(Hypertension. 1996;27:1284-1290.)
© 1996 American Heart Association, Inc.
Articles |
From the Laboratório de Hipertensão, Departamento de Fisiologia and Biofísica, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil, and Cleveland (Ohio) Clinic Foundation (M.C.K.).
Correspondence to Maria J. Campagnole-Santos, PhD, Departamento de Fisiologia and Biofísica, Av. Antonio Carlos, 6627-ICB-UFMG, 31270-901, Belo Horizonte, MG, Brasil. E-mail marrob@oraculo.lcc.ufmg.br.
| Abstract |
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Key Words: baroreflex renin-angiotensin system heart rate angiotensin antagonist rats, inbred SHR angiotensin-(1-7)
| Introduction |
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All the cardiovascular and fluid homeostatic actions of Ang II appear to be mediated by the AT1 receptor subtype.9 10 However, there is much evidence for the existence of other angiotensin receptor subtypes,8 10 11 12 and it is possible that distinct angiotensin receptor subtypes exist for the distinct biologically active angiotensin peptides. The recent identification of a specific binding site for Ang-(3-8) (Ang IV) in guinea pig hippocampus12 supports this hypothesis.
More recently, on the basis of in vitro and in vivo studies, we have characterized the peptide D-Ala7-Ang-(1-7) (A-779) as a potent and selective Ang-(1-7) antagonist.13 We have shown that A-779 potently blocked the antidiuretic effect of Ang-(1-7) in water-loaded rats and antagonized the changes in blood pressure produced by Ang-(1-7) injection into dorsomedial and ventrolateral medulla. In addition, A-779 produces a selective blockade of the Ang-(1-7) stimulatory effect on the neuronal activity at the paraventricular nucleus of the hypothalamus.14 In contrast, A-779 did not alter the dipsogenic, pressor, or myotropic effects of Ang II or the effects of other related peptides such as Ang III, vasopressin, bradykinin, or substance P in rats.13 Additionally, A-779 did not compete significantly for the binding of 125IAng II to adrenal cortical or medullary membranes at concentrations up to 1 µmol/L.13
The availability of selective angiotensin antagonists allows a more precise evaluation of the role of angiotensin peptides in the modulation of the baroreceptor reflex. In the present study, we attempted to evaluate the role of endogenous angiotensin peptides on the central modulation of the baroreceptor control of HR by determining the effect of central administration of selective antagonists for AT1 (DuP 753) and AT2 (CGP 42112A) receptors and the selective antagonist for Ang-(1-7) (A-779) in normotensive rats and SHR.
| Methods |
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Surgical Procedures
The rats were anesthetized with thiobarbital (40 to 60
mg/kg IP) and placed in a stereotaxic frame (David Kopf
Instruments) with the head in a horizontal position. A metallic cannula
made with a 25-gauge butterfly needle (siliconized) bent at a right
angle with one end connected to polyethylene tubing (PE-10) and the
other end cut obliquely was inserted into the right lateral ventricle
(1.5 mm lateral and 1.0 mm posterior to the bregma and 4.5 mm below the
skull) through a small hole drilled in the skull, as described
previously.8 The cannula was anchored to the skull with
dental cement and a jeweler's screw. The polyethylene tubing, filled
with sterile isotonic saline, was driven subcutaneously to the
interscapular region of the back and closed by a metallic pin. The
total dead space of the cannula was between 2.5 and 3.0 µL,
calibrated before cannula implantation. Postoperatively, the rats
received a single dose of penicillin (60 000 U IM; Pentabiótico
Veterinário, Fontoura-Wyeth). The rats were kept in individual
cages for 4 to 7 days, with free access to water and chow. Catheters
were then inserted into the femoral artery and vein and tunneled
subcutaneously to the back of the neck with rats under ether
anesthesia.
ICV Infusion Procedure
The ICV infusion of angiotensin
antagonists was carried out with a syringe (10 µL,
Hamilton Co) at rates of 100, 50, and 4 µg/8 µL per hour for DuP
753, CGP 42112A, and A-779, respectively, for 3.5 hours. Immediately
before the beginning of the infusion, 2.5 to 3.0 µL of the
antagonist solution was injected into the ICV cannula over
3 minutes. In the control group, sterile isotonic saline was infused
ICV at the same rate (8 µL/h). At the end of the infusion period, 25
ng Ang II was injected through the ICV cannula, and the
arterial pressure response and drinking behavior responses
were observed.
