Key result
Chronic low-sodium diet increases aortic lipid infiltration in hypertensive mice despite lowering BP.
Why the study?
Does a low-sodium diet with or without antihypertensive drugs affect atherogenesis in hypertensive hyperlipidemic mice?
Does a low-sodium diet with or without antihypertensive drugs affect atherogenesis in hypertensive hyperlipidemic mice?
In a murine model of hypertension and hyperlipidemia, severe sodium restriction induced atherogenesis despite lowering blood pressure, an effect mitigated by AT1 receptor antagonism.
Low-sodium diet may promote atherogenesis despite BP reduction in this model; leaves open human relevance and losartan effects.
This study investigated the influence of sodium restriction and antihypertensive drugs on atherogenesis utilizing hypertensive (H) low-density lipoprotein-receptor knockout mice treated or not with losartan (Los) or hydralazine (Hyd) and fed low-sodium (LS) or normal-sodium (NS) chow. Despite reducing the blood pressure (BP) of H-LS mice, the LS diet caused arterial lipid infiltration due to increased plasma total cholesterol (TC) and triglycerides (TG). Los and Hyd reduced the BP of H-LS mice, and Los effectively prevented arterial injury, likely by reducing plasma TG and nonesterified fatty acids. Aortic lipid infiltration was lower in Los-treated H-LS mice (H-LS+Los) than in normotensive (N)-LS and H-LS mice. Aortic angiotensin II type 1 (AT1) receptor content was greater in H-NS than H-LS mice and in H-LS+Hyd than H-LS+Los mice. Carboxymethyl-lysine (CML) and receptor for advanced glycation end products (RAGE) immunostaining was greater in H-LS than H-NS mice. CML and RAGE levels were lower in LS animals treated with antihypertensive drugs, and Hyd enhanced the AT1 receptor level. Hyd also increased the gene expression of F4/80 but not tumor necrosis factor-α, interleukin (IL)-1β, IL-6, IL-10, intercellular adhesion molecule-1 or cluster of differentiation 66. The novelty of the current study is that in a murine model of simultaneous hypertension and hyperlipidemia, the pleiotropic effect of chronic, severe sodium restriction elicited aortic damage even with reduced BP. These negative effects on the arterial wall were reduced by AT1 receptor antagonism, demonstrating the influence of angiotensin II in atherogenesis induced by a severely LS diet.
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Fusco et al. (2017) studied Hypertension and hyperlipidemia (LDLR KO mice model) (n=46). Low-sodium diet with or without losartan or hydralazine vs. Normal-sodium diet (1.27% NaCl) was evaluated on Aortic lipid infiltration and plasma lipid concentrations (p=<0.05). A chronic low-sodium diet induced aortic lipid infiltration and increased plasma lipids despite reducing blood pressure in hypertensive hyperlipidemic mice, an effect that was attenuated by losartan.
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