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Abstract
Background—
Chronic, inappropriate (relative to dietary Na
+
) elevations in circulating aldosterone, such as occur in congestive heart failure, are accompanied by a proinflammatory vascular phenotype involving the coronary and systemic vasculature. An immunostimulatory state with activated peripheral blood mononuclear cells (PBMCs) precedes this phenotype and is induced by a fall in cytosolic free [Mg
2+
]
i
and subsequent Ca
2+
loading of these cells and transduced by oxidative/nitrosative stress.
Methods and Results—
We sought to further validate this hypothesis in rats with aldosterone/1%NaCl treatment (ALDOST) by using several interventions as cotreatment: a Mg
2+
-supplemented diet; amlodipine, a CCB; and
N
-acetylcysteine, an antioxidant. Blood samples were obtained at weeks 1 to 4 of ALDOST to monitor [Mg
2+
]
i
, [Ca
2+
]
I
, and H
2
O
2
production in PBMCs. Coronal ventricular sections were examined for invading inflammatory cells and 3-nitrotyrosine labeling, a marker of oxidative/nitrosative stress. In response to ALDOST and compared with untreated controls, we found an early and persistent reduction in [Mg
2+
]
i
with a subsequent rise in [Ca
2+
]
i
and H
2
O
2
production, each of which was either attenuated or abrogated by the Mg
2+
-supplemented diet and by
N
-acetylcysteine, whereas amlodipine prevented Ca
2+
loading and an altered redox state. Cotreatment with these interventions either markedly attenuated or prevented the appearance of the proinflammatory coronary vascular phenotype and the presence of 3-nitrotyrosine in invading inflammatory cells.
Conclusions—
We suggest that the immunostimulatory state that appears during aldosteronism and leads to a proinflammatory coronary vascular phenotype is induced by a fall in [Mg
2+
]
i
with Ca
2+
loading of PBMCs and is transduced by H
2
O
2
production in these cells.
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Affiliation(s)
- Robert A Ahokas
- Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tenn 38163, USA
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Zicha J, Kunes J, Ben-Ishay D, Devynck MA. Abnormal regulation of cytosolic calcium and pH in platelets of Sabra rats in early phases of salt hypertension development. Can J Physiol Pharmacol 1996. [DOI: 10.1139/y96-134] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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