Essential hypertension (
eHTN) is associated with
hypercholesterolemia, but how
cholesterol contributes to
eHTN is unknown. Recent evidence demonstrates that short-term
dietary cholesterol ingestion induces epithelial Na channel (ENaC)-dependent Na absorption with a subsequent rise in blood pressure (BP), implicating
cholesterol in
salt-sensitive HTN.
Prostaglandin E2 (
PGE2), an autocrine/paracrine molecule, is induced by flow in endothelia to vasodilate the vasculature and inhibit ENaC-dependent Na absorption in the renal collecting duct (CD), which reduce BP. We hypothesize that
cholesterol suppresses flow-mediated
cyclooxygenase-2 (COX-2) expression and
PGE2 release in the CD, which, in turn, affects Na absorption. Cortical CDs (CCDs) were microperfused at 0, 1, and 5 nl·min(-1)·mm(-1), and
PGE2 release was measured. Secreted
PGE2 was similar between no- and low-flow (151 ± 28 vs. 121 ± 48 pg·ml(-1)·mm(-1)) CCDs, but
PGE2 was greatest from high-flow (578 ± 146 pg·ml(-1)·mm(-1); P < 0.05) CCDs. Next, mice were fed either a 0 or 1%
cholesterol diet, injected with saline to generate high urine flow rates, and CCDs were microdissected for
PGE2 secretion. CCDs isolated from
cholesterol-fed mice secreted less
PGE2 and had a lower PGE2-generating capacity than CCDs isolated from control mice, implying
cholesterol repressed flow-induced
PGE2 synthesis. Next,
cholesterol extraction in a CD cell line induced COX-2 expression and
PGE2 release while
cholesterol incorporation, conversely, suppressed their expression. Moreover, fluid shear stress (FSS) and
cholesterol extraction induced COX-2
protein abundance via p38-dependent activation. Thus cellular
cholesterol composition affects biomechanical signaling, which, in turn, affects FSS-mediated COX-2 expression and
PGE2 release via a p38-dependent mechanism.