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2016 ; 68
(5
): 1271-1280
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Central Angiotensin-II Increases Blood Pressure and Sympathetic Outflow via Rho
Kinase Activation in Conscious Rabbits
#MMPMID27672026
Pellegrino PR
; Schiller AM
; Haack KK
; Zucker IH
Hypertension
2016[Nov]; 68
(5
): 1271-1280
PMID27672026
show ga
Elevated sympathetic tone and activation of the renin-angiotensin system are
pathophysiologic hallmarks of hypertension, and the interactions between these
systems are particularly deleterious. The importance of Rho kinase as a mediator
of the effects of angiotensin-II (AngII) in the periphery is clear, but the role
of Rho kinase in sympathoexcitation caused by central AngII is not well
established. We hypothesized that AngII mediates its effects in the brain by the
activation of the RhoA/Rho kinase pathway. Chronically instrumented, conscious
rabbits received the following intracerebroventricular infusion treatments for 2
weeks via osmotic minipump: AngII, Rho kinase inhibitor Fasudil, AngII plus
Fasudil, or a vehicle control. AngII increased mean arterial pressure over the
course of the infusion, and this effect was prevented by the coadministration of
Fasudil. AngII increased cardiac and vascular sympathetic outflow as quantified
by the heart rate response to metoprolol and the depressor effect of
hexamethonium; coadministration of Fasudil abolished both of these effects. AngII
increased baseline renal sympathetic nerve activity in conscious animals and
impaired baroreflex control of sympathetic nerve activity; again Fasudil
coinfusion prevented these effects. Each of these end points showed a
statistically significant interaction between AngII and Fasudil. Quantitative
immunofluorescence of brain slices confirmed that Rho kinase activity was
increased by AngII and decreased by Fasudil. Taken together, these data indicate
that hypertension, elevated sympathetic outflow, and baroreflex dysfunction
caused by central AngII are mediated by Rho kinase activation and suggest that
Rho kinase inhibition may be an important therapeutic target in
sympathoexcitatory cardiovascular diseases.