Donate Help Contact The AHA Sign In Home
American Heart Association
Arteriosclerosis, Thrombosis, and Vascular Biology
Search: search_blue_button Advanced Search
Arteriosclerosis, Thrombosis, and Vascular Biology. 2006;26:313-318
Published online before print October 27, 2005, doi: 10.1161/01.ATV.0000193625.32499.71
This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
26/2/313    most recent
01.ATV.0000193625.32499.71v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Petnehazy, T.
Right arrow Articles by Granger, D. N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Petnehazy, T.
Right arrow Articles by Granger, D. N.
Related Collections
Right arrow Other Vascular biology
Right arrow Pathophysiology
Right arrow Risk Factors
Right arrow Genetically altered mice
Right arrowRelated Article
(Arteriosclerosis, Thrombosis, and Vascular Biology. 2006;26:313.)
© 2006 American Heart Association, Inc.


Vascular Biology

Role of Blood Cell–Associated AT1 Receptors in the Microvascular Responses to Hypercholesterolemia

Thomas Petnehazy; Karen Y. Stokes; Katherine C. Wood; Janice Russell; D. Neil Granger

From the Department of Molecular and Cellular Physiology (T.P., K.Y.S., K.C.W., J.R., D.N.G.), Louisiana State University, Health Sciences Center, Shreveport; and the University Klinik for Pediatric Surgery (T.P.), University of Graz, Austria.

Correspondence to D. Neil Granger, Department of Molecular and Cellular Physiology, Louisiana State University, Health Sciences Center, 1501 E Kings Highway, Shreveport, LA 71130-3932. E-mail dgrang{at}lsuhsc.edu


*    Abstract
up arrowTop
*Abstract
down arrowIntroduction
down arrowMethods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Objective— Hypercholesterolemia elicits a proinflammatory and prothrombogenic phenotype in the microvasculature that is characterized by activation and adhesion of blood cells. The angiotensin II receptor-1 antagonist Losartan prevents the induction of these responses. The objective of this study was to determine the relative contributions of blood cell-associated versus endothelium-associated AT1a-R to these hypercholesterolemia-induced microvascular alterations.

Methods and Results— Leukocyte adhesion and emigration and platelet adhesion were quantified by intravital microscopy in postcapillary venules. C57Bl/6 mice were placed on a normal (ND) or high-cholesterol (HCD) diet for 2 weeks. AT1a-R bone marrow chimeras that express AT1a-R on the vessel wall but not blood cells and AT1a-R knockouts were placed on HCD. Venular shear rate was comparable in all groups. Platelet and leukocyte adhesion and leukocyte emigration were significantly increased in HCD mice versus ND. Leukocyte recruitment was significantly reduced in the HCD-AT1a-R bone marrow chimera group, whereas platelet adhesion remained at HCD levels. However, in HCD-AT1a-R knockout mice, platelet and leukocyte adhesion were reduced to ND levels.

Conclusions— These data indicate that the platelet-vessel wall adhesion elicited by hypercholesterolemia is mediated by AT1a-R engagement on the endothelial cell rather than the platelet, whereas leukocyte recruitment is mediated by blood cell-associated AT1a-R.

We used AT1a-R–deficient mice and AT1a-R bone marrow chimeras, where blood cells (but not endothelial cells) lacked AT1a-R, to define the contributions of blood cell–associated versus endothelium-associated AT1a-R to hypercholesterolemia-induced microvascular alterations. Endothelium-associated (not platelet-associated) AT1a-R mediated the platelet adhesion, whereas AT1a-R on blood cells modulated the leukocyte recruitment.


Key Words: angtiotensin II type 1 receptor • microcirculation • hypercholesterolemia • platelets • leukocytes


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMethods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Whereas the renin-angiotensin system has long been recognized for its contribution to the pathogenesis of hypertension, recent evidence implicates this regulatory pathway in a variety of other cardiovascular diseases, including atherosclerosis, diabetic vasculopathy, stroke, and myocardial infarction.1–9 The renin-angiotensin system has also been implicated as a mediator of the deleterious consequences of the known risk factors for cardiovascular disease. For example, AT1-receptor (AT1-R) activation appears to play a major role in the development of the impaired endothelium-dependent vasodilation that is associated with hypercholesterolemia.10 Angiotensin II can invoke microvascular alterations, including oxidative stress and the adhesion of leukocytes and platelets in postcapillary venules, by acting through AT1-R.11,12 We have reported recently that the AT1-R antagonist Losartan attenuates the proinflammatory and prothrombogenic effects of hypercholesterolemia in the microvasculature, suggesting that AT1-R engagement on circulating blood cells and/or vascular endothelium is required for these responses.13 Although the Losartan treatment studies provide circumstantial evidence that indicates a differential responsiveness of platelets, leukocytes, and endothelial cells to AT1-R activation, the experimental strategy used to date cannot definitively resolve the relative contributions of AT1-R on the different cell types to the overall blood cell adhesion responses that are elicited by hypercholesterolemia.

