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(Hypertension. 2005;45:759.)
© 2005 American Heart Association, Inc.
Original Articles |
From the Institut für Kardiovaskuläre Physiologie and ZAFES (O.J., R.P.B., R.B., I.F.), Johann Wolfgang Goethe-Universität, Frankfurt am Main, Germany; Department of Entomology and UC Davis Cancer Center (I.-H.K., B.D.H.), University of California, Davis; Institut für Physiologie (F.S.), Universität Regensburg, Germany; and Pharmazentrum Frankfurt (R.S.), Institut für Klinische Pharmakologie and ZAFES, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main, Germany.
Correspondence to Ralf P. Brandes, Institut für Kardiovaskuläre Physiologie, Klinikum der Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, D-60596 Frankfurt am Main, Germany. E-mail r.brandes{at}em.uni-frankfurt.de
| Abstract |
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-hydroxylase inhibitor N-methylsulfonyl-12,12-dibromododec-11-enamide, which attenuates formation of the potent vasoconstrictor 20-hydroxyeicosatetraenoic acid, decreased tone in carotid arteries from angiotensin IItreated but not from control mice. These data demonstrate that the decrease in blood pressure observed after sEH inhibition in angiotensin IIinduced hypertension can be attributed to an initial reduction in heart rate followed by pressure diuresis resulting from increased perfusion of the kidney. Direct vasodilatation of resistance arteries in skeletal muscles does not appear to contribute to the antihypertensive effects of sEH inhibition in mice.
Key Words: angiotensin lipids
| Introduction |
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The expression of the sEH is high in a number of organs, including the kidney and the liver,7 and several publications have suggested that the sEH plays a role in regulation of blood pressure. For example, male sEH/ mice have a lower blood pressure than their control litter mates,8 and inhibition of sEH using N,N'-dicyclohexylurea lowers blood pressure in spontaneously hypertensive rats.4 Another sEH inhibitor, N-cyclohexyl-N-dodecyl urea, is reported to lower blood pressure in rats made hypertensive by the infusion of angiotensin II.9 Although the above-mentioned reports were convincing, little is known about the true physiological effects of sEH inhibition.
In the present study, we characterized the effects of the novel sEH inhibitor 12-(3-adamantan-1-yl-ureido) dodecanoic acid (AUDA)10 on blood pressure in mice with angiotensin IIinduced hypertension. Furthermore, we set out to elucidate the mechanism underlying the antihypertensive effects of sEH inhibition by determining renal function and by using isolated preparations of the mouse hind limb (skeletal muscle region) and kidney.
| Methods |
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Blood pressure was recorded in conscious animals using an automated tail-cuff system (Visitech). In another series of experiments, blood pressure was recorded under general anesthesia (isofuren inhalation) via a catheter placed in the right carotid artery connected to a Stathem transducer system as described previously.12
AUDA was synthesized as reported previously10 and was given either with drinking water (1 mg/mL in 1% [2-hydroxypropyl]-ß-cyclodextin) for the experiments in which blood pressure was measured over a period of 12 days or as an intravenous infusion (8 mg/kg dissolved in 10% [2-hydroxypropyl]-ß-cyclodextin; volume 160 µL) to determine the acute effects of the substance on blood pressure. In preliminary experiments, these administration protocols resulted in plasma and tissue levels of AUDA of
50 nmol/L, which is in the range of the IC50 of the compound for the sEH.
In some animals, urine samples were collected over 24 hours, 7 days after implantation of mini-pumps and 24 hours after initiation of AUDA treatment in the drinking water.
Isolated Perfused Kidney
Mice were anesthetized with 5-ethyl-5-(1-methylbutyl)-2-thiobarbituric acid (100 mg/kg IP; Byk Gulden) and ketamine-HCl (80 mg/kg; Curamed). Kidney perfusion was performed in a thermoregulated chamber as described previously.13 In brief, the aorta and the renal vein were cannulated, and the venous effluent was drained outside the chamber. Kidneys of mice pretreated with angiotensin II were perfused with a modified KrebsHenseleit solution at a constant pressure of 120 mm Hg and kidneys of untreated mice at 90 mm Hg. The modified KrebsHenseleit solution contained (in mmol/L) all physiological amino acids in concentrations between 0.2 and 2.0: 8.7 glucose, 0.3 pyruvate, 2.0 L-lactate, 1.0
-ketoglutarate, 1.0 L-malate, and 6.0 urea, as well as ampicillin (3 mg/100 mL), flucloxacillin (3 mg/100 mL), 6% (wt/vol) bovine serum albumin, and 1 mU/100 mL vasopressin 8-lysine, as well as freshly washed human red blood cells (10% hematocrit). The perfusate was continuously dialyzed against perfusion medium lacking erythrocytes and albumin and gassed with a mixture of 94% O2 and 6% CO2. Angiotensin II and AUDA were infused into the arterial limb of the perfusion circuit, and changes in the flow rate were recorded. Angiotensin II infusion was used to preconstrict the resistance vessels of the kidney. Probably as a consequence of downregulation of the angiotensin II type-1 (AT1) receptor,14 the constrictor response to angiotensin II was attenuated in kidneys from angiotensin IItreated animals.
