Peroxisome proliferator-activated receptor α activation attenuated angiotensin type 1-mediated but enhanced angiotensin type 2-mediated hemodynamic effects to angiotensin II in the rat

Background Peroxisome proliferator-activated receptors (PPARs) are ligand-dependent nuclear transcription factors that regulate beta-oxidation of fatty acids in various tissues. PPAR alpha ligands also protect against pathological damage especially resulting from angiotensin II hypertension. The modulating effect of PPARa on hemodynamic effects elicited by angiotensin II under normal conditions, however, is not fully known. Method We therefore evaluated renal and systemic hemodynamic effects of angiotensin II in normal animals treated with PPARa ligands. Results PPARa ligands clofibrate (250 mg/kg), fenofibrate (100 mg/kg), or pirixinic acid (WY14643; 45 mg/kg) each elicited an increase in renal peroxisomal beta-oxidation, accompanied by increased renal nitric oxide production. Clofibrate blunted the angiotensin II (3-100 ng/kg)-induced increase in mean arterial blood pressure (P<0.05) but attenuated the reduction in renal cortical blood flow (laser Doppler flowmetry; P<0.05). N-omega-nitro-L-arginine methyl ester (L-NAME) but not D-NAME (100 mg/l) blunted clofibrate-induced inhibition of angiotensin II responses. In the presence of the angiotensin type 1 (AT(1))-antagonist losartan (3 mg/kg), clofibrate uncovered a hypotensive effect of angiotensin 11 and further blunted the residual renal vasoconstriction. L-NAME or the angiotensin type 2 (AT(2))-antagonist (S-[+]-1-[(4-dimethylamino]-3-methylphenyl)methyl]-5-[diphenylacetyl]-4,5,6, 7-tetrahydro-1H-imidazol[4,5-clpyridine-6-carboxilic acid; PD123319), but not D-NAME, blunted the effects of losartan and blocked the hypotensive effects of angiotensin II in losartan-treated rats. Except in rats treated for 7 days with WY14643, AT(1)-receptor expression was downregulated (P<0.05) while AT(2)-receptor expression was upregulated (P<0.05) in renal cortical homogenates from rats treated with clofibrate or WY14643. Conclusion These data suggest that PPAR alpha activation counters AT(1)-mediated pressor and vasoconstrictor effects and that, during AT(1) receptor blockade, PPARa activation leads to hypotension coupled to AT(1)-receptor activation by a mechanism probably involving nitric oxide production.