Pioglitazone Reduces Vascular Lipid Accumulation in Angiotensin II-Induced Hypertensive Rat

Aiko Sakamoto1, Yasutomi Higashikuni, Makiko Hongo

  • 1Department of Cardiovascular Medicine, University of Tokyo Graduate School of Medicine.

Abstract

Insights

Pioglitazone, a PPARγ agonist, reduced vascular lipid accumulation and superoxide production in a rat model of hypertension. This study shows pioglitazone

Area of Science:

  • Cardiovascular Research
  • Metabolic Research
  • Pharmacology

Background:

  • Insulin resistance can cause lipid accumulation in non-adipose tissues, potentially damaging organs.
  • Peroxisome proliferator-activated receptor-gamma (PPARγ) agonists may help manage lipid imbalances.
  • Angiotensin II infusion in rats can induce a hypertensive state with vascular lipid deposition.

Purpose of the Study:

  • To investigate if pioglitazone, a PPARγ agonist, can decrease lipid accumulation in blood vessels induced by angiotensin II.
  • To evaluate the effects of pioglitazone on oxidative stress and related molecular pathways in this hypertension model.

Main Methods:

  • Rats received daily infusions of angiotensin II (0.7 mg/kg/day) for seven days to induce hypertension.
  • Pioglitazone (2.5 mg/kg/day) was administered orally for seven days concurrently with angiotensin II.
  • Lipid deposition and superoxide production were assessed using oil red O and dihydroethidium (DHE) staining, respectively.

Main Results:

  • Pioglitazone significantly reduced angiotensin II-induced lipid deposition and superoxide production in the aortic adventitia.
  • Increased superoxide signals, co-localized with lipid deposits, were primarily found in monocytes/macrophages.
  • Pioglitazone inhibited the upregulation of LDL receptor and Nox1 expression and ameliorated the downregulation of PCSK9 expression caused by angiotensin II.

Conclusions:

  • Pioglitazone effectively suppressed excess lipid accumulation and superoxide production in the aorta of rats with angiotensin II-induced hypertension.
  • These findings suggest a potential therapeutic role for PPARγ agonists in managing vascular complications associated with hypertension and insulin resistance.

Related Concept Videos

Dipeptidyl Peptidase 4 Inhibitors01:23

Dipeptidyl Peptidase 4 Inhibitors

Dipeptidyl peptidase 4 (DPP-4) is a serine protease widely distributed in the body. It's involved in the inactivation of GLP-1 and GIP hormones, which are crucial for insulin regulation. DPP-4 inhibitors, such as sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), alogliptin (Nesina), and vildagliptin (Galvus), help increase the proportion of active GLP-1, enhancing insulin secretion. These inhibitors work by competitively binding to DPP-4. This binding causes a...
1.1K
Oral Hypoglycemic Agents: Biguanides and Glitazones01:26

Oral Hypoglycemic Agents: Biguanides and Glitazones

Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
966
Antihypertensive Drugs: Angiotensin II Receptor Blockers01:30

Antihypertensive Drugs: Angiotensin II Receptor Blockers

In the renin-angiotensin-aldosterone system, a hormone called angiotensin II plays a crucial role. It binds to the AT1 receptors in vascular smooth muscles coupled with Gq proteins. The activation of these receptors activates an enzyme called phospholipase C, which releases two molecules: inositol trisphosphate and diacylglycerol. These molecules cause a chain reaction that leads to the phosphorylation of myosin light chains and promotes interaction between actin and myosin, leading to smooth...
3.1K
Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
1.3K
Antihypertensive Drugs: Direct Renin Inhibitors01:25

Antihypertensive Drugs: Direct Renin Inhibitors

The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
1.8K
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors01:30

Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
2.8K