Key result
Multi-organ gene expression analysis in female spontaneously hypertensive rats revealed early catecholaminergic changes in the adrenal gland prior to inflammation-related changes in the kidney and liver.
Why the study?
The temporal sequence and extent of gene regulatory network changes across organs during the development of hypertension remained unresolved.
This study identifies sex-specific, multi-organ gene regulatory cascades during the development of hypertension, highlighting the adrenal gland's early role in females versus the brainstem in males.
No immediate clinical implications; leaves open whether sex-specific catecholaminergic pathways translate to human hypertension.
Hypertension is a multifactorial disease with stage-specific gene expression changes occurring in multiple organs over time. The temporal sequence and the extent of gene regulatory network changes occurring across organs during the development of hypertension remain unresolved. In this study, female spontaneously hypertensive (SHR) and normotensive Wistar Kyoto (WKY) rats were used to analyze expression patterns of 96 genes spanning inflammatory, metabolic, sympathetic, fibrotic, and renin-angiotensin (RAS) pathways in five organs, at five time points from the onset to established hypertension. We analyzed this multi-dimensional dataset containing ~15,000 data points and developed a data-driven dynamic network model that accounts for gene regulatory influences within and across visceral organs and multiple brainstem autonomic control regions. We integrated the data from female SHR and WKY with published multiorgan gene expression data from male SHR and WKY. In female SHR, catecholaminergic processes in the adrenal gland showed the earliest gene expression changes prior to inflammation-related gene expression changes in the kidney and liver. Hypertension pathogenesis in male SHR instead manifested early as catecholaminergic gene expression changes in brainstem and kidney, followed by an upregulation of inflammation-related genes in liver. RAS-related gene expression from the kidney-liver-lung axis was downregulated and intra-adrenal RAS was upregulated in female SHR, whereas the opposite pattern of gene regulation was observed in male SHR. We identified disease-specific and sex-specific differences in regulatory interactions within and across organs. The inferred multi-organ network model suggests a diminished influence of central autonomic neural circuits over multi-organ gene expression changes in female SHR. Our results point to the gene regulatory influence of the adrenal gland on spleen in female SHR, as compared to brainstem influence on kidney in male SHR. Our integrated molecular profiling and network modeling identified a stage-specific, sex-dependent, multi-organ cascade of gene regulation during the development of hypertension.
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Hornung et al. (2024) studied Hypertension. Spontaneously hypertensive rat (SHR) model vs. Normotensive Wistar Kyoto (WKY) rats was evaluated on Gene expression patterns and regulatory network changes. Multi-organ gene expression analysis in female spontaneously hypertensive rats revealed early catecholaminergic changes in the adrenal gland prior to inflammation-related changes in the kidney and liver.
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