Objective: We demonstrated that single injection of antisense oligodeoxynucleotides (AS) against AT1 receptor had transient antihypertensive effect in TGR. We were interested whether repeated AS therapy will have durable effect on blood pressure (BP) and on the contribution of principle vasoactive systems to BP regulation in this model of ANG II-dependent hypertension. Methods: From the age of 30 days heterozygous Ren-2 rats were injected in 10-day intervals with AS until the age of 60 days. On days 40, 50 and 70 of age, basal BP and acute responses to consecutive blockade of renin-angiotensin (10 mg/kg captopril), sympathetic (5 mg/kg pentolinium) and nitric oxide (NO) (30 mg/kg L-NAME) systems were determined in conscious rats. Results: AS therapy decreased BP and reduced cardiac hypertrophy. Both these effects disappeared after the third AS injection. Captopril-induced BP decrease was higher on day 70 in untreated than in AS-treated TGR, suggesting higher contribution of RAS in established hypertension. On the contrary, AS therapy decreased the contribution of sympathetic system on day 40 (during hypertension development). BP decrease was double after SNS than after RAS blockade. AS-treated animals had higher BP increase after NO blockade on day 40. The impact of NO on BP control increased with age, suggesting its role as a compensatory mechanism against augmented activity of pressor systems. The dependency of principle vasoactive systems on the number of renin gene copies was evaluated in three groups of animals: HanSD (-/-),TGR heterozygous for renin gene (+/−) and homozygous TGR (+/+). The contribution of angiotensin-dependent and nifedipine-sensitive vasoconstriction increased with the number of renin gene copies, while heterozygous and homozygous TGR had reduced NO vasodilatory component. Conclusions: Repeated AS therapy of Ren-2 TGR has transient antihypertensive effect, which correlates with cardiac hypertrophy. Augmented sympathetic activity together with reduced NO activity contribute to hypertension in initial phases, while increased RAS influence prevails in established hypertension.
Read full abstract