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Hypertension. 2006;48:134-140
Published online before print June 5, 2006, doi: 10.1161/01.HYP.0000225754.15146.dd
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(Hypertension. 2006;48:134.)
© 2006 American Heart Association, Inc.


Original Articles

Arterial 5-Hydroxytryptamine Transporter Function Is Impaired in Deoxycorticosterone Acetate and N{omega}-Nitro-L-Arginine But Not Spontaneously Hypertensive Rats

Wei Ni; Keith Lookingland; Stephanie W. Watts

From the Department of Pharmacology and Toxicology, Michigan State University, East Lansing.

Correspondence to Wei Ni, Department of Pharmacology and Toxicology, B445 Life Science Building, Michigan State University, East Lansing, MI 48824-1317. E-mail niwei{at}msu.edu


*    Abstract
up arrowTop
*Abstract
down arrowIntroduction
down arrowMethods
down arrowResults
down arrowDiscussion
down arrowReferences
 
We reported upregulation of the 5-hydroxytryptamine (HT) transporter (5-HTT) protein in peripheral arteries from deoxycorticosterone acetate (DOCA)-salt hypertensive rats. We hypothesized that upregulated 5-HTT may be generally elevated in hypertensive models and, as a consequence, a higher basal concentration of 5-HT, the 5-HT metabolite 5-hydroxyindoleacetic acid, and an increased 5-HT uptake would occur in peripheral arteries of hypertensive rats compared with normotensive rats. We examined 3 hypertension models: DOCA-salt rats, N{omega}-nitro-L-arginine (LNNA) rats, and spontaneously hypertensive rats (SHRs) in our study (systolic blood pressure [mm Hg]: DOCA (D)=197±6, SHAM(D)=112±4, LNNA (L)=228±9, SHAM(L)=128±2, SHR=172±7, and Wistar-Kyoto [WKY]= 121±3). High-pressure liquid chromatography measurements showed lower basal 5-HT concentrations in aorta from DOCA-salt and LNNA rats compared with their SHAM rats but not in SHR compared with WKY. In all of the 5-HT-uptake studies, we used arteries isolated from rats treated with the monoamine oxidase-A inhibitor pargyline to minimize 5-HT metabolism. Exogenous 5-HT was taken up by aorta, and this was inhibited by the 5-HTT inhibitor fluoxetine (1 µmol/L) or fluvoxamine (1 µmol/L). Total 5-HT uptake and 5-HTT–dependent active 5-HT uptake were decreased in aorta from DOCA-salt and LNNA rats compared with SHAM rats, but this was not observed in SHRs compared with WKYs. Western analysis revealed similar expression of 5-HTT in aorta from WKYs and SHRs as opposed to an upregulated 5-HTT in aorta from DOCA-salt and LNNA-hypertensive rats. Our study suggested that an altered serotonergic system by impaired 5-HTT function might play a role in blood pressure regulation in DOCA-salt and LNNA-hypertensive rats.


Key Words: rats


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMethods
down arrowResults
down arrowDiscussion
down arrowReferences
 
5-Hydroxytryptamine (5-HT, serotonin) has been recognized as a neurotransmitter and vasoconstrictor for many decades. As the primary protein to take up and release 5-HT,1 the functional 5-HT transporter (5-HTT) is localized to the cellular membrane in tissues of many organs. 5-HTT regulates the entire serotonergic system, and 5-HT receptors function via modulation of extracellular fluid 5-HT concentrations. 5-HTT is known as a target of antidepressant drugs, such as fluoxetine (Prozac), fluvoxamine, citalopram, and paroxetine, and the anorexigen (+)-fenfluramine (Pondimin).

In the cardiovascular system, the function of 5-HT and 5-HTT in anorexigen-induced or hypoxia-induced pulmonary arterial hypertrophy and hypertension has been well studied.2,3 Increased pulmonary arterial 5-HTT expression and function is associated with pulmonary hypertension.4,5 Genetic removal or pharmacological blockade of 5-HTT mitigates development of experimentally induced pulmonary hypertension.6,7 However, the function of the serotonergic system in systemic vasculature is not clear, as it is in pulmonary circulation. Only a few studies have investigated the change of 5-HTT function with hypertension. As a 5-HTT selective inhibitor, fluoxetine was reported to induce acute pressor responses in the rat,8 cause a sustained hypertension during short-term (12-week) fluoxetine treatment in humans,9 and is used in the treatment of severe refractory orthostatic hypotension.10 We reported previously that the functional 5-HTT exists in systemic arterial smooth muscle. Moreover, 5-HTT protein expression was upregulated in aorta from deoxycorticosterone (DOCA)-salt hypertensive rats compared with normotensive rats,11 and fluoxetine and fluvoxamine potentiated 5-HT-induced contraction in aorta from DOCA-salt hypertensive rats but not in aorta from normotensive rats.11 Thus, both expression and contractile function of 5-HTT was altered in DOCA-salt hypertension. We have not, however, measured active uptake of 5-HT into these vessels nor do we know whether the changes that we observed in the DOCA model are indicative of hypertension in general. In this study, we hypothesized that the increased expression and function of 5-HTT would be observed in multiple models in hypertension, and, as a result, aortic 5-hydroxyindoleacetic acid (5-HIAA) and 5-HT would increase. To test this hypothesis, we used 2 experimental hypertensive models (the DOCA-salt hypertensive rat and the N{omega}-nitro-L-arginine [LNNA] hypertensive rat) and a genetic hypertensive model (the spontaneously hypertensive rat [SHR]). We first compared the basal level of 5-HT concentrations in arteries from hypertensive versus normotensive animals. Second, we investigated 5-HT uptake and 5-HTT expression in arteries from hypertensive versus normotensive animals. Collectively, these studies provide initial insight into the general change of arterial 5-HTT function in hypertension.