See page 240

Two angiotensin receptor types have been described in murine and human cells, that is, the AT1 and the AT2 receptors. However, most of the physiological (vasoconstriction) and pathophysiological (inflammation) actions of angiotensin II appear to be mediated through engagement of the AT1-R.14 Consequently, efforts to genetically modify the angiotensin II receptor have largely focused on the AT1-R. Mice express 2 subtypes of this receptor, AT1a and AT1b. In 1995, Ito et al15 developed the first AT1a-R knockout (AT1a-R–/–) mouse. This mutant exhibits a phenotype that includes hypotension, thereby confirming the critical role of the AT1a-R in the regulation of arteriolar tone. The AT1-R knockout (AT1a-R–/–) mouse has also been used to address the role of the AT1a-R in different models of human disease, including inflammatory diseases, such as atherosclerosis.16 However, this mutant has not been used previously to address the role and cellular localization of AT1a-R in mediating the microvascular alterations induced by hypercholesterolemia. Thus, the objective of this study was to use AT1a-R-deficient mice, as well as bone marrow chimeras produced by the transfer of marrow from AT1a-R–/– into wild-type (WT) mice to additionally define the role of the AT1a-R in mediating the proinflammatory and prothrombogenic responses elicited by hypercholesterolemia and to define the specific cell populations that contribute to these AT1a-R-dependent adhesion responses. The latter objective was achieved by comparing hypercholesterolemia-induced leukocyte and platelet adhesion among WT mice, AT1a-R–/– mice, and AT1a-R–/– chimeras (mice characterized by AT1a-R deficiency on circulating blood cells but not on vascular endothelium). The findings from this study strongly implicate a role for the AT1a-R on circulating leukocytes in mediating the adhesion of these cells, whereas endothelial cell-associated AT1a-R mediates the platelet adhesion observed during hypercholesterolemia.


*    Methods
up arrowTop
up arrowAbstract
up arrowIntroduction
*Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Animals
Male WT C57Bl/6J mice, AT1a-R–/– mice (Jackson Laboratories), and chimeras produced by the transfer of bone marrow from WT mice into WT recipients (WTCh) or AT1a-R–/– into WT recipients (AT1aCh) were placed on either a normal (ND) or high-cholesterol diet (HCD; Teklad 90221 containing 1.25% cholesterol, 15.8% fat, and 0.125% choline chloride, Harlan Teklad) for 2 weeks. In all of the groups, n=3 to 6 per group.

Production of Bone Marrow Chimeras
Bone marrow cells were isolated from the femurs and tibias of WT or AT1a-R–/– donor mice and resuspended at 4x107 cells/mL in PBS. Recipient (CD45 congenic WT) mice were irradiated with 2 doses of 500 to 525 Rads, 3 hours apart, after which 8x106 donor bone marrow cells in 200 µL of PBS were injected into the femoral vein. The chimeras were kept in autoclaved cages, with 0.2% neomycin drinking water for 2 weeks, after which normal drinking water was used. Flow cytometry was used to verify chimera reconstitution (usually requiring 6 to 8 weeks) by staining for CD45.1 and CD45.2 expression on circulating leukocytes with a fluorescein isothiocyanate-labeled anti-CD45.1 antibody and a biotinylated anti-CD45.2 antibody with a streptavidin-PerCP secondary antibody (PharMingen). This procedure normally yields >90% penetrance of the transferred marrow at ≥6 weeks after transplant. This bone marrow transfer protocol allowed for the creation of mice wherein normal levels of AT1a-R were expressed by all of the cells (HCD-WTCh group) or the genetic deficiency of AT1a-R was confined to the circulating blood cells (HCD-AT1aCh group).

Surgical Protocol
Mice were anesthetized with ketamine hydrochloride (150 mg/kg body weight, IP) and xylazine (7.5 mg/kg body weight, IP). The right jugular vein was cannulated for administration of heparinized saline and platelets, and the left carotid artery was cannulated for systemic arterial pressure measurement. Core body temperature was maintained at 35±0.5°C. Animal procedures were approved by the Louisiana State University Health Sciences Center Institutional Animal Care and Use Committee and were in accordance with the guidelines of the American Physiological Society.

Platelets
Platelets were collected, isolated, and labeled as previously described.17

Intravital Microscopy
The cremaster muscle was prepared for intravital microscopy as described previously.18 Postcapillary venules (20 to 40 µm diameter) with wall shear rates of ≥500/s19 were studied. The total number of adherent leukocytes and platelets were quantified during playback of videotaped images. Platelets (number per millimeter square) were considered adherent if they arrested for ≥2 s. A leukocyte was considered adherent if it remained stationary for ≥30 s (number per millimeter square). Platelet and leukocyte adhesion was measured throughout the observation periods. Leukocyte emigration was measured online at the end of each observation period and expressed as the number of interstitial leukocytes per high-powered field of view adjacent to the observed segment (number per field).

