II-induced hypertension and 2) central ERs are involved. Blood pressure (BP) was measured in female mice with the use of telemetry implants. ANG II (800 ng·kg1·min1) was administered subcutaneously via an osmotic pump. Baseline BP in the intact, ovariectomized (OVX) wild-type (WT) and ER
knockout (ER
KO) mice was similar; however, the increase in BP induced by ANG II was greater in OVX WT (23.0 ± 1.0 mmHg) and ER
KO mice (23.8 ± 2.5 mmHg) than in intact WT mice (10.1 ± 4.5 mmHg). In OVX WT mice, central infusion of 17
-estradiol (E2; 30 µg·kg1·day1) attenuated the pressor effect of ANG II (7.0 ± 0.4 mmHg), and this protective effect of E2 was prevented by coadministration of ICI-182,780 (ICI; 1.5 µg·kg1·day1, 18.8 ± 1.5 mmHg), a nonselective ER antagonist. Furthermore, central, but not peripheral, infusions of ICI augmented the pressor effects of ANG II in intact WT mice (17.8 ± 4.2 mmHg). In contrast, the pressor effect of ANG II was unchanged in either central E2-treated OVX ER
KO mice (19.0 ± 1.1 mmHg) or central ICI-treated intact ER
KO mice (19.6 ± 1.6 mmHg). Lastly, ganglionic blockade on day 7 after ANG II infusions resulted in a greater reduction in BP in OVX WT, central ER antagonist-treated intact WT, central E2 + ICI-treated OVX WT, ER
KO, and central E2- or ICI-treated ER
KO mice compared with that in intact WT mice given just ANG II. Together, these data indicate that ER
, especially central expression of the ER, mediates the protective effects of estrogen against ANG II-induced hypertension.
cardiovascular disease; sex hormone
ANG II is an important factor in many forms of both clinical and experimental hypertension. Acutely, systemic ANG II infusion increases BP by its peripheral vasoconstrictor effect. Chronically, ANG II-induced increase in BP is attributed in part to centrally mediated activation of the sympathetic nervous system (6, 32). Moreover, it has been shown that ANG II increases sympathetic nervous system activity and BP and resets baroreflex function via actions on circumventricular organs (CVOs), such as subfornical organ (SFO) and area postrema (AP) (1, 3, 4, 10, 11, 13, 41). Previous studies from our laboratory have shown that, in rats, estrogen opposes ANG II-mediated increases in neuronal activity and intracellular calcium in AP (19, 26). In mice, estrogen attenuates ANG II-induced increases in cellular reactive oxygen species (ROS), a key signaling intermediate in ANG II-stimulated activation of the central nervous system neurons (45), in both AP and SFO (27, 43). Taken together, these results implicate that estrogen may interact with ANG II in CVOs to antagonize the centrally mediated effects of ANG II on sympathetic nervous activity, BP, and baroreflex function.
Physiologically relevant concentrations of estrogen have both rapid and the long-term positive cardiovascular effects that are mediated by ERs, including ER
and ER
(23). A crucial role for ER
in the protection against vascular injury, activation of endothelial nitric oxide synthase, and antiatherosclerotic effects have been amply documented (15, 29). Genetic deletion of ER
results in the development of hypertension in middle-aged female and male mice due to multiple abnormalities of ion channel function in blood vessels (44). However, very little is known about the ERs involved in mediating the cardioprotective effects of estrogen on the central nervous system. We have previously reported that in female mice lacking ER
, ANG II resets cardiac baroreflex function similarly to that seen in males (28). The present study tested the hypotheses that 1) the ER
is involved in the protective effects of estrogen against ANG II-induced hypertension and 2) central ERs are involved.
