Abstract
Objective: Low grade inflammation and oxidative stress play a role in the pathogenesis of cardiovascular diseases, including hypertension (HTN). There is emerging evidence that the immune system, and particularly the adaptive immune response, may be involved in the triggering of these processes. In a previous study we demonstrated that melatonin prevents kidney damage in salt induced HTN model by decreasing oxidative stress. We hypothesized that this effect is involving the immunomodulation properties of melatonin. Design and method: Dahl salt sensitive (DSS) rats were fed normal chow [control (Ctrl)], or high salt diet (HSD) or HSD and melatonin (Mel) (30/mg/kg/day) in their water for 8 weeks (n=8 each group). By the end of the treatment or when rats were considered ill with less than 24 hours survival, rats were sacrificed and kidneys were harvested for immediate lymphocytes isolation and characterization by FACS (CD3+CD4+ and CD3+CD8+) and for chemoatractants (vcam-1, cxcl1, cxcl9, cxcl10, cxcl11, cxcl12, cxcl16, cx3cl1,ccl3, ccl4, ccl7, ccl12, ccl17,ccl 19, ccl21) gene expression studies. Results: HSD was associated with significant renal infiltration of CD4+ and CD8+ T lymphocytes compare to control (0.16±0.02 vs. 5.18±1.6 and 0.95±0.15 vs. 4.6±0.75, % of CD3+ cell , Ctrl vs. HSD, CD4+ and CD8+ respectively, p<0.05). Melatonin treatment significantly reduced renal lymphocytes infiltration (0.7±0.2 and 1.37±0.45 % of CD3+ cells, CD4+ and CD8+ respectively, p<0.05 vs. HSD). HSD increased significantly mRNA expression of renal vcam-1, cxcl1, cxcl9, cxcl10, cxcl11, cxcl16, ccl3, ccl7, ccl21 (2±0.2, 3.1±0.1, 5.2±1.2, 2.4±0.3, 6.3±1, 1.9±0.08, 3±0.4, 3±0.7, 4.8±0.7, time fold, respectively, HSD vs. Ctrl, p<0.05). Adding melatonin to HSD prevented the increase in mRNA expression of cxcl1, cxcl9, cxcl10, cxcl11, cxcl16, ccl7 and ccl21, which are lymphocytes attractants. Conclusion: Treating HSD fed rats with melatonin decreased renal lymphocytes chemoatractants mRNA expression and is associated with significant reduction of renal T lymphocytes infiltration.
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