Donate Help Contact The AHA Sign In Home
American Heart Association
Hypertension
Search: search_blue_button Advanced Search
Hypertension. 1997;30:859-867

This Article
Right arrow Abstract Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Nyui, N.
Right arrow Articles by Ishii, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Nyui, N.
Right arrow Articles by Ishii, M.

(Hypertension. 1997;30:859-867.)
© 1997 American Heart Association, Inc.


Articles

Tissue Angiotensinogen Gene Expression Induced by Lipopolysaccharide in Hypertensive Rats

Nobuo Nyui; Kouichi Tamura; Satoshi Yamaguchi; Masashi Nakamaru; Tomoaki Ishigami; Machiko Yabana; Minoru Kihara; Hisao Ochiai; Naomichi Miyazaki; Satoshi Umemura; ; Masao Ishii

From the Second Department of Internal Medicine, Yokohama City (Japan) University School of Medicine.

Correspondence to Satoshi Umemura, MD, Second Department of Internal Medicine, Yokohama City University School of Medicine, 3-9, Fukuura, Kanazawa-ku, Yokohama 236, Japan.


*    Abstract
up arrowTop
*Abstract
down arrowIntroduction
down arrowMethods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Abstract There is now convincing evidence that various tissues express their own tissue renin-angiotensin system, which may be regulated independently of the systemic renin-angiotensin system. However, little information is available on the regulation of the tissue renin-angiotensin system. We investigated the regulation of tissue angiotensinogen gene expression with respect to the development of hypertension. We measured basal and lipopolysaccharide-stimulated plasma angiotensinogen concentrations by radioimmunoassay and examined the expression of tissue angiotensinogen by Northern blot analysis in spontaneously hypertensive rats (SHR) and Wistar-Kyoto rats (WKY) at 4 and 13 weeks of age. Basal plasma angiotensinogen concentration in SHR was comparable to that in WKY at 4 weeks of age and was significantly higher than that in WKY at 13 weeks of age. Lipopolysaccharide induced a significant increase in plasma angiotensinogen concentration in both WKY and SHR at 4 and 13 weeks of age. At 4 weeks of age, the basal levels of angiotensinogen mRNA in the liver, fat, adrenal, and aorta were higher in WKY than in SHR. At 13 weeks of age, the basal levels of angiotensinogen mRNA in the fat, adrenal, aorta, spleen, and kidney were higher in WKY than in SHR, while that in the liver did not differ significantly between the two strains. At 4 weeks of age, pretreatment with lipopolysaccharide increased the angiotensinogen mRNA levels in the liver, fat, adrenal, and aorta in both WKY and SHR. At 13 weeks of age, pretreatment with lipopolysaccharide increased the angiotensinogen mRNA levels in the liver, aorta, and adrenal; decreased those in the spleen; and had no effect in the kidney in both WKY and SHR. Interestingly, lipopolysaccharide increased the angiotensinogen mRNA level in fat only in SHR, with no effect in WKY, at 13 weeks of age. Lipopolysaccharide stimulated tumor necrosis factor-{alpha} mRNA expression in fat of WKY and SHR, and the increase in tumor necrosis factor-{alpha} mRNA level in SHR was significantly greater than that in WKY. Therefore, the increased tumor necrosis factor-{alpha} mRNA expression may be involved in the increased lipopolysaccharide-induced expression of angiotensinogen gene in fat of SHR at 13 weeks of age. These data suggest that the transcriptional and probably posttranscriptional regulation of angiotensinogen mRNA differs between SHR and WKY, that the regulation of angiotensinogen gene expression is tissue-specific, and that the altered expression of the angiotensinogen gene may be involved in the development of hypertension.


Key Words: rats, inbred SHR • angiotensinogen • renin-angiotensin system • lipopolysaccharide • RNA, messenger • tumor necrosis factor-{alpha}


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMethods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Angiotensinogen is an important component of the systemic RAS, which participates in blood pressure regulation and electrolyte balance. The main source of the renin substrate angiotensinogen in plasma is the liver, where angiotensinogen is synthesized and secreted by the constitutive pathway into the bloodstream.1 A physiologically inactive decapeptide, Ang I, is released from angiotensinogen by renin and further hydrolyzed by ACE to produce the octapeptide Ang II, which mediates vasoconstriction and aldosterone secretion through specific interactions with Ang II receptors present on vascular smooth muscle and adrenal glands, respectively.2 Regulatory mechanisms for the synthesis and secretion of hepatic angiotensinogen have been extensively investigated in physiological and pathophysiological alterations. Inflammation,3 nephrectomy,4 and treatment with glucocorticoids,5 thyroid hormones,6 estrogens,7 or Ang II8 stimulate hepatic synthesis and secretion of angiotensinogen, increase circulating levels of angiotensinogen, and consequently elevate the activity of the circulating RAS.9 Recently, the existence of the tissue RAS has been established. Similar to the systemic RAS, the activity of most of this system is implicated in cardiovascular regulation. However, in contrast to the circulating system, the tissue RAS may be regulated by local factors, although definitive evidence supporting this claim is lacking. There is a strong correlation between blood pressure and plasma angiotensinogen.10 11 Several studies showed that PRA in SHR is either similar to or lower than that in normotensive rat strains.12 13 14 Moreover, plasma Ang II levels are not elevated in SHR.13 The tissue RAS may play an important role in hypertension and functions of the heart, adrenal gland, kidney, blood vessel wall, and adipose tissue. Recently, several experimental disease states have been shown to be associated with changes in angiotensinogen gene expression in affected organs. For example, an increase in angiotensinogen gene expression was seen in the heart after myocardial infarction15 or in the kidney exposed to arterial hypertension.16 Recent studies using cultured hepatocytes17 18 19 and transgenic animals20 21 22 reported that the 5' flanking region of the angiotensinogen gene might contain cis-acting regulatory elements. One crucial DNA control element, located between -531 and -557 in the rat gene 5' to the transcription start site, contains the sequence 5'-AGTTGGGATTTCCCAACC-3', which we have called the APRE.23 The APRE is a TNF-{alpha}–inducible enhancer that confers TNF-{alpha} induction onto an inert minimal promoter. The APR, initiated experimentally by intraperitoneal LPS injection and effected by the production of TNF-{alpha}, is a potent inducer of hepatic angiotensinogen expression. Past studies have demonstrated an immune component in the pathogenesis of systemic hypertension in both humans and animal models, including the SHR.24 25 The SHR has been shown to exhibit thymocytotoxic autoantibodies26 and impaired T- and B-cell function.27 28 Thymic tissue obtained from normotensive rats and implanted in the SHR reverses the T-cell dysfunction and attenuates the subsequent development of hypertension.29 These results suggest a correlation between immunological abnormalities and the development of hypertension in SHR. In the present study we examined the regulation of angiotensinogen gene expression by activation of the angiotensinogen gene APRE in various tissues of SHR early in the developmental phase of hypertension (4 weeks of age) and when hypertension was established (13 weeks of age) and compared findings with those in WKY.