Experimental Protocol
Venules were selected for observation after a 30-minute stabilization period. Platelets (108, in a volume of 120 µL) were infused via the jugular vein over 5 minutes and allowed to circulate for an additional 5 minutes. Mice in the ND-WT, HCD-WT, HCD-AT1a-R–/–, HCD-WTCh, and HCD-AT1aCh groups received platelets from matching donors. In other groups, HCD-WT mice received platelets from either hypercholesterolemic AT1aCh mice (HCD-AT1aCh) or hypercholesterolemic AT1aCh mice treated with Losartan (HCD-AT1aCh-Los). Five-minute recordings of the leukocytes (light microscopy) followed by 1-minute recordings of the platelets (fluorescent microscopy) were made of the first 100 µm of every 300 µm along the length of the unstimulated vessel, beginning as near to the source of the venule as possible. The mean value of each variable within a single venule was calculated, and comparisons were made between the experimental groups.

Serum Cholesterol Levels
Serum was frozen for subsequent measurement of cholesterol levels using a spectrophotometric assay (Sigma Chemicals Co).

Statistical Analysis
All of the values are reported as mean±SEM. ANOVA with Fisher post-hoc test was used for statistical comparison of experimental groups, with statistical significance set at P<0.05.


*    Results
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
*Results
down arrowDiscussion
down arrowReferences
 
Serum Cholesterol, Wall Shear Rate, and Mean Arterial Pressure
A significant (2- to 3-fold) increase in total serum cholesterol was detected in all of the mice placed on a HCD (HCD-WT, HCD-WTCh, HCD-AT1a-R–/–, and HCD-AT1aCh), when compared with the normal diet group (Table). Although HCD-AT1a-R–/– mice exhibited a lower arterial blood pressure than the other groups, venular wall shear rate, a factor that can influence the adhesion of blood cells in venules, was not significantly different between any of the groups studied (Table).


View this table:
[in this window]
[in a new window]
 
SCC, Venular WSR, and MAP in WT Mice on ND and WT, WTCh, AT1a-R–/–, or AT1aCh Maintained on a HCD for 2 Weeks

Role of Blood Cell-Associated and Endothelial Cell-Associated AT1a-R in Hypercholesterolemia-Induced Leukocyte Recruitment
The number of adherent leukocytes in postcapillary venules of HCD-WT and HCD-WTCh mice was significantly higher than that observed in ND-WT mice (Figure 1). The hypercholesterolemia-induced increase in adherent leukocytes was significantly blunted in HCD-AT1a-R–/– mice and in HCD-AT1aCh mice (Figure 1). Leukocyte emigration was also increased in the HCD-WT and HCD-WTCh mice compared with the ND-WT group (Figure 2). Much like the leukocyte adherence responses, a profound reduction in leukocyte emigration was noted in both HCD-AT1a-R–/– and HCD-AT1aCh mice.


Figure 1
View larger version (25K):
[in this window]
[in a new window]
 
Figure 1. Leukocyte adhesion is elevated in wild-type (WT) mice placed on a HCD for 2 weeks (n=5) when compared with those fed a ND (n=5). A role for blood cell-associated AT1a-R in this cell recruitment was determined by observing hypercholesterolemic AT1a-R–/– mice (n=3) and AT1a-R–/– bone marrow chimeras in which blood cells but not cells of the vessel wall lacked AT1a-R (AT1aCh; n=6). WTCh: n=5. *P<0.0001 vs ND-WT; #P<0.0001 vs HCD-WT and WTCh.


Figure 2
View larger version (32K):
[in this window]
[in a new window]
 
Figure 2. Hypercholesterolemia induced significant leukocyte emigration in WT mice (n=5). This was attenuated in mice deficient in AT1a-R–/– (n=3). Use of bone marrow chimeras where AT1a-R was absent on blood cells but present in the tissues (AT1aCh group) revealed a role for blood cell-associated AT1a-R in this leukocyte emigration response (n=6). n=5 in ND group. n=5 in WTCh group. *P<0.0001 vs ND-WT; #P<0.0001 vs HCD-WT and WTCh.

