Abstract
In this study, we explored the mechanisms by which the angiotensin converting enzyme inhibitor (ACEI), enalapril, and the Ang II receptor blocker (ARB), losartan suppress oxidative stress and NF-κB activation-induced inflammatory responses in aged rat kidney. The experimentations were carried out utilizing aged (24-month-old) Brown Norway x Fischer 344 (F1) male rats which were randomized into 3 groups and administered enalapril (40 mg/kg), losartan (30 mg/kg) or placebo for 6 months (daily p.o.). The level of reactive species (RS), peroxynitrite (ONOO−), GSH/GSSG and lipid peroxidation were measured. The activity of the pro-inflammatory transcription factor NF-κB, and gene expression of proteins in upstream signaling cascades were measured by electro-mobility shift assay (EMSA) and Western blotting. Enalapril and losartan differentially attenuated redox imbalance and the redox-sensitive transcription factor, NF-κB pathway. Furthermore, stimulation of the NF-κB activation pathway by phosphorylation of p65 was attenuated by both compounds. Moreover, mediation of phosphorylation of p65 by phosphorylation of IκB kinase αβ (IKKαβ) and mitogen- and stress-activated protein kinase-1 (MSK1), were also inhibited by enalapril and losartan. Finally, both compounds also lowered expression of NF-κB-dependent inflammatory genes, such as cyclooxygenase-2 (COX-2),) and inducible NO synthase (iNOS). Only losartan lowered levels of 5-lipoxygenase (5-LOX). These findings indicate that enalapril and losartan differentially suppress inflammatory responses via inhibition of oxidative stress-induced NF-κB activation in aged rat kidney.
INTRODUCTION
Angiotensin II (Ang II) is the primary hemodynamic effector molecule of the renin–angiotensin system; but has also been demonstrated to play a primary role in the modulation of cellular redox status and inflammatory response. Indeed, Ang II generates reactive species (RS) during the inflammatory response via multiple signaling pathways [Cheng et al., 2005, Sachse & Wolf 2007, Kang et al., 2008] involving activation of the Ang II type 1 receptor (AT1) [Carey et al., 2007]. Several cell culture studies suggest that Ang II itself induces O2− production which is rapidly converted to H2O2, a pro-inflammatory mediator [Zafari et al., 1998]. In addition, direct administration of Ang II downregulates activity of endogenous anti-oxidant enzymes such as superoxide dismutase (SOD) and catalase, and induces imbalance in redox signaling in the kidney [Griendling et al., 1994].
Ang II signaling increases with aging [da Silva et al., 2005, Inserra et al., 1995], whereas suppression of Ang II signaling attenuates the development of age-related vascular diseases [Kosugi et al., 2006]. Angiotensin converting enzyme inhibitors (ACEI) block synthesis of Ang II, and angiotensin receptor blockers (ARB) block the interaction of Ang II with the angiotensin type 1 (AT1) receptor (Fig. 1). Both strategies are used clinically for the treatment of chronic renal disease to improve kidney hypertension and vascular function by decreasing glomerulosclerosis and atherosclerosis [Ciechanowicz, 1999; Cunha et al., 2005; Li et al., 2005; Ordaz et al., 2010]. In this context, developing preclinical models of late-life intervention strategies for combating declining organ function has enormous significance [de Grey, 2007; Rae et al., 2010]. With the continued “graying” of the world-wide population, the number of individuals at risk of developing renal abnormalities continues to increase and the sky-rocketing social, emotional and economic cost [Olshansky et al., 2009] of caring for such individuals mandates the need for testing the effectiveness of health-promoting interventions within this cohort.