| METHODS |
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All experiments were performed in female mice. ER
knockout (ER
KO) mice were obtained by mating mice of C57BL/6J background that were heterozygous for the ER
gene disruption as described previously (20). Briefly, the ER
KO mouse is generated by disrupting the reading frame of the ER
gene NH2-terminal domain with a neomycin expression construct. This yields a small expression of incomplete ER
transcript expression but no fully functional
-subtype receptors (5). After mice were genotyped, only homozygous ER
KO (ER
/) females and homozygous (ER
+/+) wild-type (WT) females were used in these experiments. All the mice were obtained from a breeding colony maintained in the animal care facility at the University of Missouri. The mice were 1216 wk old and had an average weight of 2429 g. Mice were housed in standard polypropylene cages placed in a temperature- and humidity-controlled facility. The mice were maintained on a 12-h:12-h light-dark cycle (6:00 AM to 6:00 PM) and were fed soy-based Purina chow 5001 lab chow (PMI feeds, St. Louis, MO). The mice were divided into nine groups: intact WT, intact WT with peripheral ER antagonist ICI-182,780 (ICI) infusion, intact WT with central ICI, ovariectomized (OVX) WT, OVX WT with central 17
-estradiol (E2), OVX WT with central E2 + ICI, intact ER
KO, intact ER
KO with central ICI, and OVX ER
KO with central E2 females. All procedures were approved by the University of Missouri and the University of Iowa Animal Care and Use Committees.
Surgical Procedures
Ovariectomy. Ten days before implantation of the BP transmitters, bilateral ovariectomy was performed in female mice anesthetized with a mixture of ketamine (100 mg/kg) and xylazine (10 mg/kg). Briefly, a single 1- to 2-cm dorsal midline incision was made in the skin and underlying muscles. The ovaries were isolated, tied-off with sterile suture, and removed, and the incisions were closed.
Telemetry probe implantation.
Implantable mouse BP transmitters (TA11PA-C20, Data Sciences International, St. Paul, MN) were used to directly measure arterial pressure in individual animals. The mice were anesthetized with a ketamine-xylazine mixture. The carotid artery of the mouse was accessed with a ventral midline incision. The left carotid artery was isolated with fine-tipped vessel dilation forceps. Two occlusion sutures were placed beneath the artery. The elevated artery was punctured with a catheter introducer, and the telemetry catheter was inserted into the vessel. The catheter tip was advanced into the thoracic aorta so that
3 mm of the thin-walled tip section could reside in the aorta. The sutures were tied and secured with tissue adhesive. Through the same ventral incision, a subcutaneous tunnel was formed across the right pectoral area and was enlarged to form a pocket along the right flank. The body of the transmitter was slipped into the pocket and secured with tissue adhesive. The ventral incision was then closed with suture.
Chronic intracerebroventricular cannula implantation. After baseline BP and heart rate (HR) recordings were made, the mice were again anesthetized with a ketamine-xylazine mixture, and the intracerebroventricular cannula with osmotic pump (ALZET Brain Infusion Kits, Alzet) was implanted into the right lateral ventricle (coordinates: 0.3 mm caudal, 1.0 mm lateral to bregma, and 3.0 mm below the skull surface) for chronic infusion of E2 (30 µg·kg1·day1), ICI (1.5 µg·kg1·day1), a nonselective ER antagonist, or E2 + ICI. In a separate group, osmotic pumps containing the same dose of ICI were implanted subcutaneously to determine the effect of peripheral blockade of ERs on ANG II-induced hypertension, which also served as the control for the effect of central infusion of ERs antagonist. At the end of the experiment, the animals were euthanized and perfused. The accuracy of the lateral ventricle cannula implantation was verified histologically.
Osmotic pump implantation. The mice were anesthetized with inhalational isoflurane to allow the implantation of osmotic pumps. Osmotic pumps (model 1002, Alzet) containing ANG II (Sigma Chemical) at a concentration sufficient to allow an infusion rate of 800 ng·kg1·min1 were implanted subcutaneously on the left side of the back.
Fluorescent immunohistochemistry.
The WT and ER
KO mice were anesthetized deeply and perfused intracardially with phosphate-buffered saline (PBS) followed by 2% paraformaldehyde. The brains were removed, postfixed in 2% paraformaldehyde for 1 h, and then cryoprotected for 2 days in 30% sucrose at 4°C. Frozen 20-µm coronal slices were cut with a cryostat. Brain sections were washed with PBS and then blocked with 10% donkey serum (Jackson, PA) in PBS containing 0.2% Triton X-100 at 25°C for 1 h. Sections were then incubated with a rabbit anti-ER
antibody (1:400, Santa Cruz) in 10% donkey normal serum with 0.2% Triton X-100 for 72 h at 4°C. After being thoroughly washed with PBS, sections were incubated with rhodamine red-X-conjugated AffiniPure donkey anti-rabbit IgG (1:50, Jackson) in PBS for 24 h at 4°C. Sections were then washed, transferred to slides, air dried, and mounted with Mowioil. Fluorescence was then identified using a confocal microscope.