Regarding the role of blood cell-associated AT1a-R in hypercholesterolemia-induced platelet adhesion, platelets derived from HCD-WT mice administered into HCD-WT-recipient mice exhibited an elevated level of adhesion in postcapillary venules when compared with ND-WT platelet adhesion in matched recipient (ND-WT) mice (Figure 3). The number of adherent platelets in the WT chimeras was comparable to HCD-WT mice. This response to hypercholesterolemia was completely abolished in HCD-AT1a-R–/– mice that received platelets from HCD-AT1-R–/– donor mice. However, the attenuation of the hypercholesterolemia-induced platelet adhesion response noted in AT1a-R knockouts was not observed when platelets from AT1aCh mice were administered into AT1aCh recipients. To additionally explore the contribution of platelet-associated AT1a-R to the platelet-vessel wall adhesion response to hypercholesterolemia, HCD-AT1aCh platelets were monitored in HCD-WT recipients (Figure 4). In these mice, a normal response to hypercholesterolemia was noted. In a previous report,13 we demonstrated that the AT1-R antagonist Losartan effectively blocks the platelet adhesion response to hypercholesterolemia, largely via an action on the endothelial cell. Conversely, platelets from hypercholesterolemic mice treated with Losartan exhibited an exaggerated adhesion response when administered to HCD-WT mice. However, we were unable to completely rule out a nonspecific action of the drug. Therefore, we examined the adhesion response of platelets derived from Losartan-treated HCD-AT1aCh mice in HCD-WT recipients (Figure 4). In these studies, no attenuation or exaggeration of platelet adhesion in response to hypercholesterolemia was noted.


Figure 3
View larger version (36K):
[in this window]
[in a new window]
 
Figure 3. Adhesion of exogenous platelets (platelet donor -> platelet recipient) is significantly increased in WT mice maintained on a HCD for 2 weeks (n=5) when compared with normocholesterolemic mice (ND; n=5). AT1a-R–/– mice exhibited a profound reduction of platelet adhesion (n=3). This was not observed in bone marrow chimeras where only blood cells (and the exogenous platelets) were deficient in this receptor, but the vessel walls retained the ability to express AT1a-R (AT1aCh group; n=6). WTCh: n=5. *P<0.005 vs ND-WT; #P<0.05 vs HCD-WT and WTCh; {wedge}P<0.005 vs AT1a-R–/–.


Figure 4
View larger version (61K):
[in this window]
[in a new window]
 
Figure 4. The adhesion of platelets derived from hypercholesterolemic (HCD) WT (n=5), angiotensin II receptor type 1 bone marrow chimeras which lacked AT1 on the blood cells (AT1aCh; n=5), and AT1aCh mice treated with the AT1a-R antagonist Losartan (AT1aCh-Los; n=4) was determined in HCD-WT recipient mice. *P<0.005 vs ND-WT.


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
*Discussion
down arrowReferences
 
Angiotensin receptor activation has been implicated in the altered vascular responses to hypercholesterolemia. Previous reports have described a role for the AT1-R in mediating the development of atherosclerotic lesions,3–6,16 the impaired endothelium-dependent vasodilation manifested in large arteries and arterioles,2,10,16,20 the oxidative stress experienced by all segments of the vascular tree,10,13 and the blood cell-endothelial cell interactions observed in postcapillary venules.13 Although a recent report from our laboratory has invoked a role for AT1-R in the inflammatory and thrombogenic responses during hypercholesterolemia,13 concerns regarding potential nonspecific actions of Losartan on circulating blood cells21 suggest that alternative strategies are needed to definitively implicate these receptors in the pathogenesis of hypercholesterolemia. Furthermore, treatment with AT1-R antagonists like Losartan does not allow for a clear distinction of the specific cell types in which AT1-R activation occurs. In this study, we used AT1a-R–/– mice and AT1a-R–/– bone marrow chimeras to define the role of the AT1a-R in mediating the proinflammatory and prothrombogenic responses observed in the microvasculature during hypercholesterolemia and to define the specific cell populations that are primarily responsible for these AT1a-R-dependent adhesion responses.

Hypercholesterolemia has been shown to promote the adhesion and emigration of leukocytes in postcapillary venules of different tissues, including skeletal muscle,13,18,22 intestine,23 liver,24 and brain.25 Neutrophils are the dominant leukocyte population recruited into venules in the first 2 weeks of hypercholesterolemia.26 The leukocyte adhesion elicited in this model appears to be linked to the oxidative stress experienced by endothelial cells.13,18,22 The inflammatory cell recruitment is additionally exacerbated by an enhanced production of cytokines (interferon {gamma}) by T lymphocytes in response to an elevated blood cholesterol concentration.22 The results of the present study strongly support the view that AT1a-R activation is a major factor in inducing the inflammatory phenotype caused by hypercholesterolemia. A comparison of our leukocyte adhesion data from the AT1a-R–/– mice and AT1a-R–/– chimeras reveals that leukocyte-associated AT1a receptors are largely responsible for mediating the inflammatory phenotype induced by hypercholesterolemia. This conclusion is based on the observation that the AT1a-R–/– chimeras, which have leukocytes that are devoid of AT1a-R but still express AT1a-R on endothelial cells, exhibited an attenuated leukocyte adhesion response. The reduction in leukocyte emigration may be a direct result of the decreased leukocyte adhesion, because firm adhesion is a prerequisite for emigration. These results are consistent with 2 distinct roles for the AT1-R on leukocytes. First, engagement of AT1-R on neutrophils leads to activation of reduced nicotinamide-adenine dinucleotide phosphate (NADPH) oxidase and mitogen-activated protein kinase, which both promote the activation of redox-sensitive transcription factors, such as nuclear factor {kappa}B, thereby inducing an inflammatory phenotype.27 This possibility is supported by data that invokes a role for neutrophilic NADPH oxidase in the leukocyte adhesion elicited by hypercholesterolemia.18 Second, engagement of the AT1-R on circulating T lymphocytes may elicit the enhanced production of interferon {gamma},28 which has been shown to drive the neutrophil adhesion and oxidative stress responses to hypercholesterolemia.22