Indeed, we have previously shown that aged Fischer 344 X Brown Norway (F344/BN) rats, while relatively protected from glomerulosclerosis, do demonstrate increased glomerular ischemia/atrophy, tubular atrophy and interstial fibrosis with age [Moningka et al. 2010]. Furthermore, when these animals were treated late in life (between 24 and 30 months of age) with the ARB, losartan, this tubule-interstitial injury was prevented, relative to animals treated with the ACEI, enalapril or age-matched controls; although enalapril treated animals consistently showed lowered levels of injury relative to controls [Moningka et al., 2010]. Therefore, it is possible that losartan, is a more effective modulatior of ANG II mediated cell signaling processes. This is entirely plausible given that losartan blocks the action of ANG II by interfering with its interaction with its receptor; whereas enalapril only modulates levels of ANG II by blocking its synthesis from ANG I. Therefore, in the present study, we attempted to further these findings by exploring in more depth, changes in inflammatory and redox status in the aged kidney after late-life treatment with the ACEI, enalapril, and the ARB, losartan using the same treated animals from the cohort described above [Moningka et al, 2010; Carter et al, in press]. More specifically, we sought to test the hypothesis that oxidative stress observed in age rat kidney is regulated by the inflammatory transcription factor, nuclear factor-κB (NF-κB), and may be attenuated by blocking the action of ANGII.
MATERIALS & METHODS
Materials
All chemical reagents were obtained from Sigma (St. Louis, MO, USA), except where noted. Dichlorodihydrofluorescein diacetate (DCF-DA), dihydrorhodamine 123 (DHR-123) and radionucleotide [γ32P]-ATP were obtained from Amersham Life Science (Buckinghamshire, UK). West-zol™ Plus was purchased from iNtRON Biotechnology (Seongnam, Korea). Antibodies were obtained from Santa Cruz Biotechnology (Santa Cruz, CA, USA) and Cell Signaling Technology (New England Bio Labs, Hertfordshire, UK). Polyvinylidene difluoride (PVDF) membranes were obtained from Millipore Corporation (Bedford, MA, USA). All other materials were of the highest available grade.
Animals
Experiments were conducted according to the Guiding Principles in the Care and Use of Laboratory Animals, and the procedures were approved by the University of Florida's Institute on Animal Care and Use Committee. F344/BN male rats (n = 30, 10/each treatment group) were obtained from the National Institute on Aging colony at Harlan Industries (Indianapolis, IN, USA) at 24 months of age. Testing began at 24 months of age and continued for 6 months. Rats were housed in individual cages (24 × 9 × 12 inches) maintained on a 12-hour light/12-hour dark cycle with food (Purina standard lab chow; Nestle Purina, St. Louis, MO, USA) and water available ad libitum, and assessed monthly for signs of overt health problems using a standardized form.
Enalapril and losartan administration
Rats were randomized to daily administration of 40 mg/kg of enalapril, 30 mg/kg of losartan, or saline solution as placebo control compounded into bacon flavored tablets (BioServ #F05072) and were followed for 6 months (to age 30 months). Rats were sacrificed by decapitation and the kidneys were quickly removed. The tissue was immediately frozen in liquid nitrogen and stored at −80 °C. We used the kidney because of its vulnerability to age-related oxidative stress and inflammatory responsiveness. In addition, all of the components of the renin-angiotensin system are synthesized locally within the kidney [Vaziri et al., 2007].
Tissue preparation of the cytosolic and nuclear fraction
All solutions, tubes, and centrifuges were maintained at 0–4 °C. Kidney tissue (300 mg) was homogenized with 2 ml of homogenate buffer A (10 mM HEPES, pH 7.8, 10 mM KCl, 2 mM MgCl2, 1 mM dithiothreitol (DTT), 0.1 mM EDTA, 0.1 mM PMSF, 1 μM pepstatin, and 1 mM p-aminobenzamidine) with a tissue homogenizer for 20 sec. Homogenates were kept on ice for 15 min, 125 μl of 10% Nonidet p40 (NP40) solution was added and mixed for 15 sec, and the mixture was then centrifuged at 12,000 rpm for 2 min; the supernatant containing thcytosol proteins was then collected. The pelleted nuclei were washed once with 400 μl of buffer A plus 25 μl of 10% NP40, centrifuged, suspended in 50 μl of buffer C (50 mM HEPES, pH 7.8, 50 mM KCl, 300 mM NaCl, 0.1 mM EDTA, 1 mM DTT, 0.1 mM PMSF and 10% (vol/vol) glycerol), mixed for 20 min, and centrifuged at 12,000 rpm for 30 min. The supernatant containing the nuclear proteins was stored at −80 °C.
