(Hypertension. 2000;36:360.)
© 2000 American Heart Association, Inc.
Scientific Contributions |
From the Department of Medicine (W.R.T.), Cardiology Division, Atlanta VA Medical Center, and Emory University School of Medicine (E.B., J.N.W., H.D., M.H., W.R.T.), Atlanta, Ga; and Department of Pathology (N.M., W.A.K., T.C.D.), University of North Carolina, Chapel Hill, NC.
Correspondence to W. Robert Taylor, MD, PhD, Cardiology Division, Emory University School of Medicine, 1639 Pierce Dr, Suite WMB 319, Atlanta, GA 30322. E-mail wtaylor{at}emory.edu
AbstractRecent studies have
identified the presence of macrophages in the
arterial wall of hypertensive animals and suggested that as
is the case in atherosclerosis, macrophage
products may be important mediators of the adaptive response of the
arterial wall. In support of this, we have previously shown
that the expression of monocyte chemoattractant protein-1 is
upregulated in the arteries of hypertensive animals. We hypothesized
that macrophage recruitment is a critical step in the
pathogenesis of hypertension. To obtain insights into this potential
mechanism, we made use of mice deficient in the CC chemokine receptor 2
(CCR2), the receptor for monocyte chemoattractant protein-1.
Hypertension was induced with the subcutaneous administration of
angiotensin II (0.75 mg · kg-1 ·
d-1) for 7 days. Using in situ hybridization with a probe
for c-fms to identify macrophages, we found that
hypertension-induced macrophage infiltration of the
arterial wall was virtually eliminated in CCR2-deficient
mice. In addition, vascular hypertrophy was reduced by
65% compared with wild-type animals. These data demonstrate that
CCR2 is essential for the recruitment of macrophages into the
arterial wall in the setting of hypertension. Furthermore,
the decreased hypertrophic response suggests that vascular
hypertrophy occurs in part as a consequence of
macrophage infiltration. In angiotensin IIinduced
hypertension, CCR2-mediated responses are critical to the process of
macrophage recruitment and vascular hypertrophy and
may represent one mechanism by which at least some forms of
hypertension may lead to the development of atherosclerosis.
Key Words: proteins angiotensin II hypertrophy macrophages
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