Antagonist Infusion Rate
The infusion rate of DuP 753 was chosen on the basis of
preliminary experiments which showed that this was the minimum
effective rate that completely blocked the pressor and drinking
responses produced by ICV injection of Ang II. The infusion rate of
A-779 was chosen on the basis of preliminary experiments in which this
rate was the minimum effective rate that caused a baroreflex change. In
addition, to document the effectiveness of A-779 in blocking the effect
of Ang-(1-7) on baroreflex sensitivity, we have performed in an extra
group of Wistar rats an ICV infusion of Ang-(1-7) (4 µg/h, n=4) or a
mixture of A-779 (16 µg/h) and Ang-(1-7) (4 µg/h, n=5) for 1.5
hours. After 1 hour, the Ang-(1-7) infusion produced a significant
increase in baroreflex sensitivity (1.28±0.19 versus 0.91±0.18 ms/mm
Hg of the period before infusion; P<.05, Student's paired
t test) that was completely blocked by the
simultaneous infusion of Ang-(1-7) and A-779 (0.84±0.16
versus 1.08±0.26 ms/mm Hg of the period before infusion;
P<.05, Student's paired t test). The infusion
rate of CGP 42112A was chosen to be a 10-fold higher rate, on a molar
basis, than the infusion rate of A-779 that was effective in producing
a change in baroreflex sensitivity.
Drugs
DuP 753, CGP 42112A, and A-779 were dissolved in sterile
isotonic saline (0.9% NaCl) immediately before use. A-779
antagonist was synthesized by M.C.K. at the Cleveland
Clinic Foundation. DuP 753 and CGP 42112A were obtained from E.I.
DuPont de Nemours and CIBA-Geigy, respectively.
Arterial Pressure Measurements
Arterial pressure was monitored by a solid-state
strain-gauge transducer (model TP-200T, Nihon Kohden), and HR was
determined with an HR counter (model AT-601G, Nihon Khoden) triggered
by the arterial pressure wave. All variables were
recorded continuously on a direct-writing polygraph (model
CP-640G, Nihon Kohden).
Baroreceptor Reflex Test
Twenty-four hours after vascular cannula implantation,
baroreflex control of HR was evaluated in conscious rats before and
within 1 and 3 hours of ICV infusion of saline or
angiotensin antagonists. Baroreceptor reflex
control of HR was determined in each rat by recording reflex HR
changes in response to MAP changes produced by repeated bolus
injections of graded doses of phenylephrine (0.2 to 40
µg/kg). Phenylephrine doses were injected 1 to 2 minutes
apart into a femoral vein in 0.1 mL isotonic NaCl. Peak changes in HR
occurring during the initial 5 seconds of the corresponding maximum
change in MAP produced with phenylephrine were
recorded. Pulse interval was calculated by the equation 60 000/HR
(in milliseconds per beat per minute). Baroreceptor reflex sensitivity
was estimated in each rat by fitting a least-squares regression
line for the relationship between changes in pulse interval
(milliseconds) and MAP (millimeters of mercury) for each data point
obtained with graded injection of phenylephrine. The slope
of the line expressing the relationship (milliseconds per millimeter of
mercury) that expresses the baroreflex gain was used as an index of
baroreceptor sensitivity. The intercept of the line with the
y axis was also analyzed for evaluation of the set
point.
Verification of ICV Cannula Location
At the end of every experiment, 5 µL Evans blue dye (5%) was
injected through the ICV cannula. The brain was removed, and the
position of the cannula in the lateral ventricle was confirmed by the
diffusion of the dye throughout the ventricular system.
