Hypertension

Dendritic cell mineralocorticoid receptor controls blood pressure by regulating T helper 17 differentiation: role of the Plcβ1/4–Stat5–NF-κB pathway

Eur Heart JPublished Mechanistic study

Authors' conclusion

Dendritic cell MR plays important roles in the pathogenesis of hypertension by regulating Th17 through Plcβ1/4-Stat5-NF-κB signalling, and blockade of DC MR is beneficial for treating hypertension.

Study context

Population
Hypertensive patients (renal biopsy and peripheral blood) and Ang II-infused mice
Comparison
DC mineralocorticoid receptor (MR) knockout or overexpression vs control mice; MR antagonists vs untreated
Outcome
Role of DC MR in BP regulation and its mechanism
Methodological detailshuman samples and mouse models, knockout and overexpression mice, Ang II-induced hypertension, In vivo DC depletion or adoptive transfer, Renal biopsy and peripheral blood from hypertensive patients for immunostaining and flow cytometry, Western blotting, chromatin immunoprecipitation, co-immunoprecipitation, RNA sequencing
  • Human samples and mouse models
  • Knockout and overexpression mice
  • Ang II-induced hypertension
  • In vivo DC depletion or adoptive transfer
  • Renal biopsy and peripheral blood from hypertensive patients for immunostaining and flow cytometry
  • Western blotting, chromatin immunoprecipitation, co-immunoprecipitation, RNA sequencing

Main finding

As reported in the abstract

Role of DC MR in hypertension
  • MR antagonists (spironolactone and finerenone) suppressed DC aggregation and activation, as well as hypertension, in HTN and mice
  • Dendritic cell MR knockout (DCMRKO) vs littermate control (LC): strikingly decreased blood pressure (BPs) and attenuated target organ damage after Ang II infusion
  • DC MR deficiency mitigated Ang II-induced DC activation and Th17 differentiation (flow cytometry)
  • MR-deficient dendritic cells (DCs) had elevated Plcβ1 and Plcβ4; knockdown reversed the inhibitory effect of MR deficiency on DC activation and Th17 differentiation
  • Adoptive transfer of MR-deficient DCs protected against Ang II-induced hypertension; Plcβ1/4 knockdown eliminated the protective effects
  • MR negatively regulated Plcβ1/4, which recruited SHP-1 to inactivate Stat5, enhancing NF-κB activation and Th17 polarization
  • DC MR overexpressing (DCMROV) mice had more elevated BPs and target organ damage than control mice after Ang II infusion; differences abolished in DCMROV/IL-17AKO mice
  • MR antagonists decreased Th17 aggregation in HTN and mice

Original publication

Dendritic cell mineralocorticoid receptor controls blood pressure by regulating T helper 17 differentiation: role of the Plcβ1/4–Stat5–NF-κB pathway. Eur Heart J. Published 5 November 2024. doi:10.1093/eurheartj/ehae670

Summarised from the published abstract; every number is checked against it

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