ALTERATIONS IN THE BRAIN RENIN-ANGIOTENSIN SYSTEM IN A MODEL OF FETAL PROGRAMMING BY ALLYSON CATHERINE MARSHALL A Dissertation Submitted to the Graduate Faculty of WAKE FOREST UNIVERSITY GRADUATE SCHOOL OF ARTS AND SCIENCES In Partial Fulfillment of the Requirements for the Degree of DOCTOR OF PHILOSOPHY Integrative Physiology and Pharmacology May 2014 Winston Salem, North Carolina Approved by: Mark C. Chappell Ph.D., Advisor Debra I. Diz, Ph.D., Advisor Examining Committee: Robert N. Taylor, M.D., Ph.D., Chair Hossam A. Shaltout, Ph.D. Lisa K. Washburn, M.D. ACKNOWLEDGEMENTS This dissertation is the product of the tremendous guidance and expertise of my thesis advisors Drs. Mark C. Chappell and Debra I. Diz. You make an amazing mentoring team, and I am so grateful for the opportunity to work with both of you. This experience has shaped me as a scientist and person, and I am proud of the research we produced. I would also like to thank members of my doctoral committee, Robert Taylor, Lisa Washburn, and Hossam Shaltout. The direction and input you gave me during our meetings was essential in shaping this project. In addition, I would like to thank all the faculty, trainees, and technicians of the Hypertension and Vascular Research Center. The center truly feels like a family, and everyone here has helped me through sharing ideas, advice, supplies, or offering support. To Ellen Tommasi and Nancy Pirro, thank you for your training and patience. I began my first year with very little research experience and you helped me settle into the labs and graduate school. Lastly, I thank my family and friends. Mom, Dad, and Christine, thank you for your constant support, love, and encouragement. This would have been impossible without you. ii TABLE OF CONTENTS PAGE LIST OF FIGURES AND TABLES……………………………………………………...v LIST OF ABBREVIATIONS…………………………………………………………….ix ABSTRACT AND AIMS………………………………………………………………...xi CHAPTER ONE: INTRODUCTION……………………………………………………..1 Fetal Programming and Developmental Plasticity The Central Renin-Angiotensin System Angiotensin Metabolism by Endogenous Peptidases The Renin-Angiotensin System and Blood Pressure Control Rationale and Aims Literature Cited CHAPTER TWO: FETAL BETAMETHASONE EXPOSURE ATTENUATES THE ANGIOTENSIN-(1-7)-MAS RECEPTOR AXIS IN THE DORSAL MEDULLA OF ADULT SHEEP……………………………………………………………...43 Published in Peptides 44: 25-31, 2013. CHAPTER THREE: ANTENATAL BETAMETHASONE EXPOSURE IS ASSOCIATED WITH LOWER CSF ANG-(1-7) AND INCREASE CSF ACE IN ADULT SHEEP…..70 Published in American Journal of Physiology: Integrative, Comparative, and Regulatory Physiology 305: R679-688, 2013. CHAPTER FOUR: ENHANCED ACTIVITY OF AN ANGIOTENSIN-(1-7) NEUROPEPTIDASE IN GLUCOCORTICOID-INDUCED FETAL PROGRAMMING…………….108 Published in Peptides 52C:74-81, 2013. iii CHAPTER FIVE: EVIDENCE FOR AN ANGIOTENSIN-(1-7) NEUROPEPTIDASE EXPRESSED IN THE BRAIN MEDULLA AND CSF OF SHEEP…………..135 Published in The Journal of Neurochemistry, 2014. CHAPTER SIX: SUMMARY AND CONCLUSIONS………………………………..167 Summary of Findings Fetal Programming and RAS Involvement Localization and Specificity of ChP RAS Alterations Ang-(1-7) Metabolism in the CSF Brain Medullary Ang-(1-7) Peptidase Activity Subcellular Localization and Peptidase Release General Limitations of Studies Concluding Statements COPYRIGHT AND PERMISSION FOR PUBLISHED MANUSCRIPTS…………...199 SCHOLASTIC VITA…………………………………………………………………..201 iv LIST OF FIGURES AND TABLES CHAPTER TWO Figure 1: Mas and AT1 Receptor Expression in the Dorsal Medulla of 0.5- and 1.8-year Old Sheep…………………………..64 Figure 2: Validating Angiotensinogen Antibodies in Sheep: Ang I Intact Angiotensinogen and Internal Angiotensinogen…..65 Figure 3: Ang I Intact Angiotensinogen is Lower in Dorsal Medulla of BMX Offspring at 0.5-years and Higher at 1.8-years of Age……………………………………………………….66 Figure 4: Angiotensin Peptide Content and Ratios in 0.5-year Old Offspring…………………………………………………67 Figure 5: Angiotensin Peptide Content and Ratios in 1.8-year Old Offspring…………………………………………………68 Figure 6: Correlation Between Mas and AT Receptor Expression 