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Department of Pharmacological and Physiological Science, Saint Louis University School of Medicine, St. Louis, Missouri
Submitted 11 April 2008 ; accepted in final form 2 October 2008
| ABSTRACT |
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hypertension; norepinephrine; sympathetic neurotransmission; mesenteric artery
1-, Y1, and P2X receptors, respectively. Prejunctionally, these mediators activate
2-, Y2, and P2Y receptors, respectively, resulting in feedback inhibition of their own release as well as the release of each other (62, 66). In addition to the activity of the sympathetic nervous system (SNS) and its three cotransmitters, the renin-angiotensin system (RAS) also plays a very important role in the regulation of vascular tone. Originally the RAS was viewed solely as a hormonal circulating system involved in the regulation of blood pressure along with salt and water homeostasis. However, more recent evidence has identified distinct components of the RAS that are active locally in the vasculature, heart, and other tissues (9, 54). ANG II has long been considered the main biologically active product of the RAS. ANG II produces multiple actions including direct vasoconstriction and release of aldosterone from the adrenal cortex via the activation of AT1 receptors. In addition, ANG II enhances sympathetic neurotransmission (8, 10, 17, 36, 40, 43, 44, 46, 58, 72, 75), which contributes to the vasopressor effects of the peptide.
Essential hypertension is a chronic, progressive disease that involves numerous neuronal, endocrine, and pathophysiological alterations. Findings to date implicate both the SNS and RAS in contributing to the development and maintenance of hypertension in both humans and experimental models such as the spontaneously hypertensive rat (SHR) (17, 22, 30, 70). There is evidence for dysfunction at both the pre- and postjunctional levels of sympathetic neurotransmission at the vascular neuroeffector junction that involve both NPY and ANG II. For example, we (67, 70) have previously observed that the inhibitory effect of NPY on NE release is attenuated in blood vessels obtained from the SHR. In addition, the facilitatory effect of ANG II on NE release is enhanced from blood vessels of SHRs compared with those obtained from normotensive controls (3, 47, 68). Moreover, the vasoconstrictor actions of both NPY and ANG II were higher in blood vessels obtained from SHRs. In fact, the vasoconstrictor action of NPY increased along with the development of elevated blood pressure in SHRs (49, 76). The perfused mesenteric arterial bed contains a dense sympathetic innervation and represents an excellent model of the vascular neuroeffector junction. SHRs have been extensively studied, and it is well established that these animals develop hypertension as they age. Although there may indeed be differences between SHRs and Wistar-Kyoto (WKY) rats even at a very early age, from birth to 8 wk, the blood pressure of the SHR is comparable with the normotensive genetic control (47, 59, 68). The blood pressure of the SHR then begins to rise sharply until the rats are 10–12 wk old. The increase in blood pressure of the SHR then slows and, at
18–20 wk, stabilizes (71).
The objectives of the present investigation were severalfold. First, we examined the effect of nerve stimulation on the increase in perfusion pressure (PP) and NPY overflow from the mesenteric arterial beds of SHRs at a time before the development of hypertension (4–6 wk old), during the development of hypertension (10–12 wk old), and after the establishment of hypertension (18–20 wk old) and to compare it with the effect on age-matched normotensive controls. Second, we investigated the role of ANG II in the regulation of NPY overflow from SHR preparations during the above stages and compare its effect with that on preparations obtained from age-matched normotensive controls. Finally, we investigated which AT receptor subtype is involved and whether or not an endogenous RAS is active in our model. In this report, we show that the modulation of NPY overflow by ANG II may contribute to the development and maintenance of hypertension in SHRs.
| MATERIALS AND METHODS |
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ANG II, captopril, EMD-66684 (AT1 receptor antagonist), PD-123319 (AT2 receptor antagonist), protease inhibitor cocktail (for mammalian cell and tissue extracts), and Krebs buffer salts were all purchased from Sigma (St. Louis, MO). The NPY enzyme immunoassay kit was purchased from Peninsula Laboratories (San Carlos, CA).