*    Methods
up arrowTop
up arrowAbstract
up arrowIntroduction
*Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Animals
Male WKY and SHR were purchased from the Disease Model Cooperative Research Association (Kyoto, Japan) at 4 and 13 weeks of age. They were housed two to three animals per cage and maintained under controlled conditions of light, temperature, and humidity. All animals had free access to tap water and rat chow containing 0.3% NaCl. The rat chow was purchased from Oriental Kobo Kogyo.

Blood Pressure and Body Weight Measurements
SBP was measured by photoelectric volume oscillometry using an automated tail-cuff sphygmomanometer (UR-5000, Ueda) at 4 and 13 weeks of age.30 The reported values are averages of 10 to 15 consecutive measurements.

LPS Treatment
LPS (Escherichia coli, Sigma Chemical Co) in a dose of 100 µg/kg was injected intraperitoneally into 6 WKY or SHR at 4 weeks of age and 15 WKY or SHR at 13 weeks of age. As controls, vehicle was injected intraperitoneally into 6 WKY or SHR at 4 weeks of age and 15 WKY or SHR at 13 weeks of age. For measurement of plasma RAS and analysis of angiotensinogen mRNA expression, 6 hours after LPS stimulation all rats were decapitated. For the analysis of TNF-{alpha} mRNA, 1 hour after LPS stimulation all rats were decapitated. The liver, aorta, adrenal, kidney, spleen, and fat were removed and immediately frozen in liquid nitrogen. Fats were isolated from epididymal fat pads.

Biochemical Assays
PRA was measured by radioimmunoassay.31 Briefly, 50 µL plasma was incubated for 1 hour at 37°C with 5 µL 8-hydroxyquinoline, 5 µL dimercaprol, 25 µL Na2EDTA (4%), and 165 µL Tris acetate buffer (0.1 mol/L, pH 7.4) containing 0.1% lysozyme, and the generated Ang I was measured with the Renin Riabead Ang I kit (Dainabot Co, Ltd). For measurement of plasma angiotensinogen (p-angiotensinogen) concentration, 100 µL plasma was incubated for 5 hours at 37°C with 5 µL 8-hydroxyquinoline, 5 µL dimercaprol, 25 µL Na2EDTA, 50 µL rat kidney renin, and 65 µL Tris acetate buffer containing lysozyme, and the generated Ang I was measured by radioimmunoassay. The p-angiotensinogen concentration was expressed as picomoles Ang I equivalents per milliliter. Plasma Ang II (p-Ang II) concentration was determined by a specific radioimmunoassay, using an antibody to Ang II kindly provided by Dr Kazuaki Shimamoto (Sapporo [Japan] Medical College).32

RNA Isolation and Analysis
Northern blot analysis was performed essentially as described previously.33 34 Total RNA from tissues was extracted with the guanidinium thiocyanate/cesium chloride centrifugation method.35 RNA concentration was determined by ultraviolet spectrophotometry. Each RNA sample (20 µg) was denatured with 1 mol/L glyoxal and 50% dimethyl sulfoxide, electrophoresed on a 1.2% agarose gel, and transferred to nylon membranes (GeneScreen Plus, DuPont–New England Nuclear). Filters were prehybridized for 30 minutes at 60°C in a solution consisting of 1% sodium dodecyl sulfate, 1 mol/L NaCl, and 10% dextran sulfate. Hybridization proceeded for 16 hours at 60°C in the same solution containing 300 µg/mL denatured salmon sperm DNA and 1x106 cpm/mL of the 32P-labeled rat angiotensinogen cDNA probes36 or TNF-{alpha} cDNA probes.37 Filters were washed twice with 2x SSC (1x SSC=0.15 mol/L NaCl, 0.015 mol/L sodium citrate) for 5 minutes at room temperature, twice with 2x SSC and 1% sodium dodecyl sulfate for 30 minutes at 60°C, and twice with 0.1x SSC for 15 minutes at room temperature. Dried filters underwent autoradiography at -70°C with an intensifying screen. Expression of angiotensinogen mRNA or TNF-{alpha} mRNA was measured with a Fujix Bio-Imaging Analyzer (BAS 2000, Fuji Photo Film) and normalized to the signal generated by probing for the constitutively expressed GAPDH gene.38 A 1089-bp Aat I–Aat II cDNA fragment of the rat angiotensinogen gene, which was kindly provided by Drs Shigetada Nakanishi (Kyoto University) and Hiroaki Ohkubo (Kumamoto University), was used as a hybridization probe.36 The TNF-{alpha} cDNA probe was kindly provided Asahi Chemical Industry. The GAPDH cDNA probe used was a generous gift of Dr Ray Wu (Cornell University, Ithaca, NY).38

Statistical Analysis
For the statistical analysis of differences among groups, the unpaired Student's t test was used. All quantifiable data are expressed as mean±SE.


*    Results
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
*Results
down arrowDiscussion
down arrowReferences
 
Characteristics and LPS-Induced Change in Plasma RAS in WKY and SHR
SBP, body weight, and wet tissue weights of kidney and heart in WKY and SHR are summarized in the TableDown. The SBP of SHR at 4 weeks of age was statistically higher than that of age-matched WKY (P<.0001) and increased further at 13 weeks of age compared with that of WKY (P<.0001). Concomitant with the blood pressure increase, the ratio of wet tissue weight of heart to body weight in SHR became significantly greater at 13 weeks of age. No such difference was observed between WKY and SHR with respect to the ratio of wet tissue weight of kidney to body weight at 4 and 13 weeks of age. As shown in Fig 1Down, basal PRA and p-Ang II in SHR were comparable to values in age-matched WKY. In SHR, LPS induced a significant increase in p-Ang II at 13 weeks of age, but in WKY the change was not significant. On the other hand, LPS induced no significant change in PRA in either WKY or SHR at both 4 and 13 weeks of age. Basal p-angiotensinogen concentration in SHR was significantly higher than in WKY at 13 weeks of age, and LPS induced a significant increase in p-angiotensinogen concentration in both WKY and SHR at both 4 and 13 weeks of age. SBP in basal conditions was significantly correlated with p-angiotensinogen concentration (r=.611, P<.001).