Experimental Protocol
Measurement of BP and HR. All mice were allowed 10 days of recovery from transmitter implantation surgery before any measurements were made. This time interval is necessary for the mice to regain their circadian BP and HR rhythm (2). Thereafter, BP and HR were telemetrically recorded and stored with the Dataquest ART data acquisition system (Data Sciences International).
To determine the effects of ANG II alone on BP and HR in WT and ER
KO mice, the osmotic pumps with ANG II were implanted subcutaneously in animals after 5 days of baseline recording.
To determine the effects of E2, ICI, or E2 + ICI on ANG II-induced hypertension in WT and ER
KO mice, the intracerebroventricular cannula with osmotic pump was implanted into the right lateral ventricle for chronic infusion of E2, ICI, or E2 + ICI for 14 days. On day 7, the osmotic pumps with ANG II were implanted subcutaneously.
Evaluation of response of BP to autonomic blockade. BP levels in female mice were also measured in the presence of the ganglionic blocker hexamethonium (30 mg/kg ip). The ganglionic blockade was repeated two times in each animal, during baseline and on day 7 during infusion of ANG II. On the day of the experiment, the mice were allowed to stabilize for at least 60 min, after which BP was recorded 20 min before hexamethonium injection and for 20 min after the treatment.
Data Analysis
Mean arterial pressure (MAP) and HR collected for 5 and 7 consecutive days before and during ANG II pump implantation, respectively, were plotted as mean values. All data are expressed as means ± SE. Statistical analyses of the effects of blockade of ERs or ER
KO on BP before and after ANG II infusion were performed with two-way ANOVA for repeated measures (Sigma Stat, version 2.06). Post hoc analysis was performed with Fisher least significant difference multiple comparison test where appropriate. One-way ANOVA was used for comparing changes in BP. Statistical significance was accepted at P < 0.05.
| RESULTS |
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The Anatomical Placement of the Intracerebroventricular Cannula and ER
Expression in CVOs
Figure 1A is a photomicrograph that illustrates the anatomical placement of the intracerebroventricular cannula within the lateral ventricle.
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immunoreactivity in the SFO, a CVO in the lateral ventricle adjacent to where the cannula was implanted, in WT and ER
KO mice, respectively. The ER
expression presented in the SFO neurons of WT mice but not in the SFO neurons of ER
KO mice. Baseline BP and HR in Conscious Mice
Baseline values for BP were comparable in all groups, which included WT females (102.4 ± 1.1 mmHg, n = 7), intact WT females with peripheral infusion of ICI (103.2 ± 2.1 mmHg, n = 5), intact WT females with central infusion of ICI (105.1 ± 3.2 mmHg, n = 6), and OVX WT (99.2 ± 0.9 mmHg, n = 5), OVX WT with central E2 (102 ± 0.8 mmHg, n = 5), OVX WT with central E2 + ICI (100.1 ± 1.8 mmHg, n = 5), intact ER
KO (106.1 ± 1.6 mmHg, n = 6), intact ER
KO with central ICI (101.1 ± 1.6 mmHg, n = 4), and OVX ER
KO with central E2 (102.0 ± 2.1 mmHg, n = 4) females. However, baseline HR was significantly higher in intact WT mice (630.1 ± 7.9 beats/min, P < 0.05) than in OVX WT (577.3 ± 27.7 beats/min) and ER
KO mice (576.4 ± 14.4 beats/min).
Effects of ANG II on MAP and HR in Intact WT, OVX WT, and ER
KO Mice
Averaged daily MAP, HR, and increases in MAP during infusion of ANG II in WT, OVX WT, and ER
KO mice are shown in Fig. 2A. Seven days of ANG II (800 ng·kg1·min1) infusion resulted in a 23.0 ± 1.0-mmHg (P < 0.05) and 23.8 ± 2.5-mmHg (P < 0.05) increase in MAP in OVX WT and ER
KO mice versus a 9.2 ± 1.5-mmHg increase in intact WT mice (Fig. 2B). Moreover, unlike intact WT mice (630.1 ± 7.9 to 596.2 ± 9.3 beats/min, P < 0.05), the increase in BP with ANG II did not result in the expected decrease in HR in OVX WT (577.3 ± 27.7 to 562.8 ± 9.3 beats/min) and ER
KO mice (576.4 ± 14.4 to 574.7 ± 7.8 beats/min) (Fig. 2C).
