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Interleukin-6 induces oxidative stress and endothelial dysfunction by overexpression of the angiotensin II type 1 receptor.

Abstract
Angiotensin II type 1 (AT1) receptor activation as well as proinflammatory cytokines such as interleukin-6 (IL-6) are involved in the development and progression of atherosclerosis. The detailed underlying mechanisms including interactions between inflammatory agonists and the renin-angiotensin system are poorly understood. Stimulation of cultured rat aortic vascular smooth muscle cells (VSMCs) with IL-6 led to upregulation of AT1 receptor mRNA and protein expression, as assessed by Northern and Western blot experiments. Nuclear run-on and transcription blockade experiments showed that IL-6 increases AT1 receptor mRNA de novo synthesis but not mRNA stability. Preincubation of VSMCs with IL-6 resulted in an enhanced angiotensin II-induced production of reactive oxygen species, as assessed by DCF fluorescence laser microscopy. Treatment of C57BL/6J mice with IL-6 for 18 days increased vascular AT1 receptor expression (real-time RT-PCR) and angiotensin II-induced vasoconstriction, enhanced vascular superoxide production (L-012 chemiluminescence, DHE fluorescence), and impaired endothelium-dependent vasodilatation. These effects were completely omitted in AT1 receptor knockout mice (AT1A-/- mice). Upregulation of vascular AT1 receptor expression in vitro and in vivo is decisively involved in IL-6-induced propagation of oxidative stress and endothelial dysfunction. This interaction of the proinflammatory cytokine IL-6 with the renin-angiotensin system may represent an important pathogenetic mechanism in the atherosclerotic process.
AuthorsSven Wassmann, Michaela Stumpf, Kerstin Strehlow, Andreas Schmid, Bernhard Schieffer, Michael Böhm, Georg Nickenig
JournalCirculation research (Circ Res) Vol. 94 Issue 4 Pg. 534-41 (Mar 05 2004) ISSN: 1524-4571 [Electronic] United States
PMID14699015 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Interleukin-6
  • Reactive Oxygen Species
  • Receptor, Angiotensin, Type 1
  • Recombinant Proteins
Topics
  • Animals
  • Aortic Diseases (etiology, pathology)
  • Arteriosclerosis (etiology, pathology)
  • Crosses, Genetic
  • Endothelium, Vascular (drug effects, metabolism, pathology)
  • Gene Expression Regulation (drug effects)
  • Inflammation (complications)
  • Interleukin-6 (pharmacology, toxicity)
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Muscle, Smooth, Vascular (drug effects, metabolism)
  • Oxidative Stress (drug effects)
  • Rats
  • Reactive Oxygen Species (metabolism)
  • Receptor, Angiotensin, Type 1 (biosynthesis, deficiency, genetics)
  • Recombinant Proteins (pharmacology, toxicity)
  • Renin-Angiotensin System (drug effects, physiology)

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