View this table:
[in this window]
[in a new window]
 
Table 1. Characteristics of WKY and SHR at 4 and 13 Weeks of Age



View larger version (42K):
[in this window]
[in a new window]
 
Figure 1. Plasma levels of renin (PRA), angiotensinogen (p-ATNG), and Ang II (p-Ang II) in untreated rats (-) and rats 6 hours after administration of 100 µg LPS per kilogram body weight (+) in WKY and SHR at 4 (left) and 13 (right) weeks of age. Values are mean±SE (n=6-12).

Tissue-Specific and LPS-Induced Expression of Angiotensinogen mRNA in WKY and SHR
The angiotensinogen gene is expressed mainly in the liver, but it is also expressed in the fat, adrenal, aorta, kidney, and spleen. As shown in Fig 2Down, basal liver angiotensinogen mRNA levels in WKY were significantly higher than those in SHR at 4 weeks of age and comparable to those in SHR at 13 weeks of age. As shown in Figs 3Down, 4Down, and 5Down, the expression of basal angiotensinogen mRNA in fat, adrenal, and aorta was suppressed in SHR compared with WKY at 4 and 13 weeks of age. As shown in Fig 6Down, basal angiotensinogen mRNA levels in spleen and kidney were lower in SHR than in WKY at 13 weeks of age. A previous study reported that liver angiotensinogen mRNA levels rapidly increased during the first 5 hours and reached a maximal level at 5 to 10 hours after LPS administration.39 Therefore, we examined the expression of angiotensinogen mRNA 6 hours after LPS administration. Treatment with LPS for 6 hours increased angiotensinogen mRNA levels in liver, adrenal, and aorta in both WKY and SHR at 4 and 13 weeks of age (Figs 2Down, 4Down, and 5Down). LPS decreased angiotensinogen mRNA levels in spleen, and had no effect on levels in the kidney in both WKY and SHR at 13 weeks of age (Fig 6Down). Although we also examined basal and LPS-induced angiotensinogen mRNA expression in the spleen and kidney at 4 weeks of age, we could not detect angiotensinogen mRNA expression in the basal and LPS-induced state (data not shown). LPS increased angiotensinogen mRNA level in fat in both WKY and SHR at 4 weeks of age. However, at 13 weeks of age, LPS increased the angiotensinogen mRNA level only in SHR, with no effect in WKY (Fig 3Down).



View larger version (38K):
[in this window]
[in a new window]
 
Figure 2. Top, Northern blot analysis of total RNA (20 µg) from liver at 4 (left) and 13 (right) weeks of age of untreated rats (-) and rats at 6 hours after administration of 100 µg LPS per kilogram body weight (+) in WKY and SHR. Upper blots show angiotensinogen (ATNG) mRNA; lower blots show GAPDH mRNA. Markers for 28S and 18S rRNA are indicated by solid arrowheads. Bottom, Relative angiotensinogen mRNA levels. Angiotensinogen mRNA levels were measured with a BAS 2000 image analyzer normalized to the signal generated by probing for GAPDH gene expression and are expressed relative to levels achieved with RNA from tissues of untreated WKY. Values are mean±SE (n=6-12).



View larger version (33K):
[in this window]
[in a new window]
 
Figure 3. Top, Northern blot analysis of total RNA (20 µg) from fat at 4 (left) and 13 (right) weeks of age of untreated rats (-) and rats 6 hours after administration of 100 µg LPS per kilogram body weight (+) in WKY and SHR. Upper blots show angiotensinogen (ATNG) mRNA; lower blots show GAPDH mRNA. Markers for 28S and 18S rRNA are indicated by solid arrowheads. Bottom, Relative angiotensinogen mRNA levels. Angiotensinogen mRNA levels were measured with a BAS 2000 image analyzer normalized to the signal generated by probing for GAPDH gene expression and are expressed relative to levels achieved with RNA from tissues of untreated WKY. Values are mean±SE (n=6-12).



View larger version (35K):
[in this window]
[in a new window]
 
Figure 4. Top, Northern blot analysis of total RNA (20 µg) from adrenal at 4 (left) and 13 (right) weeks of age of untreated rats (-) and rats 6 hours after administration of 100 µg LPS per kilogram body weight (+) in WKY and SHR. Upper blots show angiotensinogen (ATNG) mRNA; lower blots show GAPDH mRNA. Markers for 28S and 18S rRNA are indicated by solid arrowheads. Bottom, Relative angiotensinogen mRNA levels. Angiotensinogen mRNA levels were measured with a BAS 2000 image analyzer normalized to the signal generated by probing for GAPDH gene expression and are expressed relative to levels achieved with RNA from tissues of untreated WKY. Values are mean±SE (n=6-12).



View larger version (37K):
[in this window]
[in a new window]
 
Figure 5. Top, Northern blot analysis of total RNA (20 µg) from aorta at 4 (left) and 13 (right) weeks of age (right) of untreated rats (-) and rats 6 hours after administration of 100 µg LPS per kilogram body weight (+) in WKY and SHR. Upper blots show angiotensinogen (ATNG) mRNA; lower blots show GAPDH mRNA. Markers for 28S and 18S rRNA are indicated by solid arrowheads. Bottom, Relative angiotensinogen mRNA levels. Angiotensinogen mRNA levels were measured with a BAS 2000 image analyzer normalized to the signal generated by probing for GAPDH gene expression and are expressed relative to levels achieved with RNA from tissues of untreated WKY. Values are mean±SE (n=6-12).



View larger version (49K):
[in this window]
[in a new window]
 
Figure 6. Top, Northern blot analysis of total RNA (20 µg) from spleen (left) and kidney (right) at 13 weeks of age of untreated rats (-) and rats 6 hours after administration of 100 µg LPS per kilogram body weight (+) in WKY and SHR. Upper blots show angiotensinogen (ATNG) mRNA; lower blots show GAPDH mRNA. Markers for 28S and 18S rRNA are indicated by solid arrowheads. Bottom, Relative angiotensinogen mRNA levels. Angiotensinogen mRNA levels were measured with a BAS 2000 image analyzer normalized to the signal generated by probing for GAPDH gene expression and are expressed relative to levels achieved with RNA from tissues of untreated WKY. Values are mean±SE (n=12).

