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on February 1, 2007

Arteriosclerosis, Thrombosis, and Vascular Biology. 2007
Published online before print February 1, 2007, doi: 10.1161/01.ATV.0000259298.11129.a2
A more recent version of this article appeared on April 1, 2007
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Submitted on October 23, 2006
Accepted on January 5, 2007

Role of the Multidrug Resistance Protein-1 in Hypertension and Vascular Dysfunction Caused by Angiotensin II

Julian D. Widder ; Tomasz J. Guzik ; Cornelius F.H. Mueller ; Roza E. Clempus ; Harald H.H.W. Schmidt ; Sergey I. Dikalov ; Kathy K. Griendling ; Dean P. Jones ; and David G. Harrison *

From the Emory University Division of Cardiology, Department of Medicine and the Atlanta Veterans Administration Hospital (J.D.W., T.J.G., C.F.H.M., R.E.C., S.I.D., K.K.G., D.P.J., D.G.H.), Ga; and Monash University, Department of Pharmacology & Centre for Vascular Health (H.H.H.W.S.), Melbourne, Australia.

* To whom correspondence should be addressed. E-mail: dharr02{at}emory.edu.

Objective--Human endothelial cells use the multidrug resistance protein-1 (MRP1) to export glutathione disulfide (GSSG). This can promotes thiol loss during states of increased glutathione oxidation. We investigated how MRP1 modulates blood pressure and vascular function during angiotensin II-induced hypertension.

Methods and Results--Angiotensin II-induced hypertension altered vascular glutathione flux by increasing GSSG export and decreasing vascular levels of glutathione in wild-type (FVB) but not in MRP1-/- mice. Aortic endothelium-dependent vasodilatation was reduced in FVB after angiotensin II infusion, but unchanged in MRP1-/- mice. Aortic superoxide (O2·-) production and expression of several NADPH oxidase subunits were increased by angiotensin II in FVB. These effects were markedly blunted in MRP1-/- vessels. The increase in O2·- production in FVB vessels caused by angiotensin II was largely inhibited by L-NAME, suggesting eNOS uncoupling. Accordingly, aortic tetrahydrobiopterin and levels of NO were decreased by angiotensin II in FVB but were unchanged in MRP1-/-. Finally, the hypertension caused by angiotensin II was markedly blunted in MRP1-/- mice (137±4 versus 158±6 mm Hg).

Conclusion--MRP1 plays a crucial role in the genesis of multiple vascular abnormalities that accompany hypertension and its presence is essential for the hypertensive response to angiotensin II.


Key words: endothelial function • glutathione • hypertension • MRP1 • oxidative stress




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