Key result
Losartan, but not hydrochlorothiazide, improved recognition memory and attenuated blood-brain barrier disruption and neuroinflammation in the paraventricular nucleus of aged hypertensive male rats.
Why the study?
Neural mechanisms promoting age-related hypertension across the lifespan are incompletely understood, along with their links to neuroinflammation and cognitive impairment.
Does losartan improve cognitive impairment and neuroinflammation in aging male Sprague-Dawley rats with age-dependent hypertension?
Does losartan improve cognitive impairment and neuroinflammation in aging male Sprague-Dawley rats with age-dependent hypertension?
Answers are grounded in this paper and cite their sources.
In a rat model of age-dependent hypertension, AT1R antagonism with losartan, but not hydrochlorothiazide, improved recognition memory and attenuated neuroinflammation, suggesting a specific benefit of AT1R blockers for cognitive decline.
The prevalence of hypertension increases with age and is the leading modifiable risk factor for cognitive impairment and dementia. At present, the neural mechanisms promoting hypertension across the lifespan are incompletely understood. Using the Sprague-Dawley (SD) rat as a model of normal aging, we hypothesized (1) blood brain barrier (BBB) disruption and neuroinflammation in the paraventricular nucleus (PVN) of the hypothalamus enhances sympathetic tone and contributes to age-dependent hypertension, (2) age-dependent hypertension is associated with cognitive impairment, and (3) lowering blood pressure in aged rats with established hypertension improves cognitive function. We found male, but not female, rats develop age-dependent hypertension with enhanced sympathetic tone, BBB disruption, and neuroinflammation in the PVN. Aged hypertensive male rats also showed impairments in recognition and spatial memory. Utilizing pharmacological interventions, blood pressure was lowered in male rats with established hypertension using either losartan (LOS) or hydrochlorothiazide. However, only losartan improved recognition memory. Further, LOS reduced BBB disruption, microglial activation, astrocyte reactivity, and proinflammatory cytokine expression in the PVN which we speculate contributes to a decrease in blood pressure. These data show SD rats develop age-dependent hypertension and cognitive impairment in a sex-dependent manner. However, not all antihypertensive agents improve cognitive function equally as only losartan, an angiotensin II type 1 receptor antagonist (AT1R) improved recognition memory. Thus, AT1R antagonists represent a potential therapeutic approach for treating cognitive decline in the aging population.
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Nist et al. (2024) studied Age-dependent hypertension and cognitive impairment. Losartan vs. Hydrochlorothiazide or untreated baseline was evaluated on Blood pressure, recognition memory, and neuroinflammation. Losartan, but not hydrochlorothiazide, improved recognition memory and attenuated blood-brain barrier disruption and neuroinflammation in the paraventricular nucleus of aged hypertensive male rats.
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