Abstract P343: Adaptive Immune Mechanisms Exacerbate Cholinergic Activation-mediated Hypertension In Dahl Salt-sensitive Rats

Abstract

Hypertension affects over one billion people worldwide and significantly contributes to the pathogenesis of cardiovascular and renal disease. Activation of nicotinic acetylcholine receptors (nAChR) in immune cells regulates immune responses. We have shown earlier that the development of hypertension in a genetic model of human essential hypertension, the Spontaneously Hypertensive Rats (SHR), is dependent on nAChR-mediated renal inflammation. Broadening the application of this mechanism, in the present study we hypothesized that nAChR activation plays a role in inflammation and the development of hypertension in a salt-sensitive model of hypertension, the Dahl salt-sensitive (DSS) rat. To test the hypothesis, we infused 4 weeks old DSS (n=12) and Dahl salt resistant (DSR, n=12) rats with either saline (n=6) or nicotine (15mg/kg/day, n=6) for 4 weeks. Animals were fed a 4% NaCl diet for the entire duration and moved into metabolic cages 3 days prior to euthanasia. Systolic blood pressure (SBP) measured by tail cuff method remained unaltered in DSR. However, SBP was significantly elevated in DSS rats that received nicotine as compared to saline (196.33±7.8 vs. 168±5.2 mmHg, p<0.05). SBP changes in nicotine infused DSS were not accompanied by differences in albuminuria or urinary sodium excretion compared to saline controls. RT-PCR revealed significantly increased CD3e mRNA expression (a marker of T-cell, P=0.04) in the immune cells derived from nicotine infused DSS as compared to saline controls. Increased CD3e mRNA expression in the kidney of nicotine infused DSS compared to saline was observed. Nicotine infusion did not change mRNA expression of nAChR subunits in DSR immune cells. In contrast, there was a ≥50% decrease in mRNA expression of α1-α7, α9, α10, β2, and β3 nAChR in immune cells derived from nicotine infused DSS compared to saline controls. There was a small yet significant increase in the mRNA expression of the β1-nAChR subunit in the immune cells of nicotine infused DSS compared to saline controls. We conclude that nAChR activation potentiates hypertension in the DSS independent of sodium retention or renal function. Our preliminary data suggests a possible role for nAChR mediated adaptive immune mechanisms in salt-sensitive hypertension.