*    Methods
up arrowTop
up arrowAbstract
up arrowIntroduction
*Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
All of the procedures that involved animals were performed in accordance with the institutional guidelines of Michigan State University.

Animal Use
Normal male Sprague–Dawley rats (0.25 to 0.30 kg; Charles River Laboratories, Inc; Harlan Industries, Inc) and male SHR and Wistar-Kyoto rats ([WKYs] 12 weeks, Taconic Farms, Inc) were used. In some experiments, animals were injected with vehicle (saline+0.1% ascorbate, IP) or monoamine oxidase A inhibitor pargyline (100 mg/kg, IP) 30 minutes before euthanization with pentobarbital (60 mg/kg, IP).

DOCA-Salt Hypertension
Male Sprague–Dawley rats (0.25 to 0.30 kg; Charles River Laboratories, Inc) underwent uninephrectomy and implantation of DOCA (200 mg/kg) under isoflurane anesthesia as described previously.12 After surgery, DOCA rats were placed on high salt water (1.0% NaCl+0.2% KCl). Animals remained on the regimen for 4 weeks.

LNNA Hypertension
Male Sprague–Dawley rats (250 to 300 g; Harlan) were given tap water mixed with LNNA (0.5 g/L). On exactly day 14 of treatment, rat systolic blood pressure (SBP) was measured before euthanization.

Blood Pressure Measurement
SBPs were measured using standard tail cuff methods (pneumatic transducer, Narco).

5-HT Basal Level Measurement
Aorta from normotensive and hypertensive animals were dissected, cleaned, and placed in 75 µL of 0.05 mmol/L sodium phosphate and 0.03 mmol/L citric acid buffer (pH 2.5) containing 15% methanol. Samples were frozen at –80°C for ≥4 hours. Samples were thawed, sonicated for 3 seconds, and centrifuged for 30 seconds (10 000 g). Supernatant was collected and transferred to new tubes. Tissue pellets were dissolved in 1.0 mol/L NaOH and assayed for protein. Concentrations of 5-HIAA and 5-HT in tissue supernatants were determined by isocratic high-pressure liquid chromatography coupled with electrochemical detection.13 The lower limit of sensitivity for detection of 5-HIAA and 5-HT was 2 to 5 pg per sample.

5-HT Uptake Assay
At room temperature, dissected and washed aorta from pargyline-treated animals were placed in physiological salt solution (mmol/L: NaCl, 130.00; KCl, 4.70; KH2PO4, 1.18; MgSO4-7H2O, 1.17; CaCl2-2H2O, 1.60; NaHCO3, 14.90; dextrose, 5.50; and CaNa2EDTA, 0.03 [pH 7.2]) in 1.5-mL plastic centrifuge tubes containing either vehicle or inhibitor (fluvoxamine, 1 µmol/L or fluoxetine, 1 µmol/L) for 30 minutes. 5-HT (1 µmol/L) or vehicle (water) was then added for 15 minutes. Experiments were performed at room temperature. Tissues were then briefly dipped in drug-free physiological salt solution and stored in 75-µL tissue buffer at –80°C. 5-HT and 5-HIAA concentration measurements were as described above.

Western Blotting Analysis
Aorta from hypertensive and normotensive animals were dissected directly from animals, cleaned, pulverized in liquid nitrogen, and solubilized in lysis buffer (0.5 mol/L Tris HCl [pH 6.8], 10% sodium dodecyl sulfate, and 10% glycerol) with protease inhibitors (0.5 mmol/L PMSF, 10 µg/mL aprotinin, and 10 µg/mL leupeptin). Homogenates were centrifuged (11 000g for 10 minutes, 4°C) and supernatant total protein measured. Equivalent amounts of arterial protein from tissue samples were separated on 10% SDS polyacrylamide gels and transferred to Immobilon-P membrane for Western analyses using an antibody against the human 5-HTT (H-115, Santa Cruz Biotechnology). Smooth muscle {alpha}-actin (1:5000; Oncogene) was used as a marker to ensure equal loading of protein.

Materials
Materials included DOCA, fluoxetine hydrochloride, fluvoxamine maleate, 5-HR hydrochloride, and pargyline hydrochloride (Sigma Chemical Co).