LPS-Induced Expression of TNF-{alpha} mRNA in WKY and SHR
In most tissues, the response of angiotensinogen gene expression to LPS was comparable in WKY and SHR. The only exception was fat tissue at 13 weeks of age. Recent studies showed that TNF-{alpha} is expressed in adipose tissue,40 and another study suggested that TNF-{alpha} was involved in the induction of angiotensinogen gene expression by inflammation.41 Thus, we examined LPS-induced TNF-{alpha} mRNA expression in fat and liver of WKY and SHR at 13 weeks of age. First, we examined the expression of TNF-{alpha} mRNA 6 hours after LPS administration. However, we could not detect TNF-{alpha} mRNA in basal and LPS-stimulated levels in fat and liver of WKY and SHR at 13 weeks of age (data not shown). Previous study reported that the maximal induction of TNF-{alpha} mRNA is 1 hour after LPS administration37 ; therefore, we examined the expression of TNF-{alpha} mRNA 1 hour after LPS administration. As shown in Fig 7Down, we could not detect basal TNF-{alpha} mRNA in both WKY and SHR in liver and fat. LPS stimulated TNF-{alpha} mRNA expression in the fat of WKY and SHR, and the induction of TNF-{alpha} mRNA level in SHR was significantly greater than that in WKY.



View larger version (33K):
[in this window]
[in a new window]
 
Figure 7. Top, Northern blot analysis of total RNA (20 µg) from liver (left) and fat (right) at 13 weeks of age of untreated rats (-) and rats 1 hour after administration of 100 µg LPS per kilogram body weight (+) in WKY and SHR. Upper blots show TNF-{alpha} mRNA; lower blots show GAPDH mRNA. Markers for 28S and 18S rRNA are indicated by solid arrowheads. Bottom, Relative TNF-{alpha} mRNA levels. TNF-{alpha} mRNA levels were measured with a BAS 2000 image analyzer normalized to the signal generated by probing for GAPDH gene expression and are expressed relative to levels achieved with RNA from tissues of LPS-stimulated WKY. Values are mean±SE (n=3).


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
*Discussion
down arrowReferences
 
In the present study, basal p-angiotensinogen levels did not differ between SHR and WKY at 4 weeks of age, although SHR had a higher SBP than WKY. At 13 weeks of age, SBP in SHR elevated farther, and basal p-angiotensinogen levels increased significantly in SHR to a level higher than that in WKY (Fig 1Up). Furthermore, SBP was significantly correlated with p-angiotensinogen concentration (r=.611, P<.001) in WKY as well as in SHR. On the other hand, SBP showed no relationship with PRA and p-Ang II. These results confirm our previous study using WKY and SHR at 6 and 14 weeks of age,42 and we speculate that the increase in p-angiotensinogen levels in SHR at 13 weeks of age promotes further development of hypertension as well as secondary changes in response to hypertension rather than being the primary pathogenic mechanism of hypertension. Although at 13 weeks of age basal p-angiotensinogen concentration in SHR was significantly higher than that in WKY, basal p-Ang II concentration was comparable in both strains. In addition, basal PRA in SHR was comparable to that in WKY. A previous study showed that plasma ACE activity in WKY at 4 and 18 weeks of age was higher than that in age-matched SHR.43 The results of the present study suggested that the basal plasma ACE activity in WKY is higher than that in SHR. Therefore, basal p-Ang II in SHR may be comparable to that in WKY.

Previous studies reported that treatment with 100 µg/kg LPS in Wistar rats significantly increased p-angiotensinogen during the first 12 hours.39 44 In the present study, injection of LPS produced a significant increase in p-angiotensinogen concentration in both WKY and SHR at 4 and 13 weeks of age. On the other hand, LPS induced a significant increase in Ang II in SHR but no significant change in WKY at 13 weeks of age. The main factors limiting the rate of Ang II production are angiotensinogen, PRA, and ACE. LPS induced no significant changes in PRA in either WKY or SHR. It was reported that the regulation of ACE in vascular tissues differs between SHR and WKY and that the level of ACE activity in plasma and vascular tissue may be regulated in a different manner within a given rat strain.43 Therefore, the finding that pretreatment with LPS did not alter p-Ang II level in WKY despite an increase in p-angiotensinogen level may be due to differences in the regulation of plasma ACE activity between SHR and WKY at 13 weeks of age.

In the present study, although the expression of basal angiotensinogen mRNA levels in all tissues including the liver was suppressed in SHR compared with WKY at 4 weeks of age, basal p-angiotensinogen levels were not different between SHR and WKY at 4 weeks of age. Furthermore, although the expression of basal angiotensinogen mRNA levels in most tissues was suppressed in SHR compared with WKY, there was no significant difference in the liver at 13 weeks of age. In contrast, basal p-angiotensinogen level was higher in SHR than WKY at 13 weeks of age. These discrepancies between angiotensinogen mRNA levels and p-angiotensinogen are consistent with previous studies.42 45 All available evidence indicates that p-angiotensinogen is secreted only constitutively and cannot be stored within secretory granules.46 This implies that angiotensinogen production is controlled mostly at the transcriptional and posttranscriptional levels of the angiotensinogen gene. Consequently, the discrepancy between the basal mRNA level and basal plasma concentration may be due to differences between SHR and WKY in transcriptional or posttranscriptional regulation of angiotensinogen mRNA. For example, glucocorticoids, despite their strong effect on transcription of the angiotensinogen gene, may have opposing effects on translation of its mRNA.47 In contrast to glucocorticoids, estrogens and thyroid hormones affect both angiotensinogen secretion and liver angiotensinogen mRNA expression to a comparable extent. In addition, Ang II increases the synthesis of angiotensinogen in hepatocytes by stabilizing angiotensinogen mRNA.5 In previous study, Lodwick et al45 reported no difference in the level of circulating angiotensinogen between 25-week-old SHR and WKY on either a normal or high salt diet, whereas they found a higher level of angiotensinogen mRNA in WKY liver compared with SHR liver. Since plasma renin concentration was different between the strains, they suggested that a relatively higher consumption of angiotensinogen in WKY may at least partly account for the similar p-angiotensinogen. Therefore, the discrepancy between p-angiotensinogen concentration and liver angiotensinogen mRNA levels at 4 and 13 weeks of age in the present study may be due to altered translational machinery of angiotensinogen mRNA in the liver and a difference in the metabolism rate of angiotensinogen in the circulation and/or peripheral tissues. However, the exact mechanism should be examined by future study.