Quantification of redox status
(1) Total RS level
RS generation was measured by a 2',7'-dichlorofluorescin diacetate (DCF-DA) assay. A fluorometric assay was used to determine levels of RS, such as ·O2−, ·OH, and H2O2. Nonfluorescent DCF-DA was oxidized to the highly fluorescent 2',7'-dichlorofluorescin (DCF) in the presence of esterases and RS, including lipid peroxides. DCF-DA (25 μM) was added to the homogenates to create 250 μl final volume. Changes in fluorescence intensity were measured every 5 min for 30 min on a fluorescence plate reader, TECAN (GENius, Tecan Instruments, Salzburg, Austria) with excitation and emission wavelengths set at 485 and 535 nm, respectively.
(2) Total ONOO− level
ONOO− generation was measured by monitoring the oxidation of dihydrogenrhodamine (DHR) 123. Briefly, 10 μl of homogenates were added to the rhodamine solution (50 mM sodium phosphate buffer, 90 mM sodium chloride, 5 mM diethylenetriaminepentaacetate [DTPA], and DHR 123). Changes in fluorescence intensity were measured every 5 min for 30 min on a fluorescence plate reader with excitation and emission wavelengths set at 485 and 530 nm.
(3) GSH/GSSG
For the assay to measure glutathione levels, 1 mM EDTA-50 mM phosphate buffer was added to the supernatant of trichloric acid (TCA)-treated homogenates, followed by o-phthaldehyde, and the mixture was incubated for 25 min at room temperature. To assay GSSG level, N-ethylmaleimide was added to the supernatant of TCA-treated homogenates. After 30 min at room temperature, 0.5 N NaOH and o-phthaldehyde were added to sample and then incubated for 25 min. Both GSH and GSSG levels were measured at excitation and emission wavelengths set at 360 and 460 nm, respectively.
(4) Lipid peroxidation
Malondialdehyde (MDA)/4-hydroxyalkenals (HAE) concentrations were determined through use of a Bioxytech LPO-586 Assay Kit (OXIS Health Products, Foster, CA, USA). The kit uses a chromatogenic reagent that reacts with the lipid peroxidation products, malondialdehyde and 4-hydroxynonenales, yielding a stable chromophore with maximum absorbance at 586 nm.
Western blot
Protein concentration was determined by the bicinchoninic (BCA) method using bovine serum albumin (BSA) as a standard. Equal amounts of protein were separated on 10–12% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) gels. The gels were subsequently transferred onto a polyvinylidene difluoride membrane (Millipore Corporation, Bedford, MA, USA) by electroblotting for 2 h at 60–75V. The membranes were blocked in a 5% nonfat milk solution in Tris-buffered saline (TBS) with 0.5% Tween-20, and incubated with primary antibodies as indicated. Pre-stained blue protein markers (Bio-Rad) were used for molecular-weight determination.
EMSA
The electrophoretic mobility shift assay (EMSA) method was used to characterize the binding activities of NF-κB transcription factors in the nuclear extracts. The NF-κB oligonucleotide sequence was 5′-GAGAGGCAAGGGGATTCCCTTAGTTAGGA-3′. The protein-DNA binding mixture containing 20 μg of nuclear protein extract was incubated for 20 min at 4 °C in binding medium containing 5% glycerol, 1 mM MgCl2, 50 mM NaCl, 0.5 mM EDTA, 2 mM DTT, 1% NP-40, 10 mM Tris (pH 7.5), and 1 μg poly(dI-dC) to block nonspecific binding. Radiolabeled transcription factor consensus oligonucleotide (20,000 cpm of γ-32P) was added, and the complete mixture was incubated for an additional 20 min at room temperature. DNA-binding complexes were resolved by 7% native PAGE with 0.5 × TBE (50 mM Tris, 45 mM boric acid, and 0.5 mM EDTA) for 90 min at 200 V. The gel was dried and exposed to Fuji X-ray film 1 – 2 days at −80 °C.