There is a growing body of evidence that inflammatory conditions are associated with a corresponding accumulation of adherent platelets. This phenomenon of simultaneous inflammatory and thrombogenic responses in venules has been demonstrated in animal models of ischemia reperfusion,29 endotoxemia,30 sickle cell disease,31 and hypercholesterolemia.13,23 In all of these experimental models, the adhesion molecule P-selectin has been identified as a critical determinant of the platelet-vessel wall interactions in the inflamed venules. The results of the present study also support a role for the AT1a-R in the prothrombogenic response elicited in venules by hypercholesterolemia. Furthermore, a comparison of the platelet adhesion data derived from the AT1a-R–/– and AT1a-R–/– bone marrow chimeras indicate that, unlike with leukocytes, it is the endothelial cell AT1a-R, rather than the platelet or leukocyte receptor, that mediates the hypercholesterolemia-induced platelet-vessel wall interactions. The absence of a contribution of platelet-associated AT1a-R is additionally supported by our observation that AT1a-R–/– platelets bind to a similar extent in venules of WT hypercholesterolemic mice as WT platelets in the same recipients. The role of endothelial cell AT1a-R in mediating platelet adhesion may result from an increased P-selectin expression on endothelial cells that is induced by AT1a-R activation.11 However, this possibility is inconsistent with our previous observation that Losartan treatment does not alter the increased P-selectin expression on endothelial cells that is induced by hypercholesterolemia.13 Another potential reason is that the hypercholesterolemia-induced platelet recruitment is linked to an AT1a-R-mediated oxidative stress in endothelial cells. This possibility is supported by our previous report describing an inhibition of the hypercholesterolemia-induced oxidative stress in postcapillary venules of Losartan-treated mice.13 The fact that the attenuation of leukocyte adhesion observed in AT1a-R–/– chimera mice was not accompanied by a similar reduction in platelet recruitment, despite our previous findings that platelets primarily adhere to the hypercholesterolemic vessel wall by attaching to adherent leukocytes, is an interesting observation. This suggests that the platelet recruitment that occurred in the absence of leukocyte adhesion was a result of direct contact between platelets and the vascular endothelium. Whether this enhancement of platelet-endothelial interactions in the AT1a-R–/– chimeras is attributable to more angiotensin II being available to bind and activate the endothelium because the leukocytes and platelets do not express AT1a-R, remains unclear.

We have found previously that platelets from Losartan-treated animals exhibit exaggerated adhesion in hypercholesterolemic recipients when compared with nontreated platelets.13 Although it has been discovered that Losartan possesses antiplatelet properties that are independent of AT1a-R,21 our observations suggested that Losartan may actually enhance platelet activity in vivo. Therefore, we investigated whether this potentially deleterious effect of Losartan was specific to the AT1a-R. Because Losartan did not alter platelet adhesion in the absence of AT1a-R on platelets, our findings indicate that the exaggerated adhesion observed previously for Losartan-treated HCD-WT platelets may be invoked by an AT1a-receptor-mediated pathway that has yet to be identified. Although this could have important implications in the field of cardiovascular disease, it does not alter the fact that, in vivo, the combined exposure of platelets, leukocytes, and the vascular endothelium to this AT1-R antagonist leads to a net anti-inflammatory and antithrombogenic phenotype.

Collectively, the results of this study indicate that AT1a-R is a major contributor to the leukocyte and platelet adhesion responses to hypercholesterolemia, with the leukocyte-associated AT1a-R participating in the inflammatory response and endothelial cell AT1a-R mediating the thrombogenic response (Figure 5). In light of previous in vitro27 and in vivo18 findings, it is plausible that AT1a-R engagement on the leukocyte and endothelial cell initiates NADPH oxidase activation in both cell types during hypercholesterolemia. In the endothelium, this could lead to the activation of redox-sensitive transcription factors, such as nuclear factor {kappa}B activation, thereby inducing adhesion molecule expression,32,33 which may support the platelet adhesion. The exact mechanism through which AT1a-R and NADPH oxidase activation generates the adhesive phenotype in neutrophils remains unclear, because several studies have demonstrated a lack of effect of Losartan on adhesion molecule expression on leukocytes. Nonetheless, the current findings suggest that cell-specific targeting of AT1-R may be a useful therapeutic strategy for thrombogenic and inflammatory diseases.