Statistical Analysis
Comparisons among the antagonists or at different
time points were assessed by ANOVA followed by the least significant
difference test. The criterion for statistical significance was set at
a value of P<.05. Numerical values are given as
mean±SE.
| Results |
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MAP,
24±2 mm Hg;
HR,-40±3 bpm; Fig 2
MAP, 32±1 mm Hg;
HR, -41±1 bpm; Fig 2
MAP, 24±2
and 29±2 mm Hg in normotensive rats and SHR, respectively; Fig 2
HR, -39±1 and -35±3 bpm in
normotensive rats and SHR), or drinking behavior produced by ICV
injection of Ang II. Similarly, 3 hours of CGP 42112A infusion did not
change the pressor response (
MAP, 20±1 and 30±2 mm Hg in
normotensive rats and SHR; Fig 2
HR,
-31±3.0 and -43±2 bpm in normotensive rats and SHR), or
drinking behavior produced by ICV injection of Ang II.
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Effect of ICV Infusion of Angiotensin
Antagonists on Baroreflex Control of HR in Normotensive
Rats
One and 3 hours of ICV infusion of A-779 produced a significant
decrease in baroreflex sensitivity (Table
and Fig 3
). The sensitivity of the baroreceptor control of HR,
taken as the mean of the slopes of individual regression lines for each
rat, was significantly lower at 1 hour (0.27±0.1; approximate 70%
decrease) and at 3 hours (0.47±0.1; approximate 60% decrease) of
infusion compared with values observed before infusion (1.09±0.3) or
at 3 hours of saline infusion (1.18±0.1) in other rats (Table
). No
significant effects were observed for the set point of the baroreflex
as determined by the intercept of the line with the y axis
(Table
).
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In contrast to the results obtained with A-779, ICV infusion of the
AT1 receptor antagonist DuP 753 (100 µg/h)
produced a significant increase in baroreflex sensitivity
(approximately 70%), taken as the slope of the regression line between
HR and MAP (1.83±0.3 at 3 hours compared with 1.1±0.1 before
infusion; Table
and Fig 3
). In addition, the set point of the
baroreflex at 3 hours of DuP 753 infusion changed significantly, as
determined by the intercept of the regression line with the
y axis (Table
).
ICV infusion of CGP 42112A or saline did not significantly alter the
slope of the regression line for the relationship between the reflex
changes in HR and changes in MAP at either 1 or 3 hours of
antagonist infusion (Table
). No significant effects were
observed for the set point of the baroreflex as determined by the
intercept of the line with the y axis (Table
).
Effect of ICV Infusion of Angiotensin
Antagonists on Baroreflex Control of HR in SHR
The gain of the baroreflex of SHR (slope=0.59±0.05 before
infusion, n=29) was significantly attenuated compared with that of
normotensive rats (slope=1.17±0.10 before infusion, n=29). The ICV
infusion of A-779, CGP 42112A, or saline did not modify the already
depressed baroreflex sensitivity of the SHR, as evaluated by the slope
of the regression line between changes in HR (as pulse interval) and
changes in MAP (Table
and Figs 4
and 5
).
No significant changes were observed in
the intercept of the line with the y axis (Table
). In
contrast, DuP 753 significantly facilitated the baroreflex sensitivity
at 3 hours of infusion (increase of approximately 60%) when the data
were taken as the slope of the regression line between changes in HR
and changes in MAP (0.82±0.2, compared with 0.49±0.1 before infusion;
Table
and Fig 4
). The set point of the baroreflex determined by the
intercept of the regression line with the y axis was not
significantly altered (Table
).