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KO Females
Baseline MAP in OVX females was unaltered during central infusion of either E2 (30 µg·kg1·day1, WT 102 ± 0.8 to 99.6 ± 0.4 mmHg; ER
KO 102 ± 2.2 to 103.2 ± 2.3 mmHg) or E2 + ICI (1.5 µg·kg1·day1, WT 100.1 ± 1.8 to 100.5 ± 2.5 mmHg). In OVX WT mice, central E2 significantly inhibited the increases in MAP induced by ANG II (
MAP, 7.0 ± 0.4 mmHg, P < 0.05) compared with that seen in OVX mice with ANG II alone (
MAP, 23.0 ± 1.0 mmHg). Concurrent administration of ICI prevented this protective effect of E2 (
MAP, 18.8 ± 1.5 mmHg). In contrast, the pressor effect of ANG II was unchanged in central E2-treated OVX ER
KO mice (
MAP, 19.0 ± 1.1 mmHg) (Fig. 3, A and B). ANG II infusion did not change HR in either central E2-treated or central E2 + ICI-treated OVX mice (Fig. 3C).
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KO Mice
Neither central or peripheral infusions of ERs antagonist had an effect on baseline MAP in conscious mice. Seven days of ANG II infusion resulted in a 17.8 ± 4.2-mmHg (P < 0.05) increase in MAP in WT mice treated with central infusions of ICI (1.5 µg·kg1·day1) versus a 10.1 ± 4.9 mmHg increase in mice treated with peripherally administrated antagonist. In contrast, central infusion of ICI had no effect on ANG II-induced increases in BP in ER
KO mice (19.6 ± 1.6 mmHg) (Fig. 4, A and B). As shown in Fig. 4C, ANG II infusion produced a significant decrease in HR in peripheral ICI-treated mice (636.7 ± 27.1 to 590.6 ± 12.4 beats/min, P < 0.05) but not in central ICI-treated (616.7 ± 15.3 to 613.9 ± 9.2 beats/min) and central ICI-treated ER
KO (584.4 ± 3.5 to 573.1 ± 2.7 beats/min) mice.
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Figure 5 shows decreases in BP with acute ganglionic blockade in all group of female mice. The hexamethonium-induced decreases in BP were comparable in all groups before infusion of ANG II. Following seven days of ANG II infusion, acute hexamethonium injection resulted in a 53.8 ± 3.0, 56.6 ± 3.6, 58.4 ± 4.3, 60.1 ± 5.2, 59.1 ± 2.8, and 57.4 ± 3.5 mmHg decrease in BP in central ICI-treated intact WT, central ICI-treated intact ER
KO, OVX WT, central E2 + ICI-treated OVX WT, intact ER
KO, and central E2-treated OVX ER
KO mice, respectively. All of these groups showed significantly greater decreases in BP following hexamethonium relative to that seen in the WT females given just ANG II (36.6 ± 6.6 mmHg, P < 0.05).
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| DISCUSSION |
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is required for the protective effects of estrogen against ANG II-induced hypertension, 2) central ERs are involved in protection against ANG II-induced hypertension, and 3) the augmented effects of ANG II on BP in ER
KO females and females centrally treated with estrogen antagonist involve an increase in sympathetic outflow. We have previously reported that the removal of ovaries, the main source of circulating estrogen in females, appears to facilitate the development of ANG II-dependent hypertension, suggesting that estrogen has a protective role in the development of ANG II-induced hypertension (42). The present study further addresses whether central estrogen and its receptors mediate the protective effects of estrogen. We found that in OVX female WT mice, central infusion of E2 attenuated the pressor effect of ANG II and that this attenuated effect of E2 was prevented by coadministration of ICI. Furthermore, in intact WT females, central, but not peripheral, administration of the ER antagonist ICI augmented increases in BP by ANG II. These observations suggest that it is central ERs, not peripheral ERs, that mediate the protective effects of estrogen in this hypertension model.
