A novel role for type 1 angiotensin receptors on T lymphocytes to limit target organ damage in hypertension.
Journal Article (Journal Article)
RATIONALE: Human clinical trials using type 1 angiotensin (AT(1)) receptor antagonists indicate that angiotensin II is a critical mediator of cardiovascular and renal disease. However, recent studies have suggested that individual tissue pools of AT(1) receptors may have divergent effects on target organ damage in hypertension. OBJECTIVE: We examined the role of AT(1) receptors on T lymphocytes in the pathogenesis of hypertension and its complications. METHODS AND RESULTS: Deficiency of AT(1) receptors on T cells potentiated kidney injury during hypertension with exaggerated renal expression of chemokines and enhanced accumulation of T cells in the kidney. Kidneys and purified CD4(+) T cells from "T cell knockout" mice lacking AT(1) receptors on T lymphocytes had augmented expression of Th1-associated cytokines including interferon-γ and tumor necrosis factor-α. Within T lymphocytes, the transcription factors T-bet and GATA-3 promote differentiation toward the Th1 and Th2 lineages, respectively, and AT(1) receptor-deficient CD4(+) T cells had enhanced T-bet/GATA-3 expression ratios favoring induction of the Th1 response. Inversely, mice that were unable to mount a Th1 response due to T-bet deficiency were protected from kidney injury in our hypertension model. CONCLUSIONS: The current studies identify an unexpected role for AT(1) receptors on T lymphocytes to protect the kidney in the setting of hypertension by favorably modulating CD4(+) T helper cell differentiation.
Full Text
Duke Authors
- Coffman, Thomas Myron
- Crowley, Steven Daniel
- Howell, David Noble
- Sparks, Matthew A.
- Spurney, Robert Frank
Cited Authors
- Zhang, J-D; Patel, MB; Song, Y-S; Griffiths, R; Burchette, J; Ruiz, P; Sparks, MA; Yan, M; Howell, DN; Gomez, JA; Spurney, RF; Coffman, TM; Crowley, SD
Published Date
- June 8, 2012
Published In
Volume / Issue
- 110 / 12
Start / End Page
- 1604 - 1617
PubMed ID
- 22534490
Pubmed Central ID
- PMC3393036
Electronic International Standard Serial Number (EISSN)
- 1524-4571
Digital Object Identifier (DOI)
- 10.1161/CIRCRESAHA.111.261768
Language
- eng
Conference Location
- United States