Statistical analysis
ANOVA was used to analyze differences among all groups. Differences in the means of individual groups were assessed by the Fischer's protected least significant difference post hoc test. Values of P < 0.05 were considered statistically significant and all data are reported as mean ± standard error of the mean (SEM).
RESULTS
Modulation of redox status by enalapril and losartan
We first investigated the effect of enalapril and losartan on oxidative stress in aged rat kidneys. As shown in Fig. 2A and B, RS generation and ONOO− generation were lower in the enalapril and losartan treatment groups compared with the control. The level of reduced glutathione (GSH), a well known biological antioxidant, was expressed as the ratio of GSH to oxidized glutathione (GSH/GSSG). The GSH/GSSG ratio was increased by enalapril and losartan treatment compared with control (Fig. 2C), When comparing lipid preoxidation products (Fig. 2D), the levels of malondialdehyde and hydroxyalkenes were lowered by only losartan treatment. These results indicated that losartan may be a more effective modulator of redox imbalance, relative to enalapril, in aged rat kidneys.
Regulation of MAPKs by enalapril and losartan
The MAPKs signaling pathway activates NF-κB, which causes age-related oxidative stress, hence we evaluated whether enalapril and losartan inhibit phosphorylation of MAPKs in the aged rat kidney because. In addition, we examined the effect of enalapril and losartan on extracellular signal regulated kinase (ERK), c-Jun terminal kinase (JNK), and p38MAPK proteins as detected by Western blotting using p-p38-, p-ERK- and p-JNK-specific monoclonal antibodies and total p38-, ERK- and JNK-specific monoclonal antibodies. As shown in Fig. 3, the results showed that enalapril and losartan treatment inhibit the phosphorylation of ERK, JNK, and p38 compared with control. These results indicated that enalapril and losartan treatment positively regulate MAPK phosphorylation via inhibition of RS generation..
Suppression of NF-κB activation by enalapril and losartan
Transcription factor NF-κB is a well-known pro-inflammatory marker in aged rat. To evaluate whether enalapril and losartan alter NF-κB activation in the aged rat kidney, we examined NF-κB DNA binding activity and IκB phosphorylation. First, we investigated whether losartan and enalapril inhibit DNA binding activity as detected by EMSA. Indeed, activity of NF-κB was suppressed by enalapril and losartan treatment compared with control (Fig. 4A). Moreover, the levels of phosphorylated IkBα in the cytoplasmic extract were also lowered by losartan, but unaffected by enalapril. To determine treatment effects on nuclear activation of NF-κB, we examined nuclear protein levels by Western blotting using anti p65-and anti p50-specific polyclonal antibodies. Fig. 4B shows that age-related nuclear translocation of NF-κB was significantly lowered by enalapril and losartan treatment compared with control. Thus, these results indicate that while both treatments maybe equally effective in blocking the nucelar effects of NF-κB, losartan treatment may be a more efficient in blocking the pro-inflammatory response through suppression enhanced suppresion of IκB phosphorylation.
Suppression of p65 phosphorylation by enalapril and losartan
Transcriptional activity of NF-κB is stimulated upon serine residue phosphorylation of p65 by various kinases. Thus, we investigated whether enalapril and losartan suppress NF-κB activation through p65 phosphorylation. In addition, previous studies have demonstrated that Ser 536 residue phosphorylation of p65 is triggered by IKKαβ. Therefore, we examined whether losartan and enalapril inhibit Ser 536 phosphorylation of p65 and its-related IKKαβ phosphorylation as detected by Western blotting using anti p-p65- (Ser 536) and anti p-IKKαβ-specific polyclonal antibodies. As shown in Fig. 5A, enalapril and losartan treatment suppressed Ser 536 residue p65 phosphorylation compared with controls through inhibiting IKKαβ phosphorylation. We also explored whether enalapril and losartan treatment inhibit NF-κB through Ser 276 phosphorylation of p65. It has been known that Ser 276 phosphorylation of p65 is associated ERK and MSK1 signaling. To determine Ser 276 phosphorylation of p65 and its-related MSK-1, we examined nuclear protein levels by Western blotting using anti p-p65- (Ser 276) and anti p-MSK1-specific polyclonal antibodies. Figure 5B shows that Ser 276 phosphorylation of p65 significant was significantly lowered by enalapril and losartan through inhibiting of MSK-1 and ERK phosphorylation. These results indicate that enalapril and losartan treatment modulate NF-κB activation through age-related p65 phosphorylation.