The chronic phase of ANG II-induced hypertension is associated with the increase in sympathetic nerve activity and blunting of baroreflex HR response (6, 8, 9, 21, 31, 33, 40). Estrogen in general is also known to facilitate baroreflex function in rats. Saleh et al. (3537) have shown that central administration of estrogen decreases sympathetic activity and increases parasympathetic activity. Moreover, central injection of ER antagonist ICI blocked increases in vagal nerve activity and decreases in renal nerve activity induced by bolus injection of estrogen (iv), indicating that peripheral-administered estrogen modulates baseline autonomic tone via the activation of central ERs (38). We have previously shown that ganglionic blockade produces less reduction in BP in female mice compared with that in male mice during ANG II infusion and that reflex bradycardic responses are blunted in males but not in females during ANG II infusion, which may be indicative of females being able to buffer the increases in BP better than in males through a reduced activation of sympathetic nervous system and maintenance of the baroreflex sensitivity (42). The present study confirms and extends this previous study by showing that the increases in BP with ANG II did not result in the expected decrease in HR in either central ERs antagonist-treated WT or ER
KO mice. In addition, ganaglionic blockade produced greater reduction in BP in the ER
KO mice, suggesting that central ERs, especially ER
, play an important role in buffering ANG II-induced central resetting of baroreflexes and increase in sympathetic nervous system activity, which contributes to attenuated increase in BP during ANG II infusion in females.
Both ER
and ER
have been shown to be involved in the regulation of cardiovascular function (15, 22, 23, 29, 44). Because of homologous regions in the genes for ER
and ER
(17, 18, 24, 30, 39), to date there is no selective ER
antagonist commercially available. However, the observation of distinct biological functions for ER
and ER
in genetic mice lacking ER
, ER
, or both represents a novel tool to dissect the ligand-dependent function of ER
and ER
(29, 44). In the present study, the intent for studying ANG II-induced hypertension in ER
KO mice was to further address the role of ER
in mediating protective effects of estrogen in this mouse model. It has been shown that intact ER
KO females have high levels of estrogen and testosterone (28). However, it has been also shown in the same study that, in the ER
KO mice, responses to ANG II remain the same irrespective of the estrogen levels. Baroreflex responses to ANG II in OVX ER
KO mice, which eliminate the high levels of estrogen and testosterone, were identical to responses in intact ER
KO mice. In addition, estrogen replacement in these OVX ER
KO mice had no effect on ANG II-mediated baroreflex responses (28). In the present study, ANG II-mediated increases in BP in OVX WT mice (
23 ± 1 mmHg) and in intact ER
KO mice (
23.8 ± 2.5 mmHg) are very similar. Central ICI or E2 infusion has no influence on the pressor effect of ANG II in intact ER
KO or OVX ER
KO mice, respectively. These results indicate that reducing estrogen levels or total knockout of ER
has similar effects on ANG II-dependent hypertension. Taken together, we interpret the data as suggestive of a predominant role for ER
in mediating effects of estrogen in this mouse model with no significant compensation from other pathways.
Although the central mechanisms by which estrogen acts to produce protective effects are not known, there is increasing evidence indicating that the effects of estrogen could be attributed in part to modulation of the renin-angiotensin system. It has been established that the central effect of ANG II, the main component of the renin-angiotensin system, is mediated predominantly by ANG II type 1 (AT1) receptor subtype in CVOs, such as SFO and AP (9, 40). Kisly et al. (16) reported that estrogen treatment decreases SFO AT1 receptor binding as well as hypothalamic AT1 receptor mRNA, suggesting that the genomic regulation of central ANG II receptor by estrogen may underlie the BP changes observed in females. Another potential mechanism may involve estrogen regulation of ANG II-induced ROS, a key signaling intermediate in ANG II-stimulated activation of the central nervous system neurons (45). Preliminary studies from our laboratory indicated that estrogen inhibits an ANG II-induced increase in cellular ROS in SFO and AP living slices and that these inhibitory effects of estrogen are blocked by ICI (27, 43). These results are in good agreement with the morphological evidence obtained by us and others that shows high densities of ER
in CVOs and colocalization of ER and AT1 receptor in the SFO (34). Therefore, it is reasonable to hypothesize that blockade of central ERs may cause increases in AT1 receptor expression and binding, and ROS production, leading to an enhanced biological effect of ANG II that could in part serve as an explanation for the augmented increase in BP induced by ANG II.
In summary, the present study demonstrated that ER
, especially the central expression of the ER, mediates the protective effect of estrogen in the development of ANG II-induced hypertension in female mice.
| GRANTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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