Renal sympathetic denervation lowers arterial pressure in canines with obesity-induced hypertension by regulating GAD65 and AT1R expression in rostral ventrolateral medulla

Clin Exp Hypertens. 2018;40(1):49-57. doi: 10.1080/10641963.2017.1306542. Epub 2017 Nov 27.

Abstract

To explore the roles of glutamate acid decarboxylase 65 (GAD65) and angiotensin II type 1 receptor (AT1R) in the action of renal sympathetic denervation (RSD) on obesity-induced hypertension in canines. Thirty-two beagles were randomly divided into a hypertensive model (n = 22) and control (n = 10) groups. A hypertensive canine model was established by feeding a high-fat diet. Twenty hypertensive beagles were randomized equally to a sham-surgery and RSD-treated group receiving catheter-based radiofrequency RSD. Compared with the control group, the sham-surgery group exhibited significant increases in blood pressure, serum angiotensin II level, rostral ventrolateral medulla (RVLM) glutamate level, and AT1R mRNA and protein expression and decreases in γ-amino acid butyric acid (γ-GABA) level and GAD65 mRNA and protein expression in the RVLM (all P < 0.05). Treatment with RSD significantly attenuated the above abnormal alterations (all P < 0.05). Linear correlation analysis revealed that angiotensin II level was positively correlated with glutamate level (r = 0.804) and inversely correlated with γ-GABA level (r = -0.765). GAD65 protein expression was positively correlated with γ-GABA level (r = 0.782). Catheter-based radiofrequency RSD can decrease blood pressure in obesity-induced hypertensive canines. The antihypertensive mechanism might be linked to upregulation of GAD65 and downregulation of AT1R in the RVLM.

Keywords: AT1R; GAD65; gamma amino acid butyric acid; hypertension; renal sympathetic denervation; rostral ventrolateral medulla.

MeSH terms

  • Angiotensin II / blood
  • Animals
  • Blood Pressure
  • Dogs
  • Glutamate Decarboxylase / genetics
  • Glutamate Decarboxylase / metabolism*
  • Hypertension / etiology
  • Hypertension / metabolism*
  • Hypertension / surgery*
  • Male
  • Medulla Oblongata / metabolism*
  • Obesity / complications
  • RNA, Messenger / metabolism
  • Receptor, Angiotensin, Type 1 / genetics
  • Receptor, Angiotensin, Type 1 / metabolism*
  • Renal Artery / innervation
  • Renal Artery / surgery
  • Sympathectomy*
  • gamma-Aminobutyric Acid / metabolism

Substances

  • RNA, Messenger
  • Receptor, Angiotensin, Type 1
  • Angiotensin II
  • gamma-Aminobutyric Acid
  • Glutamate Decarboxylase
  • glutamate decarboxylase 2