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Hypertension. 1997;30:1284-1288

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Articles

Increased Expression of Parathyroid Hormone–Related Peptide Gene in Blood Vessels of Spontaneously Hypertensive Rats

Masakuni Noda; Tetsuo Katoh; Kiyoshi Kurokawa; Yoh Takuwa

From the Departments of Cardiovascular Biology (M.N., Y.T.) and Internal Medicine (M.N., T.K., K.K.), Faculty of Medicine, University of Tokyo (Japan).

Correspondence to Yoh Takuwa, MD, Department of Car- diovascular Biology, University of Tokyo Faculty of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113, Japan. E-mail yohtakwa{at}m.u-tokyo.ac.jp


*    Abstract
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*Abstract
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Abstract We have shown recently that mechanical stretch of cultured rat aortic smooth muscle cells induces a marked increase in gene expression of the vasorelaxant parathyroid hormone–related peptide. In the present study, we investigated whether mechanical force affected the in vivo parathyroid hormone–related peptide gene expression in blood vessels. Northern blot analysis revealed that stretch of isolated rat aortic strips increased the expression level of parathyroid hormone–related peptide mRNA. The parathyroid hormone–related peptide transcript level in aorta and mesenteric vessels from 18-week-old spontaneously hypertensive rats (SHR) was 2.5- and 2.2-fold higher, respectively, compared with age-matched Wistar-Kyoto (WKY) controls, whereas the parathyroid hormone–related peptide mRNA level in aorta from normotensive 4-week-old SHR was similar to that of age-matched WKY controls. The aortic parathyroid hormone–related peptide content was higher in 18-week-old SHR than in age-matched WKY controls. Moreover, treatment of mature SHR with an angiotensin II type 1 receptor antagonist or hydralazine caused a concomitant decrease in the parathyroid hormone–related peptide transcript level in aorta with lowering of blood pressure. These results suggest that the in vivo parathyroid hormone–related peptide gene expression in blood vessels is under the control of mechanical force, pointing to a role of parathyroid hormone–related peptide in the regulation of vascular tone.


Key Words: rats, inbred SHR • mechanical force • peptides • parathyroid hormone


*    Introduction
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up arrowAbstract
*Introduction
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down arrowResults
down arrowDiscussion
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Parathyroid hormone–related peptide was originally identified as a causative factor in malignancy-associated hypercalcemia.1 2 PTHrP shows N-terminal homology with PTH and shares its receptor with PTH.3 It has been reported that unlike PTH, PTHrP and its receptor genes are widely expressed in normal tissues, including vascular smooth muscle, where PTHrP exerts a vasorelaxant activity.4 5 6 7 8 9 10 These data suggested that PTHrP might be an endogenous vasoactive molecule that acts to serve as an autocrine and paracrine regulator of vascular smooth muscle tone.3 7 8

It was reported that various vasoconstrictors, including angiotensin II, endothelin, and thrombin, induced PTHrP gene expression in rat vascular smooth muscle cells.10 11 12 More noteworthy were the recent reports showing that PTHrP gene expression in the nonvascular smooth muscle tissues, including rat urinary bladder and uterus, was stimulated by mechanical stretch.13 14 These observations prompted us to test the possibility that stretch also regulates PTHrP gene expression in rat vascular smooth muscle cells.15 We found that application of repetitive cyclic stretch dramatically increased PTHrP gene expression in cultured vascular smooth muscle cells.16 17 Pirola et al18 recently reported that rocking of cultured vascular smooth muscle cells grown on dishes induced an increase in PTHrP mRNA, suggesting that mechanical force might regulate PTHrP gene expression. However, the exact physiological role of PTHrP and the regulation of its production or gene expression in blood vessels have yet to be established.

In the present study, we tried to extend our in vitro observation15 into the in vivo situation by examining whether mechanical force regulates PTHrP gene expression in blood vessels. To this end, we first studied the effect of stretching isolated rat aorta on PTHrP gene expression. Second, we investigated the effect of transmural pressure on PTHrP gene expression in blood vessels by comparing PTHrP mRNA levels in aorta and mesenteric vessels of SHR and age-matched normotensive WKY controls and by examining the effect of a decrease in blood pressure with antihypertensive treatment on vascular PTHrP gene expression in SHR.


