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Effects of corticotropin-releasing hormone (CRH) on monocyte function, mediated by CRH-receptor subtype R1 and R2: a
Ute Wilbert-Lampen1, Florian Straube, Anja Trapp
1Medizinische Klinik und Poliklinik I, Klinikum Grosshadern, Ludwig-Maximillian-Universität, München, Germany. uwilbert@med.uni-muenchen.de
Insights
Stress hormone corticotropin-releasing hormone (CRH) increases monocyte adhesion and endothelin-1 release, contributing to endothelial dysfunction. CRH-receptor antagonists may prevent stress-related cardiovascular complications.
Area of Science:
- Cardiovascular Science
- Endocrinology
- Immunology
Background:
- Psychosocial factors are linked to coronary heart disease (CHD).
- The mechanism of stress-induced endothelial dysfunction by corticotropin-releasing hormone (CRH) is unclear.
- CRH is a key hormone in stress response.
Purpose of the Study:
- Investigate extrahypothalamic CRH effects on monocyte/endothelium adhesion.
- Elucidate CRH influence on monocytic endothelin-1 (ET-1) and nitric oxide (NO) release.
- Identify CRH receptors involved in these processes.
Main Methods:
- Cell adhesion assay.
- Flow cytometry for MAC-1 expression.
- ELISA/fluorometry for ET-1/NO release.
- mRNA analysis for CRH receptors.
- Use of CRH-receptor antagonist astressin.
Main Results:
- CRH increased monocyte adhesion and MAC-1 expression in a time- and concentration-dependent manner.
- CRH elevated monocytic ET-1 release and decreased NO release.
- Endothelial ICAM-1 and VCAM-1 expression remained unchanged.
- The CRH effects were blocked by astressin.
Conclusions:
- Peripherally circulating CRH influences monocyte homeostatic properties.
- CRH contributes to stress-related endothelial dysfunction.
- CRH-receptor antagonists may offer a novel strategy to prevent cardiovascular complications.
Abstract:
Psychosocial factors have been reported to be independently associated with coronary heart disease (CHD). Though corticotropin-releasing hormone (CRH) is the major hormone activated during adaptive responses to stressful stimuli, the undergoing pathophysiological mechanism related to stress-induced endothelial dysfunction is still poorly understood. This study sought to investigate the effects of extrahypothalamic CRH on monocyte/endothelium adhesion. Second we elucidate the influence of CRH on monocytic endothelin-1 (ET-1) and nitric oxide (NO) release and the receptors involved. Cell adhesion was determined using an adhesion assay, MAC-1 expression by flow cytometry. ET-1/NO release were quantified via ELISA or fluorometrically, monocytic CRH-receptors were confirmed by mRNA. Corticotropin-releasing hormone induced a significant time- and concentration-dependent increase of cell adhesion as well as monocytic MAC-1 expression; endothelial ICAM-1 and VCAM-1 expression was not altered. In addition, corticotropin-releasing hormone significantly increased monocytic ET-1 release whereas nitric oxide release was decreased. The effect was abolished by the selective CRH-receptor antagonist astressin. Our findings support the importance of peripherally circulating corticotropin-releasing hormones, by influencing specific homeostatic properties of monocytes. Our data may provide a novel concept of how specific CRH-receptor antagonists may prevent CRH (stress)-related endothelial dysfunction up to cardiovascular complications.
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