1 and Peptide Levels………………………………………69 CHAPTER THREE Figure 1: Ang I Intact Angiotensinogen Protein Expression in Choroid Plexus Tissue…………………………………...99 Figure 2: (Pro)renin Protein Expression in Choroid Plexus Tissue...............................................................................100 v Figure 3: Peptidase Activity in Solubilized Fraction of Choroid Plexus from Control and Betamethasone Exposed Offspring………………………………………………..101 Figure 4: Peptidase Activity in Brush Border Enriched Fraction of Choroid Plexus tissue…………………………………...102 Figure 5: Angiotensin Peptide Content in Choroid Plexus and Cerebrospinal Fluid Samples…………………………...103 Figure 6: Ang I Intact Angiotensinogen Expression in Cerebrospinal Fluid…………………………………………………….104 Figure 7: Analysis of Ang-(1-7) Metabolism in Cerebrospinal Fluid of Control and BMX Offspring…………………………105 Figure 8: Saturation Curves for Ang-(1-7) and Ang II Metabolism by PCMB Sensitive Enzyme in the Cerebrospinal Fluid…..106 Figure 9: Diagram of Potential Localization of RAS Components in the Choroid Plexus and Cerebrospinal Fluid…………...107 CHAPTER FOUR: Figure 1: PCMB and o-phenanthroline Abolish Ang-(1-7) Metabolism……………………………………………..128 Figure 2: Cysteine Peptidase Inhibitors and Chelating Agents Reduce Peptidase Activity………………………………………129 vi Figure 3: Optimal pH for Peptidase Activity is 7.5 in Control and Betamethasone Exposed Animals………………………130 Figure 4: Analysis of Competition or Inhibition of Angiotensin Peptide for Peptidase Activity………………………….131 Figure 5: Mean Arterial Pressure and Peptidase Activity are Higher in Betamethasone Exposed Animals……………………132 Figure 6: Proposed Schematic for the Role of the Neuropeptidase in RAS Processing Pathways in Brain Medulla, Cerebrospinal Fluid, and Choroid Plexus……………………………...133 Table 1: Specific Inhibitors do not Inhibit Peptidase Activity…..134 CHAPTER FIVE: Figure 1: Ang-(1-7) Metabolizing Peptidase Activity in the Brain Medulla and Cerebrospinal Fluid…………………….…158 Figure 2: Chelating Agents, but not Specific Inhibitors, Block Peptidase Activity………………………………………159 Figure 3: JMV Inhibits Peptidase Activity at Subnanomolar Concentrations………………………………………….160 Figure 4: Apparent Kinetic Constants for Ang-(1-7), Ang II, and Ang I…………………………………………………………161 vii Figure 5: Purified Peptidase Lacks Other Ang-(1-7) Metabolizing Enzymes………………………………………………..162 Figure 6: UV HPLC Analysis of Angiotensin Peptides Incubated with Peptidase…………………………………………..163 Figure 7: UV HPLC Analysis of Neuropeptides Incubated with Peptidase………………………………………………..164 Table 1: Purification of Peptidase from Starting Material……….165 Tabe 2: Comparison of Peptidase Activity in Brain Medulla and CSF………………………...…………………………...166 Table 3: Comparison of Metabolism Velocities for Angiotensins and other Neuropeptides……………………………...…......167 viii LIST OF ABBREVIATIONS 11β-HSD = 11β-hydroxysteroid dehydrogenase ACE = Angiotensin converting enzyme AM = Amastatin Aogen = Angiotensinogen Ang = Angiotensin Ang I = [Asp1-Arg2-Val3-Tyr4-Ile5-His6-Pro7-Phe8-His9-Leu10] Ang II = [Asp1-Arg2-Val3-Tyr4-Ile5-His6-Pro7-Phe8] Ang-(1-7) = [Asp1-Arg2-Val3-Tyr4-Ile5-His6-Pro7] Ang-(1-4) = [Asp1-Arg2-Val3-Tyr4] APMA = aminophenylmercuric acetate BBM = Brush border membrane BM = Betamethasone BMX = Betamethasone exposed BRS = Baroreflex sensitivity BS = Bestatin BSC = Benzylsuccinate ChP = Choroid plexus ChP4 = Choroid plexus of the fourth ventricle CHYM = Chymostatin CSF = Cerebrospinal fluid DEAE = Diethylaminoethyl sepharose DTT = Dithiothreitol EDTA = Ethylenediaminetetraacetic acid EGTA = Ethylene glycol tetraacetic acid GC = Glucocorticoid ix HPLC = High performance liquid chromatography JMV-390 = N-[3-[(hydroxyamino) carbonyl]-1-oxo-2(R)-benzylpropyl]-L-leucine LIS = Lisinopril MAP = Mean arterial pressure NEP = Neprilysin NTS = Solitary tract nucleus PCMB = P-chloromercuribenzoic acid PRR = (Pro)renin receptor RAS = Renin-angiotensin system SDS = Sodium dodecyl sulfate SEM = Standard error of the mean TOP = Thimet oligopeptidase x
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