*    Methods
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up arrowIntroduction
*Methods
down arrowResults
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Preparation of Aortic Strips
Male Wistar rats weighing 400 to 500 g were purchased from Charles River Breeding Laboratories (Shizuoka, Japan). The thoracic aorta was removed from rats anesthetized with diethyl ether and cleared of surrounding connective tissues. Helical strips of isolated aorta were mounted on tissue holders in water-jacketed organ baths containing 10 mL of Krebs-Henseleit bicarbonate buffer of the following composition (mmol/L): NaCl 120, KCL 3.5, MgSO4 1.5, KH2PO4 1.2, CaCl2 1.25, NaHCO3 24.4, glucose 10. The organ baths were kept at 37°C, and the buffer in organ baths was gassed continuously with 95% O2/5% CO2. In these experiments, vascular endothelium was disrupted mechanically. Strips were allowed to equilibrate for 1 hour without stretch and then were subjected to stretch. In preliminary experiments, PTHrP mRNA levels were determined in aortic strips subjected to stretch to 120%, 140%, and 160% of the resting length for 2 hours. The results indicated that stretch of strips to 140% of the resting length caused a maximal increase in PTHrP mRNA level. Therefore, 140% stretch was chosen in the following experiment. Control strips were not stretched throughout the incubation in organ baths.

Animal Experiments
Male 4-, 18-, and 24-week-old SHR and WKY rats were purchased from Charles River Breeding Laboratories. Antihypertensive drugs, the angiotensin II type 1 receptor antagonist TCV-116 (candesartan cilexetil; (±)-1-(cyclohexyloxycarbon-yloxy)ethyl-2-ethoxy-1-{[2'-(1H-tetrazol-5-yl)biphenyl-4-yl]methyl}benzimidazole-7-carboxylate) (10 mg/kg),19 or hydralazine (10 mg/kg) was emulsified into a gum arabic solution and administered daily into three 24-week-old rats per drug with an intragastric catheter for 2 weeks. Three control rats received a vehicle, a gum arabic solution. Systolic blood pressure was measured 5 hours after drug administration the day before the experiment by the tail-cuff method.

Northern Blot Analysis
Helical aortic strips incubated as described above and aorta and mesentery freshly isolated from anesthetized SHR and WKY rats were rapidly frozen and stored in liquid nitrogen until total RNA extraction was performed. Total RNA was extracted by the acid guanidinium isothiocyanate/phenol/chloroform method.20 RNA extracted from each aorta and mesentery of 18- and 26-week old rats was used as one sample for analysis of PTHrP mRNA. Because a sufficient amount of total RNA could not be extracted from one aorta of 4-week old rats due to the small size of the aorta, RNA from two aortas were combined and used as one sample. Total RNA was separated by formaldehyde/1.0% agarose gel electrophoresis and transferred onto a nylon membrane (Hybond N, Amersham). The polymerase chain reaction–amplified 463-bp rat PTHrP cDNA encoding most of the coding region and the 5'-untranslated region was labeled to a specific activity of 5 to 9x108 cpm/µg DNA with [{alpha}-32P]dCTP (Dupont-NEN) by the random priming method.16 Hybridization was performed at 42°C in a solution containing 0.87 mol/L NaCl, 50% formamide, 0.5% SDS, and 167 µg/mL salmon sperm DNA. The membrane was washed in 0.1xSSC and 0.1% SDS at 50°C and autoradiographed. After we stripped radioactive probes of a membrane, we rehybridized a membrane with 32P-labeled GAPDH cDNA probe. The radioactivity of corresponding bands was quantified by a Fuji BAS 2000 Bio-Image Analyzer (Fuji Film Co Ltd). The PTHrP mRNA level was corrected for GAPDH mRNA level by calculating the ratio of PTHrP/GAPDH mRNA radioactivity for each sample. The mean values in nonstretched control vessels (Fig 1Down), control WKY vessels (Figs 2Down, 3Down, and 4Down), and vessels from SHR without antihypertensive treatment (Fig 6Down) were expressed as 1.0, and the values of other groups in each figure were expressed as a ratio over the mean value of control groups. The size (in kilobases) of detected mRNAs was calculated on the basis of the 18s and 28s ribosomal RNA migration.



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Figure 1. Mechanical stretch–induced increase in PTHrP mRNA expression in rat aortic strips. Strips of thoracic aorta isolated from male Wistar rats were subjected to stretch to 140% of the resting length at 37°C for 2 hours. Control strips were incubated without stretch. Total RNA (11 µg per sample) extracted from aorta was analyzed for mRNAs of PTHrP and GAPDH as an internal control by Northern blotting. A, Autoradiograms of the representative experiment. B, Quantitative summary of the changes in PTHrP mRNA levels. Values are expressed as mean±SE (n=4).