Figure 5
View larger version (39K):
[in this window]
[in a new window]
 
Figure 5. Angiotensin II, acting through AT1-R, can promote endothelium and neutrophil NADPH oxidase activation and leukocyte adhesion in postcapillary venules. This is a schematic of the role of AT1-R in the inflammatory and thrombogenic responses induced in the microvasculature during hypercholesterolemia and the proposed mechanisms through which this occurs (based on our previous findings and those of others). Elevated cholesterol levels are associated with increased expression of AT1-R and activation of NADPH oxidase in both the vessel wall and leukocytes. This leads to leukocyte and platelet recruitment in postcapillary venules. The administration of an AT1-R antagonist during hypercholesterolemia reduces the oxidative stress and attenuates the inflammatory and thrombogenic phenotypes by acting on both leukocytes and endothelial cells. Thus, it is plausible that AT1a-R on the leukocyte mediates the hypercholesterolemia-induced leukocyte-endothelial interactions through the activation of NADPH oxidase-mediated inflammatory pathways, whereas occupation of AT1a-R on the vascular endothelium initiates platelet recruitment, possibly through reactive oxygen species-sensitive adhesion molecule upregulation.


*    Acknowledgments
 
This work was supported by a grant from the National Heart Lung and Blood Institute (HL26441).

Received July 29, 2005; accepted October 19, 2005.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
up arrowDiscussion
*References
 