Data Analyses
Data are presented as mean±SEM for the number of animals stated. 5-HIAA and 5-HT content of each sample were quantified using standards run the same day and reported as a concentration relative to protein content (nanogram per milligram of protein). When comparing 2 groups, the appropriate Student t test was used. A P≤0.05 was considered statistically significant.


*    Results
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
*Results
down arrowDiscussion
down arrowReferences
 
Basal Level of 5-HT Was Decreased in Aorta From DOCA-Salt Rats and LNNA Rats But Not in SHRs
Our first experiment compared the basal level of 5-HT and its monoamine oxidase A–oxidized metabolite 5-HIAA in aorta from untreated (no pargyline treatment) normotensive and hypertensive rats (Figure 1A, SBP [mm Hg], DOCA [D]=197±6, SHAM(D)=112±4, LNNA [L]=228±9, SHAM(L)=128±2, SHR=172±7, and WKY=121±3). Figure 1B demonstrates that 5-HT but not 5-HIAA concentrations were significantly lower in aorta from DOCA-salt compared with SHAM rats (5-HT [ng/mg of protein], SHAM(D)=0.31±0.07 and DOCA= 0.17±0.03; P 0.05). Both 5-HIAA and 5-HT concentrations in aorta were lower in LNNA rats compared with their control normotensive rats (5-HIAA [ng/mg protein], SHAM(L)=0.73±0.16 and LNNA=0.10±0.02; P<0.05; 5-HT [ng/mg protein], SHAM=0.55±0.16 and LNNA=0.24±0.03; P<0.05). No differences were found in aortic 5-HIAA and 5-HT concentrations when comparing values from SHRs to WKYs.


Figure 1
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Figure 1. A, SBPs of SHAM(D), DOCA, SHAM(L), LNNA, WKY, and SHR. B, Detection of basal concentrations of 5-HIAA and 5-HT in thoracic aorta from SHAM(D) rats, DOCA-salt hypertensive rats, SHAM(L) rats, LNNA hypertensive rats, SHRs, and WKYs. Bars, mean±SEM for the number of animals in parentheses. *Statistically significant differences (P<0.05) when compared with appropriate normotensive control. #Statistically significant differences (P<0.05) when compared with SHR.

5-HT Uptake Was Reduced in Aorta From DOCA-Salt and LNNA Rats But Not in SHRs
Active 5-HT uptake was measured in aorta from pargyline-treated rats. As reported before,11 5-HIAA concentration was significantly reduced and 5-HT concentration increased in aorta from pargyline-treated rats. By inhibiting 5-HT metabolism, observed changes of 5-HT concentration in aorta after incubation with exogenous 5-HT directly reflect 5-HT uptake in aorta.

Sections of aorta from the same rat were incubated with vehicle, the 5-HTT inhibitor fluoxetine (1 µmol/L), fluvoxamine (1 µmol/L), 5-HT (1 µmol/L), 5-HT (1 µmol/L) plus fluoxetine (1 µmol/L), or 5-HT (1 µmol/L) plus fluvoxamine (1 µmol/L). Aorta were incubated with inhibitor for 30 minutes before 5-HT was added (15-minute incubation). We measured 5-HIAA and 5-HT concentration in aorta after incubation by using high-pressure liquid chromatography and normalized 5-HIAA and 5-HT concentration to aortic protein content (ng/mg protein; Figure 2). Aorta actively took up exogenous 5-HT, whereas both 5-HTT inhibitor fluvoxamine and fluoxetine reduced this 5-HT uptake in aorta from all of the animals studied (Figure 2).


Figure 2
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Figure 2. Effect of a 30-min preincubation with 5-HTT inhibitor fluoxetine (1 µmol/L) or fluvoxamine (1 µmol/L) on 5-HT concentration in aorta from pargyline-treated SHAM(D) rats (A), DOCA-salt hypertensive rats (B), SHAM(L) rats (D), LNNA-salt hypertensive rats (E), WKYs (G), and SHRs (H). Comparison of total 5-HT uptake and 5-HTT–dependent 5-HT uptake in aorta from SHAM(D) and DOCA-salt rats (C), SHAM(L) and LNNA hypertensive rats (F), WKYs and SHRs (I). Reported as 5-HT concentrations in nanograms per milligram of protein. Bars, mean±SEM for the number of animals in parentheses. *Statistically significant differences (P<0.05) when compared with vehicle. #Statistically significant differences (P<0.05) when compared with 5-HT (1 µmol).

To quantify total 5-HT uptake after incubation with exogenous 5-HT, we subtracted the 5-HT concentration in aorta incubated with vehicle from that in aorta incubated with exogenous 5-HT (5-HT 1 µmol/L–vehicle, [ng/mg protein], SHAM(D)=3.14±0.22, DOCA=2.36±0.31; P<0.05; SHAM(L)= 3.50±0.39, LNNA=2.51±0.25; P<0.05; WKY=2.29±0.25 and SHR=2.08±0.40; Figure 2C, 2F, and 2I). These results suggest that aorta from DOCA and LNNA rats took up less 5-HT compared with their normotensive rats, whereas no difference existed between aorta from SHRs and WKYs. Neither the 5-HTT inhibitor fluoxetine (1 µmol/L) nor fluvoxamine (1 µmol/L) blocked the entire 5-HT uptake stimulated by exogenous 5-HT (Figure 2A, 2B, 2D, 2E, 2G, and 2H).