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Figure 2. PTHrP mRNA expression levels in thoracic aorta isolated from 18-week-old SHR and age-matched WKY rats. Total RNA (20 µg per sample) extracted from thoracic aorta of both mature (18-week-old) SHR and WKY was analyzed for mRNAs of PTHrP and GAPDH by Northern blotting. A, Autoradiograms. Representative four lanes in each group are shown. B, Quantitative summary of the PTHrP mRNA level. Values are expressed as mean±SE (n=8).



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Figure 3. PTHrP mRNA expression levels in mesenteric vessels isolated from 18-week-old SHR and age-matched WKY. Total RNA (20 µg per sample) extracted from mesentery of both mature (18-week-old) SHR and WKY was analyzed for mRNAs of PTHrP and GAPDH by Northern blotting. A, Autoradiograms. B, Quantitative summary of the PTHrP mRNA level. Values are expressed as mean±SE (n=3).



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Figure 4. PTHrP mRNA expression levels in thoracic aorta isolated from 4-week-old normotensive SHR and age-matched WKY. Total RNA (20 µg per sample) extracted from thoracic aorta of SHR and WKY rats was analyzed for mRNAs of PTHrP and GAPDH by Northern blotting. A, Autoradiograms. B, Quantitative summary of the PTHrP mRNA level. Values are expressed as mean±SE (n=4). n.s. denotes statistically nonsignificant difference.



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Figure 6. Effects of lowering of blood pressure on aortic PTHrP mRNA expression in mature SHR. Total RNA (20 µg per sample) was extracted from thoracic aorta of mature (26-week-old) SHR that had received daily administration of the angiotensin II receptor antagonist TCV-116 (candesartan cilexetil) or hydralazine for 2 weeks and analyzed for mRNAs of PTHrP and GAPDH by Northern blotting. A, Autoradiograms. B, Quantitative summary of the PTHrP mRNA level. Values are expressed as mean±SE (n=3).

Measurement of PTHrP Contents in Aorta
Thoracic aorta removed from rats was immediately boiled at 100°C for 5 minutes and quickly frozen by immersing in liquid nitrogen. Frozen tissues were ground into powders and homogenized in a buffer comprising 1 mol/L acetic acid, 20 mmol/L HCl, 146 µmol/L pepstatin, 216 µmol/L leupeptin, and 1 mmol/L PMSF using a Polytron homogenizer. An aliquot of the homogenate was taken for determination of protein content. The homogenate was cleared by centrifugation at 9000g for 30 minutes. The supernatant was extracted with diethylether and lyophilized. The lyophilysates were dissolved in 0.1% trifluoroacetic acid and applied to a Sep-Pak plus short-body cartridge (Waters). The fraction that eluted at 60% acetonitrile concentration was assayed for PTHrP using a specific immunoradiometric assay 16 This assay detects intact (1-141) PTHrP. The PTHrP content was expressed as picomoles per gram protein.

Statistics
Within-groups comparisons were carried out using unpaired Student's t test, whereas intergroup multiple comparisons were made with two-way ANOVA. Differences were considered significant at P<.05. Values are presented as mean±SE.

Materials
TCV-116, a nonpeptidic AII type I receptor–selective antagonist, was a gift from Takeda Chemical Industries LTD (Osaka, Japan). Hydralazine was purchased from Sigma Chemical Co. All other chemicals were of reagent-grade purity. The PTHrP assay kit was obtained from Mitsubishiyuka Medical Sciences.


*    Results
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up arrowAbstract
up arrowIntroduction
up arrowMethods
*Results
down arrowDiscussion
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We first examined whether direct mechanical stretch of isolated rat aortic strips alters PTHrP mRNA expression level. Shown in Fig 1AUp is a Northern blot analysis of total RNA extracted from stretched and nonstretched aortic strips. Northern analysis detected a single band of 1.4 kb in aortic strips, which is in agreement with the size of the PTHrP transcript in cultured rat aortic smooth muscle cells that we and others have described previously.4 11 12 14 16 Exposure of aorta to stretch increased the expression level of PTHrP mRNA, but it did not change GAPDH gene expression. Quantitation of the results revealed a significant (P<.05) 40% increase in PTHrP mRNA levels in stretched aorta compared with nonstretched aorta (Fig 1BUp).