Animals
We used age-matched WKY rats and SHRs obtained from Harlan in all our experiments. They were 4–6, 10–12, and 18–20 wk old so as to match with the prehypertensive, young hypertensive, and old hypertensive stages of the SHR, respectively. Animals were housed at 2–4 animals/cage in constant temperature and with a 12:12-h light-dark cycle room. Rats were fed standard rat chow and water at will, and they were under the supervision of the Department of Comparative Medicine. All the experimental procedures carried out were in accordance with National Institutes of Health guidelines and were approved by the Institutional Animal Care and Use Committee of the Saint Louis University Health Sciences Center.
Isolated Perfused Mesenteric Preparation of the Rat
Surgery. Rats were anesthetized with an intraperitoneal injection of pentobarbital sodium at a dose of 50 mg/kg. The abdomen was opened, and the intestine was excised by ligations of the descending colon proximal to the rectum, duodenum distal to the stomach, and superior mesenteric artery distal to the abdominal aorta. The isolated intestine with the mesentery attached was then spread in a petri dish containing Krebs physiological buffer [composed of (in mM) 120 NaCl, 5.0 KCl, 2.4 CaCl2, 1.2 MgSO4, 0.027 EDTA, 11 glucose, and 25 NaHCO3]. The superior mesenteric artery was cannulated with a 20-gauge cannula, and 10% heparin solution was flushed through the mesenteric vascular bed. The four main branches of the mesenteric artery feeding the terminal ileum were located and left intact. The remaining branches were ligated and severed. The mesenteric vascular bed was carefully detached from the intestine. The preparation was placed in an organ bath maintained at 37°C and perfused with aerated Krebs buffer (pH 7.4) by a Gilson minipuls pump at a rate of 2.5 ml/min and superfused at a rate of 0.5 ml/min. PP was continuously monitored through a pressure transducer coupled with a Grass recorder. The tissue was equilibrated for 40 min with the perfusate before experimentation began. All drugs used were dissolved in Krebs buffer and delivered by continous infusion. Protease inhibitor cocktail (50 µl/1 g tissue) was added to Krebs buffer to ensure drug viability.
Periarterial NS. Platinum ring electrodes were placed around the artery, and, when appropriate, the periarterial nerve was stimulated at 16 Hz for 30 s for catecholamine release and 1.5 min for NPY release using a Grass S-88 stimulator. Perfusate effluents were collected continuously in 1-min time frames before, during, and after periarterial NS into either 1 ml of cold 0.4 N perchloric acid with 0.1% cysteine for catecholamin experiments or 1% trifluoroacetic acid for NPY experiments. Collections were stored at –80°C for maximal stability until they were ready to be assayed.
NE Measurement
NE in acidified release medium, perfusate, and superperfusate samples was identified and quantified by HPLC with electrochemical detection (HPLC-EC). The system consisted of a Varian Pro-Star solvent delivery system and a model 9090 autosampler (Varian, Walnut Creek, CA) coupled to a C18 column and an ESA Coulochem II detector. Separations were performed isocratically using a filtered and degassed mobile phase consisting of 12% methanol, 0.1 M sodium phosphate, 0.2 mM sodium octyl sulfate, and 0.1 mM EDTA adjusted to pH 2.8 with phosphoric acid. The HPLC system was coupled to a computer, where the chromatograms were recorded and analyzed with Varian Star workstation software.
NPY Measurement
The samples collected were pooled in groups of two to facilitate concentration assessment. NPY amounts in the perfusate samples were purified with the use of C18 Sep-Pak columns and measured by a 96-well plate enzyme immunoassay kit (Peninsula Labs, San Carlos, CA). The 96-well plate was read by a Powerwave X plate reader (Biotek Instruments, Winooski, VT), and the calculations of sample value were analyzed by KC Junior Software (Biotek Instruments).
