Carotid artery stenosis in hypertensive rats impairs dilatory pathways in parenchymal arterioles

Nusrat Matin1, Courtney Fisher1, William F Jackson1

  • 1Department of Pharmacology and Toxicology, Michigan State University , East Lansing, Michigan.

Insights

Bilateral common carotid artery stenosis (BCAS) impairs parenchymal arteriole function and structure in hypertensive rats, contributing to vascular cognitive impairment. Epoxygenase inhibition may restore function, offering therapeutic targets for cognitive decline.

Area of Science:

  • Neuroscience
  • Cardiovascular Science
  • Pathology

Background:

  • Hypertension is a key risk factor for vascular cognitive impairment.
  • Carotid artery stenosis exacerbates cognitive decline by reducing cerebral blood flow.
  • Parenchymal arterioles (PAs) are critical for regulating cerebral blood flow and are implicated in cognitive function.

Purpose of the Study:

  • To investigate the impact of chronic cerebral hypoperfusion (induced by BCAS) on PA function and structure in stroke-prone spontaneously hypertensive rats (SHRs).
  • To identify potential therapeutic targets for cognitive impairment in hypertensive individuals at risk for cerebrovascular disease.

Main Methods:

  • Utilized pressure myography to assess endothelium-dependent dilation in PAs from BCAS-treated SHRs and sham-operated controls.
  • Investigated the roles of nitric oxide (NO), prostaglandins, and epoxyeicosatrienoic acids (EETs) in PA function.
  • Examined PA structural remodeling using histological analysis.

Main Results:

  • BCAS induced significant endothelial dysfunction in PAs of SHRs, characterized by impaired dilation.
  • Inhibition of NO and prostaglandins did not restore PA dilation in BCAS rats.
  • Inhibition of epoxygenase significantly increased PA dilation in BCAS rats, suggesting a restored NO/prostaglandin-independent pathway.
  • PAs from BCAS rats exhibited structural remodeling with reduced wall thickness.

Conclusions:

  • Chronic cerebral hypoperfusion in hypertensive rats leads to marked endothelial dysfunction and structural remodeling of PAs.
  • Epoxygenase inhibition may represent a novel therapeutic strategy to improve PA function and potentially mitigate vascular cognitive impairment.
  • These findings highlight the critical role of PA dysfunction in the development of cognitive deficits associated with hypertension and hypoperfusion.