The 5' flanking region of the angiotensinogen gene contains cis-acting regulatory elements. Analysis of this region of rat and human genes has shown consensus sequences for a glucocorticoid response element, a thyroid response element, an estrogen response element, and APRE. Most previous studies testing the effect of glucocorticoids in vivo have used doses about 100 times higher than that required to induce hypercorticism. Administration of corticosterone at doses that induced clear signs of hypercorticism did not stimulate p-angiotensinogen.48 These data make it unlikely that glucocorticoids act as primary regulators of angiotensinogen. Rather, glucocorticoids may function as permissive factors that facilitate the actions of other agents, such as interleukins. In contrast, the APR, initiated experimentally by intraperitoneal administration of bacterial LPS, is a potent inducer of hepatic angiotensinogen expression.23 39 In previous studies, initiation of systemic inflammation by a single dose of intraperitoneal LPS resulted in a fivefold increase in hepatic steady-state mRNA levels at 3 hours23 and a threefold increase in p-angiotensinogen concentration at 8 hours.49 In the LPS-induced APR, the macrophage-derived cytokines TNF-{alpha} and interleukin-6 are likely to be the activators of hepatic angiotensinogen gene expression.41 50 51 LPS in the bloodstream rapidly binds to the serum protein, referred to as lipopolysaccharide binding protein (LBP).52 Complexes of LPS and LBP bind macrophage surface protein CD14.53 Circulating cytokines are secreted from activated macrophages. The cytokines interleukin-6 and TNF-{alpha} bind to specific receptors, activating second messenger signaling cascades that ultimately control the nuclear expression of the two transcription factor families that bind to the APRE. The p65 subunit of nuclear factor-{kappa}B (Rel A)/nuclear factor-{kappa}B1 (NF-{kappa}B1) is a transcription factor complex associated with inhibitory protein (I{kappa}B). Rel A/NF-{kappa}B1 is released from inhibitors in response to cytokine signaling events, allowing it to translocate into the nucleus and stimulate transcription of the angiotensinogen gene.41 50 54 55 56

Pretreatment with LPS increased angiotensinogen mRNA levels in the liver, aorta, and adrenal in both WKY and SHR at 4 and 13 weeks of age, decreased levels in the spleen, and had no effect on levels in the kidney in both WKY and SHR at 13 weeks of age. This indicates that LPS-mediated regulation of angiotensinogen gene expression is tissue-specific. After pretreatment with LPS, angiotensinogen mRNA levels in most tissues in SHR, with the exception of fat, were similar to those in WKY at 4 and 13 weeks of age. In fat, LPS increased angiotensinogen mRNA in both WKY and SHR at 4 weeks of age, whereas LPS increased angiotensinogen mRNA in SHR but not in WKY at 13 weeks of age. Angiotensinogen is expressed abundantly in adipose tissue, and angiotensinogen gene expression increases during adipogenic differentiation.57 A previous study showed that angiotensinogen gene expression in adipocytes was nutritionally regulated and that blood pressure was modulated by fasting and refeeding in a manner that paralleled the adipocyte angiotensinogen mRNA level, irrespective of no change in either the hepatic angiotensinogen mRNA level or p-angiotensinogen concentration.58

Several inflammatory mediators, including TNF-{alpha}, interleukin-6, and interleukin-1, were induced by LPS stimulation. This complexity of factors participates in the regulation of angiotensinogen. Previous studies reported that TNF-{alpha} and interleukin-6 activate angiotensinogen gene expression.41 50 51 In contrast, interleukin-1 decreased the angiotensinogen secretion and angiotensinogen gene expression in hepatocytes.51 In particular, local production of TNF-{alpha} may have important roles in regulating lipolysis, insulin sensitivity, and angiotensinogen expression in the tissue RAS in fat deposits.41 59 60 61 In the present study, although LPS induced TNF-{alpha} mRNA in both WKY and SHR, the induction of TNF-{alpha} mRNA level in SHR was significantly greater than that in WKY. These results suggest that the enhanced expression of TNF-{alpha} gene in fat may be involved in the LPS-mediated activation of the fat angiotensinogen gene in SHR at 13 weeks of age. Many studies suggest that immunological mechanisms may contribute to the development of hypertension in humans24 25 and animals.28 The differences that we observed between SHR and WKY may involve immunological abnormalities in SHR, and regulation of angiotensinogen gene expression in fat may play a part in the development of hypertension.

In conclusion, our data indicate that the LPS-mediated regulation of angiotensinogen gene expression is tissue-specific. Our results also suggest that altered angiotensinogen gene expression in fat is involved in the development of hypertension in SHR.


*    Selected Abbreviations and Acronyms
 
ACE = angiotensin-converting enzyme
Ang I, II = angiotensin I, II
APR = acute phase response
APRE = acute phase response element
LPS = lipopolysaccharide
PRA = plasma renin activity
RAS = renin-angiotensin system
SBP = systolic blood pressure
SHR = spontaneously hypertensive rat(s)
TNF-{alpha} = tumor necrosis factor-{alpha}
WKY = Wistar-Kyoto rat(s)


*    Acknowledgments
 
This study was supported in part by grants from the Ministry of Education, Science, Sports, and Culture of Japan; the Uehara Memorial Foundation; and the Yokohama Foundation for Advancement of Medical Science.