Inhibition of NF-κB-related gene expression by enalapril and losartan
We next examined whether enalapril and losartan inhibit the induction of NF-κB-responsive proteins, such as COX-2, 5-LOX, and iNOS. These genes are predominantly regulated by NF-κB to produce RS and inflammatory responses. These genes have been known to have an NF-κB binding site in their promoter regions, and are controlled through NF-κB regulation. The expression level of COX-2, 5-LOX, and iNOS were detected by Western blotting using anti COX-2-, anti 5-LOX-, and anti iNOS-specific polyclonal antibodies (Fig. 6A). Enalapril and losartan both were equally effective in lowering levels of COX-2 and iNOS; however only losartan significantly lowered levels of 5-LOX.
Finally, we explored whether enalapril and losartan treatment lower expression level of VCAM-1 and ICAM-1. NF-κB regulates vascular adhesion molecules such as VCAM-1 and ICAM-1. Indeed, these adhesion molecules were lowered by enalapril and losartan treatment compared with placebo (Fig. 6B), indicating that these compounds blocked age-related pro-inflammatory gene expression by inhibiting NF-κB activation.
DISCUSSION
We have previously shown that late-life administration of the ARB, losartan, prevents age-related tubule-interstitial injury in F344/BN rats, relative to animals treated with the ACEI, enalapril or age-matched controls [Moningka et al., 2010]. This suggests that losartan, may be a more effective modulator of ANG II mediated cell signaling. Therefore, in the present study, we attempted to further these findings by exploring in more depth, changes in inflammatory and redox status in the aged kidney after late-life treatment with, enalapril, and, losartan.
Beyond its hemodynamic role, Ang II is considered a pro-inflammatory mediator that participates in inflammatory response such as angiogenesis, vascular remodeling and vascular inflammation [Saleh et al., 2009, Cheng et al., 2005, Sachse & Wolf 2007, Kang et al., 2008]. Ang II increases with age [Thompson et al., 2000], and blocking of Ang II reduces age-related cardiovascular dysfunction [Inserra et al., 2009]. The vascular protective effects exhibited by ACEIs and ARBs are not limited to pathological conditions, such as diabetes, hypertension, heart failure or heart attack. However, this reduction alone is not sufficient to explain its therapeutic benefits. It is known that inhibition of Ang II activity using ACEIs and ARBs improve age-related vascular inflammation via inhibiting NF-κB activation [Ishida et al., 2009]. In addition, ACEIs and ARBs can also attenuate certain degenerative changes associated with aging [Wei et al., 2008], and it has been suggested that Ang II plays an important role in the aging process. Therefore, in the current study we explored whether enalapril and losartan modulate age-related Ang II-induced redox imbalance in aged rat kidneys and to test the hypothesis that increased oxidative stress via ANG II is regulated by the transcription factor nuclear factor-κB (NF-κB).
Ang II and AT1 binding induces the activation of nuclear factor-κB (NF-κB), a redox-sensitive transcription factor. NF-κB activation is a hallmark of cellular inflammatory response [Chung et al, 2002]. Activation of NF-κB signaling by Ang II affects the transcription of cytokines, chemokines and growth factors. NF-κB can be activated by pro-inflammatory genes and RS, and it regulates the expression of inflammation-related adhesion molecules [Inserra et al., 1995, Kosugi et al., 2006]. The classic NF-κB pathway [Hoffman et al., 2002] is triggered by phosphorylation and degradation of the inhibitory κBα (IκBα), but Ang II can activate NF-κB via phosphorylation of p65 without phosphorylation of IκBα. Transcriptional activity of NF-κB is stimulated upon serine residue phosphorylation of p65 by various kinases. Ang II has been observed to activate NF-κB through Ser 536 phosphorylation of p65, which is mediated by IκB kinaseαβ (IKKαβ) phosphorylation [Rey & Pagano 2002, Feinman & Siegel 2004]. On the other hand, the Ser 276 phosphorylation pathway is mediated by mitogen- and stress-activated protein kinase-1 (MSK1) in the nucleus [Viatour et al., 2005, Zhong et al., 2002]. MSK-1 is also phosphorylated by extracellular response kinase (ERK) and p38 mitogen-activated protein kinase (MAPKs) phosphorylation.