We next sought to reveal the effect of transmural pressure on PTHrP gene expression in blood vessels in vivo. For this purpose, we compared expression levels of PTHrP mRNA in aorta from hypertensive SHR and age-matched WKY controls. Mature 18-week-old SHR had elevated systolic blood pressure (219±9 mm Hg, n=8, P<.01) compared with age-matched WKY rats (153±12 mm Hg, n=8). SHR of this age had higher expression levels of PTHrP mRNA in aorta than age-matched WKY rats (Fig 2AUp). In contrast, the expression level of GAPDH was similar between both groups. Quantitatively, the PTHrP mRNA level of hypertensive SHR aorta was 2.5-fold greater than that of WKY rat aorta (Fig 2BUp). The PTHrP mRNA level in mesenteric blood vessels of hypertensive SHR was also higher (2.2-fold) than that of age-matched WKY controls, whereas the GAPDH mRNA level was similar between SHR and WKY rats (Fig 3AUp and 3BUp). On the other hand, the expression level of PTHrP mRNA and GAPDH mRNA in aorta of young 4-week-old SHR at the prehypertensive stage (systolic blood pressure 116±4 mm Hg, n=8) was similar to that of age-matched WKY controls (systolic blood pressure 114±4 mm Hg, n=8) (Fig 4AUp and 4BUp).

To examine whether expression of the PTHrP peptide in aorta is increased in 18-week-old SHR compared with age-matched WKY controls, we determined the PTHrP content in aorta from SHR and WKY rats. As shown in Fig 5Down, the PTHrP content in aorta from 18-week-old SHR was 2.3-fold higher than that in age-matched WKY rats.



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Figure 5. PTHrP peptide contents in thoracic aorta isolated from 18-week-old SHR and age-matched WKY. Extracts from thoracic aorta of both mature (18-week-old) SHR and WKY were analyzed for PTHrP peptide contents by using PTHrP-specific immunoradiometric assay.16 Values are expressed as mean±SE (n=4).

We investigated further the influence of transmural pressure on PTHrP gene expression in aorta by examining the effect of treatment of mature hypertensive SHR with antihypertensives on aortic PTHrP mRNA expression levels. Administration into SHR of the angiotensin II type 1 receptor antagonist TCV-116 and hydralazine for 2 weeks decreased blood pressure (systolic blood pressure: 205±1 mm Hg [n=3] in untreated SHR, 142±2 mm Hg [n=3] in SHR treated with TCV-116 [P<.01 compared with untreated SHR], and 146±1 mm Hg [n=3] in SHR treated with hydralazine [P<.01 compared with untreated SHR]). SHR treated with either of the antihypertensive drugs had significantly lower (by 21% and 35%, respectively) levels of PTHrP mRNA in aorta compared with untreated SHR (Fig 6AUp and 6BUp). GAPDH mRNA levels were not altered by treatment with the antihypertensives.


*    Discussion
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up arrowResults
*Discussion
down arrowReferences
 
The vascular wall is constantly exposed to mechanical forces of hemodynamic origin, ie, shear stress and transmural pressure.22 23 Shear stress is sensed by the vascular endothelial cells. Transmural pressure is transmitted to the wall and acts as a tensile stress on the wall constituents, the smooth muscle cells and the endothelial cells. We recently found that exposure of cultured rat vascular smooth muscle cells to stretch induces PTHrP gene expression.16 17 The present study demonstrates that stretch of isolated rat aortic strips induces an increase in PTHrP mRNA level (Fig 1Up). This finding extends our previous in vitro observation16 17 and suggests the possibility that mechanical force is an important factor in regulating in vivo PTHrP gene expression in blood vessels. To examine how transmural pressure influences in vivo PTHrP gene expression in blood vessels, we compared PTHrP mRNA levels in aorta and mesenteric vessels between hypertensive SHR and WKY controls. We have found that PTHrP gene expression in aorta is increased in hypertensive SHR but not in young SHR at the prehypertensive stage, compared with age-matched WKY controls (Figs 2Up and 4Up). In SHR at the hypertensive stage, PTHrP gene expression was also increased in mesenteric vessels, including smaller resistance arteries, compared with age-matched WKY controls (Fig 3Up). We also found that PTHrP peptide content is increased in aorta of SHR compared with that of age-matched WKY controls (Fig 5Up). These results suggest that the increased PTHrP gene expression accompanied by the increased PTHrP peptide contents in blood vessels of SHR is caused by elevated blood pressure, but not by the genetic factor pertinent to SHR. The finding in the present study that treatment of SHR with either of two types of pharmacologically different antihypertensive drugs, the angiotensin II type 1 receptor antagonist TCV-116 and hydralazine,24 25 causes a concomitant decease in aortic PTHrP mRNA with a decrease in blood pressure (Fig 6Up) further supports this notion. All of these data suggest that transmural pressure is an important factor in regulating PTHrP gene expression in the vessel wall and that this pressure acts to stimulate PTHrP gene expression.

