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Published on: October 31, 2017
Hypertension is associated with marked alterations in sphingolipid biology: a potential role for ceramide
Léon J A Spijkers1, Rob F P van den Akker, Ben J A Janssen
1Department of Pharmacology and Pharmacotherapy, Academic Medical Center, Amsterdam, The Netherlands.
Insights
Hypertension alters sphingolipid biology, increasing ceramide levels and vascular tone. This study found elevated ceramide in hypertensive rats and humans, contributing to increased blood pressure.
Area of Science:
- Cardiovascular Biology
- Lipid Metabolism
- Hypertension Pathophysiology
Background:
- Hypertension is characterized by endothelial dysfunction and vascular remodeling.
- Sphingolipids regulate vascular contractility and growth, suggesting a role in hypertension.
Purpose of the Study:
- To investigate alterations in sphingolipid biology in hypertension.
- To determine if these changes affect vascular function.
Main Methods:
- Used spontaneously hypertensive rats (SHR) and Wistar-Kyoto (WKY) rats.
- Administered sphingosine kinase inhibitor (dimethylsphingosine) and sphingomyelinase.
- Performed imaging mass spectrometry, immunohistochemistry, and lipidomics analysis.
- Measured blood pressure and vascular contractility.
Main Results:
- Shifting the ceramide/S1P ratio induced contractions in SHR but not WKY vessels.
- Ceramide mediated these contractions, involving iPLA(2), cyclooxygenase-1, and thromboxane synthase.
- Dimethylsphingosine increased blood pressure in SHR but not WKY rats.
- Elevated ceramide levels were found in SHR arterial tissue and plasma, and in human hypertensive patients.
Conclusions:
- Hypertension is linked to significant changes in vascular sphingolipid biology, notably increased ceramide.
- Elevated ceramide levels and signaling contribute to increased vascular tone in hypertension.
- These findings highlight sphingolipids as potential therapeutic targets for hypertension.
Background:
Hypertension is, amongst others, characterized by endothelial dysfunction and vascular remodeling. As sphingolipids have been implicated in both the regulation of vascular contractility and growth, we investigated whether sphingolipid biology is altered in hypertension and whether this is reflected in altered vascular function.
Methods And Findings:
In isolated carotid arteries from spontaneously hypertensive rats (SHR) and normotensive Wistar-Kyoto (WKY) rats, shifting the ceramide/S1P ratio towards ceramide dominance by administration of a sphingosine kinase inhibitor (dimethylsphingosine) or exogenous application of sphingomyelinase, induced marked endothelium-dependent contractions in SHR vessels (DMS: 1.4±0.4 and SMase: 2.1±0.1 mN/mm; n = 10), that were virtually absent in WKY vessels (DMS: 0.0±0.0 and SMase: 0.6±0.1 mN/mm; n = 9, p<0.05). Imaging mass spectrometry and immunohistochemistry indicated that these contractions were most likely mediated by ceramide and dependent on iPLA(2), cyclooxygenase-1 and thromboxane synthase. Expression levels of these enzymes were higher in SHR vessels. In concurrence, infusion of dimethylsphingosine caused a marked rise in blood pressure in anesthetized SHR (42±4%; n = 7), but not in WKY (-12±10%; n = 6). Lipidomics analysis by mass spectrometry, revealed elevated levels of ceramide in arterial tissue of SHR compared to WKY (691±42 vs. 419±27 pmol, n = 3-5 respectively, p<0.05). These pronounced alterations in SHR sphingolipid biology are also reflected in increased plasma ceramide levels (513±19 pmol WKY vs. 645±25 pmol SHR, n = 6-12, p<0.05). Interestingly, we observed similar increases in ceramide levels (correlating with hypertension grade) in plasma from humans with essential hypertension (185±8 pmol vs. 252±23 pmol; n = 18 normotensive vs. n = 19 hypertensive patients, p<0.05).
Conclusions:
Hypertension is associated with marked alterations in vascular sphingolipid biology such as elevated ceramide levels and signaling, that contribute to increased vascular tone.
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