To quantify the 5-HTT–mediated 5-HT uptake in aorta, we compared 5-HT uptake in the presence and absence of fluvoxamine or fluoxetine. We subtracted the 5-HT concentration (nanograms per milligram of protein) in aorta after incubation with exogenous 5-HT plus 5-HTT inhibitor (fluvoxamine or fluoxetine) from that of aorta only incubated with exogenous 5-HT [5-HT–(5-HT+fluvoxamine) or 5-HT–(5-HT+fluoxetine)]. This is a value that we interpreted to reflect 5-HTT–dependent 5-HT uptake. There was significantly lower 5-HTT–mediated 5-HT uptake (calculated from fluvoxamine inhibition) in DOCA (1.83±0.12 ng/mg protein) compared with SHAM(D) (2.54±0.30 ng/mg protein) and in LNNA (1.45±0.20 ng/mg protein) compared with its normotensive control (2.18±0.23 ng/mg protein), whereas no difference existed in SHRs (1.05±0.32 ng/mg protein) compared with WKYs (1.23±0.22 ng/mg protein). Similar results were obtained from the calculation of 5-HTT–mediated 5-HT uptake by fluoxetine inhibition (ng/mg protein, SHAM(D)=1.92±0.12, DOCA=1.43±0.18; P=0.056; SHAM(L)=2.71±0.25, LNNA=1.91±0.20; P<0.05; and WKY=0.89±0.33, SHR=1.10±0.47).

Measurement of 5-HTT Expression in Aorta From Normotensive and Hypertensive Rats
Western blotting analysis using a 5-HTT antibody, which recognizes amino acids (516 to 630) mapping at the carboxy terminus of the 5-HTT protein (H115 antibody, Santa Cruz Biotechnology) showed a single band slightly lower than 75 kDa (Figure 3). The expression of 5-HTT in aorta from DOCA-salt rats was significantly elevated compared with SHAM(D) (arbitrary unit, SHAM(D)=2774±469, DOCA=4374±125; P<0.05), which is consistent with our previous report.11 This upregulation of 5-HTT protein expression was not caused by increased transcription but increased translation of mRNA; as we reported previously, we could not detect a difference in the {Delta}CT value of 5-HTT in SHAM and DOCA-salt samples in a previous real-time RT-PCR study [{Delta}CT(5-HTT CT–GAPDH CT) SHAM(D)=1.75±0.1, DOCA-salt=2.45±0.13; P=0.064; n=6].11 Similarly, 5-HTT expression was also upregulated in LNNA rat aorta (arbitrary unit, SHAM(L)=2074±291, LNNA=3603±169; P<0.05). However, we did not observe a significant difference in 5-HTT aortic expression between WKYs and SHRs. Figure 3 shows the representative picture from 3 different experiments/rats.


Figure 3
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Figure 3. Western blotting analysis of 5-HTT in homogenates from SHAM(D), DOCA-salt hypertensive rats, SHAM(L), LNNA hypertensive rats, WKY, and SHR aorta. Representative of 3 experiments/rats.


*    Discussion
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up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
*Discussion
down arrowReferences
 
The role of 5-HT and, more recently, its regulator 5-HTT in hypertension is controversial and intriguing. The enhancement of potency for 5-HT in inducing vascular contraction or pressor response in hypertension is striking. Increases in reactivity to 5-HT have been observed in a number of different forms of hypertension models, including DOCA-salt hypertensive rats,14 SHRs,15 and in human patients.16 Many mechanisms may contribute to this hyperresponsiveness, such as changes in 5-HT receptor signaling or by changing circulating levels of 5-HT. It makes logical sense that a change in the activity of the 5-HT regulator (5-HTT) would change the circulating 5-HT concentration and, thus, change the responsiveness of arteries to 5-HT. In this study, we compared the 5-HTT function by testing 5-HT uptake of aorta from normotensive and hypertensive rats and tested whether the upregulation of 5-HTT expression and impaired function was common to hypertension by using 3 hypertension models, the DOCA-salt rats, LNNA rats, and SHRs.