Isolated Saline Perfused Hind Limb Preparation
Animals were euthanized by decapitation 7 days after implantation of the mini-pump. A catheter was inserted into the abdominal aorta and advanced to one iliac artery. The hind limb was perfused with constant pressure (100 mm Hg) with the aid of a roller pump and a pressure control valve using KrebsHenseleit solution as described previously.15 AUDA (1 µmol/L), angiotensin II (Ang II; 5 nmol/L), and bradykinin (100 µL bolus in 5% glucose, 109105 mol/L) were administered via a side port, and changes in flow rate were determined using a magnetic flow probe (Föhr Medical Instruments).
Organ Chamber Experiments
Organ chamber experiments were performed as described,16 in rings of carotid artery from mice pretreated for 7 days with either angiotensin II or vehicle. Arterial rings were preconstricted with phenylephrine to 80% of the contraction elicited by KCl (80 mmol/L) and the relaxation to increasing concentrations of AUDA and to the
-hydroxylase inhibitor N-methylsulfonyl-12,12-dibromododec-11-enamide (DDMS) were determined.
Urine Analysis
Urine samples were diluted 1:10 and analyzed using an automated serum analyzer (EML Radiometer) according to the manufacturers instructions.
Immunohistochemistry
Samples of mouse carotid artery and the kidney were embedded in Tissue-Tek and frozen in isopentan/liquid nitrogen. Cryostat sections (5 µm) were air-dried, fixed in phosphate-buffered formaldehyde solution (5%), permeabilzed using Triton X-100 (0.05%), and blocked with BSA solution (5% in PBS). The sEH was detected using a polyclonal rabbit antibody (1:800 dilution; kindly provided by C. Morriseau, UC Davis, California) and an appropriate secondary antibody coupled to Alexa-488 (Molecular Probes). Nuclei were counterstained using tropro-3 iodine (1:1000). Images were acquired by laser scanning microscopy (LSM 510 meta; Carl Zeiss). Samples from sEH/ mice served as negative control (Frank J. Gonzalez, National Institutes of Health, Bethesda, Md).
Statistics
All values are the mean±SEM. Statistical analysis was performed using ANOVA for repeated measurements followed by Fisher least significant difference test or paired or unpaired t test, where appropriate.
| Results |
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To better characterize the effects of AUDA on blood pressure, a single bolus of the inhibitor (8 mg/kg) was administered via a catheter placed in the left jugular vein, and blood pressure in the carotid artery was measured. The acute administration of AUDA had no effect in sham-treated animals or animals made hypertensive by the implantation of osmotic mini-pumps containing phenylephrine. In contrast, the inhibitor elicited a significant decrease in the blood pressure of angiotensin IItreated animals (Figure 2). The effect on the diastolic pressure was more pronounced than that on the systolic pressure (data not shown). AUDA significantly lowered the heart rate in angiotensin IIpretreated animals to the level observed in control animals but did not affect heart rate in either control or phenylephrine-treated mice. The pressure/heart rate ratio, taken as a rough estimate for peripheral resistance (assuming constant stroke volume), was unaffected by AUDA in all 3 groups.
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AUDA Selectively Increases the Perfusion of the Kidney in Angiotensin IIHypertensive Mice
To determine the role of the sEH for the control of the peripheral resistance, isolated organ preparations were used. The effect of AUDA was tested in kidneys and hind limbs from sham- and angiotensin IItreated mice in the presence of angiotensin II. In kidneys isolated from angiotensin IItreated mice, infusion of AUDA significantly lowered vascular resistance, whereas the inhibitor had no effect in control animals (Figure 3). AUDA had no effect on the resistance or the bradykinin-induced vasodilatation of isolated perfused hind limbs from control or angiotensin IItreated mice (Figure 4A).
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Inhibition of 20-HETE Formation but Not EET Degradation Relaxes Conduit Vessels From Angiotensin IIHypertensive Mice
Next, the role of the
-hydroxylase was compared with that of the sEH on the constrictor tone of conduit vessels. Neither the
-hydroxylase inhibitor, DDMS, nor AUDA affected the tone of carotid arteries from sham-operated mice. However, DDMS induced a pronounced, concentration-dependent decrease in tone in vessels from angiotensin IItreated animals, whereas AUDA had no effect (Figure 4B and 4C). To exclude the lack of sEH expression in the carotid artery as the reason for this observation, sEH expression was studied. Immunohistochemistry revealed that the sEH was expressed predominantly in the endothelium (Figure 4D).
