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(Hypertension. 2006;47:238.)
© 2006 American Heart Association, Inc.
Original Articles |
From the Division of Cardiology (D.G.H., K.K.G.), Emory University, Atlanta, Ga; Angiogenesis Section (P.S.G., A.W., Y.C., W.J.W., C.W.), Lombardi Cancer Center, and Cardiovascular-Kidney Institute and Division of Nephrology and Hypertension (P.M., T.C., P.S.G., M.M., M.L., J.R., Y.C., W.J.W., C.S.W.) Georgetown University, Washington, DC.
Correspondence to Christopher S. Wilcox, Georgetown University Medical CenterPHC F6003, 3800 Reservoir Rd, NW, Washington, DC 20007. E-mail wilcoxch{at}georgetown.edu
| Abstract |
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and blood pressure by telemetry. Two siRNA sequences to p22phox (sip22phox) reduced mRNA >85% in cultured vascular smooth muscle cells. Rats received rapid (10 second) IV injections (50 to 100 µg) of 1 of 2 different sip22phox, control siRNA, or vehicle (TransIt in saline) during 14 day SC infusions of Ang II (200 ng · kg1 · min1) or sham infusions. In both groups, sip22phox, relative to control siRNA, led to significant (P<0.001;
50%) reductions in expression of p22phox mRNA and protein and of NADPH oxidase activity in the kidney cortex. In Ang IIinfused rats, sip22phox decreased protein expression for Nox-1, -2, and -4 but increased p47phox. Three days after sip22phox, conscious rats infused with Ang II had a reduced excretion of 8-isoprostane (10±1 versus 19±2 pg · 24 h1; P<0.01) and a reduced mean arterial pressure (142±5 versus 168±4 mm Hg; P<0.005). An increase in p22phox is required for increased renal NADPH oxidase activity, expression of Nox proteins and oxidative stress, and contributes
50% to hypertension during an Ang II slow-pressor response.
Key Words: hypertension, arterial arterioles oxidative stress kidney
| Introduction |
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Reactive oxygen species (ROS) and superoxide anion (O2·) have been implicated in the development of hypertension in the Ang II slow-pressor model, because hypertension is prevented by antioxidant molecules, such as a permeabilized form of superoxide dismutase or tempol, which is an superoxide dismutase mimetic nitroxide.2,4,5,8 Infusions of Ang II increase the activity of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase in blood vessels9 and the kidney cortex.4,10,11 This complex enzyme, which was first described in phagocytes and, later, in blood vessels and the kidney, is composed of membrane-associated components of the flavoprotein catalytic core, gp91phox (now named Nox-2) and p22phox.12 Activation requires phosphorylation of p47phox13 and its assembly with p67phox14 and Rac-1 at the membrane.12 Homologues of Nox-2 include Nox-1, which has been characterized in vascular smooth muscle cells (VSMCs),9 and Nox-4, which has been characterized in the kidney.15 VSMCs and kidneys have the phagocytic NADPH oxidase components.12 p22phox is expressed in the thick ascending limb, macula densa, distal convoluted tubule, collecting ducts, vasculature, and interstitial fibroblasts of the kidney.16 It is believed to dock the enzyme complex in the cell membrane and stabilize Nox proteins.12 There is colocalization of p22phox and O2· generation in atherosclerotic plaques from human blood vessels.17 The p22phox component is upregulated in the kidneys4,10 of rats undergoing an Ang II slow-pressor response. Antisense constructs targeted at p22phox inhibit Ang IIinduced hypertrophy of cultured VSMCs,18 and mice overexpressing p22phox in their VSMCs have an exaggerated hypertrophic response to Ang II infusion.19
Whereas these observations demonstrate the importance of p22phox in mediating the effects of Ang II on ROS and development of atherosclerosis, recent studies with mice overexpressing p22phox in blood vessels show that, despite increased aortic expression of p22phox and Nox-1 and increased O2· and H2O2 generation, the basal BP is not increased20 and rises only slightly more rapidly during infusion of Ang II.19 Therefore, the role of p22phox in the physiological response to Ang II is not yet clear. We tested the hypothesis that an increase in p22phox is required for increased NADPH oxidase activity and development of oxidative stress and hypertension during an Ang II slow-pressor response. Because specific pharmacological inhibitors or knockouts for p22phox are not yet available, we used an RNA interference (RNAi) strategy with small (21-bp) double-stranded interfering RNAs (siRNAs)21,22 targeted to p22phox (sip22phox) to test its role in mediating responses to Ang II infusion in rats.
| Methods |
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Under brief (10 minutes) anesthesia with 1% to 2% isoflurane, an osmotic minipump (model 2002, Alzet Corporation) was inserted subcutaneously in the nape of the neck and filled with vehicle (sham infused) or human Ang II (Peninsula Laboratories, San Carlos, CA) to deliver 200 ng1 · kg1 · min1 (Ang IIinfused). This protocol provides a gradual increase in mean arterial pressure (MAP) with Ang II over 2 weeks4 with increases in excretion of 8-isoprostane (8-Iso) prostaglandin F (PGF)2
and malondialdehyde and increased expression of p22phox mRNA10 and protein4 in the kidney. Under the same anesthetic, a cannula was inserted into a femoral vein, tunneled subcutaneously to the nape of the neck, filled with heparin saline, and plugged. This was used subsequently for intravenous injections of siRNA or vehicle.
