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Leptin Mediates High-Fat Diet Sensitization of Angiotensin II-Elicited Hypertension by Upregulating the Brain Renin-Angiotensin System and Inflammation
Journal article   Open access   Peer reviewed

Leptin Mediates High-Fat Diet Sensitization of Angiotensin II-Elicited Hypertension by Upregulating the Brain Renin-Angiotensin System and Inflammation

Baojian Xue, Yang Yu, Zhongming Zhang, Fang Guo, Terry G Beltz, Robert L Thunhorst, Robert B Felder and Alan Kim Johnson
Hypertension (Dallas, Tex. 1979), Vol.67(5), pp.970-976
05/2016
DOI: 10.1161/hypertensionaha.115.06736
PMCID: PMC4833570
PMID: 27021010
url
https://doi.org/10.1161/hypertensionaha.115.06736View
Published (Version of record) Open Access

Abstract

Obesity is characterized by increased circulating levels of the adipocyte-derived hormone leptin, which can increase sympathetic nerve activity and raise blood pressure. A previous study revealed that rats fed a high-fat diet (HFD) have an enhanced hypertensive response to subsequent angiotensin II administration that is mediated at least, in part, by increased activity of brain renin-angiotensin system and proinflammatory cytokines. This study tested whether leptin mediates this HFD-induced sensitization of angiotensin II-elicited hypertension by interacting with brain renin-angiotensin system and proinflammatory cytokine mechanisms. Rats fed an HFD for 3 weeks had significant increases in white adipose tissue mass, plasma leptin levels, and mRNA expression of leptin and its receptors in the lamina terminalis and hypothalamic paraventricular nucleus. Central infusion of a leptin receptor antagonist during HFD feeding abolished HFD sensitization of angiotensin II-elicited hypertension. Furthermore, central infusion of leptin mimicked the sensitizing action of HFD. Concomitant central infusions of the angiotensin II type 1 receptor antagonist irbesartan, the tumor necrosis factor-α synthesis inhibitor pentoxifylline, or the inhibitor of microglial activation minocycline prevented the sensitization produced by central infusion of leptin. RT-PCR analysis indicated that either HFD or leptin administration upregulated mRNA expression of several components of the renin-angiotensin system and proinflammatory cytokines in the lamina terminalis and paraventricular nucleus. The leptin antagonist and the inhibitors of angiotensin II type 1 receptor, tumor necrosis factor-α synthesis, and microglial activation all reversed the expression of these genes. The results suggest that HFD-induced sensitization of angiotensin II-elicited hypertension is mediated by leptin through upregulation of central renin-angiotensin system and proinflammatory cytokines.
Angiotensin II - pharmacology Cytokines - metabolism RNA, Messenger - genetics Diet, High-Fat - adverse effects RNA, Messenger - analysis Rats Male Reference Values Renin-Angiotensin System - genetics Random Allocation Rats, Sprague-Dawley Hypertension - physiopathology Up-Regulation - drug effects Paraventricular Hypothalamic Nucleus - drug effects Animals Cytokines - drug effects Inflammation - drug therapy Hypertension - chemically induced Renin-Angiotensin System - drug effects Leptin - pharmacology Blood Pressure Determination Disease Models, Animal Inflammation - physiopathology

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