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on May 31, 2005

Hypertension. 2005
Published online before print May 31, 2005, doi: 10.1161/01.HYP.0000169152.59854.36
A more recent version of this article appeared on July 1, 2005
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Submitted on November 30, 2004
Revised on January 5, 2005

Role of Endothelin in Mediating Tumor Necrosis Factor-Induced Hypertension in Pregnant Rats

B. Babbette D. LaMarca; Kathy Cockrell; Elizabeth Sullivan; William Bennett; and Joey P. Granger*

From the Departments of Physiology and Obstetrics/Gynecology and Center for Excellence in Cardiovascular-Renal Research University of Mississippi Medical Center, Jackson, Miss.

* To whom correspondence should be addressed. E-mail: jgranger{at}physiology.umsmed.edu.

Abstract--Hypertension during preeclampsia is associated with an increase in plasma levels of tumor necrosis factor (TNF)-{alpha}, a cytokine known to contribute to endothelial dysfunction. Recently, our laboratory reported that a 2-fold increase in plasma TNF-{alpha} produces hypertension in pregnant rats. Endothelin is also elevated in preeclampsia and endothelin synthesis is enhanced by TNF-{alpha}. The purpose of this study was to determine the role of endothlelin in mediating TNF-{alpha}-induced hypertension in pregnant rats. To achieve this goal, TNF-{alpha} (50 ng/d for 5 days) was infused into control pregnant rats and pregnant rats treated with an endothelin receptor A antagonist, ABT 627 (5 mg/kg per day for 5 days). At day 19 of gestation, arterial pressure was measured and aorta, kidneys, and placentas were harvested. Infusion of TNF-{alpha} into pregnant rats increased plasma concentration of TNF-{alpha} (13.5±0.8 to 28.0±3.7 pg/mL) and arterial pressure (101±2 to 122±1 mm Hg). The increase in arterial pressure was associated with an increase in preproendothelin mRNA expression in placenta, aorta, and kidneys measured by real-time polymerase chain reaction (PCR). Pretreatment with the endothelin receptor A antagonist completely abolished the blood pressure response to TNF-{alpha} in pregnant rats (105±1 versus 97±2 mm Hg). In sharp contrast, the ETA receptor antagonist had no effect on arterial pressure in normal pregnant rats (97±2 versus 101±2 mm Hg). Moreover, chronic infusion of TNF-{alpha} had no significant effect on arterial pressure or renal preproendothelin levels in virgin rats. These results suggest an important role for endothelin in mediating TNF-{alpha}-induced hypertension in pregnant rats.


Key words: blood pressure • endothelin • preeclampsia • pregnancy




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