(Hypertension. 1997;29:510.)
© 1997 American Heart Association, Inc.
State-of-the-Art-Lecture |
From the Hypertension Center, Bowman Gray School of Medicine at Wake Forest University, Winston-Salem, NC (D.I.D., B.F., S.M.B., B.M.W., J.K., C.M.F.), and the Max-Delbruck Center for Molecular Medicine, Berlin-Buch, Germany (D.G.).
Correspondence to Debra I. Diz, PhD, The Hypertension Center, Bowman Gray School of Medicine, Wake Forest University, Medical Center Blvd, Winston-Salem, NC 27157-1032. E-mail ddiz{at}bgsm.edu
| Abstract |
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Key Words: angiotensin peptides substance P hypothalamus renin transgenic rat hypertension
| Introduction |
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In earlier studies we showed that in brain slices from the hypothalamus, both angiotensin II and angiotensin-(17) stimulated the efflux of substance P.8,9 Substance P and other tachykinin peptides exhibit cardiovascular actions consistent with regulation of fluid and electrolyte balance at hypothalamic sites.1012 These actions include increases in arterial pressure and release of vasopressin after intraventricular or paraventricular injections. In addition, interactions among the effects of angiotensin and tachykinin peptides are becoming increasingly apparent. We showed that the cardiovascular actions of angiotensin II injected into the nucleus of the solitary tract are blocked by an antagonist of substance P.13 Others report that the vasopressin release and hypothalamic pressor actions of tachykinins are mediated by angiotensin.12,14
This study was designed to assess both basal and angiotensin peptide-stimulated release of substance P from hypothalamic slices prepared from TG(+) rats compared with that from normotensive control rats. Our findings suggest that the reduced cardiovascular effects and vasopressin release in TG(+) rats in response to exogenously administered angiotensin peptides are associated with attenuation of angiotensin peptide-stimulated release of substance P in the hypothalamus as well.
| Methods |
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Rats were decapitated, the brain removed rapidly, and the hypothalamus dissected away from surrounding tissue according to the following landmarks on the ventral surface: 1 mm rostral to the optic chiasm, caudally at the junction of the median eminence, and laterally within 1 mm of the interface with the cortex. Dorsally, the cortical tissue above the ventricles was removed. This tissue block was then sliced into 1-mm slices in two directions and placed into a chamber filled with 1.0 mL of Krebs solution containing 20 µmol/L bacitracin (Sigma) and 6 µmol/L dithiothreitol (Sigma) and bubbled with 95% O2-5% CO2 to a pH of 7.4, as reported previously.9
The tissue in the chamber was perfused with oxygenated Krebs solution for 16 minutes to allow for equilibration.9 Subsequently, three 6-minute collections were taken (
2.5 mL volume each). The first collection period was used as an index of basal efflux of substance P. The second collection period (stimulus period) consisted of continued perfusion with either buffer only (control) or buffer containing 2 µmol/L of either angiotensin II or angiotensin-(17) (Bachem). During the third collection period all tissues were perfused with buffer only for a recovery period. At the end of the experiment, the tissue was removed from the chamber, blotted dry, and weighed.
For substance P measurements, 1 mL of each sample was added to tubes containing 50 µL of 1.9 mg/mL aprotinin (Sigma) and 6.8 µL of 0.5 mol/L EDTA, lyophilized, and reconstituted to a volume of 0.2 mL for assay. The samples were measured by radioimmunoassay (INCSTAR Corporation). Values below the detection limit were assigned the detection limit of 4 pg per tube. Cross-reactivity of the antibody with other tachykinin peptides (physalaemin, eledoisin), as reported by the manufacturer of the assay kit was less than 0.002%. Interassay variability averaged 15%. In preliminary studies, the buffer either alone or containing the inhibitors, and buffer containing 2 µmol/L angiotensin II or angiotensin-(17) was tested for cross-reactivity or interference in the substance P assay. Values were below the detection limit for each of these determinations.
Basal release values were defined as the amount of spontaneous release in the first 6-minute period and expressed per gram tissue wet weight and per milliliter of perfusate. Responses over time (stimulus and recovery periods) are expressed as percent of basal. If basal values and values from subsequent periods were below the detection limit, the data were excluded from analysis since the percent change from basal could not be determined.