Statistical Analysis of Data
Data are expressed as means ± SE. Statistical analyses were carried out by Student's t-test or by one-way ANOVA followed by Neuman-Keuls multiple statistical comparison tests. Differences were accepted when P < 0.05.
| RESULTS |
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Table 1 shows basal and NS-induced increases in PP in mesenteric arterial beds obtained from WKY rats and SHRs of 4–6, 8–10, and 18–20 wk of age. Values are presented as basal and NS measurements (in mmHg) and as increases from basal values (NS – basal value; in mmHg). We observed no differences in basal PP values among strains or as a function of age. NS resulted in a significant increase in PP in all mesenteric arterial bed preparations. WKY rats showed no difference in NS-induced increases in PP as a function of age.
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NS Increases the Overflow of NPY From Mesenteric Arterial Beds Obtained From SHRs Compared With WKY Rats at 10–12 and 18–20 wk of Age
Table 2 shows basal and NS-induced overflow of NPY from 4- to 6-wk-old, 10- to 12-wk-old, and 18- to 20-wk-old WKY and SHR preparations. Values are presented as nanograms per milliter of NPY. Basal NPY overflow was not different between strains or as a function of age. NS resulted in a significant increase in NPY overflow from both strains at all ages studied. The NS-induced overflow of NPY was similar for WKY rats and SHR at 4–6 wk of age (Table 2). However, the NS-induced NPY overflow from 10- to 12-wk-old and 18- to 20-wk-old SHR preparations was greater than from age-matched WKY controls.
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1-Adrenergic Receptor Antagonist
We observed that both the NPY-Y1 antagonist BIBO-3304 and the
1-adrenergic antagonist prazosin produced a significant reduction in the increase in PP due to NS of mesenteric arterial beds obtained from 10- to 12-wk-old SHRs. The NS-induced increase in PP was 160 ± 8 mmHg (n = 6) in the absence of drugs and 18 ± 5 mmHg (n = 6) in the presence of prazosin and 65 ± 6 mmHg (n = 6) in the presence of BIBO-3304. Prazosin (30 nM) produced a 88% reduction, whereas BIBO-3304 (100 nM) produced a 59% reduction, of the increase in PP.
ANG II Enhances NS-Induced Increases in PP in Mesenteric Arterial Beds Obtained SHRs at 4–6, 10–12, and 18–20 wk of Age More Than Age-Matched WKY Rats
ANG II failed to alter the NS-induced increase in PP of mesenteric arterial beds from WKY rats at any age (Table 3). In contrast, ANG II at both 0.01 and 0.1 µM significantly enhanced the NS-induced increase in PP of mesenteric beds obtained from 4- to 6-wk-old and 10- to 12-wk-old SHRs compared with WKY rats. In addition, ANG II (0.1 µM) significantly increased the NS-induced change in PP of 18- to 20-wk-old SHR preparations to a greater extent than 0.01 µM (Table 3). The effect of ANG II on the NS-induced increase in PP was greater in mesenteric beds obtained from SHRs than age-matched WKY rats.
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Figure 1 shows the effect of ANG II (0.01 and 0.1 µM) on the basal NPY overflow from mesenteric beds obtained from WKY rats and SHRs at 4–6, 10–12, and 18–20 wk of age. Data are plotted as fold changes from control (with control being NPY overflow values before ANG II administration). Each bar in the graph represents the mean ± SE of 5–7 preparations. ANG II administration at either concentration did not alter the basal NPY overflow from preparations obtained from 4- to 6-wk-old rats (Fig. 1A). In contrast, ANG II at both concentrations produced a significant increase in basal NPY overflow from 10- to 12-wk-old and 18- to 20-wk-old SHR mesenteric beds compared with age-matched WKY controls (Fig. 1, B and C). ANG II at 0.01 µM produced 4.1 ± 1.1- and 1.82 ± 2.5-fold increases in NPY overflow from 10- to 12-wk-old and 18- to 20-wk-old SHR mesenteric bed preparations, respectively. NPY overflow increases in response to 0.1 µM ANG II were 2.66 ± 0.3- and 2.17 ± 0.3-fold from 10- to 12-wk-old and 18- to 20-wk-old SHR preparations, respectively. Both concentrations of ANG II failed to alter the basal NPY overflow from mesenteric arterial beds obtained from WKY rats at all ages.
