PMID- 18087711 OWN - NLM STAT- MEDLINE DCOM- 20080715 LR - 20220317 IS - 0721-832X (Print) IS - 0721-832X (Linking) VI - 246 IP - 5 DP - 2008 May TI - Anti-inflammatory effect of angiotensin type 1 receptor antagonist on endotoxin-induced uveitis in rats. PG - 747-57 AB - BACKGROUND: Angiotensin II type 1 (AT1) receptor-antagonists are widely used for treatment of hypertension. Recent studies have demonstrated a protective effect of renin angiotensin system (RAS) antagonism against immune-mediated inflammatory diseases such as myocarditis, chronic allograft rejection, antiglomerular basement membrane nephritis, colitis, and arthritis. However, only a few reports have demonstrated the effect of RAS in ocular inflammatory conditions. The purpose of this study was to investigate the anti-inflammatory effect of a selective AT1 receptor antagonist, losartan, on endotoxin-induced uveitis (EIU) and compare the effect on experimental autoimmune uveoretinitis (EAU). METHODS: To induce EIU, 7-week-old Lewis rats were injected subcutaneously with 200 microg lipopolysaccharide (LPS). Losartan was administered intravenously at the same time. The aqueous humor was collected from eyes 24 h after LPS injection. The number of infiltrating cells, protein concentration, and levels of tumor necrosis factor (TNF)-alpha and monocyte chemoattractant protein-1 (MCP-1) in the aqueous humor were determined. The collected eyes were immunohistochemically stained with monoclonal antibody for activated nuclear factor (NF)-kappaB. To induce EAU, C57BL/6 mice (6-8 weeks old) were immunized with human interphotoreceptor retinoid binding protein (hIRBP)-derived peptide emulsified in complete Freund's adjuvant (CFA) and concomitantly injected with purified Bordetella pertussis toxin (PTX). Clinical severity of EAU and T cell proliferative response were analyzed. RESULTS: Losartan significantly suppressed the development of EIU. Numbers of aqueous cells of control EIU rats, those from EIU rats treated with 1 or 10 mg/kg of losartan were 75.3+/-45.6 x 10(5), 27.9+/-8.1 x 10(5), or 41.3+/-30.9 x 10(5) cells/ml respectively (p<0.01 vs control). Aqueous protein, TNF-alpha, and MCP-1 levels were also significantly decreased in a manner dependent on the amount of losartan administered (p<0.01). Treatment of EIU rats with losartan suppressed activation of NF-kappaB at the iris ciliary body. Thus, the suppressive effect of losartan on ocular inflammation in EIU appeared to result from down-regulation of NF-kappaB activation and reduction of inflammatory cytokine production. On the other hand, in the EAU model, neither the clinical score nor the antigen-specific T cell proliferative response was significantly influenced by the treatment with losartan. CONCLUSIONS: The present findings indicate that RAS may be involved in the acute inflammation of the eye, but not in T cell-dependent ocular autoimmunity. Antagonism of the RAS may be a potential prophylactic strategy for treatment of the human acute ocular inflammation. FAU - Miyazaki, Akiko AU - Miyazaki A AD - Department of Ophthalmology and Visual Sciences, Hokkaido University Graduate School of Medicine, Sapporo, Japan. FAU - Kitaichi, Nobuyoshi AU - Kitaichi N FAU - Ohgami, Kazuhiro AU - Ohgami K FAU - Iwata, Daiju AU - Iwata D FAU - Jin, Xue-Hai AU - Jin XH FAU - Iwabuchi, Kazuya AU - Iwabuchi K FAU - Morohashi, Taiki AU - Morohashi T FAU - Ohno, Shigeaki AU - Ohno S FAU - Onoe, Kazunori AU - Onoe K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20071218 PL - Germany TA - Graefes Arch Clin Exp Ophthalmol JT - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JID - 8205248 RN - 0 (Angiotensin II Type 1 Receptor Blockers) RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (Lipopolysaccharides) RN - 0 (Transcription Factor RelA) RN - 0 (Tumor Necrosis Factor-alpha) RN - JMS50MPO89 (Losartan) SB - IM MH - Acute Disease MH - Angiotensin II Type 1 Receptor Blockers/*therapeutic use MH - Animals MH - Aqueous Humor/metabolism MH - Autoimmune Diseases/*drug therapy/metabolism/pathology MH - Chemokine CCL2/metabolism MH - Ciliary Body/metabolism/pathology MH - Disease Models, Animal MH - Female MH - Lipopolysaccharides MH - Losartan/*therapeutic use MH - Lymphocyte Activation MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Rats MH - Rats, Inbred Lew MH - Renin-Angiotensin System/physiology MH - Retinitis/*drug therapy/metabolism/pathology MH - Salmonella typhimurium MH - T-Lymphocytes/immunology MH - Transcription Factor RelA/metabolism MH - Tumor Necrosis Factor-alpha/metabolism MH - Uveitis/*drug therapy/metabolism/pathology EDAT- 2007/12/19 09:00 MHDA- 2008/07/17 09:00 CRDT- 2007/12/19 09:00 PHST- 2007/08/02 00:00 [received] PHST- 2007/11/08 00:00 [accepted] PHST- 2007/10/22 00:00 [revised] PHST- 2007/12/19 09:00 [pubmed] PHST- 2008/07/17 09:00 [medline] PHST- 2007/12/19 09:00 [entrez] AID - 10.1007/s00417-007-0730-2 [doi] PST - ppublish SO - Graefes Arch Clin Exp Ophthalmol. 2008 May;246(5):747-57. doi: 10.1007/s00417-007-0730-2. Epub 2007 Dec 18.