[HTML][HTML] Role of brain and peripheral angiotensin II in hypertension and altered arterial baroreflex programmed during fetal life in rat

P Pladys, I Lahaie, G Cambonie, G Thibault, NLO Lê… - Pediatric …, 2004 - nature.com
P Pladys, I Lahaie, G Cambonie, G Thibault, NLO Lê, D Abran, AM Nuyt
Pediatric research, 2004nature.com
Intrauterine programming of hypertension is associated with evidence of increased renin-
angiotensin system (RAS) activity. The current study was undertaken to investigate whether
arterial baroreflex and blood pressure variability are altered in a model of in utero
programming of hypertension secondary to isocaloric protein deprivation and whether
activation of the RAS plays a role in this alteration. Pregnant Wistar rats were fed a normal-
protein (18%) or low-protein (9%) diet during gestation, which had no effect on litter size …
Abstract
Intrauterine programming of hypertension is associated with evidence of increased renin-angiotensin system (RAS) activity. The current study was undertaken to investigate whether arterial baroreflex and blood pressure variability are altered in a model of in utero programming of hypertension secondary to isocaloric protein deprivation and whether activation of the RAS plays a role in this alteration. Pregnant Wistar rats were fed a normal-protein (18%) or low-protein (9%) diet during gestation, which had no effect on litter size, birth weight, or pup survival. Mean arterial blood pressure (MABP; 126±3 mm Hg 9% versus 108±4 mm Hg 18%; p< 0.05) and blood pressure variability were significantly greater in the adult offspring of the 9% protein–fed mothers. Arterial baroreflex control of heart rate, generated by graded iv infusion of phenylephrine and nitroprusside, was significantly shifted toward higher pressure; iv angiotensin-converting enzyme inhibitor normalized MABP and shifted the arterial baroreflex curve of the 9% offspring toward lower pressure without affecting the 18% offspring. For examining whether brain RAS is also involved in programming of hypertension, angiotensin-converting enzyme inhibitor and losartan (specific AT 1 receptor antagonist) were administered intracerebroventricularly; both significantly reduced MABP of the 9% but not the 18% offspring. Autoradiographic receptor binding studies demonstrated an increase in brain AT 1 expression in the subfornical organ and the vascular organ of the lamina terminalis in the 9% offspring. These data demonstrate a major tonic role of brain and peripheral RAS on hypertension associated with antenatal nutrient deprivation.
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