Basal 5-HT Concentration Was Reduced in Aorta of DOCA-Salt and LNNA Hypertensive Rats But Not in SHRs
Free-circulating plasma 5-HT levels were reported as 15 to 120 nmol/L.17 5-HT has relatively low affinity with the 5-HT2A receptor, which is the major receptor mediating 5-HT–induced arterial contraction in normotensive animals (inhibition constant, 100 to 3000 nmol/L).18 Theoretically, this freely circulating concentration of 5-HT cannot activate 5-HT2A receptors in a physiological situation, which supports the idea that the serotonergic system does not play a role in blood pressure regulation or hypertension. However, many reports showed that plasma 5-HT concentrations and arterial 5-HT receptors are changed in hypertension. In essential hypertensive humans19 and cyclosporine-induced hypertensive rats,20 reduced levels of platelet 5-HT and increased plasma 5-HT concentration were measured. Consistent with these reports, unpublished work from our laboratory determined that the DOCA-salt rat platelet 5-HT was reduced (ng/mL of whole blood, SHAM(D)=215.6±35.4 and DOCA=150.4±36.7), whereas free-circulating 5-HT concentration was increased (ng/mL whole blood, SHAM(D)=5.82±1.14 and DOCA=28.1±11.1). The current observation of reduced basal 5-HT content in aorta from DOCA-salt rats suggests that arteries, probably like platelets, function as a reservoir for 5-HT with decreased storage capacity and/or decreased 5-HT uptake ability in DOCA-salt hypertension. We speculate that the increased free-circulating 5-HT in DOCA-salt rats may result from decreased 5-HT storage in and uptake by both platelets and arteries. The increased extracellular free-circulating 5-HT in DOCA-salt hypertensive rats may have significant effects. 5-HT has high affinity for the 5-HT2B receptor (inhibition constant, 10 nmol/L),21 and the expression and function of 5-HT2B receptor is upregulated in arterial smooth muscle in DOCA-salt hypertensive rats.22,23 This receptor is activated endogenously to maintain the high blood pressure of DOCA rats.24 Moreover, nanomolar concentrations of 5-HT potentiate arterial contraction to endothelin and norepinephrine.25 Thus, it is possible that increased free-circulating 5-HT concentration induces vasoconstriction, increases total peripheral resistance, and, thus, elevates blood pressure in DOCA-salt hypertensive rats.

Unfortunately, there is no literature report about measurements of platelet 5-HT content or free-circulating 5-HT concentration in LNNA hypertensive rats. Our observation of decreased basal aortic 5-HT and 5-HIAA concentration suggests a changed 5-HTT activity and changed level of circulating 5-HT in LNNA rats. Similar to the DOCA-salt rat, 5-HT2B receptor expression and function is increased in LNNA rats and is necessary for maintained elevated blood pressure.26 It is possible that these changed factors of the serotonergic system in LNNA rats play roles in increasing and maintaining blood pressure. Further studies need to be done to investigate the change of platelet and free-circulating 5-HT in LNNA rats.

Only 2 studies in 1985 investigated platelet 5-HT level in SHRs. As opposed to a decreased 5-HT in platelets in DOCA-salt hypertensive rats, SHRs have more platelets and similar platelet 5-HT levels in SHRs compared with WKYs.27,28 Free-circulating 5-HT in SHRs has not been reported. Our observation of similar basal 5-HT levels in aorta from SHRs and WKYs is consistent with these reports in platelets. We are aware that the basal level of 5-HT concentration is lower in WKYs compared with Sprague–Dawley normotensive rats. This may suggest an inherent difference in these strains. The serotonergic system may have a different degree of impact on blood pressure regulation in WKYs compared with Sprague–Dawley rats.

It is important to understand arterial function of 5-HTT in hypertension not only as a reflection of circulating 5-HT levels but also because intracellular 5-HT may have a function. Intracellular 5-HT was found to be used to transamidate (covalently modify) small GTPases by transglutaminases, rendering GTPases such as RhoA constitutively active.29 There are other intracellular proteins important for smooth muscle contraction reported as substrates of transglutaminase, such as actin, myosin, and troponin.30 It is possible that arterial smooth muscle cell intracellular 5-HT concentration regulates contraction by changing protein activity. Changing intracellular 5-HT concentration would, in turn, change arterial contraction. Thus, our observation of an altered basal activity in DOCA-salt and LNNA hypertension may have consequent pathological results.

5-HT Uptake Ability Was Reduced in Aorta of DOCA-Salt and LNNA Hypertensive Rats But Not in SHRs
By normalizing 5-HT content to protein concentration and comparing the change of 5-HT concentration in nanograms per milligram of protein, our results showed a decreased total 5-HT uptake and a decreased 5-HTT–dependent 5-HT uptake (Figure 2C and 2F) in aorta from DOCA-salt and LNNA hypertensive rats exposed to exogenous 5-HT compared with that of aorta from their normotensive SHAM rats. We did not observe differences in 5-HT uptake in aorta from SHRs and WKYs. Our results suggest that 5-HTT function was impaired in DOCA-salt and LNNA hypertensive rats. The decreased total 5-HT uptake observed in DOCA-salt and LNNA hypertensive rats may account for decreased basal aortic 5-HT content in both models and increased free-circulating 5-HT (DOCA-salt hypertension). Possible explanations for the contradictory findings of an upregulated 5-HTT protein expression and a decreased 5-HTT function in DOCA-salt and LNNA rats includes different membrane/cytosol distribution of 5-HTT in these SHAM and hypertensive animals, as well as translational modification of 5-HTT protein. Phosphorylation of 5-HTT by p38 mitogen-activated protein kinase increases 5-HTT function by stimulating insertion of intracellular 5-HTT into the cell membrane and increasing total 5-HTT activity.31 By contrast, protein kinase C reduces 5-HTT function by phosphorylating 5-HTT protein and causing translocation of 5-HTT to the cytosol.32 Thus, it is possible that total expression of 5-HTT increased in DOCA and LNNA hypertensive animals, whereas the membrane fraction or functional 5-HTT actually decreased.

