Important role of Rho-kinase in the pathogenesis of cardiovascular inflammation and remodeling induced by long-term blockade of nitric oxide synthesis in rats

Hypertension. 2002 Feb;39(2):245-50. doi: 10.1161/hy0202.103271.

Abstract

Chronic inhibition of endothelial NO synthesis by the administration of N(G)-nitro-L-arginine methyl ester (L-NAME) to rats induces early vascular inflammation (monocyte infiltration into coronary vessels and monocyte chemoattractant protein-1 expression) as well as subsequent arteriosclerosis. The small GTPase Rho controls cell adhesion, motility, and proliferation and is activated by several growth factors such as angiotensin II. We investigated the effect of a specific inhibitor of Rho-kinase, Y-27632, in rats treated with L-NAME to determine the role of the Rho/Rho-kinase pathway in the development of arteriosclerosis. We found here increased activity of Rho/Rho-kinase after L-NAME administration and its prevention by angiotensin II type 1 receptor blockade. Hydralazine or lecithinized superoxide dismutase (l-SOD) did not affect Rho/Rho-kinase activity. Co-treatment with Y-27632 did not affect the L-NAME-induced increase in cardiovascular tissue ACE activity or L-NAME-induced decrease in plasma NO concentrations, but did prevent the L-NAME-induced early inflammation and late coronary arteriosclerosis. In addition, Y-27632 prevented the increased gene expression of monocyte chemoattractant protein-1 and transforming growth factor-beta1 as well as cardiac fibrosis and glomerulosclerosis. These findings suggest that increased activity of Rho/Rho-kinase pathway mediated via the angiotensin II type 1 receptor may thus be important in the pathogenesis of early vascular inflammation and late remodeling induced by chronic inhibition of NO synthesis. The beneficial effects of Rho-kinase inhibition are not mediated by restoration of NO production. The Rho-kinase pathway could be a new therapeutic target for treatment of vascular diseases.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Actins / analysis
  • Amides / pharmacology*
  • Animals
  • Benzimidazoles / pharmacology
  • Biphenyl Compounds / pharmacology
  • Blood Pressure / drug effects
  • Cardiovascular Diseases / enzymology*
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / physiopathology
  • Chemokine CCL2 / genetics
  • Coronary Vessels / chemistry
  • Coronary Vessels / drug effects
  • Coronary Vessels / pathology
  • Enzyme Inhibitors / pharmacology*
  • Hydralazine / pharmacology
  • Immunohistochemistry
  • Inflammation / enzymology*
  • Inflammation / etiology
  • Intracellular Signaling Peptides and Proteins
  • Kidney Glomerulus / drug effects
  • Kidney Glomerulus / pathology
  • Muscle, Smooth / chemistry
  • Myosins / metabolism
  • NF-kappa B / analysis
  • NG-Nitroarginine Methyl Ester / pharmacology
  • Nitric Oxide / antagonists & inhibitors*
  • Nitric Oxide / metabolism
  • Nitric Oxide Synthase / antagonists & inhibitors
  • Nitric Oxide Synthase / metabolism
  • Peptidyl-Dipeptidase A / metabolism
  • Phosphorylation / drug effects
  • Proliferating Cell Nuclear Antigen / analysis
  • Protein Serine-Threonine Kinases / antagonists & inhibitors
  • Protein Serine-Threonine Kinases / metabolism*
  • Pyridines / pharmacology*
  • RNA, Messenger / drug effects
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Rats
  • Rats, Inbred WKY
  • Superoxide Dismutase / pharmacology
  • Tetrazoles*
  • Time Factors
  • Transforming Growth Factor beta / genetics
  • Transforming Growth Factor beta1
  • rho-Associated Kinases

Substances

  • Actins
  • Amides
  • Benzimidazoles
  • Biphenyl Compounds
  • Chemokine CCL2
  • Enzyme Inhibitors
  • Intracellular Signaling Peptides and Proteins
  • NF-kappa B
  • Proliferating Cell Nuclear Antigen
  • Pyridines
  • RNA, Messenger
  • Tetrazoles
  • Tgfb1 protein, rat
  • Transforming Growth Factor beta
  • Transforming Growth Factor beta1
  • Y 27632
  • Hydralazine
  • Nitric Oxide
  • Nitric Oxide Synthase
  • Superoxide Dismutase
  • Protein Serine-Threonine Kinases
  • rho-Associated Kinases
  • Peptidyl-Dipeptidase A
  • Myosins
  • candesartan cilexetil
  • NG-Nitroarginine Methyl Ester