CFTR plays an important role in the regulation of vascular resistance and high-fructose/salt-diet induced hypertension in mice

J Cyst Fibros. 2021 May;20(3):516-524. doi: 10.1016/j.jcf.2020.11.014. Epub 2020 Dec 2.

Abstract

Background: The pathophysiological roles of cystic fibrosis transmembrane-conductance regulator (CFTR) Cl- channels in the regulation of blood pressure (BP) remain controversial. Here we studied the function of CFTR Cl- channels in regulation of BP and in the high-fructose-salt-diet (HFSD) induced hypertension in mice.

Methods: The systolic, diastolic and mean BP (SBP, DBP and MBP, respectively) were continuously monitored from unrestricted conscious wild-type (cftr+/+) FVB and CFTR-knockout (cftr-/-) mice (8-week old, male). HFSD (64.7% fructose, 2% NaCl water) or control normal starch diet (CNSD, 58.9% corn starch, 0 NaCl water) was given for 8 weeks and vascular Doppler were performed. Real-time PCR and Western blot were used to examine mRNA and protein expression, respectively.

Results: The aortic stiffness, daytime and nighttime SBP, DBP, and MBP of the cftr-/- mice were significantly higher than those in the age- and gender-matched cftr+/+ mice, which is consistent with the findings of increased vascular resistance in cystic fibrosis patients. The aortic stiffness, daytime and nighttime SBP, DBP, and MBP of cftr+/+ mice fed with HFSD were all significantly higher than those fed with CNSD. Importantly, HFSD caused a significant decrease in mRNA and protein expression of WINK1, WINK4 and CFTR in aorta and mesenteric arteries, but not in the kidney, corroborating that HSFD-induced downregulation of WINKs and loss of CFTR function specifically in the arteries may mediate the increased BP.

Conclusions: CFTR regulates peripheral arterial resistance and BP in vivo. HFSD-induced CFTR downregulation specifically in the arteries may be a novel mechanism for hypertension.

Keywords: Cystic fibrosis transmembrane conductance regulator; Hypertension; Vascular tone; With-no-lysine kinase.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Pressure / physiology
  • Cystic Fibrosis / physiopathology*
  • Cystic Fibrosis Transmembrane Conductance Regulator / physiology*
  • Diet, High-Fat
  • Dietary Carbohydrates / administration & dosage
  • Down-Regulation
  • Fructose / administration & dosage
  • Male
  • Mice
  • Ultrasonography, Doppler
  • Vascular Resistance / physiology*

Substances

  • Dietary Carbohydrates
  • Cystic Fibrosis Transmembrane Conductance Regulator
  • Fructose