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ANG II produced a significant increase in the NS-induced overflow of NPY from mesenteric beds obtained from 4- to 6-wk-old SHRs but not age-matched WKY rats (Fig. 2A). ANG II at 0.01 µM produced a 2.26 ± 0.28-fold increase and a similar increase (2.3 ± 0.3-fold) at 0.1 µM. ANG II had similar effects in 10- to 12-wk-old SHR preparations, with a 2.1 ± 0.2-fold increase at 0.01 µM ANG II and 2.7 ± 0.3-fold increase at 0.1 µM ANG II (Fig. 2B). In 18- to 20-wk-old SHRs, ANG II at 0.1 µM resulted in a 1.6 ± 0.2-fold increase in the nerve-stimulated NPY overflow (Fig. 2C).
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In summary, the increase in the NS-induced overflow of NPY from mesenteric beds of SHRs by ANG II at both concentrations was greater than from WKY rats at all ages.
ANG II Modulation of NPY Overflow Changes with Age in SHRs
In addition to comparing the effect of ANG II-induced NPY overflow from SHR preparations with that from WKY controls, we also compared the effects of ANG II on basal and NS-induced NPY overflow in mesenteric arteries obtained from SHRs as a function of age. This is shown in Fig. 3. Data are plotted as means ± SE in nanograms per milliliter of NPY for 5–7 preparations. At the prehypertensive age of 4–6 wk, neither 0.01 nor 0.1 µM ANG II altered basal NPY overflow. In contrast, both 0.01 and 0.1 µM ANG II significantly increased basal NPY overflow from 10- to 12-wk-old and 18- to 20-wk-old SHR mesenteric arterial beds (Fig. 3A).
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AT1 Receptor Antagonist EMD-66684 and AT2 Receptor Antagonist PD-123319 Attenuated ANG II-Induced Increases in NPY Overflow From Mesenteric Arterial Beds From SHRs of 10–12 wk of Age
ANG II is known to activate at least two receptor subtypes, identified as AT1 and AT2 receptors. Figure 4 shows that the presence of either the AT1 receptor antagonist EMD-66684 (0.1 µM) or the presence of the AT2 receptor antagonist PD-123319 attenuated the ANG II (0.1 µM)-induced increase in basal (Fig. 4A) and nerve-stimulated NPY overflow (Fig. 4B). In contrast, in the presence of the AT2 receptor antagonist PD-123319, ANG II greatly enhance basal and NS-induced NE overflow (Fig. 5). The effect of ANG II on PP changes was attenuated in the presence of the AT1 receptor antagonist (control = 153 ± 13.5 mmHg and ANG II + EMD-66684 = 164 ± 12.5 mmHg), whereas in the presence of the AT2 receptor antagonist ANG II significantly enhanced the NS-induced increase in PP (control = 121 ± 5.3 mmHg and ANG II + PD-123319 = 165 ± 7.8 mmHg).
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As shown above, ANG II enhanced the basal overflow of NPY from SHR mesenteric beds, suggesting that a local RAS might be active in this preparation. To investigate such a possibility, we examined the effect of an angiotensin-converting enzyme (ACE) inhibitor, captopril, on basal and NS-induced increases in NE and NPY overflow.