The aim of the first series was to assess the effects of an infusion of Ang II on renal expression of mRNA and protein for p22phox, renal NADPH oxidase activity, excretion of 8-isoprostane PGF2
, and MAP. Eleven days after insertion of minipumps containing vehicle or Ang II, rats were placed in metabolic cages, and on day 12, a 24-hour urine was collected for excretion of 8-Iso. The next day, rats were euthanized for harvesting kidneys. Separate groups of rats were equipped with telemetric BP recorders (see below) and, after 2 weeks for recovery, received sham or Ang II infusions. MAP was recorded on day 12.
The aim of the second series was to assess the effects of sip22phox on the renal cortical expression of mRNA and protein for p22phox and NADPH oxidase activity. Rats received 2 injections, one of 100 µg of siRNA (or equivalent vehicle) on day 5 of Ang II or sham infusions and another of 50 µg on day 8. The siRNA was complexed with a polymer from TransIT in vivo gene delivery system and delivered according to the manufacturers recommendations (Mirus Inc). The injections of 6 mL were given via a catheter in a jugular vein over 10 seconds. Rats were euthanized 72 hours after the second injection of siRNA. Under thiobarbital anesthesia (Inactin; 100 mg · kg1 IP; Research Biochemicals Inc), the kidneys were flushed free of blood with PBS, harvested, and the cortex dissected and frozen for subsequent analysis of mRNA, protein, and NADPH oxidase activity.
The aim of the third series was to assess the effects of sip22phox on either the excretion of 8-Iso or the MAP during the hypertensive phase of an Ang II slow-pressor response. One group was infused with Ang II (n=6 to 8 per group) and was habituated to metabolic cages on day 7 of Ang II infusion. Twenty-fourhour urine collections were undertaken on day 8 (before intravenous injections) and daily until day 13 of Ang II infusion for excretion of 8-Iso, as described previously.10 On day 9, rats received 6 mL of fluid IV containing either a vehicle or 50 µg of a control siRNA (siCont) or sip22phox given by rapid IV bolus over 10 s as in series 2.24 The complex of siRNA and TransIt were incubated together for 5 minutes before injection. A second group was briefly anesthized for insertion of BP telemeters (see below) and, after 14 days for recovery, was infused with Ang II and given 6 mL IV injections of siRNA or vehicle on days 5 and 8 as in the second series. This protocol was adopted from studies that had used in vivo siRNA successfully to target genes in mice21,24 and on results of pilot studies (see beginning of Results section).
The aim of the fourth group was to investigate potential off-target effects of siRNA in Ang IIinfused rats.25 Rats were given intravenous injections of sip22phox No. 2 targeted to a different part of the molecule (see below). Its effects on mRNA and protein expression for p22phox and NADPH oxidase activity were compared with sip22phox No. 1. The kidney cortex was also analyzed for mRNA expression of toll-like receptor 3 (TLR-3) and signal transducers and activators transcription-1 (STAT-1) to assess activation of the interferon (INF) response element pathway that can confound siRNA studies.26
An extended Methods section is available online at http://hyper. ahajournals.org for the following subsections: telemetric BP recording and injection of siRNAs; siRNA construction and validation; mRNA isolation and RT-PCR; protein isolation, quantification, and immunoblotting; NADPH oxidase activity; chemical methods; and statistical analysis.
| Results |
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In series I, we found that 12 days of Ang II infusion increased the MAP, NADPH oxidase activity, 8-Iso excretion, and p22phox mRNA and protein in the renal cortex (Figure 1). In series 2, we found that sip22phox injection reduced the renal p22phox mRNA and protein by 50% and had a similar effect on NADPH oxidase activity both in sham-infused (Figure 2 A) in Ang IIinfused rats (Figure 2B).
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Before injection of vehicle or siRNA, the 8-isoprostane PGF2
excretion of rats infused with Ang II averaged 12.5±1.8 pg · 24 h1. It increased progressively over 4 days in Ang IIinfused rats that received a vehicle or siCont but not in those receiving sip22phox (Figure 3 A). This resulted in a
50% (P<0.01) reduction in excretion of 8-isoprostane PGF2
in the group receiving sip22phox, relative to siCont or vehicle, from 48 to 96 hours after injection.
