Abstract

Emerging evidence suggests an associative link between gut dysbiosis, the autonomic nervous system (ANS) and the immune system in pathophysiology of neurogenic hypertension (HTN). However, the close interplay between these three systems presents us with difficulties in deciphering the cause-effect relationship in disease. The present study utilized beta 1 and 2 adrenergic receptor knock out (AdrB1tm1BkkAdrB2tm1Bkk/J KO) mice to isolate the effects of reduced overall sympathetic drive on gut microbiota and systemic immune system. We observed the following: (i) Diminished beta adrenergic signaling mainly reflects in shifts in the Firmicutes phyla, with a significant increase in abundance of largely beneficial Bacilli Lactobacillales in the KO mice; (ii) This was associated with increased colonic production of beneficial short chain fatty acids (SCFAs) butyrate, acetate and propionate, confirming functional microbiota shifts in the KO mice; (iii) Dampened systemic immune responses in the KO mice reflected in reduction on circulating CD4+.IL17+ T cells and increase in young neutrophils, both previously associated with shifts in the gut microbiota. Taken together, these observations demonstrate that reduced expression of beta adrenergic receptors may lead to beneficial shifts in the gut microbiota and dampened systemic immune responses. Considering the role of both in hypertension, this suggests that dietary intervention may be a viable option for manipulation of blood pressure via correcting gut dysbiosis.

Highlights

  • Hypertension (HTN), or high blood pressure (BP), is one of the most modifiable risk factors of cardiovascular disease (CVD), which is among the leading causes of death in the United States

  • One of the characteristics of essential HTN is its neurogenic component, reflecting in overactivation of the sympathetic nervous system (SNS) that is involved in initiation and maintenance of elevated BP via activation of adrenergic receptors (Esler et al, 1981; Anderson et al, 1989; Rumantir et al, 2000; Schlaich et al, 2004)

  • We observed a significant increase in the levels of fecal sodium butyrate in KO mice compared to wild type (WT) (mean ± SEM: 2.7 ± 0.4 μmol/g (WT) vs. 5.5 ± 1 μmol/g (KO), p < 0.05; Figure 3A)

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Summary

Introduction

Hypertension (HTN), or high blood pressure (BP), is one of the most modifiable risk factors of cardiovascular disease (CVD), which is among the leading causes of death in the United States. One of the characteristics of essential HTN is its neurogenic component, reflecting in overactivation of the sympathetic nervous system (SNS) that is involved in initiation and maintenance of elevated BP via activation of adrenergic receptors (Esler et al, 1981; Anderson et al, 1989; Rumantir et al, 2000; Schlaich et al, 2004). Evidence links rodent models of neurogenic HTN with exaggerated SNS activity to chronic low-grade inflammation and neuronflammation (Harrison, 2014; Singh et al, 2014; Zubcevic et al, 2014), and most recently gut dysbiosis (Yang et al, 2015, 2017; Adnan et al, 2017; Raizada et al, 2017; Santisteban et al, 2017)

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