AUDA Increases Urinary Salt and Water Excretion in Angiotensin IIHypertensive Mice
To determine the effects of AUDA on renal function, urine was collected from mice 6 days after insertion of the osmotic mini-pumps delivering either vehicle or angiotensin II. Urinary flow rate and osmolarity, as well as sodium and potassium excretion, were not different between mice receiving vehicle or angiotensin II. However, AUDA selectively increased urinary flow rate and the excretion of sodium and potassium in mice treated with angiotensin II without having an effect on control animals. In contrast, AUDA did not affect urine osmolarity (Figure 5A). Calculation of the osmotic gap revealed that AUDA also enhanced the excretion of nonionic osmolytes (mainly urea) in mice treated with angiotensin II but not in control animals (data not shown). Immunohistochemistry revealed high expression of the sEH in distal tubuli but low levels in the glomeruli (Figure 5B).
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| Discussion |
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Little is known about the contribution of EETs to vascular tone in mice, although these epoxides have been implicated in the EDHF-mediated relaxation of certain vascular beds in other species.1 Indeed, it has been demonstrated previously that the bradykinin-induced, EDHF-mediated relaxation of porcine coronary arteries2 and of the isolated perfused mouse heart17 is dependent on the activity of CYP enzymes. However, in the present study, AUDA had no effect on the bradykinin-induced vasodilatation of the isolated perfused hind limb. This observation does not exclude an effect of sEH inhibition on EDHF-mediated relaxations because the experiments were performed in the absence of cyclooxygenase and NO synthase inhibitors. In such situations, the EDHF response is usually masked by NO and prostacyclin, which are also reported to suppress the formation and action of EDHF.18,19 Nevertheless, our observation that AUDA lowered vascular resistance in the isolated perfused kidney but had no effect on the baseline resistance of the isolated perfused hind limb indicates that epoxides, such as EETs, which accumulate after inhibition of sEH,20 are potentially more important for control of vascular resistance in the kidney than in skeletal muscle. Moreover, the rapid hypotensive effect of AUDA observed in vivo can be attributed to a reduction in heart rate, whereas systemic vascular resistance, albeit only indirectly estimated from the blood pressure to heart rate ratio, was completely unchanged. Given that the sEH is expressed in the endothelium of the carotid artery as well as in the kidney, it seems logical to conclude that either the kidney is particularly sensitive to a lipid compound metabolized by the sEH or that such a compound is not formed in the murine hind limb vasculature or in the carotid artery.
AUDA exerted effects only in animals pretreated with angiotensin II without affecting responses in mice made hypertensive by phenylephrine infusion. Thus, it appears that the depressor effects of the sEH inhibitor are restricted to conditions in which the angiotensin system is activated rather than to hypertension, per se. There is at least circumstantial evidence supporting a link between the renin-angiotensin system and the sEH because angiotensin II treatment increases expression of the enzyme,4 and the renal metabolism of EETs to DHETs is increased in spontaneously hypertensive rats,21 in which the angiotensin system is activated. On the other hand, the sEH is expressed in control animals and it is questionable whether the upregulation of the sEH and a subsequent increase in the metabolism of EETs can account for the observations of the present study. The situation is further complicated by large variations reported in the expression of the sEH in different species. For example, in human kidney, sEH was detected predominantly in vascular endothelial cells,7 whereas we found little or no sEH in the endothelium of the glomeruli but an abundance of the enzyme in distal segments of the murine tubular system. In the rat kidney, the sEH is expressed in the renal cortex and, to a lesser extent, in endothelial cells, as assessed by Western blot analysis.22
The effects of sEH inhibitors have been attributed to the accumulation of EETs;9 indeed, inhibition of the sEH attenuates the metabolism of EETs to DHETs in isolated vessels.23 However, another eicosanoid (ie, 20-HETE) mediates a large part of the direct vasoconstrictor effects of angiotensin II and inhibits large-conductance K+Ca channels on smooth muscle cells, which leads to calcium influx1 and increases the calcium sensitivity of vascular smooth muscle cells.24 To exclude that the actions of AUDA were a consequence of an unspecific inhibition of the
-hydroxylase, the effect of AUDA on vascular tone was compared with that of DDMS, an inhibitor of the
-hydroxylase.25 Only the latter compound affected the tension of the isolated carotid artery from angiotensin IItreated mice, which underscores the specificity of AUDA but also demonstrates that the sEH has no role in the direct control of carotid artery tone in mice.
