Key result
In normal rats, PPARalpha activation with clofibrate blunted the angiotensin II-induced increase in mean arterial blood pressure (P<0.05) and attenuated the reduction in renal cortical blood flow.
PPARalpha activation counters AT1-mediated pressor and vasoconstrictor effects and uncovers a hypotensive effect of angiotensin II during AT1 blockade, likely via nitric oxide production.
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Hypothesis-generating for PPARα modulation of angiotensin II effects; should not change hypertension management pending human studies.
BACKGROUND: Peroxisome proliferator-activated receptors (PPARs) are ligand-dependent nuclear transcription factors that regulate beta-oxidation of fatty acids in various tissues. PPARalpha ligands also protect against pathological damage especially resulting from angiotensin II hypertension. The modulating effect of PPARalpha on hemodynamic effects elicited by angiotensin II under normal conditions, however, is not fully known. METHOD: We therefore evaluated renal and systemic hemodynamic effects of angiotensin II in normal animals treated with PPARalpha ligands. RESULTS: PPARalpha ligands clofibrate (250 mg/kg), fenofibrate (100 mg/kg), or pirixinic acid (WY14643; 45 mg/kg) each elicited an increase in renal peroxisomal beta-oxidation, accompanied by increased renal nitric oxide production. Clofibrate blunted the angiotensin II (3-100 ng/kg)-induced increase in mean arterial blood pressure (P < 0.05) but attenuated the reduction in renal cortical blood flow (laser Doppler flowmetry; P < 0.05). N(omega)-nitro-L-arginine methyl ester (L-NAME) but not D-NAME (100 mg/l) blunted clofibrate-induced inhibition of angiotensin II responses. In the presence of the angiotensin type 1 (AT1)-antagonist losartan (3 mg/kg), clofibrate uncovered a hypotensive effect of angiotensin II and further blunted the residual renal vasoconstriction. L-NAME or the angiotensin type 2 (AT2)-antagonist (S-[+]-1-[(4-dimethylamino]-3-methylphenyl)methyl]-5-[diphenylacetyl]-4,5,6,7-tetrahydro-1H-imidazol[4,5-c]pyridine-6-carboxilic acid; PD123319), but not D-NAME, blunted the effects of losartan and blocked the hypotensive effects of angiotensin II in losartan-treated rats. Except in rats treated for 7 days with WY14643, AT1-receptor expression was downregulated (P < 0.05) while AT2-receptor expression was upregulated (P < 0.05) in renal cortical homogenates from rats treated with clofibrate or WY14643. CONCLUSION: These data suggest that PPARalpha activation counters AT1-mediated pressor and vasoconstrictor effects and that, during AT1 receptor blockade, PPARalpha activation leads to hypotension coupled to AT2-receptor activation by a mechanism probably involving nitric oxide production.
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Banks et al. (2008) studied Normal animals (rats). PPARalpha ligands (clofibrate, fenofibrate, or pirixinic acid) was evaluated on Mean arterial blood pressure and renal cortical blood flow (p=<0.05). In normal rats, PPARalpha activation with clofibrate blunted the angiotensin II-induced increase in mean arterial blood pressure (P<0.05) and attenuated the reduction in renal cortical blood flow.
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