An increase in PTHrP mRNA in blood vessels of SHR could be caused by an increase in the transcription rate of the PTHrP gene, a decrease in the degradation rate of the PTHrP mRNA, or both. For example, stimulation of PTHrP gene expression by prostaglandin E1 in HTLV-1–infected T cells was shown previously to be caused primarily by transcriptional activation of the PTHrP gene,26 whereas a serum-induced increase in PTHrP mRNA in osteosarcoma cells was associated with both transcriptional activation of the PTHrP gene and increased stability of PTHrP mRNA.27 In the present study, these different possibilities could not be tested because of technical difficulties associated with animal tissues as a sample source. However, our previous in vitro experiments16 showed that the stretch-induced increase in PTHrP mRNA in vascular smooth muscle cells was not accompanied by a change in the half-life of PTHrP mRNA, suggesting that transcriptional activation was involved in the stretch-induced increase in PTHrP mRNA.

Several groups recently reported that distention of nonvascular smooth muscle organs, including uterus, bladder, and stomach, causes an increase in PTHrP mRNA.13 14 15 These findings, together with the present study, indicate that PTHrP gene expression in different smooth muscle tissues is generally under the control of mechanical force. It is likely that there exists a common mechanism operative for the regulation of PTHrP gene expression by mechanical force in a variety of smooth muscle tissues. Previous studies demonstrated that stretching of cells leads to activation of Ca2+ channels, adenylyl cyclase, and phospholipase C in various cell types.22 23 However, we have shown in the previous study that the [Ca2+]i, protein kinase C, or adenylyl cyclase does not seem to mediate PTHrP gene expression induced by stretch itself in vascular smooth muscle cells.16 17 It remains to be elucidated how smooth muscle cells sense mechanical stimuli and convert it into intracellular signals for regulating PTHrP gene expression.

Arterial smooth muscle in various vascular beds changes its tone in response to alteration in blood pressure so that blood flow is maintained at a relatively constant level despite changes in the local perfusion pressure.22 23 This phenomenon, called autoregulation, involves the intrinsic contractile response of vascular smooth muscle to stretch (the myogenic response). The pressure-induced distention is believed to be the primary stimulus responsible for the myogenic response.23 Current evidence shows that the imposition of stretch on vascular smooth muscle cells causes an increase in [Ca2+]i via activation of both stretch-activated cation channel and voltage-dependent Ca2+ channels, resulting in vascular smooth muscle contraction.23 The increase in [Ca2+]i is also known to open Ca2+-activated K+ channels, which acts to limit membrane depolarization during the response to stretch.23 The PTHrP that has been induced in response to stretch may act as a vasorelaxant to mediate the negative-feedback regulation of the myogenic response to oppose the contractile response caused by stretch. Thus, vascular smooth muscle may finely tune the myogenic response to mechanical strain through regulating the activities of the plasma membrane ionic channels and the gene expression of the vasorelaxant peptide.

In conclusion, the present findings indicate that PTHrP expression in blood vessels is stimulated in response to stretch or intravascular pressure increase. These results suggest that PTHrP may be involved in the local regulation of vascular tone.


*    Selected Abbreviations and Acronyms
 
[Ca2+]i = intracellular free Ca2+ concentration
PTH = parathyroid hormone
PTHrP = parathyroid hormone–related peptide
SHR = spontaneously hypertensive rat(s)
WKY = Wistar-Kyoto rat(s)


*    Acknowledgments
 
This work was supported by grants from the Ministry of Education, Science, and Culture of Japan, by funds for cardiovascular research from Tsumura Co, and by funds from the Japan Heart Foundation and Japan Research Foundation for Clinical Pharmacology. We thank Dr Yumiko Shibouta (Takeda Chemical Industry) for her cooperation in rat experiments with antihypertensive treatment. We are grateful to Fumie Iwase and Rieko Suzuki for technical and secretarial assistance.

Received March 4, 1997; first decision April 18, 1997; accepted April 18, 1997.


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