PMID- 23211364 OWN - NLM STAT- MEDLINE DCOM- 20130328 LR - 20211203 IS - 1521-0103 (Electronic) IS - 0022-3565 (Print) IS - 0022-3565 (Linking) VI - 344 IP - 2 DP - 2013 Feb TI - AT1 receptor antagonism is proangiogenic in the brain: BDNF a novel mediator. PG - 348-59 LID - 10.1124/jpet.112.197483 [doi] AB - Candesartan is an angiotensin II type 1 receptor blocker (ARB) that has been to shown to limit ischemic stroke and improve stroke outcome. In experimental stroke, candesartan induces a proangiogenic effect that is partly attributable to vascular endothelial growth factor. Brain-derived neurotrophic factor (BDNF) is a member of the neurotrophin family that has been reported to have angiogenic effects and play an important role in recovery after stroke. The purpose of this investigation was to determine the role of BDNF in the proangiogenic effect of candesartan in the brain under hypertensive conditions. Accordingly, spontaneously hypertensive rats were treated with candesartan, and brain tissue samples were collected for quantification of BDNF expression. In addition, human cerebromicrovascular endothelial cells were treated with either low-dose (1 fM) or high-dose (1 microM) angiotensin II alone or in combination with candesartan (0.16 microM) to assess the effect of candesartan treatment and BDNF involvement in the behavior of endothelial cells. Candesartan significantly increased the expression of BDNF in the SHR (P < 0.05). In addition, candesartan reversed the antiangiogenic effect of the 1-microM dose of AngII (P = 0.0001). The observed effects of candesartan were ablated by neutralizing the effects of BDNF. Treatment with the AT2 antagonist PD-123319 significantly reduced tube-like formation in endothelial cells. AT2 stimulation induced the BDNF expression and migration (P < 0.05). In conclusion, candesartan exerts a proangiogenic effect on brain microvascular endothelial cells treated with angiotensin II. This response is attributable to increased BDNF expression and is mediated through stimulation of the AT2 receptor. FAU - Alhusban, Ahmed AU - Alhusban A AD - Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia and Charlie Norwood VA Medical Center, Augusta, GA, USA. FAU - Kozak, Anna AU - Kozak A FAU - Ergul, Adviye AU - Ergul A FAU - Fagan, Susan C AU - Fagan SC LA - eng GR - NS070239/NS/NINDS NIH HHS/United States GR - R01 NS063965/NS/NINDS NIH HHS/United States GR - I01 BX000891/BX/BLRD VA/United States GR - NS063965/NS/NINDS NIH HHS/United States GR - R01 NS083559/NS/NINDS NIH HHS/United States GR - I01 BX000347/BX/BLRD VA/United States GR - R21 NS070239/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20121204 PL - United States TA - J Pharmacol Exp Ther JT - The Journal of pharmacology and experimental therapeutics JID - 0376362 RN - 0 (Angiotensin II Type 1 Receptor Blockers) RN - 0 (Benzimidazoles) RN - 0 (Biphenyl Compounds) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Receptor, Angiotensin, Type 1) RN - 0 (Tetrazoles) RN - S8Q36MD2XX (candesartan) SB - IM MH - Angiotensin II Type 1 Receptor Blockers/*pharmacology/therapeutic use MH - Animals MH - Benzimidazoles/*pharmacology/therapeutic use MH - Biphenyl Compounds MH - Blotting, Western MH - Brain/blood supply/*drug effects MH - Brain-Derived Neurotrophic Factor/*biosynthesis MH - Cell Movement/drug effects MH - Cell Proliferation/drug effects MH - Cells, Cultured MH - Dose-Response Relationship, Drug MH - Endothelial Cells/drug effects/metabolism MH - Humans MH - Hypertension/drug therapy/metabolism MH - Male MH - Neovascularization, Physiologic/*drug effects MH - Rats MH - Rats, Inbred SHR MH - Receptor, Angiotensin, Type 1/*metabolism MH - Tetrazoles/*pharmacology/therapeutic use PMC - PMC3558823 EDAT- 2012/12/06 06:00 MHDA- 2013/03/30 06:00 PMCR- 2014/02/01 CRDT- 2012/12/06 06:00 PHST- 2012/12/06 06:00 [entrez] PHST- 2012/12/06 06:00 [pubmed] PHST- 2013/03/30 06:00 [medline] PHST- 2014/02/01 00:00 [pmc-release] AID - jpet.112.197483 [pii] AID - JPET_197483 [pii] AID - 10.1124/jpet.112.197483 [doi] PST - ppublish SO - J Pharmacol Exp Ther. 2013 Feb;344(2):348-59. doi: 10.1124/jpet.112.197483. Epub 2012 Dec 4.