PMID- 11723025 OWN - NLM STAT- MEDLINE DCOM- 20020131 LR - 20190623 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 104 IP - 22 DP - 2001 Nov 27 TI - Roles of angiotensin II type 2 receptor stimulation associated with selective angiotensin II type 1 receptor blockade with valsartan in the improvement of inflammation-induced vascular injury. PG - 2716-21 AB - BACKGROUND: To investigate the effect of angiotensin (Ang) II type 1 receptor (AT(1)) blocker on vascular remodeling and explore the possibility of the involvement of Ang II type 2 receptor (AT(2)) stimulation in this process, we examined the effects of the selective AT(1) blocker valsartan on the vascular injury in wild-type (Agtr2+) and AT(2)-null (Agtr2-) mice. METHODS AND RESULTS: Neointima formation and the proliferation of vascular smooth muscle cells (VSMCs) induced by cuff placement on the femoral artery were greater in Agtr2- mice than those in Agtr2+ mice. Treatment of mice with valsartan at a dose of 1 mg. kg(-1). d(-1), which did not influence systolic blood pressure, significantly decreased neointima formation and the proliferation of VSMCs, whereas the valsartan was less effective in Agtr2- mice. Moreover, cuff placement increased the expression of monocyte chemoattractant protein-1 (MCP-1); inflammatory cytokines such as tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, and IL-1beta; and infiltration of CD45-positive leukocytes and macrophages in the injured arteries and further enhanced them in Agtr2- mice, suggesting the antagonistic effects of AT(1) and AT(2) for vascular inflammation. Valsartan attenuated the expression of MCP-1, TNF-alpha, IL-6, IL-1beta, and infiltration of leukocytes and macrophages in the injured arteries; however, these effects of valsartan were less prominent in Agtr2- mice. CONCLUSIONS: These results suggest that the stimulation of the AT(2) receptor after AT(1) blockade is important in the improvement of the inflammatory vascular injury. FAU - Wu, L AU - Wu L AD - Department of Medical Biochemistry, Ehime University School of Medicine, Ehime, Japan. FAU - Iwai, M AU - Iwai M FAU - Nakagami, H AU - Nakagami H FAU - Li, Z AU - Li Z FAU - Chen, R AU - Chen R FAU - Suzuki, J AU - Suzuki J FAU - Akishita, M AU - Akishita M FAU - de Gasparo, M AU - de Gasparo M FAU - Horiuchi, M AU - Horiuchi M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Angiotensin Receptor Antagonists) RN - 0 (Antihypertensive Agents) RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-1) RN - 0 (Interleukin-6) RN - 0 (RNA, Messenger) RN - 0 (Receptor, Angiotensin, Type 1) RN - 0 (Receptor, Angiotensin, Type 2) RN - 0 (Receptors, Angiotensin) RN - 0 (Tetrazoles) RN - 0 (Tumor Necrosis Factor-alpha) RN - 11128-99-7 (Angiotensin II) RN - 80M03YXJ7I (Valsartan) RN - 9041-90-1 (Angiotensin I) RN - EC 3.1.3.48 (Leukocyte Common Antigens) RN - EC 3.1.3.48 (Protein Tyrosine Phosphatase, Non-Receptor Type 1) RN - HG18B9YRS7 (Valine) SB - IM MH - Angiotensin I/genetics/metabolism MH - Angiotensin II/genetics/metabolism MH - *Angiotensin Receptor Antagonists MH - Animals MH - Antihypertensive Agents/pharmacology MH - Blood Pressure/drug effects MH - Cell Division/drug effects MH - Chemokine CCL2/metabolism MH - Femoral Artery/drug effects/*metabolism/pathology MH - Inflammation/drug therapy/*metabolism/pathology MH - Interleukin-1/metabolism MH - Interleukin-6/metabolism MH - Leukocyte Common Antigens/metabolism MH - Leukocytes/metabolism/pathology MH - Macrophages/metabolism/pathology MH - Male MH - Mice MH - Mice, Knockout MH - Muscle, Smooth, Vascular/drug effects/metabolism/pathology MH - Protein Tyrosine Phosphatase, Non-Receptor Type 1 MH - RNA, Messenger/metabolism MH - Receptor, Angiotensin, Type 1 MH - Receptor, Angiotensin, Type 2 MH - Receptors, Angiotensin/deficiency/genetics/*metabolism MH - Tetrazoles/*pharmacology MH - Tumor Necrosis Factor-alpha/metabolism MH - Tunica Intima/drug effects/metabolism/pathology MH - Valine/analogs & derivatives/*pharmacology MH - Valsartan EDAT- 2001/11/28 10:00 MHDA- 2002/02/01 10:01 CRDT- 2001/11/28 10:00 PHST- 2001/11/28 10:00 [pubmed] PHST- 2002/02/01 10:01 [medline] PHST- 2001/11/28 10:00 [entrez] AID - 10.1161/hc4601.099404 [doi] PST - ppublish SO - Circulation. 2001 Nov 27;104(22):2716-21. doi: 10.1161/hc4601.099404.