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| Discussion |
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The relevance of our findings is based on the recent demonstration that the peptide D-Ala7-Ang-(1-7) (A-779) is a potent Ang-(1-7) antagonist, without demonstrable intrinsic agonistic activity in several biological preparations examined in concentrations up to 2.5 µmol/L.13 14 Furthermore, our previous data indicated that the antagonistic properties of A-779 are unrelated to AT1 or AT2 receptor subtypes. A-779 was unable to change the pressor (intravenous and ICV), dipsogenic, or myotropic effects of Ang II and did not inhibit the binding of radioiodinated Ang II to adrenocortical membranes, which are rich in AT1 receptors. In addition, A-779 did not compete significantly with Ang II for binding in adrenomedullary membranes, indicating that A-779 does not bind to AT2 receptor subtypes either. In contrast, A-779 abolished the peripheral and central effects of Ang-(1-7).13 14 In addition, in the present study, we were able to completely block the facilitatory effect of Ang-(1-7) on baroreflex modulation when A-779 was infused with Ang-(1-7) at a molar ratio of 4:1. Thus, the use of selective antagonists allowed us to extend our previous observation that central infusion of Ang-(1-7) facilitates the baroreceptor reflex control of HR and to suggest a functional role for endogenous Ang-(1-7) in the central regulation of the HR component of the baroreceptor reflex. The possibility that the central effect of A-779 on baroreflex modulation could be due to interference with other peptides is unlikely because we found that A-779 does not influence the biological activity of several peptides, including Ang III, substance P, vasopressin, and bradykinin, even at a molar ratio of 2500:1.13 The effect of A-779 is also unrelated to hemodynamic effects because we did not observe significant changes in MAP or HR during the 3.5 hours of ICV infusion. In addition, it is also unlikely that A-779 was acting as a partial agonist on the AT1 receptor, first because A-779 does not mimic any of the Ang II effects, even in high concentrations (micromolar),13 and second because A-779 has been shown not to interfere with any of the Ang II actions centrally6 13 14 or in the periphery.13
It is well established that Ang II exerts an inhibitory influence on baroreceptor reflex control of HR after either intravenous or ICV administration in several species.15 The effect shown in the present study, that DuP 753 enhances baroreflex sensitivity, has extended these observations and provided additional confirmation for a role of endogenous Ang II on the central regulation of the HR component of the baroreceptor reflex. Moreover, it suggests that the central inhibitory effect of Ang II in the baroreflex may be mediated by the AT1 receptor subtype. This observation is consistent with the results showing that the central pressor and dipsogenic responses produced by Ang II are mediated by the AT1 receptor subtype in normotensive rats9 and SHR.16
Interestingly, 3 hours of ICV infusion of DuP 753 did not significantly alter baseline levels of MAP and HR in SHR, although DuP 753 abolished the pressor effect and dipsogenic behavior of exogenous Ang II, as mentioned above. In support, DePasquale et al16 showed that ICV injection of DuP 753 (10 µg) also did not change baseline levels of MAP and HR. These results suggest that the antihypertensive effect of intravenous or oral administration of DuP 753 in SHR may be solely due to peripheral AT1 receptor blockade or the occupancy of central AT1 receptors localized in sites not accessible by ICV administration. In addition, it is important to note that the facilitation of the baroreceptor control of HR produced by DuP 753 in the present study cannot be attributed to changes in baseline levels of MAP or HR.
The specificity of DuP 753 has been questioned.17 18 19 Although DuP 753 was described as a specific AT1 receptor antagonist, recent studies have shown that this compound can bind to nonangiotensin-binding sites18 or may interfere with nonangiotensin-mediated responses.20 Recently, it has been shown that losartan (DuP 753) inhibited the cardiovascular responses evoked by L-glutamate microinjected into the rostral ventrolateral medulla in a dose-dependent manner.20 In addition, it was found that this compound can block the effects produced by Ang-(1-7) in some tissues, including the heart19 and kidney.17 21 Therefore, we cannot completely rule out the possibility that the central actions of DuP 753 on the baroreflex could be the result of a complex interaction of this compound with Ang II, Ang-(1-7), and possibly other receptors.
It is interesting to note that a statistically significant action of DuP 753 on the baroreflex as described in the present study was verified only at the third hour of ICV infusion of this compound. This observation raises the possibility that part of the central effect produced by DuP 753 could be due to leakage of this compound to the periphery. Accordingly, it was recently shown that intravenous administration of DuP 753 facilitated the baroreflex in renal hypertensive rats and this effect was more potent than that produced by the angiotensin-converting enzyme inhibitor captopril.22
Unlike Ang II, Ang-(1-7) is a weak vasoactive peptide in vivo2 8 23 24 25 26 and does not interfere with baroreflex modulation when injected into the periphery.8 Therefore, it is likely that the effects produced by A-779 are mediated by the interaction of this antagonist with sites in the central nervous system related to cardiovascular regulation. To date, no data are available concerning the characteristics and location of the Ang-(1-7) receptor or receptors in the brain or other tissues. However, several areas in the central nervous system were identified pharmacologically as potential sites for Ang-(1-7) actions.1 2 4 5 6 The nucleus tractus solitarii4 in the dorsomedial medulla and the rostral and caudal areas of the ventrolateral medulla5 6 are examples of these sites. In addition, Block et al27 showed the presence of Ang-(1-7) immunoreactivity in several nuclei of the hypothalamus and in the neurohypophysis. However, further studies are necessary for investigation of whether the selective actions of the different angiotensin peptides are exclusively due to different populations of receptors or are influenced by differential localization of distinct receptor subtypes in the central pathways involved in arterial pressure modulation.
