We established previously that 5-HT(2B) receptors are involved in
cardiac hypertrophy through the regulation of hypertrophic
cytokines in cardiac fibroblasts. Moreover, the generation of
reactive oxygen species and
tumor necrosis factor-alpha through the activation of reduced
nicotinamide-adenine dinucleotide phosphate [
NAD(P)H] oxidase has been implicated in
cardiac hypertrophy. In this study, we investigated whether 5-HT(2B) receptors could be involved in the development of
cardiac hypertrophy associated with
superoxide anion production. Therefore, we measured the effects of serotonergic 5-HT(2B) receptor blockade on left-ventricular
superoxide anion generation in 2 established pharmacological models of
cardiac hypertrophy, ie,
angiotensin II and
isoproterenol infusions in mice.
Angiotensin II infusion for 14 days increased
superoxide anion concentration (+32%),
NAD(P)H oxidase maximal activity (+84%), and p47(
phox)
NAD(P)H oxidase subunit expression in the left ventricle together with
hypertension (+37 mm Hg) and
cardiac hypertrophy (+17% for heart
weight:body weight). The 5-HT(2B) receptor blockade by a selective antagonist (
SB215505) prevented the increase in cardiac
superoxide generation and
hypertrophy. Similarly, infusion for 5 days of
isoproterenol increased left-ventricular
NAD(P)H oxidase activity (+48%) and
cardiac hypertrophy (+31%) that were prevented by the 5-HT(2B) receptor blockade. Finally, in the primary culture of left-ventricular cardiac fibroblasts,
angiotensin II and
isoproterenol stimulated
NAD(P)H oxidase activity. This activation was prevented by
SB215505. These findings suggest that the 5-HT(2B) receptor may represent a new target to reduce
cardiac hypertrophy and oxidative stress. Its blockade affects both
angiotensin II and beta-
adrenergic trophic responses without significant hemodynamic alteration.