Key result
Central infusion of Ang II increased mean arterial pressure (126 vs 84 mm Hg) and sympathetic tone in rats via HIF-1α and NMDA receptor activation in the paraventricular nucleus.
Why the study?
Central Ang II infusion is associated with increased sympathetic outflow and neurogenic hypertension, but whether chronic central Ang II activates the PVN to alter reflexes and the role of HIF-1alpha remained unclear.
Absolute Event Rate: 126% vs 84%
Central Ang II increases sympathetic outflow and alters baro- and chemoreflexes via a novel HIF-1α-NMDA receptor-mediated activation of preautonomic neurons in the PVN.
May implicate HIF-1α in central Ang II-mediated hypertension; leaves open its role as therapeutic target.
Central infusion of Ang II (angiotensin II) has been associated with increased sympathetic outflow resulting in neurogenic hypertension. In the present study, we appraised whether the chronic increase in central Ang II activates the paraventricular nucleus of the hypothalamus (PVN) resulting in elevated sympathetic tone and altered baro- and chemoreflexes. Further, we evaluated the contribution of HIF-1α (hypoxia-inducible factor-1α), a transcription factor involved in enhancing the expression of N-methyl-D-aspartate receptors and thus glutamatergic-mediated sympathetic tone from the PVN. Ang II infusion (20 ng/minute, intracerebroventricular, 14 days) increased mean arterial pressure (126±9 versus 84±4 mm Hg), cardiac sympathetic tone (96±7 versus 75±6 bpm), and decreased cardiac parasympathetic tone (16±2 versus 36±3 versus bpm) compared with saline-infused controls in conscious rats. The Ang II-infused group also showed an impaired baroreflex control of heart rate (-1.50±0.1 versus -2.50±0.3 bpm/mm Hg), potentiation of the chemoreflex pressor response (53±7 versus 30±7 mm Hg) and increased number of FosB-labeled cells (53±3 versus 19±4) in the PVN. Concomitant with the activation of the PVN, there was an increased expression of HIF-1α and N-Methyl-D-Aspartate-type1 receptors in the PVN. Further, Ang II-infusion showed increased renal sympathetic nerve activity (20.5±2.3% versus 6.4±1.9% of Max) and 3-fold enhanced renal sympathetic nerve activity responses to microinjection of N-methyl-D-aspartate (200 pmol) into the PVN of anesthetized rats. Further, silencing of HIF-1α in NG108 cells abrogated the expression of N-methyl-D-aspartate-N-methyl-D-aspartate-type1 induced by Ang II. Taken together, our studies suggest a novel Ang II-HIF-1α-N-methyl-D-aspartate receptor-mediated activation of preautonomic neurons in the PVN, resulting in increased sympathetic outflow and alterations in baro- and chemoreflexes.
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Sharma et al. (2020) studied Neurogenic hypertension. Ang II (angiotensin II) vs. Saline was evaluated on Mean arterial pressure (mm Hg). Central infusion of Ang II increased mean arterial pressure (126 vs 84 mm Hg) and sympathetic tone in rats via HIF-1α and NMDA receptor activation in the paraventricular nucleus.
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