We did not observe a difference in basal aortic 5-HT content, 5-HT uptake ability, or 5-HTT protein expression in aorta from SHR compared with WKY rats. There are several factors that may contribute to the differences that we observed. First, as we discussed above, the strain is different (WKY versus Sprague–Dawley). Second, the SBPs of SHRs (172±7 mm Hg) were lower than DOCA-salt rats (197±6 mm Hg) and LNNA rats (228±9 mm Hg). The change of 5-HTT expression and function may only happen in severe hypertension. Third, it is possible that the DOCA that we used in our DOCA-salt hypertension model causes the different 5-HTT expression and function. However, Kulikov et al33 reported that stimulation of mineralocorticoid receptors had no effect on 5-HTT radioligand binding density in rat midbrain. Furthermore, the observation of impaired 5-HTT function was also obtained in LNNA hypertensive rats. Thus, it is unlikely that the change of 5-HTT function in DOCA-salt hypertension is from effects of mineralocorticoid.

More importantly, the correlation between 5-HT2B receptor and plasma 5-HT or 5-HTT function was reported recently.34 Callebert et al34 observed a significantly increased plasma serotonin levels in wild-type mice with upregulated 5-HT2B receptor after exposure to chronic hypoxia but not in 5-HT2B receptor–/– mice. Acute treatment with 5-HT2B receptor agonist induced a rapid 5-HTT-and 5-HT2B receptor–dependent increase of plasma serotonin levels, which suggests that 5-HT2B receptor activation inhibits 5-HTT function and, thus, less 5-HT being taken up. Upregulated 5-HT2B receptor expression and function in DOCA and LNNA hypertension have been reported.24–26 On the other hand, the 5-HT2B receptor was not involved in 5-HT–induced vasoconstriction in the hindquarters of SHRs,35 which suggests that 5-HT2B receptor was not activated in SHRs as it was in DOCA-salt and LNNA hypertensive rats. Our results are consistent with the report by Callebert et al34 in that we observed an increased free-circulating 5-HT with increased 5-HT2B receptor function while decreased 5-HTT function in DOCA rats, increased 5-HT2B receptor function while decreased 5-HTT function in LNNA rats, no change of 5-HT2B receptor, and normal 5-HTT activity in SHR. How the 5-HT2B receptor regulates 5-HTT is not yet clear.

Other Arterial 5-HT–Uptake Mechanisms
One interesting observation in this study was that a maximal concentration of fluoxetine (1 µmol/L) and fluvoxamine (1 µmol/L) did not block the entire uptake stimulated by exogenous 5-HT. This suggests that there are other mechanisms by which 5-HT is transported into aorta. The norepinephrine transporter,36 dopamine transporter, organic cation transporter 1, and organic cation transporter 337 are possible candidates responsible for 5-HT uptake.

It is important to note that we studied 1 concentration of exogenous 5-HT at 1 time point in our active uptake study. Studies that examine 5-HT uptake at various times and with a range of 5-HT concentrations need to be done to compare 5-HTT Michaelis constant and maximum velocity values in aorta from DOCA-salt, LNNA hypertensive rats, and their SHAM control rats. However, this is difficult without determination of other mechanisms for 5-HT uptake. Thus, kinetic studies have to wait until these alternative mechanisms are discovered.

Perspectives
We demonstrated a change in the basal level of arterial 5-HT concentration and 5-HTT function in aorta from DOCA-salt and LNNA hypertensive rats but not SHR compared with appropriate control. By actively taking up 5-HT, peripheral arteries may play a role in decreasing circulating 5-HT concentration. We speculate that peripheral arteries actively take up 5-HT as a protective mechanism of the body to keep a normal level of free-circulating 5-HT and to prevent blood pressure increases. Furthermore, our findings of lower basal levels of 5-HT and impaired 5-HT–uptake function of 5-HTT in DOCA-salt and LNNA rats suggest that losing the arterial 5-HT clearance mechanism in these animals might lead to elevated blood pressure. Investigation of the altered arterial function in hypertensive animals would help us understand the pathogenesis of hypertension.


*    Acknowledgments
 
Sources of Funding

This study was supported by National Institutes of Health HL081115 and American Heart Association 0415397Z.

Disclosures

None.

Received March 30, 2006; first decision April 17, 2006; accepted April 28, 2006.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
up arrowDiscussion
*References
 
1. Inoue T, Kusumi I, Yoshioka M. Serotonin transporters. Curr Drug Targets CNS Neurol Disord. 2002; 1: 519–529.[CrossRef][Medline] [Order article via Infotrieve]

2. Eddahibi S, Adnot S. Anorexigen-induced pulmonary hypertension and the serotonin (5-HT) hypothesis: lessons for the future in pathogenesis. Respir Res. 2002; 3: 9.[CrossRef][Medline] [Order article via Infotrieve]

3. Eddahibi S, Raffestin B, Hamon M, Adnot S. Is the serotonin transporter involved in the pathogenesis of pulmonary hypertension? Lab Clin Med. 2002; 139: 194–201.