The addition of captopril to the buffer perfusing mesenteric arterial beds from 10- to 12-wk-old SHR for 45 min decreased basal and NS-induced NE overflow (Fig. 6A). In contrast, captopril had no effect on either the basal or NS-induced overflow of NPY (Fig. 6B). In addition, captopril did not significantly alter the NS-induced PP increase (NS – basal) (control = 122.4 ± 21.7 mmHg and captopril = 120 ± 29.5 mmHg).
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To further investigate whether or not an endogenous RAS is active in perfused mesenteric arterial beds obtained from 10- to 12-wk-old SHRs, we examined the effect of the AT1 receptor antagonist EMD-66684 on the basal and NS-induced overflow of NE and NPY. EMD-66684 (0.1 µM for 45 min) did not alter the basal overflow of either NE or NPY; however, it attenuated the NS-induced stimulation of both NE and NPY overflow (Fig. 7, A and B). In addition, EMD-66684 also attenuated the NS-induced PP increase (control = 161.2 ± 11.8 mmHg and EMD-66684 = 139.2 ± 7.0 mmHg).
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| DISCUSSION |
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1-adrenergic receptor antagonist, suggesting a role for both NE and NPY in contributing to the increase in PP. These findings are consistent with the large body of evidence implicating the SNS as a contributor to the initiation and maintenance of hypertension in a significant portion of the hypertensive population (16, 23–25, 31) and various experimental models such as the SHR (20, 45, 69). There is evidence that increased sympathetic nerve density (28, 33), altered neuronal NE reuptake (37), diminished arterial baroreflex buffering of sympathetic nerve traffic (41), alterations in modulation by prejunctional receptors, and facilitation of NE release by neurohumoral factors such as ANG II (74) all contribute to the development and maintenance of hypertension. However, the precise causal mechanisms leading to the increased sympathetic activity are poorly understood.
The increase in NPY overflow and PP from SHR preparations upon NS is consistent with our previous observations that nerve-stimulated NE overflow is also increased from SHR blood vessels compared with normotensive controls (68). The difference in the increase in PP and NPY overflow from mesenteric arterial beds of 10- to 12-wk-old and 18- to 20-wk-old SHRs compared with WKY rats is consistent with NPY playing a role in the increase in PP. The fact that ANG II did not produce an increase in the NS-induced change in PP or NPY release from mesenteric arterial beds of WKY rats is in contrast to what we observed from another normotensive strain, the Sprague-Dawley rat. In Sprague-Dawley rats, there was an increase in both PP and NPY release, but it was significantly less than from SHRs. There seems to be a spectrum of effects, therefore, going from no response in WKY rats to some response in Sprague-Dawley and the greatest increase in PP and NPY release from mesenteric beds obtained from SHRs.
In addition, we observed that ANG II produced a significant increase in basal NPY overflow from mesenteric arteries of hypertensive SHRs (10–12 and 18–20 wk old) and nerve-stimulated NPY overflow from SHR arteries of all ages. In contrast, ANG II had no effect on NPY overflow in WKY preparations of any age group. ANG II had a greater effect on NPY overflow from SHR arteries than WKY arteries at all ages and concentrations. However, the effect of ANG II on NPY overflow from SHR preparations did not appear to be concentration dependent. This could be a result of the breakdown of ANG II by ACE-2. We included protease inhibitor cocktail in the perfusion buffer to prevent the breakdown of ANG II; however, there was no specific ACE-2 inhibitor present in this cocktail. This newly discovered enzyme is reported to have a high affinity for ANG II and results in its rapid breakdown (7, 9, 54), which could explain the lack of additional effect by the higher concentration of ANG II. The effect of ANG II on NPY release is consistent with results reported by Pernow and Lundberg (56), who observed an enhancement of NPY release from the pig kidney upon stimulation of ANG II receptors, as well as results of Cavadas et al. (10) and Grouzmann et al. (34), who demonstrated that ANG II enhances NPY release from models of sympathetic nerve cultures. It is also consistent with observations on plasma and tissue levels of NPY after the administration of ACE inhibitors (13, 73). These results support numerous other reports of the facilitatory effect of ANG II on sympathetic neurotransmission and stimulation-induced NE release in other tissues such as the dog hindlimb (74), rat caudal artery (14), rat and human kidneys (60, 61), rat and guinea pig atria (6), rat and rabbit mesenteric arteries (2, 3), rabbit thoracic aorta (52), rat and rabbit vas deferens (14, 63), human atria (21), rat prostate (26), and pithed rat (4, 5).
