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Published on: September 28, 2015
Role of angiotensin II type 1 receptor in cerebral aneurysm formation in rats
Tomohiro Aoki1, Masaki Nishimura, Hiroharu Kataoka
1Department of Neurosurgery, Kyoto University, Graduate School of Medicine, Kyoto 606-8507, Japan.
Insights
Cerebral aneurysms (CAs) lack medical treatments. The renin-angiotensin system (RAS) does not appear to significantly contribute to CA formation, suggesting different mechanisms than other vascular diseases.
Area of Science:
- Vascular Biology
- Neuroscience
- Pathophysiology
Background:
- Cerebral aneurysms (CAs) lead to subarachnoid hemorrhage with high mortality.
- Currently, no medical treatments exist for unruptured CAs, necessitating research into their formation.
- Chronic inflammation at cerebral arterial bifurcations, driven by hemodynamic stress, contributes to CA development.
Purpose of the Study:
- To investigate the role of the renin-angiotensin system (RAS) in cerebral aneurysm (CA) formation.
- To determine if angiotensin (Ang) II type 1 receptor blockade affects CA development and inflammation.
Main Methods:
- Analysis of Ang II type 1 receptor expression in cerebral aneurysmal walls.
- Administration of Ang II type 1 receptor blockers in rat models of CA formation.
- Assessment of inflammation in cerebral aneurysmal walls.
Main Results:
- Angiotensin (Ang) II type 1 receptor was not upregulated in cerebral aneurysmal walls.
- Subcutaneous administration of an Ang II type 1 receptor blocker did not inhibit CA formation or inflammation in rat models.
- The renin-angiotensin system (RAS) appears to play a minor role in cerebral aneurysm formation.
Conclusions:
- The renin-angiotensin system (RAS) may not be a primary driver in cerebral aneurysm (CA) pathogenesis.
- Mechanisms underlying cerebral aneurysm formation may differ significantly from those of aortic aneurysms and other vascular diseases.
Abstract:
Cerebral aneurysm (CA) causes catastrophic subarachnoid hemorrhage which is characterized by a high mortality and morbidity rate. CA is a common disease worldwide but to date there is no medical treatment against unruptured CAs. Thus, it is important to study the mechanisms of CA formation. Our previous report demonstrated that chronic inflammatory response in cerebral arterial bifurcation by hemodynamic stress deteriorated arterial walls and formed CA. Therefore, drugs with anti-inflammatory effects might effectively treat CA formation. As renin angiotensin system (RAS) is a major inflammatory cascade and related to various vascular diseases, including aortic aneurysms, the role of angiotensin (Ang) II type 1 receptor might contribute to the progression of CAs. However, in cerebral aneurysmal walls, Ang II type 1 receptor was not up-regulated. In addition, subcutaneously administered Ang II type 1 receptor blocker did not inhibit CA formation, nor inflammation in cerebral aneurysmal walls in rat models at a sub-suppressor dose. These results indicate that RAS might play a less important role in CA formation compared to aortic anuerysms or other vascular diseases. This suggests that there are different mechanisms between the pathogenesis of cereberal and aortic aneurysms.
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