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Ang II caused progressive increases in MAP after the first day of infusion (Figure 3B) to a plateau by day 9 of
170 mm Hg in rats receiving injections of vehicle or siCont. In contrast, there was no significant increase in MAP in those receiving sip22phox from the time of the first injection (day 5; 132±3 mm Hg) to 72 hours after the second injection (day 11; 140±5 mm Hg). There were no differences in heart rate between the groups 3 days after injections (vehicle: 339±14; siCont: 378±28; sip22phox No. 1: 355±11; sip22phox No. 2: 358±9 min1; P value not significant). The MAP of Ang IIinduced rats given sip22phox remained significantly (P<0.005) above levels of sham-infused rats of 107±4 mm Hg. Therefore, an increase in p22phox expression and activity in the kidney can account for up to about one third of the increase in BP during a 12-day infusion of Ang II.
The renal cortical expression of the other NADPH oxidase proteins in angiotensin-infused rats is depicted in Figure 4. There were no differences in expression between rats receiving vehicle and siCont, but sip22phox significantly reduced the expression of Nox-1, -2, and -4 and increased the expression of p47phox.
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As shown in Figure 5, the sip22phox No. 1 and No. 2 (targeted to different regions of p22phox cDNA) produced equivalent reductions in p22phox mRNA and protein expression and MAP. There were also equivalent reductions in NADPH oxidase activity (siCont: 54±7; sip22phox No. 1: 29±4; sip22phox No. 2: 30±5, 103 counts · mg protein1 · 5 min1). Therefore, data for sip22phox No. 1 and No. 2 are presented together.
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siRNA administration can activate off-target effects via cellular signaling through the TLR-3 with synthesis of interferons that signal via STAT-1. We found no significant increases in the expression of these mRNAs in the kidney cortex after injections of siCont or sip22phox, relative to vehicle, in Ang IIinfused rats (Figure 6), indicating that such off-target effects of our sip22phox were minimal or absent.
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| Discussion |
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.5,10 This study demonstrates the feasibility of "gene knockdown" in vivo in rats with a simple RNAi strategy using an RNA complexing solution and a rapid, relatively large-volume injection. This prevented increased expression of a target mRNA and protein in the kidney and thereby provided a model to investigate its biochemical and physiological actions. The main new findings are that injection of sip22phox prevents an increase in expression of p22phox mRNA and protein in the kidney and prevents an increase in NADPH oxidase activity, oxidative stress, and progressive rise in MAP of conscious rats during the second week of an Ang II infusion. In contrast, injection of a control siRNA sequence did not perturb these parameters. The effect is apparent between 48 and 96 hours after injection and was seen with 2 siRNAs targeted to different regions of the p22phox cDNA. The reduction in renal cortical expression of p22phox was accompanied by reduced expression of Nox-1, -2, and -4 but increased expression of p47phox.
RNAi originated with the finding that double-stranded RNAs injected into Caenorhabditis elegans silenced genes with complementary sequences.22 Double-stranded RNA can be processed in cells into siRNAs,
20 to 22 nucleotides in length, by the enzyme Dicer,27 and are incorporated into an RNA-induced silencing complex, which silences complimentary RNAs.21,27 Hydrodynamic transfection of siRNAs in mice involves rapid injection of a sufficiently large volume to transiently increase venous pressure24 to silence genes in organs with high blood flow, including the kidney28 and blood vessel.28 A modified strategy of rapid IV injection over 10 s of siRNAs in a gene complexing solution of TransIt in saline was effective in reducing the expression of the target mRNA and protein in vivo in the kidney cortex. The sip22phox injection led to a 50% reduction in p22phox expression in the kidneys, matched by an equivalent reduction in the target enzyme activity in both sham and Ang IIinfused rats. Apparently, the increase in NADPH oxidase activity in the kidney with Ang II depends on increased p22phox protein expression. Additional studies will be required to determine whether similar effects of RNAi can be achieved in rats with this method in other organs besides the kidney and whether improved delivery or more stable constructs can increase the efficiency and prolong the duration of the therapeutic effects.
Potential problems with in vivo RNAi have been reviewed.27 First, at high concentration, some siRNAs may act via TLR-3 to increase the INF response factor that stimulates INF and initiates cell signaling via STAT-1.26 Therefore, we undertook pilot studies in Ang IIinfused rats to define a minimally effective dose of siRNA. We confirmed that siRNA injections did not change the renal mRNA expression for TLR-3 or STAT-1 in angiotensin-infused rats. Thus, it seems unlikely that activation of this pathway could account for our results. Second, there are off-target effects of RNAi because of silencing of genes with as few as 11 contiguous nucleotides of identity to the siRNA.25 Therefore, we limited the quantity of siRNA injected to 200 to 400 µg · kg1 (below the quantities used previously in mice28), tested a control, nonsilencing sequence, and found that 2 active siRNAs targeted to different coding regions of the p22phox gene were equally effective in reducing p22phox expression, NADPH oxidase activity, and BP in Ang IIinfused rats. Thus, the responses observed likely relate to reductions in p22phox mRNA and protein expression.