Values are reported as mean±SEM. Unpaired Students t tests were used to compare pressure, body weights, and basal release between TG(+) and TG(-) rats. Data were evaluated using twoway analyses of variance (ANOVA) for between-strain [TG(+) versus TG(-)] comparisons, followed by Mann Whitney tests. One-way ANOVA followed by Student-Newman-Keuls post hoc comparisons was used to compare among treatment groups in a given rat strain [Control, angiotensin II, angiotensin-(17)] in the stimulus and recovery periods. Logarithmic transformation of the data was performed to achieve homogeneity of variance. InStat and Prism software were used for these analyses (GraphPad). A value of P<.05 was taken as indicative of a significant difference among means.
| Results |
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Differences in Responses to Angiotensin Peptides in TG(+) and TG(-) Rats
In both groups of rats, values for substance P in the perfusate tended to decline with time to
80% of basal as seen in the control group perfused with buffer only throughout the experiment (see the Figure). In the presence of either angiotensin II (2 µmol/L) or angiotensin-(17) (2 µmol/L) during the stimulus period, there was a 70% to 80% increase in substance P efflux above the time control group from the hypothalamic slices of TG(-) rats (F=4.328, P=.036). On the other hand, there was no significant increase in substance P release from hypothalamic slices of the TG(+) rats treated with either angiotensin II or angiotensin-(17) (F=1.06, P=.368). Furthermore, the increase in substance P in response to angiotensin II in TG(-) rats was significantly greater than that observed in TG(+) rats (P<.03). There was no statistical difference in the magnitude of the substance P response to angiotensin-(17) between hypertensive and normotensive rats.
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In both peptide-treated groups values for substance P declined towards the control group in the recovery period. There were no differences among control and peptide-stimulated groups or between TG(+) and TG(-) rats during this period.
| Discussion |
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The mechanism for the attenuation of the angiotensin peptide-induced responses in the TG(+) rat is not known. Endogenous levels of angiotensin II and angiotensin-(17) are substantially higher in the hypothalamus of TG(+) rats than in normotensive control rats.1 In spite of the high levels of angiotensin peptides, separate studies suggest that there are no differences in receptor density or affinity in various brain and peripheral areas.37 Therefore, downregulation of the receptor itself appears unlikely. However, recent studies by Tallant et al,5 and Weiss et al6 indicate that the activation of inositol phosphate metabolism by angiotensin II is diminished in cultures of brain astrocytes or vascular smooth muscle cells from TG(+) rats. In our study, basal substance P was not different between hypertensive and normotensive rats, but there was no significant increase in substance P in the TG(+) rats when the angiotensin peptides were tested at a single dose. Because additional doses were not tested in our study, it cannot be determined whether the reduced response represents a partial or complete receptor desensitization. Further insights can be obtained, however, from the data of Tallant and colleagues5,6 since a wider dose range (10-9 to 10-6) was used in their studies. They reported that the IC50 for angiotensin II was roughly the same in cells from both TG(+) and TG(-) rats. However, the maximal response was reduced by over 60%. Thus, it is possible that basal release of substance P reflects the presence of high endogenous peptide levels in the face of "normal" receptor numbers. The uncoupling of receptor-signaling mechanisms may then account for both the absence of differences in basal release and the failure of the angiotensin peptides to stimulate the efflux of substance P in TG(+) rats. The somewhat greater inhibition of the angiotensin II response than of that obtained with angiotensin-(17) in the TG(+) rats might be accounted for by the fact that the hypothalamic angiotensin II levels are elevated almost 10-fold in the TG(+) rats, whereas the angiotensin-(17) levels are only 5-fold higher. Alternately, these differences may reflect differences in signal transduction pathways activated by angiotensin II and angiotensin-(17).1518
Finally, these studies provide further information on the possible pathways and transmitters involved in the cardiovascular and fluid balance actions of angiotensin peptides. Recent work by us in the dorsal medulla oblongata of the rat revealed that the acute cardiovascular actions of angiotensin II are mediated by substance P as they are blocked by substance P antagonist.13 Both angiotensin II and angiotensin-(17) stimulate the release of vasopressin directly from hypothalamic tissues.2,19 Only angiotensin II causes an accompanying increase in blood pressure and the effects on pressure and vasopressin release to angiotensin II are reported to be mediated by different mechanisms and/or receptors.2,2022 It is tempting to speculate that the increase in substance P might result in the hypothalamic vasopressin-release effects of the two peptides, whereas release of other transmitters may be responsible for the pressor effects of angiotensin II. Evidence in support of this concept comes from a report by Unger et al23 who showed that the mechanisms mediating the pressor effects of the substance P and angiotensin II differ. In addition, our earlier studies indicated that while angiotensin II increased substance P, dopamine and norepinephrine efflux from hypothalamic slices, angiotensin-(17) increased only substance P efflux.9 Central nervous system release of dopamine, serotonin or norepinephrine is known to contribute to the pressor effects of angiotensin II.2427 Differences in the transmitters released in response to the two peptides provides a potential mechanism for the lack of pressor effects of angiotensin-(17).
In summary, the TG(+) hypertensive rat provides a model of hyporesponsiveness to exogenously administered angiotensin peptides. While the mechanism for the reduced response is not yet known, it is likely to be the result of the elevated endogenous peptides and a concomitant desensitization of the receptor signaling pathways.
| Acknowledgments |
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| References |
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