Key result
Losartan induces ~81% greater BP reduction in tonin-overexpressing mice versus wild-type.
Why the study?
Tonin is increased in failing human hearts, but its impact on blood pressure and heart rate variabilities, as well as the effects of losartan, remained to be elucidated.
Does AT1 receptor blockade with losartan alter blood pressure, heart rate variability, and autonomic modulation in transgenic mice overexpressing tonin compared to wild type mice?
Does AT1 receptor blockade with losartan alter blood pressure, heart rate variability, and autonomic modulation in transgenic mice overexpressing tonin compared to wild type mice?
Absolute Event Rate: 21.46% vs 11.86%
p-value: p=0.0036
Tonin overexpression in mice increases blood pressure and alters autonomic modulation, with an enhanced blood pressure-lowering response to AT1 receptor blockade by losartan.
Enhanced losartan response in tonin-overexpressing mice; hypothesis-generating and leaves open human translation.
Background: Tonin, a serine-protease that forms Angiotensin II (AngII) from angiotensinogen, is increased in failing human heart samples. Increased blood pressure (BP) and decreased heart rate (HR) variabilities are associated with higher risk of cardiovascular morbidity. Losartan has been used to reduce hypertension and, therefore, lowers the risk of fatal and nonfatal cardiovascular events. Determination of tonin’s impact on BP and HR variabilities as well as the impact of losartan remain questions to be elucidated. Aim: Evaluation of cardiovascular autonomic profile in transgenic mice overexpressing the rat tonin enzyme TGM´(rton)) and the impact of AT1 receptor blocker, losartan. Methods: Male C57BL/6 (WT) and TGM’(rTon) mice were cannulated for recording BP for 30 min at baseline and 30 min after losartan injection (20 mg/kg). BP and HR variabilities were analyzed in time and frequency domain method. Low-frequency (LF) and high-frequency (HF) components were identified for sympathetic and parasympathetic modulations analysis. Ang I, AngII and Ang1-7 were quantified in the heart. The total enzymatic activity for AngI, AngII and Ang1-7 formation was evaluated in the heart and plasma . Results: At the baseline TGM’(rTon) exhibited higher BP, lower cardiac LF, higher cardiac HF, lower LF/HF and lower alpha index than wild type (WT). After losartan injection, TGM’(rTon) mice presented an additional decrease in cardiac LF and increase in HF compared to baseline and WT. In the vasculature, losartan caused decreased in BP and LF of systolic BP in WT mice compared to its baseline. A similar effect was observed in the BP of TGM’(rTon) mice; however, LF of systolic BP increased compared to baseline. AT1R receptor signaling has been altered in TGM’(rTon) mice, and the dynamics of the renin-angiotensin system kinetics changed, favoring production of Ang1-7. Conclusion: HR variability in TGM’(rTon) mice indicates high risk of morbidity, and sympathetic and parasympathetic modulation indicate low risk of morbidity. The low risk of morbidity could be the biased production of Ang1-7 in the heart and circulation; however, the altered response of AT1R in the TGM’(rTon) remains to be elucidated, as well as whether that signaling is pro-protection or pro-pathology.
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Jara et al. (2019) studied Cardiovascular autonomic profile / Hypertension. Losartan vs. Wild type (WT) mice was evaluated on Reduction in blood pressure after losartan injection (mmHg) (p=0.0036). Losartan induced a greater reduction in blood pressure in transgenic mice overexpressing tonin compared to wild-type mice (21.46 vs. 11.86 mmHg), alongside altered autonomic modulation.
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