ROS have been assigned a critical role in vasoconstriction,11 endothelial dysfunction,5 vascular remodeling,19 and atherosclerosis17 accompanying hypertension. In the kidney, ROS can enhance many processes linked to the development of hypertension, including tubuloglomerular feedback,29 afferent arteriolar vasoconstriction,11 NaCl reabsorption,30 and oxygen usage.23 Ang II can upregulate many of the components of NADPH oxidase in addition to p22phox in blood vessels or kidneys, including Nox-19,10, Nox-2,31 p67phox,31 and p47phox.13 Mice with targeted deletions of p47phox have a diminished increase in BP with Ang II.13 A Nox-2blocking peptide reduces Ang IIinduced hypertension in rats,32 whereas a Nox-2 knockout mouse has a reduced basal BP but a normal increase in BP with a full dose of Ang II despite a failure to increase aortic production of O2·.33 The relative importance of Nox-1, -2, and -4 in mediating effects of Ang II requires additional study. p22phox is expressed widely in the normal rat kidney in cells of the thick ascending limb of the loop of Henle, macula densa, distal tubule, cortical outer medullary and inner medullary collecting ducts, and vasculative and interstitial fibroblasts.16 The present studies demonstrate that upregulation of p22phox can account for about one third of the increase in BP, all of the increase in NADPH oxidase activity in the renal cortex, and the progressive increase in isoprostane excretion during an Ang II infusion.
Limitations of the present study include a lack of mechanism to explain how a reduction in p22phox expression leads to a reduction in BP during Ang II infusion. Additional studies are needed to document the cellular sites of changes in p22phox in resistance arterioles in systemic vessels and kidneys, in renal tubular epithelial cells and, perhaps, inflammatory cells, and the effects of these on salt transport, renin secretion, and vascular reactivity. A second limitation is that studies of NADPH oxidase expression and activity were confined to the kidneys. It is not clear to what extent p22phox was reduced at other sites and the relative contributions of renal and extrarenal changes in p22phox to the results obtained.
Perspectives
The p22phox component interacts directly with Nox-1, -2, and -4 proteins in VSMCs to form a functional O2· generating NADPH oxidase.33,34 The reductions in Nox-1, -2, and -4 expression in rats with the p22phox gene silenced may explain the reduced NADPH oxidase activity. Nox-2 is the prominent Nox isoform expressed in human resistance vessels.35 Nox-1 is prominent in conduit vessels,9 and Nox-4 is expressed strongly in the kidneys.15 Because the resistance vessels and kidneys are prominent sites for Ang IIinduced hypertension, this may explain the moderation of hypertension by silencing of p22phox during Ang II infusion. Presently, there is no way to selectively prevent activation of NADPH oxidase. Drugs, such as diphenyliodinium, inhibit a wide range of flavin-containing enzymes in addition to NADPH oxidase. Pyocynin inhibits the activation of Nox-2 by p47phox but p47phox is not required for activation of Nox-1 or Nox-4.36 Thus, p22phox appears to be the only unique requirement for activity of all Nox enzymes.34 This strategy of p22phox silencing may have use in experimental studies and clinical settings in which a specific knockdown of all Nox enzymes is desirable. This study has, indeed, demonstrated that p22phox plays a critical role in enhancing the expression of catalytic Nox components of NADPH oxidase during Ang II and may, therefore, be a useful target for drug development to obviate oxidative stress and its consequences in the hypertensive kidney.
| Acknowledgments |
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| Footnotes |
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Dr Wilcox has a research grant from Novartis, GSK, and research support from Cary Pharmaceuticals. He is also a consultant/advisory board member for Berlex, Nitromed, Davita, Pfizer, and Cary Pharmaceuticals.
Received September 28, 2005; first decision October 21, 2005; accepted December 5, 2005.
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P. Nouri, P. Gill, M. Li, C. S. Wilcox, and W. J. Welch p22phox in the macula densa regulates single nephron GFR during angiotensin II infusion in rats Am J Physiol Heart Circ Physiol, April 1, 2007; 292(4): H1685 - H1689. [Abstract] [Full Text] [PDF] |
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W. J. Welch, T. Chabrashvili, G. Solis, Y. Chen, P. S. Gill, S. Aslam, X. Wang, H. Ji, K. Sandberg, P. Jose, et al. Role of Extracellular Superoxide Dismutase in the Mouse Angiotensin Slow Pressor Response Hypertension, November 1, 2006; 48(5): 934 - 941. [Abstract] [Full Text] [PDF] |
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