The ICV infusion of the AT2 receptor antagonist CGP 42112A did not significantly alter the gain (slope) of the baroreceptor control of HR in normotensive or hypertensive rats. However, there was a tendency for a decrease in the baroreflex. This result indicates that the AT2 receptor subtype may not be importantly involved in central baroreflex modulation. The tendency for a decrease in the baroreflex produced by CGP 42112A may be unrelated to the AT2 receptor subtype. One possibility is that CGP 42112A would interact with the Ang-(1-7) receptor and the magnitude of the effect would be related to the dose of the compound used. Actually, AT2 receptor antagonists have been shown to block some of the Ang-(1-7) actions in the brain28 and periphery.19 Another possibility is that although CGP 42112A was described as a selective AT2 receptor antagonist, this compound may behave as a partial agonist on AT1 receptors, especially because of its peptide characteristics.9
In the present study, ICV infusion of CGP 42112A did not alter the cardiovascular effects produced by Ang II. The effects of AT2 receptor antagonists on central Ang II responses are very controversial.9 29 30 The AT2 receptor antagonist PD 123177 has been shown to inhibit the ICV effects evoked by Ang II.29 Conversely, other authors have not observed any effect of PD 123177 on the effect of ICV or subcutaneous Ang II injection.30 Our results are more in accordance with these investigators.
Anatomic and functional studies have provided evidence that brain Ang II may play an important role in the pathogenesis of hypertension in SHR.31 32 33 34 ICV administration of saralasin (a nonspecific Ang II receptor antagonist) or captopril markedly lowered blood pressure in adult SHR or attenuated the development of hypertension in young SHR.35 36 Moreover, it has been reported that lifetime oral captopril treatment37 or ICV [Sar1,Thr8]Ang II infusion34 increased baroreflex sensitivity in SHR. Our results showing that DuP 753 enhances the baroreceptor control of HR in SHR extend these observations and show that the AT1 receptor subtype is at least in part involved in the depressed baroreflex sensitivity observed in these rats. It was also possible to show that the effect on baroreflex sensitivity was independent of any antihypertensive effect because ICV infusion of DuP 753 did not alter baseline levels of MAP. This observation is similar to that of Berecek et al34 that showed an increase in baroreflex modulation without changes in MAP of SHR after infusion with [Sar1,Thr8]Ang II. Unexpectedly, ICV infusion of the selective Ang-(1-7) antagonist A-779 did not significantly alter the baroreceptor control of HR in SHR. This result is intriguing, especially when compared with the pronounced effect produced by A-779 in normotensive rats. Furthermore, the lack of A-779 antagonism in SHR suggests that the reduced baroreflex sensitivity of these rats could be related at least in part to an alteration in the metabolism and/or action of Ang-(1-7) at central sites involved in the control of blood pressure.
In summary, the present results show that central infusion of an AT1 receptor antagonist facilitated the sensitivity of the baroreceptor control of HR in normotensive rats and SHR, whereas central infusion of an Ang-(1-7) antagonist blunted the baroreflex sensitivity only in normotensive rats. These data suggest that central endogenous Ang II and Ang-(1-7) are differentially modulating the baroreflex, probably through distinct receptors or receptor subtypes. In addition, our data suggest that site-specific imbalances of angiotensin peptide formation and/or action may be responsible for the depressed baroreceptor reflex sensitivity in SHR.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received January 5, 1996; first decision February 9, 1996; accepted February 9, 1996.
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