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Published on: May 17, 2024
Endoplasmic reticulum stress is involved in cardiac damage and vascular endothelial dysfunction in hypertensive mice
Modar Kassan1, Maria Galán, Megan Partyka
1Department of Physiology, Hypertension and Renal Center of Excellence, Tulane University, New Orleans, LA 70112, USA.
Insights
Endoplasmic reticulum (ER) stress inhibition effectively treats cardiac damage and vascular dysfunction in hypertension. Targeting ER stress offers a promising therapeutic strategy for cardiovascular diseases.
Area of Science:
- Cardiovascular Research
- Molecular Medicine
- Hypertension Studies
Background:
- Hypertension significantly contributes to cardiovascular morbidity and mortality through cardiac damage and vascular dysfunction.
- Endoplasmic reticulum (ER) stress is implicated in the pathophysiology of hypertension-related cardiovascular complications.
Purpose of the Study:
- To investigate the therapeutic potential of inhibiting ER stress in mitigating cardiac damage and vascular dysfunction in a mouse model of hypertension.
Main Methods:
- Angiotensin II infusion was used to induce hypertension in mice, with or without ER stress inhibitors (taurine-conjugated ursodeoxycholic acid and 4-phenylbutyric acid).
- Cardiac hypertrophy, fibrosis, ER stress markers, blood pressure, and vascular function (endothelium-dependent relaxation, EDR) in aorta and mesenteric resistance arteries (MRA) were assessed.
- Specific pathways including transforming growth factor-β1 (TGF-β1) and reactive oxygen species (ROS) were analyzed.
Main Results:
- Angiotensin II infusion increased blood pressure, cardiac hypertrophy, fibrosis, and ER stress markers, all of which were attenuated by ER stress inhibition.
- Hypertension-induced ER stress in the aorta and MRA was associated with altered TGF-β1 activity and reduced endothelial NO synthase phosphorylation and EDR.
- ER stress inhibition improved EDR by reducing TGF-β1 activity and enhancing endothelial NO synthase phosphorylation, while ROS reduction ameliorated EDR in MRA.
Conclusions:
- Inhibition of ER stress demonstrates significant therapeutic benefits against cardiac damage and vascular dysfunction in hypertension.
- ER stress represents a viable therapeutic target for managing cardiovascular diseases associated with hypertension.
Objective:
Cardiac damage and vascular dysfunction are major causes of morbidity and mortality in hypertension. In the present study, we explored the beneficial therapeutic effect of endoplasmic reticulum (ER) stress inhibition on cardiac damage and vascular dysfunction in hypertension.
Methods And Results:
Mice were infused with angiotensin II (400 ng/kg per minute) with or without ER stress inhibitors (taurine-conjugated ursodeoxycholic acid and 4-phenylbutyric acid) for 2 weeks. Mice infused with angiotensin II displayed an increase in blood pressure, cardiac hypertrophy and fibrosis associated with enhanced collagen I content, transforming growth factor-β1 (TGF-β1) activity, and ER stress markers, which were blunted after ER stress inhibition. Hypertension induced ER stress in aorta and mesenteric resistance arteries (MRA), enhanced TGF-β1 activity in aorta but not in MRA, and reduced endothelial NO synthase phosphorylation and endothelium-dependent relaxation (EDR) in aorta and MRA. The inhibition of ER stress significantly reduced TGF-β1 activity, enhanced endothelial NO synthase phosphorylation, and improved EDR. The inhibition of TGF-β1 pathway improved EDR in aorta but not in MRA, whereas the reduction in reactive oxygen species levels ameliorated EDR in MRA only. Infusion of tunicamycin in control mice induced ER stress in aorta and MRA, and reduced EDR by a TGF-β1-dependent mechanism in aorta and reactive oxygen species-dependent mechanism in MRA.
Conclusions:
ER stress inhibition reduces cardiac damage and improves vascular function in hypertension. Therefore, ER stress could be a potential target for cardiovascular diseases.
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