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2016 ; 9
(441
): ra80
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H2S production by reactive oxygen species in the carotid body triggers
hypertension in a rodent model of sleep apnea
#MMPMID27531649
Yuan G
; Peng YJ
; Khan SA
; Nanduri J
; Singh A
; Vasavda C
; Semenza GL
; Kumar GK
; Snyder SH
; Prabhakar NR
Sci Signal
2016[Aug]; 9
(441
): ra80
PMID27531649
show ga
Sleep apnea is a prevalent respiratory disease in which episodic cessation of
breathing causes intermittent hypoxia. Patients with sleep apnea and rodents
exposed to intermittent hypoxia exhibit hypertension. The carotid body senses
changes in blood O2 concentrations, and an enhanced carotid body chemosensory
reflex contributes to hypertension in sleep apnea patients. A rodent model of
intermittent hypoxia that mimics blood O2 saturation profiles of patients with
sleep apnea has shown that increased generation of reactive oxygen species (ROS)
in the carotid body enhances the chemosensory reflex and triggers hypertension.
CO generated by heme oxygenase-2 (HO-2) induces a signaling pathway that inhibits
hydrogen sulfide (H2S) production by cystathionine ?-lyase (CSE), leading to
suppression of carotid body activity. We found that ROS inhibited CO generation
by HO-2 in the carotid body and liver through a mechanism that required Cys(265)
in the heme regulatory motif of heterologously expressed HO-2. We showed that ROS
induced by intermittent hypoxia inhibited CO production and increased H2S
concentrations in the carotid body, which stimulated its neural activity. In
rodents, blockade of H2S synthesis by CSE, by either pharmacologic or genetic
approaches, inhibited carotid body activation and hypertension induced by
intermittent hypoxia. Thus, our results indicate that oxidant-induced
inactivation of HO-2, which leads to increased CSE-dependent H2S production in
the carotid body, is a critical trigger of hypertension in rodents exposed to
intermittent hypoxia.