Critical role of apoptosis signal-regulating kinase 1 in aldosterone/salt-induced cardiac inflammation and fibrosis

Hypertension. 2009 Sep;54(3):544-51. doi: 10.1161/HYPERTENSIONAHA.109.135392. Epub 2009 Jul 6.

Abstract

The molecular mechanism underlying aldosterone/salt-induced cardiovascular injury remains to be defined. This work was undertaken to determine the role of apoptosis signal-regulating kinase 1 (ASK1) in the mechanism underlying aldosterone-induced cardiac injury in vivo. We compared the in vivo effects of 4 weeks of aldosterone/salt treatment on wild-type and ASK1-deficient mice. Aldosterone infusion plus high salt intake in wild-type mice significantly increased blood pressure and urinary albumin excretion and decreased plasma potassium concentrations, and these effects of aldosterone/salt were not affected by ASK1 deficiency. Thus, ASK1 seems to play a minor role in aldosterone-induced hypertension and renal injury. ASK1 deficiency also failed to affect aldosterone-induced cardiac hypertrophy. However, ASK1 deficiency markedly ameliorated aldosterone-induced cardiac injury, eg, the enhancement of cardiac macrophage infiltration, monocyte chemotactic protein 1 expression, interstitial fibrosis, perivascular fibrosis, and transforming growth factor-beta1 and collagen type I expressions. Thus, ASK1 participates in aldosterone-induced cardiac inflammation and fibrosis. Furthermore, the enhancement of NADPH oxidase-mediated cardiac oxidative stress caused by aldosterone infusion was markedly lessened by ASK1 deficiency, which was associated with the significant amelioration by ASK1 deficiency of aldosterone-induced cardiac Nox2 upregulation. Furthermore, aldosterone/salt treatment significantly enhanced cardiac expression of the angiotensin-converting enzyme and angiotensin II type 1 receptor in wild-type mice, whereas the enhancement of these proteins by aldosterone/salt was abolished by ASK1 deficiency. Our results demonstrate that ASK1 is implicated in aldosterone/salt-induced cardiac inflammation and fibrosis through the enhancement of NADPH oxidase-mediated oxidative stress and the upregulation of the cardiac renin-angiotensin system.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Albuminuria / urine
  • Aldosterone / administration & dosage
  • Aldosterone / toxicity*
  • Animals
  • Blood Pressure / drug effects
  • Chemokine CCL2 / genetics
  • Female
  • Fibrosis / blood
  • Fibrosis / etiology
  • Fibrosis / urine
  • Gene Expression / drug effects
  • Inflammation / blood
  • Inflammation / etiology
  • Inflammation / urine
  • MAP Kinase Kinase Kinase 5 / genetics
  • MAP Kinase Kinase Kinase 5 / metabolism*
  • Macrophages / metabolism
  • Macrophages / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mitogen-Activated Protein Kinases / metabolism
  • Myocardium / metabolism
  • Myocardium / pathology*
  • NADPH Oxidases / metabolism
  • Peptidyl-Dipeptidase A / genetics
  • Potassium / blood
  • Receptor, Angiotensin, Type 1 / genetics
  • Sodium / blood
  • Sodium Chloride, Dietary / administration & dosage
  • Sodium Chloride, Dietary / toxicity*
  • Superoxides / metabolism
  • Transforming Growth Factor beta1 / genetics

Substances

  • Ccl2 protein, mouse
  • Chemokine CCL2
  • Receptor, Angiotensin, Type 1
  • Sodium Chloride, Dietary
  • Transforming Growth Factor beta1
  • Superoxides
  • Aldosterone
  • Sodium
  • NADPH Oxidases
  • Mitogen-Activated Protein Kinases
  • MAP Kinase Kinase Kinase 5
  • Map3k5 protein, mouse
  • Peptidyl-Dipeptidase A
  • Potassium