AUDA increased the urinary excretion of sodium and potassium to a similar extent in the present study. EETs are reported to affect renal function at several sites; in the proximal tubule and collecting duct, Na+ transport is inhibited by EETs,26 and these epoxides have also been reported to inhibit the renal Na+/K+-ATPase.27 Our findings indicate that alterations in the sodium handling in the distal tubulus and the collecting duct cannot account for the effects of AUDA because an action at this site would be expected to decrease potassium excretion. AUDA also increased the excretion of non-ionic osmolytes, as calculated from the ionic gap. Because the absorption of these compounds is dependent on the function of the loop of Henle, it is tempting to speculate that the observed increase in renal perfusion leads to a situation similar to that of pressure diuresis, promoting a excretion of all osmolytes and water through a perfusion-induced reduction of osmolarity in the medulla.
An unexpected result of the present study was that the acute blood pressurelowering effect of AUDA was a consequence of a negative chronotropic effect of the inhibitor in angiotensin IItreated mice. Certainly, given that EETs affect the open probability of L-type Ca2+ channels28 and cardiac Na+ channels29 as well as Ca2+-dependent K+ channels and ATP-sensitive K+ channels on ventricular myocytes, direct effects of EETs on the sinoatrial node are conceivable. However, we failed to observe any dromotropic or chronotropic effects of 11,12-EET on the isolated perfused mouse heart (R.P. Brandes, unpublished observations; 2004). On the basis of the results presented, it is not possible to determine whether the effect of AUDA on heart rate was a consequence of a direct effect on the rhythmogenic cells or of central effect on sympathetic outflow. Such alterations in sympathetic outflow may also contribute to the pressure diuretic effect of AUDA. Central effects of sEH inhibition should be considered seriously because a substantial portion of the response to angiotensin II is mediated via central AT1 receptors in the stria vascularis.30 However, although EETs are known to be generated by astrocytes in response to glutamate release from neighboring neurons31 and the upregulation of CYP 2C11 elicits neuroprotective effects during transient experimental ischemic attack,32 little is known about the role and expression of the sEH in the brain.
Perspectives
In the present study, we demonstrated that inhibition of the sEH partially inhibits the hypertensive effect of angiotensin II in mice by increasing the renal excretion of salt and water and by a negative chronotropic effect in the heart. Given that sEH inhibitors also lower the blood pressure in spontaneously hypertensive rats, the sEH can be considered a novel therapeutic target for treatment of hypertension. Indeed, sEH inhibitors prevent the renal damage associated with experimentally induced hypertension.22 However, because there appear to be marked differences in localization of the sEH within the kidney of different species,7,22 the consequences of sEH inhibition may differ markedly between the mouse (in which little CYP appears to be expressed in the vascular endothelium) and other species, such as the pig2 and man,33 in which CYP-dependent vasodilator responses have been demonstrated. Finally, because the beneficial effects of sEH inhibitors are currently attributed to an increase in the availability of EETs, it will also be necessary to determine the effects of sEH inhibitors in vascular beds that constrict in response to EETs, as observed in some pulmonary vessel.34
| Acknowledgments |
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| Footnotes |
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Received October 8, 2004; first decision October 25, 2004; accepted December 9, 2004.
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B. B. Davis, C. Morisseau, J. W. Newman, T. L. Pedersen, B. D. Hammock, and R. H. Weiss Attenuation of Vascular Smooth Muscle Cell Proliferation by 1-Cyclohexyl-3-dodecyl Urea Is Independent of Soluble Epoxide Hydrolase Inhibition J. Pharmacol. Exp. Ther., February 1, 2006; 316(2): 815 - 821. [Abstract] [Full Text] [PDF] |
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J. Vriens, G. Owsianik, B. Fisslthaler, M. Suzuki, A. Janssens, T. Voets, C. Morisseau, B.D. Hammock, I. Fleming, R. Busse, et al. Modulation of the Ca2 Permeable Cation Channel TRPV4 by Cytochrome P450 Epoxygenases in Vascular Endothelium Circ. Res., October 28, 2005; 97(9): 908 - 915. [Abstract] [Full Text] [PDF] |
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J. D. Imig, X. Zhao, C. Z. Zaharis, J. J. Olearczyk, D. M. Pollock, J. W. Newman, I.-H. Kim, T. Watanabe, and B. D. Hammock An Orally Active Epoxide Hydrolase Inhibitor Lowers Blood Pressure and Provides Renal Protection in Salt-Sensitive Hypertension Hypertension, October 1, 2005; 46(4): 975 - 981. [Abstract] [Full Text] [PDF] |
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