Nrf2 Dysfunction in the RVLM is Associated with Obesity‐Induced Sympathoexcitation

Abstract

Sympathetic overactivity contributes to the pathogenesis of obesity‐induced hypertension. The rostral ventrolateral medulla (RVLM) is an important brainstem region that regulates sympathetic nerve activity (SNA) to peripheral tissues. Oxidative stress and neuroinflammation in the RVLM are believed to be important contributors for augmented SNA in obesity, however, the molecular mechanisms that initiate and sustain the pro‐inflammatory milieu in the RVLM during obesity are not clear. Nuclear factor erythroid 2‐related factor (Nrf2) is a master transcriptional factor that regulates the expression of anti‐oxidant and anti‐inflammatory genes. We hypothesized that obesity impairs Nrf2 signaling to increase oxidative stress in the RVLM leading to increases in SNA and hypertension. To test this, 2 months‐old male C57BL/6J mice were fed a high‐fat diet (HFD; 60% fat) or normal chow diet (10% fat for 16 weeks and were instrumented with radiotelemeters in the last 2 weeks for measuring blood pressure and SNA. Heart rate variability and depressor response to ganglionic blockade were used to assess SNA. At the end of 16 weeks, animals were sacrificed, brainstem was isolated and sectioned. Superoxide levels were assessed in the frozen sections by dihydroethidium staining (DHE). RVLM was microdissected for gene expression analysis. Data were analyzed by students t‐test and p<0.05 was considered statistically significant. HFD feeding resulted in a mild but significant increase in mean arterial pressure (103.7 ± 0.9 vs 108.6 ± 0.73 mmHg, normal chow diet vs HFD; P<0.05; n=4) and systolic blood pressure (121.2 ± 1.2 vs 129 ± 0.67 mmHg, p<0.05; n=4) compared to normal chow‐fed animals. Ganglionic blockade using hexamethonium showed greater depressor response (−0.21 ± 2.9 vs 13.13 ± 1.3 mmHg, normal chow diet vs HFD; p<0.05; n=4) to HFD feeding. Furthermore, low‐frequency blood pressure variability and the ratio of low‐frequency to high‐frequency heart rate variability in HFD mice were significantly higher than in the control mice suggesting HFD upregulated SNA. In addition, obesity‐induced sympathoexcitation was associated with increased superoxide levels (DHE staining) and decreased mRNA levels of Nrf2 (1.05 ± 0.16 vs 0.48 ± 0.06 fold, normal diet vs HFD; p<0.05) and its target genes (e.g. NQO1 1.08 ± 0.22 vs 0.51 ± 0.08 fold, p<0.05 and SOD2 1.03 ± 0.13 vs 0.48 ± 0.05 fold; p<0.05) in the RVLM of HFD mice. Collectively, our results show for the first time, evidence for obesity‐associated Nrf2 dysfunction in the RVLM. Future studies will investigate the mechanistic role of Nrf2 signaling in the RVLM in obesity‐induced sympathoexcitation.Support or Funding InformationRAC fund, CVHS, Oklahoma State UniversityThis abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.