11β-hydroxysteroid dehydrogenase type 2 deficiency accelerates atherogenesis and causes proinflammatory changes in

Graeme A Deuchar1, Danielle McLean1, Patrick W F Hadoke1

  • 1Centre for Cardiovascular Science, The Queen's Medical Research Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, 47 Little France Crescent, Edinburgh, EH16 4TJ, UK.

Endocrinology
|November 26, 2010
PubMed

Insights

Loss of 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2) causes mineralocorticoid receptor (MR) activation, leading to accelerated atherosclerosis. MR antagonism protects against plaque development and inflammation in mice.

Area of Science:

  • Cardiovascular Biology
  • Endocrinology
  • Molecular Medicine

Background:

  • Mineralocorticoid receptor (MR) activation promotes inflammation and atherosclerosis.
  • 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2) normally inactivates glucocorticoids, preventing inappropriate MR activation.
  • Understanding the role of MR and 11β-HSD2 in atherogenesis is crucial for cardiovascular disease treatment.

Purpose of the Study:

  • To investigate whether glucocorticoid-mediated MR activation contributes to atheromatous plaque formation.
  • To determine the specific mechanisms by which 11β-HSD2 deficiency impacts atherosclerosis.
  • To evaluate the therapeutic potential of MR antagonism in preventing atherosclerosis.

Main Methods:

  • Generation of Apoe(-/-)/11β-HSD2(-/-) double-knockout (E/b2) mice to model loss of 11β-HSD2 function.
  • Analysis of atherosclerotic lesion development, plaque composition (macrophages, lipids, collagen), and endothelial activation markers.
  • Pharmacological intervention with an MR antagonist (eplerenone) and an epithelial sodium channel blocker (amiloride).

Main Results:

  • E/b2 mice developed significant atherosclerotic lesions by 3 months, unlike control Apoe(-/-) mice.
  • E/b2 mouse plaques exhibited increased macrophages and lipids, with reduced collagen.
  • Eplerenone treatment reduced plaque burden and inflammation, increasing collagen and smooth muscle cells.
  • Amiloride showed a less pronounced atheroprotective effect compared to eplerenone.
  • Vascular cell adhesion molecule 1 expression was elevated in E/b2 mice endothelium.

Conclusions:

  • Loss of 11β-HSD2 leads to MR activation and promotes significant atherogenesis.
  • MR activation stimulates proinflammatory processes in the endothelium, contributing to plaque development.
  • MR antagonism represents a promising therapeutic strategy for atherosclerosis, independent of blood pressure reduction.

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