Journal of the American Society of Nephrology
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Published ahead of print on February 7, 2007
J Am Soc Nephrol 18: 730-740, 2007
© 2007 American Society of Nephrology
doi: 10.1681/ASN.2006050541

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Hemodynamics and Vascular Regulation

Lack of Endothelial Nitric Oxide Synthase Promotes Endothelin-Induced Hypertension: Lessons from Endothelin-1 Transgenic/Endothelial Nitric Oxide Synthase Knockout Mice

Thomas Quaschning*, Florian Voss{dagger},{ddagger}, Katharina Relle{ddagger},§, Philipp Kalk{ddagger},§, Nicolas Vignon-Zellweger{ddagger}, Thiemo Pfab||, Christian Bauer, Franziska Theilig**, Sebastian Bachmann**, Annette Kraemer-Guth*, Christoph Wanner{dagger}, Franz Theuring{ddagger}, Jan Galle{dagger} and Berthold Hocher{ddagger}

* Department of Nephrology, University Hospital of Freiburg, Freiburg, {dagger} Department of Nephrology, University Hospital of Würzburg, Würzburg, and {ddagger} Center for Cardiovascular Research/Institute of Pharmacology, § Institute of Vegetative Physiology, Charite, Campus Mitte, || Department of Internal Medicine IV, Nephrology, Charite, Campus Benjamin Franklin, Institute of Molecular Biology and Biochemistry, Free University Berlin, and ** Institute of Anatomy, Charite, Campus Mitte, Berlin, Germany

Address correspondence to: Prof. Berthold Hocher, Humboldt University of Berlin, University Hospital Charité, Center for Cardiovascular Research & Institute for Pharmacology. Hessischestrasse 3-4, D-10115 Berlin, Germany. Phone: +49-30-450514098; Fax: +49-30-450514938; E-mail: berthold.hocher{at}charite.de; Web: http://www.ccr.charite.de/site/html/de/ag_hocher.html

Received for publication May 30, 2006. Accepted for publication January 2, 2007.

Endothelin-1 (ET-1) is one of the most potent biologic vasoconstrictors. Nevertheless, transgenic mice that overexpress ET-1 exhibit normal BP. It was hypothesized that vascular effects of ET-1 may be antagonized by an increase of the endothelial counterpart of ET-1, nitric oxide (NO), which is produced by the endothelial NO synthase (eNOS). Therefore, cross-bred animals of ET transgenic mice (ET+/+) and eNOS knockout (eNOS–/–) mice and were generated, and BP and endothelial function were evaluated in these animals. Endothelium-dependent and -independent vascular function was assessed as relaxation/contraction of isolated preconstricted aortic rings. The tissue ET and NO system was determined in aortic rings by quantitative real-time PCR and Western blotting. Systolic BP was similar in ET+/+ and wild-type (WT) mice but was significantly elevated in eNOS–/– mice (117 ± 4 mmHg versus 94 ± 6 mmHg in WT mice; P < 0.001) and even more elevated in ET+/+ eNOS–/– cross-bred mice (130 ± 4 mmHg; P < 0.05 versus eNOS–/–). Maximum endothelium-dependent relaxation was enhanced in ET+/+ mice (103 ± 6 versus 87 ± 4% of preconstriction in WT littermates; P < 0.05) and was completely blunted in eNOS–/– (–3 ± 4%) and ET+/+ eNOS–/– mice (–4 ± 4%), respectively. Endothelium-independent relaxation was comparable among all groups. Quantitative real-time PCR as well as Western blotting revealed an upregulation of the aortic ETA and ETB receptors in ET+/+ eNOS–/–, whereas eNOS was absent in aortic rings of eNOS–/– and ET+/+ eNOS–/– mice. ET-1 aortic tissue concentrations were similar in WT mice and ET+/+ eNOS–/– mice most probably as a result of an enhanced clearance of ET-1 by the upregulated ETB receptor. These data show for the first time that in transgenic mice that overexpress human ET-1, additional knockout of eNOS results in a further enhancement of BP as compared with eNOS–/– mice. The human ET+/+ eNOS–/– mice therefore represent a novel model of hypertension as a result of an imbalance between the vascular ET-1 and NO systems.




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