4. Eddahibi S, Adnot S, Frisdal E, Levame M, Hamon M, Raffestin B. Dexfenfluramine-associated changes in 5-hydroxytryptamine transporter expression and development of hypoxic pulmonary hypertension in rats. J Pharmacol Exp Ther. 2001; 297: 148–154.[Abstract/Free Full Text]

5. Eddahibi S, Humbert M, Fadel E, Raffestin B, Darmon M, Capron F, Simonneau G, Dartevelle P, Hamon M, Adnot S. Serotonin transporter overexpression is responsible for pulmonary artery smooth muscle hyperplasia in primary pulmonary hypertension. J Clin Invest. 2001; 108: 1141–1150.[CrossRef][Medline] [Order article via Infotrieve]

6. Marcos E, Adnot S, Pham MH, Nosjean A, Raffestin B, Hamon M, Eddahibi S. Serotonin transporter inhibitors protect against hypoxic pulmonary hypertension. Am J Respir Crit Care Med. 2003; 168: 487–493.[Abstract/Free Full Text]

7. Eddahibi S, Hanoun N, Lanfumey L, Lesch KP, Raffestin B, Hamon M, Adnot S. Attenuated hypoxic pulmonary hypertension in mice lacking the 5-hydroxytryptamine transporter gene. J Clin Invest. 2000; 105: 1555–1562.[Medline] [Order article via Infotrieve]

8. Lazartigues E, Brefel-Courbon C, Bagheri H, Costes S, Gharib C, Tran MA, Senard JM, Montastruc JL. Fluoxetine-induced pressor response in freely moving rats: a role for vasopressin and sympathetic tone. Fundam Clin Pharmacol. 2000; 14: 443–451.[Medline] [Order article via Infotrieve]

9. Amsterdam JD, Garcia-Espana F, Fawcett J, Quitkin FM, Reimherr FW, Rosenbaum JF, Beasley C. Blood pressure changes during short-term fluoxetine treatment. J Clin Psychopharmacol. 1999; 19: 9–14.[Medline] [Order article via Infotrieve]

10. Grubb BP, Samoil D, Kosinski D, Wolfe D, Lorton M, Madu E. Fluoxetine hydrochloride for the treatment of severe refractory orthostatic hypotension. Am J Med. 1994; 97: 366–368.[CrossRef][Medline] [Order article via Infotrieve]

11. Ni W, Thompson JM, Northcott CA, Lookingland K, Watts SW. The serotonin transporter is present and functional in peripheral arterial smooth muscle. J Cardiovasc Pharmacol. 2004; 43: 770–781.[CrossRef][Medline] [Order article via Infotrieve]

12. Watts SW, Fink GD, Northcott CA, Galligan JJ. Endothelin-1-induced venous contraction is maintained in DOCA-salt hypertension; studies with receptor agonists. Br J Pharmacol. 2002; 137: 69–79.[CrossRef][Medline] [Order article via Infotrieve]

13. Chapin DS, Lookingland KJ, Moore KE. Effects of LC mobile phase composition on retention times for biogenic amines, and their precursors and metabolites. Cur Separations. 1986; 7: 68–70.

14. Watts SW. The development of enhanced arterial serotonergic hyperresponsiveness in mineralocorticoid hypertension. J Hypertens. 1998; 16: 811–822.[CrossRef][Medline] [Order article via Infotrieve]

15. Collis MG, Vanhoutte PM. Tachyphylaxis to 5-hydroxytryptamine in perfused kidneys from spontaneously hypertensive and normotensive rats. J Cardiovasc Pharmacol. 1981; 3: 229–235.[Medline] [Order article via Infotrieve]

16. Golino P, Piscione F, Willerson JT, Cappelli-Bigazzi M, Focaccio A, Villari B, Indolfi C, Russolillo E, Condorelli M, Chiariello M. Divergent effects of serotonin on coronary-artery dimensions and blood flow in patients with coronary atherosclerosis and control patients. N Engl J Med. 1991; 324: 641–648.[Abstract]

17. Martin GR. Vascular receptors for 5-hydroxytryptamine: distribution, function and classification. Pharmacol Ther. 1994; 62: 283–324.[CrossRef][Medline] [Order article via Infotrieve]

18. PDSP Ki Database. Available at: http://kidb.cwru.edu/pdsp.php. Accessed April 20, 2006.

19. Fetkovska N, Amstein R, Ferracin F, Regenass M, Buhler FR, Pletscher A. 5-Hydroxytryptamine kinetics and activation of blood platelets in patients with essential hypertension. Hypertension. 1990; 15: 267–273.[Abstract/Free Full Text]

20. Reis F, Tavares P, Fontes Ribeiro CA, Antunes F, Teixeira F. The peripheral serotonergic system and platelet aggregation in cyclosporin A-induced hypertensive rats. Thromb Res. 1999; 96: 365–372.[Medline] [Order article via Infotrieve]