  1. Brasier AR, Recinos A 3rd, Eledrisi MS. Vascular inflammation and the renin-angiotensin system. Arterioscler Thromb Vasc Biol. 2002; 22: 1257–1266.[Abstract/Free Full Text]
  2. John S, Schmieder RE. Potential mechanisms of impaired endothelial function in arterial hypertension and hypercholesterolemia. Curr Hypertens Rep. 2003; 5: 199–207.[Medline] [Order article via Infotrieve]
  3. Keidar S, Attias J, Smith J, Breslow JL, Hayek T. The angiotensin-II receptor antagonist, losartan, inhibits LDL lipid peroxidation and atherosclerosis in apolipoprotein E-deficient mice. Biochem Biophys Res Commun. 1997; 236: 622–625.[CrossRef][Medline] [Order article via Infotrieve]
  4. Lonn E. Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in atherosclerosis. Curr Atheroscler Rep. 2002; 4: 363–372.[Medline] [Order article via Infotrieve]
  5. Nickenig G. Central role of the AT(1)-receptor in atherosclerosis. J Hum Hypertens. 2002; 16 (Suppl 3): S26–S33.
  6. Rosenson RS. Modulating atherosclerosis through inhibition or blockade of angiotensin. Clin Cardiol. 2003; 26: 305–311.[CrossRef][Medline] [Order article via Infotrieve]
  7. Brenner BM, Cooper ME, de Zeeuw D, Keane WF, Mitch WE, Parving HH, Remuzzi G, Snapinn SM, Zhang Z, Shahinfar S. Effects of losartan on renal and cardiovascular outcomes in patients with type 2 diabetes and nephropathy. N Engl J Med. 2001; 345: 861–869.[Abstract/Free Full Text]
  8. Chrysant SG. Stroke prevention with losartan in the context of other antihypertensive drugs. Drugs Today (Barc). 2004; 40: 791–801.[Medline] [Order article via Infotrieve]
  9. Azadpour M, Lamas GA. AT1 receptor blockade for the prevention of cardiovascular events after myocardial infarction. Expert Rev Cardiovasc Ther. 2004; 2: 891–902.[CrossRef][Medline] [Order article via Infotrieve]
  10. Warnholtz A, Nickenig G, Schulz E, Macharzina R, Brasen JH, Skatchkov M, Heitzer T, Stasch JP, Griendling KK, Harrison DG, Bohm M, Meinertz T, Munzel T. Increased NADH-oxidase-mediated superoxide production in the early stages of atherosclerosis: evidence for involvement of the renin-angiotensin system. Circulation. 1999; 99: 2027–2033.[Abstract/Free Full Text]
  11. Piqueras L, Kubes P, Alvarez A, O’Connor E, Issekutz AC, Esplugues JV, Sanz MJ. Angiotensin II induces leukocyte-endothelial cell interactions in vivo via AT(1) and AT(2) receptor-mediated P-selectin upregulation. Circulation. 2000; 102: 2118–2123.[Abstract/Free Full Text]
  12. Alvarez A, Sanz MJ. Reactive oxygen species mediate angiotensin II-induced leukocyte-endothelial cell interactions in vivo. J Leukoc Biol. 2001; 70: 199–206.[Abstract/Free Full Text]
  13. Petnehazy T, Stokes KY, Russell JM, Granger DN. Angiotensin II type-1 receptor antagonism attenuates the inflammatory and thrombogenic responses to hypercholesterolemia in venules. Hypertension. 2005; 45: 209–215.[Abstract/Free Full Text]
  14. Griendling KK, Lassegue B, Alexander RW. Angiotensin receptors and their therapeutic implications. Annu Rev Pharmacol Toxicol. 1996; 36: 281–306.[Medline] [Order article via Infotrieve]
  15. Ito M, Oliverio MI, Mannon PJ, Best CF, Maeda N, Smithies O, Coffman TM. Regulation of blood pressure by the type 1A angiotensin II receptor gene. Proc Natl Acad Sci U S A. 1995; 92: 3521–3525.[Abstract/Free Full Text]
  16. Wassmann S, Czech T, van Eickels M, Fleming I, Bohm M, Nickenig G. Inhibition of diet-induced atherosclerosis and endothelial dysfunction in apolipoprotein E/angiotensin II type 1A receptor double-knockout mice. Circulation. 2004; 110: 3062–3067.[Abstract/Free Full Text]
  17. Tailor A, Granger DN. Hypercholesterolemia promotes P-selectin-dependent platelet-endothelial cell adhesion in postcapillary venules. Arterioscler Thromb Vasc Biol. 2003; 23: 675–680.[Abstract/Free Full Text]
  18. Stokes KY, Clanton EC, Russell JM, Ross CR, Granger DN. NAD(P)H oxidase-derived superoxide mediates hypercholesterolemia-induced leukocyte-endothelial cell adhesion. Circ Res. 2001; 88: 499–505.[Abstract/Free Full Text]
  19. Russell J, Cooper D, Tailor A, Stokes KY, Granger DN. Low venular shear rates promote leukocyte-dependent recruitment of adherent platelets. Am J Physiol Gastrointest Liver Physiol. 2003; 284: G123–G129.[Abstract/Free Full Text]
  20. Zhang C, Hein TW, Wang W, Kuo L. Divergent roles of angiotensin II AT1 and AT2 receptors in modulating coronary microvascular function. Circ Res. 2003; 92: 322–329.[Abstract/Free Full Text]
  21. Lopez-Farre A, Sanchez de Miguel L, Monton M, Jimenez A, Lopez-Bloya A, Gomez J, Nunez A, Rico L, Casado S. Angiotensin II AT(1) receptor antagonists and platelet activation. Nephrol Dial Transplant. 2001; 16 (Suppl 1): 45–49.[Abstract/Free Full Text]
  22. Stokes KY, Clanton EC, Clements KP, Granger DN. Role of interferon-gamma in hypercholesterolemia-induced leukocyte-endothelial cell adhesion. Circulation. 2003; 107: 2140–2145.[Abstract/Free Full Text]
  23. Tailor A, Granger DN. Hypercholesterolemia promotes leukocyte-dependent platelet adhesion in murine postcapillary venules. Microcirculation. 2004; 11: 597–603.[CrossRef][Medline] [Order article via Infotrieve]
  24. Mori N, Horie Y, Nimura Y, Wolf R, Granger DN. Hepatic microvascular responses to ischemia-reperfusion in low-density lipoprotein receptor knockout mice. Am J Physiol Gastrointest Liver Physiol. 2000; 279: G1257–G1264.[Abstract/Free Full Text]
  25. Ishikawa M, Stokes KY, Zhang JH, Nanda A, Granger DN. Cerebral microvascular responses to hypercholesterolemia: roles of NADPH oxidase and P-selectin. Circ Res. 2004; 94: 239–244.[Abstract/Free Full Text]
  26. Stokes KY, Clanton EC, Bowles KS, Fuseler JW, Chervenak D, Chervenak R, Jennings SR, Granger DN. The role of T-lymphocytes in hypercholesterolemia-induced leukocyte-endothelial interactions. Microcirculation. 2002; 9: 407–417.[CrossRef][Medline] [Order article via Infotrieve]
  27. El Bekay R, Alvarez M, Monteseirin J, Alba G, Chacon P, Vega A, Martin-Nieto J, Jimenez J, Pintado E, Bedoya FJ, Sobrino F. Oxidative stress is a critical mediator of the angiotensin II signal in human neutrophils: involvement of mitogen-activated protein kinase, calcineurin, and the transcription factor NF-kappaB. Blood. 2003; 102: 662–671.[Abstract/Free Full Text]
  28. Suzuki Y, Gomez-Guerrero C, Shirato I, Lopez-Franco O, Hernandez-Vargas P, Sanjuan G, Ruiz-Ortega M, Sugaya T, Okumura K, Tomino Y, Ra C, Egido J. Susceptibility to T cell-mediated injury in immune complex disease is linked to local activation of renin-angiotensin system: the role of NF-AT pathway. J Immunol. 2002; 169: 4136–4146.[Abstract/Free Full Text]
  29. Cooper D, Russell J, Chitman KD, Williams MC, Wolf RE, Granger DN. Leukocyte dependence of platelet adhesion in postcapillary venules. Am J Physiol Heart Circ Physiol. 2004; 286: H1895–H1900.[Abstract/Free Full Text]
  30. Cerwinka WH, Cooper D, Krieglstein CF, Ross CR, McCord JM, Granger DN. Superoxide mediates endotoxin-induced platelet-endothelial cell adhesion in intestinal venules. Am J Physiol Heart Circ Physiol. 2003; 284: H535–H541.[Abstract/Free Full Text]
  31. Wood KC, Hebbel RP, Granger DN. Endothelial cell P-selectin mediates a proinflammatory and prothrombogenic phenotype in cerebral venules of sickle cell transgenic mice. Am J Physiol Heart Circ Physiol. 2004; 286: H1608–H1614.[Abstract/Free Full Text]
  32. Pueyo ME, Gonzalez W, Nicoletti A, Savoie F, Arnal JF, Michel JB. Angiotensin II stimulates endothelial vascular cell adhesion molecule-1 via nuclear factor-kappaB activation induced by intracellular oxidative stress. Arterioscler Thromb Vasc Biol. 2000; 20: 645–651.[Abstract/Free Full Text]
  33. Soehnlein O, Schmeisser A, Cicha I, Reiss C, Ulbrich H, Lindbom L, Daniel WG, Garlichs CD. ACE inhibition lowers angiotensin-II-induced monocyte adhesion to HUVEC by reduction of p65 translocation and AT1 expression. J Vasc Res. 2005; 42: 399–407.[Medline] [Order article via Infotrieve]

