Hypertension

NLRP3 Inflammasome Mediates Aldosterone-Induced Vascular Damage

CirculationPublished Mechanistic study

Authors' conclusion

Together, these data demonstrate that NLRP3 inflammasome, through activation of IL-1R, is critically involved in the deleterious vascular effects of aldosterone

Study context

Population
Mice treated with vehicle or aldosterone (600 µg·kg-1·d-1 for 14 days by osmotic mini-pump) with 1% saline to drink; human PBMCs and hypertensive patients
Comparison
Aldosterone vs vehicle in wild-type (WT) and NLRP3-/-, Casp-1-/-, IL-1R-/- mice
Outcome
Vascular function and inflammatory profile
Follow-up
14 days

Main finding

As reported in the abstract

  • Long-term aldosterone infusion raised plasma IL-1β and caused vascular abnormalities
  • Mice lacking IL-1R, NLRP3 or caspase-1 were protected from aldosterone-induced vascular damage
  • In vitro, aldosterone stimulated NLRP3-dependent IL-1β secretion by bone marrow-derived macrophages via NF-κB signalling and ROS generation
  • Chimeric mice with NLRP3-deficient hematopoietic cells: NLRP3 in immune cells mediates aldosterone-induced vascular damage

Further findings

Human PBMCs

Aldosterone increased expression of NLRP3, active caspase-1 and mature IL-1β

NLRP3 inflammasome activity in hypertensive patients

Hypertensive patients with hyperaldosteronism or normal aldosterone had increased NLRP3 inflammasome activity, suggesting the effect may be mediated through high BP

Original publication

NLRP3 Inflammasome Mediates Aldosterone-Induced Vascular Damage. Circulation. Published 1 November 2016. doi:10.1161/circulationaha.116.024369

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

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