Received October 7, 1996; first decision November 6, 1996; accepted March 17, 1997.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
up arrowDiscussion
*References
 

  1. Clauser E, Bouhnik J, Coezy E, Corvol P, Menard J. Synthesis and release of immunoreactive angiotensinogen by rat liver slices. Endocrinology. 1983;112:1188-1193.[Abstract]
  2. Peter HJ, Navar LG. Tubular transport responses to angiotensin. Am J Physiol. 1985;248:F621-F630.[Abstract/Free Full Text]
  3. Klett C, Komischke K, Munter K, Hackenthal E. Secretion of angiotensinogen and acute phase proteins during various forms of acute inflammatory injury. J Hypertens. 1987;5:S19-S21.
  4. Iwao H, Kimura S, Fukui K, Nakamura A, Tamaki T, Ohkubo H, Nakanishi S, Abe Y. Elevated angiotensinogen mRNA levels in rat liver by nephrectomy. Am J Physiol. 1990;258:E413-E417.[Abstract/Free Full Text]
  5. Klett C, Nobiling R, Gierschik P, Hackenthal E. Angiotensin II stimulates the synthesis of angiotensinogen in hepatocytes by inhibiting adenylylcyclase activity and stabilizing angiotensinogen mRNA. J Biol Chem. 1993;268:25095-25107.[Abstract/Free Full Text]
  6. Sernia C, Clements JA, Funder JW. Regulation of liver angiotensinogen mRNA by glucocorticoids and thyroxine. Mol Cell Endocrinol. 1989;61:147-156.[Medline] [Order article via Infotrieve]
  7. Campbell DJ, Habener JF. Angiotensinogen gene is expressed and differentially regulated in multiple tissues of the rat. J Clin Invest. 1986;78:31-39.
  8. Ron D, Brasier AR, Wright KA, Habener JF. The permissive role of glucocorticoids on IL-1 stimulation of angiotensinogen gene transcription is mediated by an interaction between inducible enhancers. Mol Cell Biol. 1990;10:4389-4395.[Abstract/Free Full Text]
  9. Dzau VJ, Herrmann HC. Hormonal control of angiotensinogen production. Life Sci. 1982;30:577-584.[Medline] [Order article via Infotrieve]
  10. Jeunemaitre X, Soubrier F, Kotelevtsev Y, Lifton RP, Williams CS, Charru A, Hunt SC, Hopkins PN, Williams RR, Lalouel JM, Corvol P. Molecular basis of human hypertension: role of angiotensinogen. Cell. 1992;71:169-180.[Medline] [Order article via Infotrieve]
  11. Hata A, Namikawa C, Sasaki M, Sato K, Nakamura T, Tamura K, Lalouel JM. Angiotensinogen as a risk factor for essential hypertension in Japan. J Clin Invest. 1994;93:1285-1287.
  12. Lo M, Julien C, Michel JB, Vincent M, Cerutti C, Gomez-Sanchez CE, Sarrard J. Antirenin immunization versus angiotensin converting enzyme inhibition in rats. Hypertension. 1990;16:80-88.
  13. Kohara K, Brosnihan KB, Ferrario CM. Angiotensin(1-7) in the spontaneously hypertensive rat. Peptides. 1993;14:883-891.[Medline] [Order article via Infotrieve]
  14. Schiffrin EL, Thome FS, Genest J. Vascular angiotensin II receptors in SHR. Hypertension. 1984;6:682-688.[Abstract/Free Full Text]
  15. Lindpaintner K, Niedermaier N, Drexler H, Ganten D. Left ventricular remodelling after myocardial infarction. J Cardiovasc Pharmacol. 1992;20(suppl 1):S41-S47.
  16. Pratt RE, Zou WM, Naftilan AJ, Ingelfinger JR, Dzau VJ. Altered sodium regulation of renal angiotensinogen mRNA in the spontaneously hypertensive rat. Am J Physiol. 1989;256:F469-F474.[Abstract/Free Full Text]
  17. Fukamizu A, Takahashi S, Seo MS, Tada M, Tanimoto K, Uehara S, Murakami K. Structure and expression of the human angiotensinogen gene. J Biol Chem. 1990;265:7576-7582.[Abstract/Free Full Text]
  18. Brasier AR, Ron D, Tate JE, Habener JF. Multiple cis-acting DNA regulatory elements mediate hepatic angiotensinogen gene expression. Mol Endocrinol. 1989;3:1022-1034.[Abstract]
  19. Tamura K, Tanimoto K, Takahashi S, Sagara M, Fukamizu A, Murakami K. Structure and expression of the mouse angiotensinogen gene. Jpn Heart J. 1992;33:113-124.[Medline] [Order article via Infotrieve]
  20. Clauston WM, Lyons IG, Richards RI. Tissue specific and hormonal regulation of angiotensinogen minigenes in transgenic mice. EMBO J. 1989;8:3337-3343.[Medline] [Order article via Infotrieve]
  21. Takahashi S, Fukamizu A, Hasegawa T, Yokoyama M, Nomura T, Katsuki M, Murakami K. Expression of the human angiotensinogen gene in transgenic mice and transfected cells. Biochem Biophys Res Commun. 1991;180:1103-1109.[Medline] [Order article via Infotrieve]
  22. Tamura K, Umemura S, Ishii M, Tanimoto K, Murakami K, Fukamizu A. Molecular mechanism of transcriptional activation of angiotensinogen gene by proximal promoter. J Clin Invest. 1994;93:1370-1379.
  23. Ron D, Braiser AR, Wright KA, Tate JE, Habener JF. An inducible 50-kilodalton NF kappa B-like protein and a constitutive protein both bind the acute-phase response element of the angiotensinogen gene. Mol Cell Biol. 1990;10:1023-1032.[Abstract/Free Full Text]
  24. Dzielak DJ. Immune mechanisms in experimental and essential hypertension. Am J Physiol. 1991;260:R459-R467.[Free Full Text]
  25. Khraibi AA. Association between disturbances in the immune system and hypertension. Am J Hypertens. 1991;4:635-641.[Medline] [Order article via Infotrieve]
  26. Takeichi N, Suzuki K, Okayasu T, Kobayashi H. Immunological depression in spontaneously hypertensive rats. Clin Exp Immunol. 1980;40:120-126.[Medline] [Order article via Infotrieve]
  27. Takeichi N, Suzuki K, Kobayashi H. Characterization of immunological depression in spontaneously hypertensive rats. Eur J Immunol. 1981;11:483-487.[Medline] [Order article via Infotrieve]
  28. Takeichi N, Ba D, Kobayashi H. Natural cytotoxic autoantibody against thymocytes in spontaneously hypertensive rats. Cell Immunol. 1981;60:181-190.[Medline] [Order article via Infotrieve]
  29. Ba D, Takeichi N, Kodama T, Kobayashi H. Restoration of T cell depression and suppression of blood pressure in spontaneously hypertensive rats (SHR) by thymus grafts or thymus extracts. J Immunol. 1982;128:1211-1216.[Abstract]
  30. Yamakawa T, Tanaka S, Tamura K, Isoda F, Ukawa K, Yamakura Y, Takanashi Y, Kiuchi Y, Umemura S, Ishii M, Sekihara H. Wistar fatty rat is obese and spontaneously hypertensive. Hypertension. 1995;25:146-150.[Abstract/Free Full Text]
  31. Tokita Y, Franco-Saenz R, Reimann EM, Mulrow PJ. Hypertension in the transgenic rat TGR(mRen-2)27 may be due to enhanced kinetics of the reaction between mouse renin and rat angiotensinogen. Hypertension. 1994;23:422-427.[Abstract/Free Full Text]