21. Bonhaus DW, Bach C, DeSouza A, Salazar FH, Matsuoka BD, Zuppan P, Chan HW, Eglen RM. 5-HT vs 5-HT2B affinity: The pharmacology and distribution of human 5-hydroxytryptamine2B (5-HT2B) receptor gene products: comparison with 5-HT2A and 5-HT2C receptors. Br J Pharmacol. 1995; 115: 622–628.[Medline] [Order article via Infotrieve]

22. Banes AK, Watts SW. Arterial expression of 5-HT2B and 5-HT1B receptors during development of DOCA-salt hypertension. BMC Pharmacol. 2003; 3: 12–37.[CrossRef][Medline] [Order article via Infotrieve]

23. Watts SW. Serotonin-induced contraction in mesenteric resistance arteries: signaling and changes in deoxycorticosterone acetate-salt hypertension. Hypertension. 2002; 39: 825–829.[Abstract/Free Full Text]

24. Watts SW, Fink GD. 5-HT2B-receptor antagonist LY-272015 is antihypertensive in DOCA-salt-hypertensive rats. Am J Physiol Heart Circ Physiol. 1999; 276: H944–H952.[Abstract/Free Full Text]

25. Watts SW. 5-Hydroxytryptamine-induced potentiation of endothelin-1- and norepinephrine-induced contraction is mitogen-activated protein kinase pathway dependent. Hypertension. 2000; 35: 244–248.[Abstract/Free Full Text]

26. Russell A, Banes A, Berlin H, Fink GD, Watts SW 5-Hydroxytryptamine(2B) receptor function is enhanced in the N{omega}-nitro-L-arginine hypertensive rat. J Pharmacol Exp Ther. 2002; 303: 179–187.[Abstract/Free Full Text]

27. Guicheney P, Baudouin-Legros M, Garnier JP, Roques P, Dreux C, Meyer P. Platelet serotonin and blood tryptophan in spontaneously hyper-tensive and normotensive Wistar-Kyoto rats. J Cardiovasc Pharmacol. 1985; 7: S15–S17.[Medline] [Order article via Infotrieve]

28. Guicheney P, Legros M, Marcel D, Kamal L, Meyer P. Platelet serotonin content and uptake in spontaneously hypertensive rats. Life Sci. 1985; 36: 679–685.[Medline] [Order article via Infotrieve]

29. Walther DJ, Peter JU, Winter S, Holtje M, Paulmann N, Grohmann M, Vowinckel J, Alamo-Bethencourt V, Wilhelm CS, Ahnert-Hilger G, Bader M. Serotonylation of small GTPases is a signal transduction pathway that triggers platelet {alpha}-granule release. Cell. 2003; 115: 851–862.[CrossRef][Medline] [Order article via Infotrieve]

30. Griffin M, Casadio R, Bergamini CM. Transglutaminases: nature’s biological glues. Biochem J. 2002; 368: 377–396.[CrossRef][Medline] [Order article via Infotrieve]

31. Blakely RD, Defelice LJ, Galli A. Biogenic amine neurotransmitter transporters: just when you thought you knew them. Physiology (Bethesda). 2005; 20: 225–231.[CrossRef][Medline] [Order article via Infotrieve]

32. Jayanthi LD, Samuvel DJ, Blakely RD, Ramamoorthy S. Evidence for biphasic effects of protein kinase C on serotonin transporter function, endocytosis, and phosphorylation. Mol Pharmacol. 2005; 67: 2077–2087.[Abstract/Free Full Text]

33. A, Mormede P, Chaouloff F. Effects of adrenalectomy and corticosterone replacement on diurnal [3H]citalopram binding in rat midbrain. Neurosci Lett. 1997; 222: 127–131.[CrossRef][Medline] [Order article via Infotrieve]

34. Callebert J, Esteve JM, Herve P, Peoc’h K, Tournois C, Drouet L, Launay JM, Maroteaux L. Evidence for a control of plasma serotonin levels by 5-HT2B receptors in mice. J Pharmacol Exp Ther. 2006; 317: 724–731.[Abstract/Free Full Text]

35. Calama E, Moran A, Ortiz de Urbina AV, Martin ML, San Roman L. Vasoconstrictor responses to 5-hydroxytryptamine in the autoperfused hindquarters of spontaneously hypertensive rats. Pharmacology. 2004; 71: 66–72.[Medline] [Order article via Infotrieve]

36. Daws LC, Montanez S, Owens WA, Gould GG, Frazer A, Toney GM, Gerhardt GA. Transport mechanisms governing serotonin clearance in vivo revealed by high-speed chronoamperometry. J Neurosci Methods. 2005; 143: 49–62.[CrossRef][Medline] [Order article via Infotrieve]

37. Chen JJ, Li Z, Pan H, Murphy DL, Tamir H, Koepsell H, Gershon MD. Maintenance of serotonin in the intestinal mucosa and ganglia of mice that lack the high-affinity serotonin transporter: Abnormal intestinal motility and the expression of cation transporters. J Neurosci. 2001; 21: 6348–6361.[Abstract/Free Full Text]




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