To our knowledge, this is the first report demonstrating that ANG II significantly enhances both basal and evoked overflow of NPY from blood vessels of SHRs compared with normotensive control rats. We conclude that ANG II can increase the overflow of NPY in a manner similar to NE in SHR blood vessels. This increased sensitivity to the modulatory effect of ANG II on the release of these sympathetic cotransmitters could contribute to their elevated circulating level, which has been repetitively demonstrated in vivo in the SHR as well as in human hypertensive patients.
We expected that ANG II would significantly enhance the NS-induced NPY overflow from SHR preparations compared with WKY preparations. However, we were surprised that ANG II had such a pronounced effect on the basal NPY overflow from 10- to 12-wk-old and 18- to 20-wk-old preparations (Fig. 2, B and C). This effect was clearly greater than that in age-matched WKY rats. It is also of interest that ANG II did not have an effect on basal NPY overflow from mesenteric beds of 4- to 6-wk-old SHR. However, upon NS, ANG II facilitated NPY overflow from prehypertensive SHR preparations in a manner similar to those of hypertensive 10- to 12-wk-old and 18- to 20-wk-old SHR (Fig. 3B). This suggests that under resting conditions, prehypertensive animals behave similarly to their normotensive controls; however, upon intense stimulation (such as stress, etc.), their response is exaggerated and could contribute to the cascade of events that lead to hypertensive disease.
ANG II also enhanced the NS-induced increase in PP to a greater degree in arterial beds of SHRs than age-matched WKY controls (Table 3). We conclude that SHRs display an increased sensitivity to the modulatory effects of ANG II on NPY overflow compared with age-matched normotensive controls (this study) and NE overflow (69), which is translated to greater increases in PP and consequently increases in blood pressure in vivo.
The present findings add to the body of literature reporting that there are dysfunctions or alterations in the modulation of sympathetic neurotransmitter release from blood vessels obtained from the SHR (3, 36, 66, 67, 73). For example, there are reports from our laboratory and others demonstrating that the prejunctional inhibition of NE release by activation of
2-, adenosine, and NPY receptors is attenuated in mesenteric preparations from SHRs, whereas prejunctional β2-receptor facilitatory mechanisms are enhanced, resulting in a net increase in neurotransmitter release (37, 64, 65, 70).
ANG II can activate two separate receptors: namely, AT1 and AT2, which have been further subdivided into AT1A, AT1B, AT2A, and AT2B receptors by molecular cloning studies. It is well established that the direct effect of ANG II on vascular smooth muscle contraction and the increased release of aldosterone from the adrenal cortex is via the activation of the AT1 receptor. There is controversy regarding the receptor mediating the enhancing effect of ANG II on sympathetic neurotransmission and NE release. The majority of studies implicate the AT1 receptor. For instance, the enhancement of NE overflow by ANG II was blocked by AT1 receptor antagonists but not by AT2 receptor antagonists in several preparations, such as rat and guinea pig atria (6, 29), the isolated rat mesenteric artery (3), the pithed rat (4, 5, 53), the mesenteric artery of the rabbit (2), etc. However, other studies are at variance with the above data and implicate both AT1 and AT2 receptors. For instance, in the rat caudal artery, both the AT1 receptor antagonist losartan and the AT2 receptor antagonist PD-123319 blocked the enhancing effect of ANG II on NE overflow (14, 15). Moreover, the enhancement of the twitch response to sympathetic NS by ANG II in the rat vas deferens was blocked by both antagonists (14). Similar evidence for the involvement of both receptor subtypes was obtained in human atria (21) and the rat prostate (26). Finally, Trachte et al. (63) reported that both losartan and PD-123319 failed to abolish the enhancement of noradrenergic transmission by ANG II in the isolated rabbit vas deferens. These studies suggest that the ANG II receptor mediating the facilitatory effect on the release of NE varies in different preparations, tissues, and species.