  32. Shimamoto K, Ishida H, Nakahashi Y, Nishitani T, Hosoda S, Yokoyama T, Tanaka S, Iimura O. A very sensitive direct radioimmunoassay system for plasma angiotensin II and its clinical application in various hypertensive diseases. Jpn Circ J. 1984;48:1228-1235.[Medline] [Order article via Infotrieve]
  33. Tamura K, Tanimoto K, Ishii M, Murakami K, Fukamizu A. Proximal and core DNA elements are required for efficient angiotensinogen promoter activation during adipogenic differentiation. J Biol Chem. 1993;268:15024-15032.[Abstract/Free Full Text]
  34. Tamura K, Umemura S, Yamaguchi S, Iwamoto T, Kobayashi S, Fukamizu A, Murakami K, Ishii M. Mechanism of cAMP regulation of renin gene transcription by proximal promoter. J Clin Invest. 1994;94:1959-1967.
  35. Chirgwin JM, Fryzhyia AE, MacDonald RJ, Rutter WJ. Isolation of biologically active ribonucleic acid from sources enriched in nuclease. Biochemistry. 1979;18:5294-5299.[Medline] [Order article via Infotrieve]
  36. Ohkubo H, Kageyama R, Ujihara M, Hirose T, Inayama S, Nakanishi S. Cloning and sequence analysis of cDNA for rat angiotensinogen. Proc Natl Acad Sci U S A. 1983;80:2196-2200.[Abstract/Free Full Text]
  37. Yamakawa T, Tanaka S, Yamakawa Y, Isoda F, Kawamoto S, Fukushima J, Minami M, Okuda K, Sekihara H. Genetic control of in vivo tumor necrosis factor production in mice. Clin Immunol Immunopathol. 1996;62:258-263.
  38. Tso JY, Sun X-H, Kao T, Reece KS, Wu R. Isolation and characterization of rat and human glyceraldehyde-3-phosphate dehydrogenase cDNAs: genomic complexity and molecular evolution of the gene. Nucleic Acids Res. 1985;13:2485-2502.[Abstract/Free Full Text]
  39. Kageyama R, Ohkubo H, Nakanishi S. Induction of rat liver angiotensinogen mRNA following acute inflammation. Biochem Biophys Res Commun. 1985;129:826-832.[Medline] [Order article via Infotrieve]
  40. Hotamisligil GS, Arner P, Caro JF, Atkinson RL, Spiegelman BM. Increased adipose tissue expression of tumor necrosis factor-{alpha} in human obesity and insulin resistance. J Clin Invest. 1995;95:2409-2415.
  41. Brasier AR, Li J, Wimbish KA. Tumor necrosis factor activates angiotensinogen gene expression by Rel A transactivator. Hypertension. 1996;27:1009-1017.[Abstract/Free Full Text]
  42. Tamura K, Umemura S, Nyui N, Yamakawa T, Yamaguchi S, Ishigami T, Tanaka S, Tanimoto K, Takagi N, Sekihara H, Murakami K, Ishii M. Tissue-specific regulation of angiotensinogen gene expression in spontaneously hypertensive rats. Hypertension. 1996;27:1216-1223.[Abstract/Free Full Text]
  43. Fernandes-Alfonso MS, Kreuz R, Zeh K, Liu Y, Ganten D, Paul M. Differential regulation of vascular angiotensin I-converting enzyme in hypertension. Hypertension. 1994;24:280-286.[Abstract/Free Full Text]
  44. Okamoto H, Ohashi Y, Itoh N. Involvement of leukocyte and glucocorticoid in the acute-phase response of angiotensinogen. Biochem Biophys Res Commun. 1987;145:1225-1230.[Medline] [Order article via Infotrieve]
  45. Lodwick D, Kaiser MA, Harris J, Cumin F, Vincent M, Samami NJ. Analysis of the role of angiotensinogen in spontaneous hypertension. Hypertension. 1995;25:1245-1251.[Abstract/Free Full Text]
  46. Deschepper CF, Reudelhuber TL. Rat angiotensinogen is secreted only constitutively when transfected into AtT-20 cells. Hypertension. 1990;16:147-153.[Abstract/Free Full Text]
  47. Strittmatter SM, Lo MM, Javitch JA, Snyder SH. Autoradiographic visualization of angiotensin converting enzyme in rat brain with 3H-captopril: localization to a striatonigral pathway. Proc Natl Acad Sci U S A. 1984;81:1599-1603.[Abstract/Free Full Text]
  48. Deschepper CF, Dallman MF. The stimulation of liver angiotensinogen by glucocorticoids depends on the type of steroid and its mode of administration. Endocrinology. 1992;131:2371-2377.[Abstract]
  49. Okamoto H, Hatta A, Itoh N, Ohashi Y, Arakawa K, Nakanishi S. Acute phase responses of plasma angiotensinogen and T-kininogen in rats. Biochem Pharmacol. 1987;36:3069-3073.[Medline] [Order article via Infotrieve]
  50. Takano M, Yokoyama K, Yayama K, Itoh N, Okamoto H. Interleukin-6 as a mediator responsible for inflammation-induced increase in plasma angiotensinogen. Biochem Pharmacol. 1993;45:201-206.[Medline] [Order article via Infotrieve]
  51. Soden M, Klett C, Hasmann T, Hackenthal E. Angiotensinogen: an acute-phase protein? Hypertension. 1994;23(suppl I):I-126-I-130.
  52. Hara-Kuge S, Amano F, Nishijima M, Akamatau Y. Isolation of a lipopolysaccharide (LPS)-resistant mutant, with defective LPS binding, of cultured macrophage-like cells. J Biol Chem. 1990;265:6606-6610.[Abstract/Free Full Text]
  53. Wright SD, Ramos RA, Tobias PS, Ulevitch RJ, Mathison JC. CD14, a receptor for complexes of lipopolysaccharide (LPS) and LPS binding protein. Science. 1990;249:1431-1433.[Abstract/Free Full Text]
  54. Itoh N, Matsuda T, Ohtani R, Okamoto H. Angiotensinogen production by rat hepatoma cells is stimulated by B cell stimulatory factor 2/interleukin-6. Fed Eur Biochem. 1989;244:6-10.
  55. Ron D, Brasier AR, Wright KA, Tate JE, Habener JF. The permissive role of glucocorticoids on interleukin-1 stimulation of angiotensinogen gene transcription is mediated by an interaction between inducible enhancers. Mol Cell Biol. 1990;10:4389-4395.
  56. Braiser AR, Li J. Mechanisms for inducible control of angiotensinogen gene transcription. Hypertension. 1996;27(part 2):465-475.
  57. Tamura K, Umemura S, Iwamoto T, Yamaguchi S, Kobayashi S, Takeda K, Tokita Y, Takagi N, Murakami K, Fukamizu A, Ishii M. Molecular mechanism of adipogenic activation of the angiotensinogen gene. Hypertension. 1994;23:364-368.[Abstract/Free Full Text]
  58. Frederich RC Jr, Kahn BB, Peach MJ, Flier JS. Tissue-specific nutritional regulation of angiotensinogen in adipose tissue. Hypertension. 1992;19:339-344.[Abstract/Free Full Text]
  59. Ron D, Braiser AR, McGehee RE Jr, Habener JF. Tumor necrosis factor-induced reversal of adipocytic phenotype of 3T3-L1 cells is preceded by a loss of nuclear CCAAT/enhancer binding protein (C/EBP). J Clin Invest. 1992;89:223-233.
  60. Brownlee M, Cerami A, Vlassara H. Advanced glycosylation end products in tissue and the biochemical basis of diabetic complications. N Engl J Med. 1988;318:1315-1321.[Medline] [Order article via Infotrieve]
  61. Green A, Dobias SB, Walters DJA, Braiser AR. Tumor necrosis factor increases the role of lipolysis in primary cultures of adipocytes without altering levels of hormone-sensitive lipase. Endocrinology. 1994;134:2581-2588.[Abstract]



