Selective activation of angiotensin AT2 receptors attenuates progression of pulmonary hypertension and inhibits cardiopulmonary fibrosis

Autor: Bruce, E, Shenoy, V, Rathinasabapathy, A, Espejo, A, Horowitz, A, Oswalt, A, Francis, J, Nair, A, Unger, T, Raizada, M K, Steckelings, Ulrike Muscha, Sumners, C, Katovich, M J
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Male
Myocardium/metabolism
Pyridines
Angiotensin II Type 2 Receptor Blockers/pharmacology
Hypertension
Pulmonary

Pulmonary Fibrosis
Ventricular Dysfunction
Right

Proto-Oncogene Proteins/antagonists & inhibitors
Ventricular Remodeling/drug effects
Angiotensin II Type 2 Receptor Blockers
Vascular Remodeling
Proto-Oncogene Mas
Receptor
Angiotensin
Type 2

Receptors
G-Protein-Coupled

Rats
Sprague-Dawley

Signal Transduction/drug effects
Proto-Oncogene Proteins
Animals
Angiotensin II/analogs & derivatives
Ventricular Dysfunction
Right/chemically induced

Lung
Imidazoles/pharmacology
Pyridines/pharmacology
Receptors
G-Protein-Coupled/antagonists & inhibitors

Peptide Fragments/pharmacology
Monocrotaline
Lung/drug effects
Hypertrophy
Right Ventricular

Ventricular Remodeling
Angiotensin II
Myocardium
Ventricular Function
Right/drug effects

Hemodynamics
Imidazoles
Pulmonary Fibrosis/chemically induced
Hypertrophy
Right Ventricular/chemically induced

Cardiovascular Agents
Receptor
Angiotensin
Type 2/agonists

Research Papers
Fibrosis
Peptide Fragments
Disease Models
Animal

Hemodynamics/drug effects
Cardiovascular Agents/pharmacology
Hypertension
Pulmonary/chemically induced

Ventricular Function
Right

Vascular Remodeling/drug effects
Signal Transduction
Zdroj: Bruce, E, Shenoy, V, Rathinasabapathy, A, Espejo, A, Horowitz, A, Oswalt, A, Francis, J, Nair, A, Unger, T, Raizada, M K, Steckelings, U M, Sumners, C & Katovich, M J 2015, ' Selective activation of angiotensin AT 2 receptors attenuates progression of pulmonary hypertension and inhibits cardiopulmonary fibrosis ', British Journal of Pharmacology, vol. 172, no. 9, pp. 2219-2231 . https://doi.org/10.1111/bph.13044
DOI: 10.1111/bph.13044
Popis: Background and Purpose Pulmonary hypertension (PH) is a devastating disease characterized by increased pulmonary arterial pressure, which progressively leads to right-heart failure and death. A dys-regulated renin angiotensin system (RAS) has been implicated in the development and progression of PH. However, the role of the angiotensin AT 2 receptor in PH has not been fully elucidated. We have taken advantage of a recently identified non-peptide AT 2 receptor agonist, Compound 21 (C21), to investigate its effects on the well-established monocrotaline (MCT) rat model of PH. Experimental Approach A single s.c. injection of MCT (50 mg·kg -1) was used to induce PH in 8-week-old male Sprague Dawley rats. After 2 weeks of MCT administration, a subset of animals began receiving either 0.03 mg·kg -1 C21, 3 mg·kg -1 PD-123319 or 0.5 mg·kg -1 A779 for an additional 2 weeks, after which right ventricular haemodynamic parameters were measured and tissues were collected for gene expression and histological analyses. Key Results Initiation of C21 treatment significantly attenuated much of the pathophysiology associated with MCT-induced PH. Most notably, C21 reversed pulmonary fibrosis and prevented right ventricular fibrosis. These beneficial effects were associated with improvement in right heart function, decreased pulmonary vessel wall thickness, reduced pro-inflammatory cytokines and favourable modulation of the lung RAS. Conversely, co-administration of the AT 2 receptor antagonist, PD-123319, or the Mas antagonist, A779, abolished the protective actions of C21. Conclusions and Implications Taken together, our results suggest that the AT 2 receptor agonist, C21, may hold promise for patients with PH.
Databáze: OpenAIRE