Akkermansia muciniphila extracellular vesicles have a protective effect against hypertension

Jee Young Kim1,2,3,4, Cheong-Wun Kim1,2,3,4, Su Young Oh5

  • 1Department of Pharmacology, Kyungpook National University, Daegu, 41944, Republic of Korea.

Insights

Akkermansia muciniphila extracellular vesicles (AmEVs) show promise in treating hypertension by increasing T regulatory cells and reducing inflammation, without adverse effects. AmEVs may offer a novel therapeutic approach for hypertension management.

Area of Science:

  • Microbiology
  • Immunology
  • Cardiovascular Science

Background:

  • Akkermansansia muciniphila (Am) is recognized for its probiotic benefits in metabolic syndrome.
  • The precise mechanisms underlying Am's therapeutic effects, particularly in hypertension, require further investigation.

Purpose of the Study:

  • To investigate the protective effects of Am extracellular vesicles (AmEVs) against hypertension.
  • To elucidate the underlying immunological mechanisms of AmEVs in hypertension.

Main Methods:

  • AmEVs were purified and characterized using nanoparticle tracking analysis, transmission electron microscopy, and SDS-PAGE.
  • Organ bath studies assessed AmEVs' effects on vascular contraction and relaxation.
  • In vivo studies involved weekly tail vein injections of AmEVs into Wistar-Kyoto rats and spontaneously hypertensive rats over 4 weeks.
  • Immunological analyses included flow cytometry, RT-qPCR, and Western blot on PBMCs and splenocytes.

Main Results:

  • AmEVs did not directly affect vascular contraction or endothelial relaxation in thoracic aortas.
  • AmEVs demonstrated a protective effect against hypertension development in spontaneously hypertensive rats.
  • Treatment with AmEVs led to an increased population of T regulatory cells and a trend towards reduced proinflammatory cytokines.
  • No serious adverse reactions were observed in the AmEVs-treated rats.

Conclusions:

  • Am extracellular vesicles possess a protective effect against hypertension.
  • AmEVs modulate immune responses by increasing T regulatory cells and decreasing proinflammatory cytokines.
  • AmEVs represent a potential novel therapeutic strategy for hypertension treatment.

Related Concept Videos

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...
726
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...
631
Antihypertensive Drugs: Vasodilators01:23

Antihypertensive Drugs: Vasodilators

Vasodilators, primarily affecting the smooth muscles within arterial and venous walls, are commonly used for hypertension treatment. Medications such as minoxidil and hydralazine primarily target arteries and arterioles, while sodium nitroprusside acts on arterioles and venules. Minoxidil, functioning as a prodrug, is metabolized by hepatic sulfotransferase into its active form, minoxidil sulfate, after oral administration. This metabolite binds to the sulfonylurea receptor (SUR) component of...
516
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists01:18

Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists

Endothelins (ETs) are potent vasoactive peptides critical in the human body's various physiological and pathological processes. One of the most promising therapeutic strategies for treating pulmonary arterial hypertension (PAH) involves counteracting the effects of these endothelins using a class of drugs known as endothelin receptor antagonists.
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
161
Surface Membrane Barriers01:18

Surface Membrane Barriers

The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
1.1K
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
428