This article has been cited by other articles:


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
J. A. Jessup, A. J. Trask, M. C. Chappell, S. Nagata, J. Kato, K. Kitamura, and C. M. Ferrario
Localization of the novel angiotensin peptide, angiotensin-(1-12), in heart and kidney of hypertensive and normotensive rats
Am J Physiol Heart Circ Physiol, June 1, 2008; 294(6): H2614 - H2618.
[Abstract] [Full Text] [PDF]


Home page
HypertensionHome page
V. Jankowski, R. Vanholder, M. van der Giet, L. Henning, M. Tolle, G. Schonfelder, A. Krakow, S. Karadogan, N. Gustavsson, J. Gobom, et al.
Detection of Angiotensin II in Supernatants of Stimulated Mononuclear Leukocytes by Matrix-Assisted Laser Desorption Ionization Time-of-Flight/Time-of-Flight Mass Analysis
Hypertension, September 1, 2005; 46(3): 591 - 597.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
H. Shimizu, M. Miyoshi, K. Matsumoto, O. Goto, T. Imoto, and T. Watanabe
The Effect of Central Injection of Angiotensin-Converting Enzyme Inhibitor and the Angiotensin Type 1 Receptor Antagonist on the Induction by Lipopolysaccharide of Fever and Brain Interleukin-1{beta} Response in Rats
J. Pharmacol. Exp. Ther., March 1, 2004; 308(3): 865 - 873.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
M. Flesch, A. Hoper, L. Dell'Italia, K. Evans, R. Bond, R. Peshock, A. Diwan, T. A. Brinsa, C.-C. Wei, N. Sivasubramanian, et al.
Activation and Functional Significance of the Renin-Angiotensin System in Mice With Cardiac Restricted Overexpression of Tumor Necrosis Factor
Circulation, August 5, 2003; 108(5): 598 - 604.
[Abstract] [Full Text] [PDF]


Home page
Endocr. Rev.Home page
J. M. Fernandez-Real and W. Ricart
Insulin Resistance and Chronic Cardiovascular Inflammatory Syndrome
Endocr. Rev., June 1, 2003; 24(3): 278 - 301.
[Abstract] [Full Text] [PDF]


Home page
Journal of Renin-Angiotensin-Aldosterone SystemHome page
A. M Sharma and S. Engeli
The renin-angiotensin system in obesity hypertension
Journal of Renin-Angiotensin-Aldosterone System, March 1, 2001; 2(1_suppl): S114 - S119.
[PDF]


Home page
HypertensionHome page
Z. Pausova, B. Deslauriers, D. Gaudet, J. Tremblay, T. A. Kotchen, P. Larochelle, A. W. Cowley, and P. Hamet
Role of Tumor Necrosis Factor-{alpha} Gene Locus in Obesity and Obesity-Associated Hypertension in French Canadians
Hypertension, July 1, 2000; 36(1): 14 - 19.
[Abstract] [Full Text] [PDF]


Home page
HypertensionHome page
S. Engeli, R. Negrel, and A. M. Sharma
Physiology and Pathophysiology of the Adipose Tissue Renin-Angiotensin System
Hypertension, June 1, 2000; 35(6): 1270 - 1277.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
B. Zinman, A. J. G. Hanley, S. B. Harris, J. Kwan, and I. G. Fantus
Circulating Tumor Necrosis Factor-{alpha} Concentrations in a Native Canadian Population with High Rates of Type 2 Diabetes Mellitus
J. Clin. Endocrinol. Metab., January 1, 1999; 84(1): 272 - 278.
[Abstract] [Full Text]


Home page
Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
K. Tamura, S. Umemura, N. Nyui, K. Hibi, T. Ishigami, M. Kihara, Y. Toya, and M. Ishii
Activation of angiotensinogen gene in cardiac myocytes by angiotensin II and mechanical stretch
Am J Physiol Regulatory Integrative Comp Physiol, July 1, 1998; 275(1): R1 - R9.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
J.-M. Fernandez-Real, B. Lainez, J. Vendrell, M. Rigla, A. Castro, G. Penarroja, M. Broch, A. Perez, C. Richart, P. Engel, et al.
Shedding of TNF-alpha receptors, blood pressure, and insulin sensitivity in type 2 diabetes mellitus
Am J Physiol Endocrinol Metab, April 1, 2002; 282(4): E952 - E959.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend