Indole-3-propionic acid, a tryptophan-derived bacterial metabolite, increases blood pressure via cardiac and vascular mechanisms in rats

Am J Physiol Regul Integr Comp Physiol. 2021 Dec 1;321(6):R969-R981. doi: 10.1152/ajpregu.00142.2021. Epub 2021 Nov 10.

Abstract

Recent evidence suggests that gut bacteria-derived metabolites interact with the cardiovascular system and alter blood pressure (BP) in mammals. Here, we evaluated the effect of indole-3-propionic acid (IPA), a gut bacteria-derived metabolite of tryptophan, on the circulatory system. Arterial BP, electrocardiographic, and echocardiographic (ECHO) parameters were recorded in male, anesthetized, 12-wk-old Wistar-Kyoto rats at baseline and after intravenous administration of either IPA or vehicle. In additional experiments, rats were pretreated with prazosin or pentolinium to evaluate the involvement of the autonomic nervous system in cardiovascular responses to IPA. IPA's concentrations were measured using ultra-high performance liquid chromatography tandem mass spectrometry. The reactivity of endothelium-intact and -denuded mesenteric resistance arteries was tested. Cells' viability and lactate dehydrogenase (LDH) cytotoxicity assays were performed on cultured cardiomyocytes. IPA increased BP with a concomitant bradycardic response but no significant change in QTc interval. The pretreatment with prazosin and pentolinium reduced the hypertensive response. ECHO showed increased contractility of the heart after the administration of IPA. Ex vivo, IPA constricted predilated and endothelium-denuded mesenteric resistance arteries and increased metabolic activity of cardiomyocytes. IPA increases BP via cardiac and vascular mechanisms in rats. Furthermore, IPA increases cardiac contractility and metabolic activity of cardiomyocytes. Our study suggests that IPA may act as a mediator between gut microbiota and the circulatory system.

Keywords: blood pressure; blood vessels; heart; indole-3-propionic acid; microbiota.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Arterial Pressure / drug effects*
  • Autonomic Nervous System / drug effects
  • Autonomic Nervous System / physiopathology
  • Bacteria / metabolism*
  • Bradycardia / chemically induced
  • Bradycardia / physiopathology
  • Cells, Cultured
  • Energy Metabolism / drug effects*
  • Gastrointestinal Microbiome*
  • Heart Rate / drug effects
  • Humans
  • Hypertension / chemically induced*
  • Hypertension / physiopathology
  • Indoles / administration & dosage
  • Indoles / metabolism
  • Indoles / toxicity*
  • Infusions, Intravenous
  • Male
  • Mesenteric Arteries / drug effects*
  • Mesenteric Arteries / physiopathology
  • Myocardial Contraction / drug effects
  • Myocytes, Cardiac / drug effects*
  • Myocytes, Cardiac / metabolism
  • Rats
  • Rats, Inbred WKY

Substances

  • Indoles
  • indolepropionic acid