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Knockout of the vascular endothelial glucocorticoid receptor abrogates dexamethasone-induced hypertension
Julie E Goodwin1, Junhui Zhang, David Gonzalez
1Section of Nephrology, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut 06520-8064, USA. julie.goodwin@yale.edu
Insights
Mice lacking the vascular endothelial glucocorticoid receptor are resistant to high blood pressure caused by glucocorticoids. This suggests the receptor plays a key role in blood pressure regulation and circadian rhythms.
Area of Science:
- Endocrinology
- Cardiovascular Physiology
- Molecular Biology
Background:
- Glucocorticoid-induced hypertension mechanisms are not fully understood.
- Emerging evidence suggests vascular effects, not sodium retention, are primary.
- This study investigates the vasculature's role in glucocorticoid hypertension.
Purpose of the Study:
- To elucidate the role of the vasculature in glucocorticoid-mediated hypertension.
- To understand the function of the vascular endothelial glucocorticoid receptor.
Main Methods:
- Generated a mouse model with tissue-specific knockout of the glucocorticoid receptor in vascular endothelium.
- Administered dexamethasone to assess hypertension development.
- Measured blood pressure and arteriolar contractile responses.
Main Results:
- Mice lacking the vascular endothelial glucocorticoid receptor showed resistance to dexamethasone-induced hypertension (2.7 mmHg vs. 13.1 mmHg increase).
- Knockout vessels exhibited reduced contractile response to dexamethasone (6.6% vs. 13.4%).
- Knockout mice partially recovered normal circadian blood pressure rhythms.
Conclusions:
- The vascular endothelial glucocorticoid receptor is crucial for blood pressure homeostasis.
- This receptor may function as a peripheral circadian clock.
- Highlights the receptor's importance in fundamental physiological processes.
Background:
Glucocorticoid-mediated hypertension is incompletely understood. Recent studies have suggested the primary mechanism of this form of hypertension may be through the effects of glucocorticoids on vascular tissues and not to excess sodium and water re-absorption as traditionally believed.
Objective:
The goal of this study was to better understand the role of the vasculature in the generation and maintenance of glucocorticoid-mediated hypertension.
Methods:
We created a mouse model with a tissue-specific knockout of the glucocorticoid receptor in the vascular endothelium.
Results:
We show that these mice are relatively resistant to dexamethasone-induced hypertension. After 1 week of dexamethasone treatment, control animals have a mean blood pressure (BP) increase of 13.1 mmHg, whereas knockout animals have only a 2.7 mmHg increase (P < 0.001). Interestingly, the knockout mice have slightly elevated baseline BP compared with the controls (112.2 ± 2.5 vs. 104.6 ± 1.2 mmHg, P = 0.04), a finding which is not entirely explained by our data. Furthermore, we demonstrate that the knockout resistance arterioles have a decreased contractile response to dexamethasone with only 6.6% contraction in knockout vessels compared with 13.4% contraction in control vessels (P = 0.034). Finally, we show that in contrast to control animals, the knockout animals are able to recover a significant portion of their normal circadian BP rhythm, suggesting that the vascular endothelial glucocorticoid receptor may function as a peripheral circadian clock.
Conclusion:
Our study highlights the importance of the vascular endothelial glucocorticoid receptor in several fundamental physiologic processes, namely BP homeostasis and circadian rhythm.
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