Key result
Exogenous H2S lowers blood pressure and renin in diabetic mice by inhibiting renin exocytosis.
Why the study?
Obesity and T2DM contribute to hypertension via the renin-angiotensin-aldosterone system, but the mechanism linking obesity to T2DM-induced hypertension remains unclear.
p-value: p=<0.05
Exogenous H2S attenuates diabetes-induced hypertension by regulating renin exocytosis and promoting renin-vesicular autophagy.
H2S modulation of renin exocytosis merits preclinical follow-up in diabetic hypertension; leaves open any human therapeutic translation.
Obesity, along with type 2 diabetes mellitus (T2DM), is a major contributor to hypertension. The renin-angiotensin-aldosterone system is involved in the occurrence of diabetes and hypertension. However, the mechanism by which obesity is related to T2DM induced hypertension is unclear. In this study, we observed that blood pressure and serum renin content were increased in patients with diabetes and hypertension. Hydrogen sulfide (H2S), as an endogenous bioactive molecule, has been shown to be a vasodilator. Db/db mice, characterized by obesity and T2DM, and juxtaglomerular (JG) cells, which line the afferent arterioles at the entrance of the glomeruli to produce renin, treated with glucose, palmitic acid (PA) and oleic acid (OA), were used as animal and cellular models. NaHS, the H2S donor, was administered to db/db mice through intraperitoneal injection. NaHS significantly alleviated blood pressure in db/db mice, decreased the renin content in the serum of db/db mice and reduced renin secretion from JG cells. NaHS modulated renin release via cAMP and soluble N-ethylmaleimide-sensitive factor attachment protein receptors (SNAREs), including synaptosome-associated protein 23 (SNAP23) and vesicle-associated membrane protein 2 (VAMP2), which mediate renin exocytosis. Furthermore, NaHS increased the levels of autophagy-related proteins and colocalization with EGFP-LC3 puncta with renin-containing granules and VAMP2 to consume excessive renin to maintain intracellular homeostasis. Therefore, exogenous H2S attenuates renin release and promotes renin-vesicular autophagy to relieve diabetes-induced hypertension.
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Liu et al. (2023) studied Type 2 diabetes mellitus and hypertension (n=90). NaHS (H2S donor) vs. Untreated db/db mice was evaluated on Blood pressure (SBP, DBP, MBP) and serum renin content/activity (p=<0.05). Exogenous H2S significantly attenuated blood pressure and decreased serum renin content in diabetic mice by inhibiting cAMP/SNARE-mediated renin exocytosis and promoting renin-vesicular autophagy.
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