Indeed, Ang II increases RS production and affects redox status, leading to pro-inflammatory responses via NF-κB activation [Laursen et al., 1997]. Therefore, we first investigated whether enalapril and losartan improve age-related redox imbalance in the aged rat kidney. We demonstrate that enalapril and losartan block the generation of RS, ONOO−, improved GSH/GSSG levels; however only losartan improved lipid peroxidation (Fig. 2). This is contrast to a recent paper in which young KK-Ay/Ta Jcl diabetic mice given either enalapril, losartan, or the combination showed decreased lipid peroxidation in kidney accompanied by improved glomerular function [Yamazaki et al., 2009]. However, in the kidney of Otsuka Long-Evans Tokushima Fatty (OLETF) rats, enalapril had no impact on levels of lipid peroxidation [Sugimoto et al., 2002], To be sure, species differences may be one possible explanation for these disparate results; however in the context of the current study, it should be noted that while older F344/BN rats are insulin resistant with age, they are clearly not diabetic nor do they present with hypertension. Therefore, the effects of enalapril and losartan on lipid peroxidation may be wholly dependent on their differential mechanisms of action.
Recent reviews published from our laboratory on the interrelation between oxidative stress and inflammation during aging emphasize the important role NF-κB plays in the pro-inflammatory state of aged organisms [Sung et al., 2004]. Thus we next tested the hypothesis that enalapril and losartan lower inflammation via modulation of NF-κB activation. Our results show that enalapril and losartan inhibited age-related NF-κB activation by suppressing NF-κB DNA binding activity, p65/p50 translocation to the nucleus, and MAPK signaling. However, only losartan attenuated IκB phosphorylation. These findings suggest that losartan may be more efficient than enalapril in modulating NF-κB induced inflammation.
Furthermore, enalapril and losartan inhibited NF-κB activation through modulation of p65 phosphorylation. Optimal induction of NF-κB target genes also requires phosphorylation of NF-κB proteins, such as p65, within their transactivation domain by a variety of kinases in response to distinct stimuli. The impact of ANG II signaling on these pathways is unknown, yet in the current study we demonstrate that upregulation of age-related Ser 536 phosphorylation of p65 was decreased by enalapril and losartan through inhibition of IKKαβ phosphorylation. In addition, enalapril and losartan also inhibited age-related Ser 276 phosphorylation of p65 through reducing phosphorylation of MSK-1 in the nucleus.
Another novel finding of the current study is that NF-κB regulation of pro-inflammatory molecules, including COX-2, iNOS, is also lowered with enalapril and losartan treatment, however only losartan impacted the expression of 5-LOX . In addition age-related adhesion molecule expression is believed to initiate an inflammatory response associated with atherosclerosis and Ang II may actively contribute to the atherosclerotic process by upregulating VCAM-1 and ICAM-1 within the vascular wall in aging process [Basso et al., 2005, Anderson et al., 1996]. Our results show that enalapril and losartan treatment lower VCAM-1 and ICAM-1 expression.
In conclusion, we showed that enalapril and losartan differentially modulate age-related pro-inflammatory response and oxidative stress in aged rat kidney. Long-term treatment with enalapril decreases body weight gain and increases life span in rats [Carter et al., 2005; Santos et al., 2009] and protects multiple organs from oxidative damage [Cassis et al., 2010]. Taken together, these data strongly indicate that enalapril and losartan may therefore have therapeutic potential as anti-inflammatory agents for aging.
ACKNOWLEGEMENT
This work was supported by an RO1 research application, AG024526-01, entitled: “ACE inhibition and physical performance in aged rat” and by a National Research Foundation of Korea (NRF) grant funded by the Korean government (MEST) (20090093538). We thank the Aging Tissue Bank for providing the research materials.
Footnotes
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