In the present study, we examined the effect of the AT1 receptor antagonist EMD-66684 and AT2 receptor antagonist PD-123319 on ANG II-induced increases in basal and nerve-stimulated NPY overflow from mesenteric arterial beds of 10- to 12-wk-old SHRs. The addition of either antagonist completely attenuated the ANG II-induced increase in the overflow of NPY (P < 0.01). EMD-66684 also attenuated the effect of ANG II on PP change (P < 0.01); however, PD-123319 did not. As mentioned above, the effects of ANG II on NE overflow from the rat mesenteric artery seem to be mediated by the AT1 receptor. In addition, Diniz et al. (19) reported that mesenteric arterial sections obtained from SHRs display a vast reduction in AT2 receptor labeling compared with WKY controls. AT2 receptor activation is thought to result in the stimulation of nitric oxide (NO) release (1, 18), and we have previously shown that NO can deactivate NE, resulting in alterations in PP and neurotransmitter overflow (38, 39). Therefore, the antagonism of AT2 receptors should result in a decrease in NO, which, when coupled with the unopposed activation of AT1 receptors by ANG II, results in a net increase in NE overflow. Therefore, this increased NE inhibits the release of NPY by acting on prejunctional
2-receptors, explaining the inhibition of ANG II-induced NPY release by the AT2 receptor antagonist. This is supported by our results showing that ANG II enhanced the release of NE in the presence of the AT2 receptor antagonist (Fig. 5).
Components of the RAS have been identified in blood vessels and other tissues (9, 27, 54). In the present study, we observed that ANG II increased basal NPY overflow from SHR mesenteric arterial beds. Therefore, we investigated the presence of an active local RAS at the sympathetic vascular neuroeffector junction. The strategies used were to prevent the endogenous formation of ANG II using an ACE inhibitor and to block the effect of any endogenously formed ANG II on its receptor with EMD-66684 (an AT1 receptor antagonist). We reasoned that if endogenous ANG II were exerting a facilitatory effect on sympathetic neurotransmission, these treatments should inhibit or attenuate these effects. The AT1 receptor antagonist EMD-66684 was shown to attenuate NS-induced increases in the overflow of NE and NPY as well as PP. In addition, captopril decreased basal and NS-induced increases in NE but not NPY overflow. This is consistent with the presence of an active endogenous RAS in the perfused mesenteric arterial bed.
We believe that these results significantly add to the evidence that NPY released from sympathetic nerves, and the actions of ANG II on sympathetic neurotransmission, play a role in the development and maintenance of hypertension. While the data in support of the involvement of NPY in hypertension is extensive (11, 12, 32, 35, 48, 50, 55), questions still remain. To date, standard antihypertensive therapy does not specifically target NPY. ACE inhibitors and AT1 receptor antagonists are currently widely used treatments for essential hypertension. However, the exact mechanism behind their blood pressure-lowering abilities remains poorly understood and even controversial. Our data suggest that if ANG II can enhance NPY overflow vasoconstriction in hypertensive humans like it does in SHRs, interfering with this effect of ANG II (either by altering its synthesis or blocking the receptor mediating its function) could be one mechanism resulting in the blood pressure-lowering ability of ACE inhibitors and AT1 receptor antagonists. In addition, we believe that regulating NPY activity in hypertensive subjects could be of benefit in preventing the progression of the end-organ damage caused by high blood pressure and, as a result, reduce the morbidity and mortality of hypertension.
| 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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