Related Article:

Leukocyte and Endothelial Angiotensin II Type 1 Receptors and Microvascular Thrombotic and Inflammatory Responses to Hypercholesterolemia
R. Wayne Alexander
Arterioscler. Thromb. Vasc. Biol. 2006 26: 240-241. [Full Text] [PDF]



This article has been cited by other articles:


Home page
StrokeHome page
S. Terao, G. Yilmaz, K. Y. Stokes, J. Russell, M. Ishikawa, T. Kawase, and D. N. Granger
Blood Cell-Derived RANTES Mediates Cerebral Microvascular Dysfunction, Inflammation, and Tissue Injury After Focal Ischemia-Reperfusion
Stroke, September 1, 2008; 39(9): 2560 - 2570.
[Abstract] [Full Text] [PDF]


Home page
Eur Heart JHome page
L. Guasti, F. Marino, M. Cosentino, R. C. Maio, E. Rasini, M. Ferrari, L. Castiglioni, C. Klersy, G. Gaudio, A. M. Grandi, et al.
Prolonged statin-associated reduction in neutrophil reactive oxygen species and angiotensin II type 1 receptor expression: 1-year follow-up
Eur. Heart J., May 1, 2008; 29(9): 1118 - 1126.
[Abstract] [Full Text] [PDF]


Home page
HypertensionHome page
S. Hagita, M. Osaka, K. Shimokado, and M. Yoshida
Oxidative Stress in Mononuclear Cells Plays a Dominant Role in Their Adhesion to Mouse Femoral Artery After Injury
Hypertension, March 1, 2008; 51(3): 797 - 802.
[Abstract] [Full Text] [PDF]


Home page
Arterioscler. Thromb. Vasc. Bio.Home page
D. Fukuda, M. Sata, N. Ishizaka, and R. Nagai
Critical Role of Bone Marrow Angiotensin II Type 1 Receptor in the Pathogenesis of Atherosclerosis in Apolipoprotein E Deficient Mice
Arterioscler. Thromb. Vasc. Biol., January 1, 2008; 28(1): 90 - 96.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
M. Ishikawa, E. Sekizuka, N. Yamaguchi, H. Nakadate, S. Terao, D. N. Granger, and H. Minamitani
Angiotensin II type 1 receptor signaling contributes to platelet-leukocyte-endothelial cell interactions in the cerebral microvasculature
Am J Physiol Heart Circ Physiol, May 1, 2007; 292(5): H2306 - H2315.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
M. Osaka, S. Hagita, M. Haraguchi, M. Kajimura, M. Suematsu, and M. Yoshida
Real-time imaging of mechanically injured femoral artery in mice reveals a biphasic pattern of leukocyte accumulation
Am J Physiol Heart Circ Physiol, April 1, 2007; 292(4): H1876 - H1882.
[Abstract] [Full Text] [PDF]


Home page
Arterioscler. Thromb. Vasc. Bio.Home page
R. W. Alexander
Leukocyte and Endothelial Angiotensin II Type 1 Receptors and Microvascular Thrombotic and Inflammatory Responses to Hypercholesterolemia
Arterioscler. Thromb. Vasc. Biol., February 1, 2006; 26(2): 240 - 241.
[Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
26/2/313    most recent
01.ATV.0000193625.32499.71v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Petnehazy, T.
Right arrow Articles by Granger, D. N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Petnehazy, T.
Right arrow Articles by Granger, D. N.
Related Collections
Right arrow Other Vascular biology
Right arrow Pathophysiology
Right arrow Risk Factors
Right arrow Genetically altered mice
Right arrowRelated Article