PMID- 25150279 OWN - NLM STAT- MEDLINE DCOM- 20141117 LR - 20211021 IS - 1521-0103 (Electronic) IS - 0022-3565 (Print) IS - 0022-3565 (Linking) VI - 351 IP - 2 DP - 2014 Nov TI - Differential effects of complement activation products c3a and c5a on cardiovascular function in hypertensive pregnant rats. PG - 344-51 LID - 10.1124/jpet.114.218123 [doi] AB - Early-onset pre-eclampsia is characterized by decreased placental perfusion, new-onset hypertension, angiogenic imbalance, and endothelial dysfunction associated with excessive activation of the innate immune complement system. Although our previous studies demonstrated that inhibition of complement activation attenuates placental ischemia-induced hypertension using the rat reduced uterine perfusion pressure (RUPP) model, the important product(s) of complement activation has yet to be identified. We hypothesized that antagonism of receptors for complement activation products C3a and C5a would improve vascular function and attenuate RUPP hypertension. On gestational day (GD) 14, rats underwent sham surgery or vascular clip placement on ovarian arteries and abdominal aorta (RUPP). Rats were treated once daily with the C5a receptor antagonist (C5aRA), PMX51 (acetyl-F-[Orn-P-(D-Cha)-WR]), the C3a receptor antagonist (C3aRA), SB290157 (N(2)-[(2,2-diphenylethoxy)acetyl]-l-arginine), or vehicle from GD 14-18. Both the C3aRA and C5aRA attenuated placental ischemia-induced hypertension without affecting the decreased fetal weight or decreased concentration of free circulating vascular endothelial growth factor (VEGF) also present in this model. The C5aRA, but not the C3aRA, attenuated placental ischemia-induced increase in heart rate and impaired endothelial-dependent relaxation. The C3aRA abrogated the acute pressor response to C3a peptide injection, but it also unexpectedly attenuated the placental ischemia-induced increase in C3a, suggesting nonreceptor-mediated effects. Overall, these results indicate that both C3a and C5a are important products of complement activation that mediate the hypertension regardless of the reduction in free plasma VEGF. The mechanism by which C3a contributes to placental ischemia-induced hypertension appears to be distinct from that of C5a, and management of pregnancy-induced hypertension is likely to require a broad anti-inflammatory approach. CI - Copyright (c) 2014 by The American Society for Pharmacology and Experimental Therapeutics. FAU - Lillegard, Kathryn E AU - Lillegard KE AD - Department of Biomedical Sciences, University of Minnesota Medical School Duluth (K.E.L., A.C.L.-J., J.W.O., J.M.P., A.J.B., B.J.E., J.S.G., J.F.R.) and Department of Mathematics and Statistics, University of Minnesota Duluth (R.R.R.), Duluth, Minnesota. FAU - Loeks-Johnson, Alex C AU - Loeks-Johnson AC AD - Department of Biomedical Sciences, University of Minnesota Medical School Duluth (K.E.L., A.C.L.-J., J.W.O., J.M.P., A.J.B., B.J.E., J.S.G., J.F.R.) and Department of Mathematics and Statistics, University of Minnesota Duluth (R.R.R.), Duluth, Minnesota. FAU - Opacich, Jonathan W AU - Opacich JW AD - Department of Biomedical Sciences, University of Minnesota Medical School Duluth (K.E.L., A.C.L.-J., J.W.O., J.M.P., A.J.B., B.J.E., J.S.G., J.F.R.) and Department of Mathematics and Statistics, University of Minnesota Duluth (R.R.R.), Duluth, Minnesota. FAU - Peterson, Jenna M AU - Peterson JM AD - Department of Biomedical Sciences, University of Minnesota Medical School Duluth (K.E.L., A.C.L.-J., J.W.O., J.M.P., A.J.B., B.J.E., J.S.G., J.F.R.) and Department of Mathematics and Statistics, University of Minnesota Duluth (R.R.R.), Duluth, Minnesota. FAU - Bauer, Ashley J AU - Bauer AJ AD - Department of Biomedical Sciences, University of Minnesota Medical School Duluth (K.E.L., A.C.L.-J., J.W.O., J.M.P., A.J.B., B.J.E., J.S.G., J.F.R.) and Department of Mathematics and Statistics, University of Minnesota Duluth (R.R.R.), Duluth, Minnesota. FAU - Elmquist, Barbara J AU - Elmquist BJ AD - Department of Biomedical Sciences, University of Minnesota Medical School Duluth (K.E.L., A.C.L.-J., J.W.O., J.M.P., A.J.B., B.J.E., J.S.G., J.F.R.) and Department of Mathematics and Statistics, University of Minnesota Duluth (R.R.R.), Duluth, Minnesota. FAU - Regal, Ronald R AU - Regal RR AD - Department of Biomedical Sciences, University of Minnesota Medical School Duluth (K.E.L., A.C.L.-J., J.W.O., J.M.P., A.J.B., B.J.E., J.S.G., J.F.R.) and Department of Mathematics and Statistics, University of Minnesota Duluth (R.R.R.), Duluth, Minnesota. FAU - Gilbert, Jeffrey S AU - Gilbert JS AD - Department of Biomedical Sciences, University of Minnesota Medical School Duluth (K.E.L., A.C.L.-J., J.W.O., J.M.P., A.J.B., B.J.E., J.S.G., J.F.R.) and Department of Mathematics and Statistics, University of Minnesota Duluth (R.R.R.), Duluth, Minnesota. FAU - Regal, Jean F AU - Regal JF AD - Department of Biomedical Sciences, University of Minnesota Medical School Duluth (K.E.L., A.C.L.-J., J.W.O., J.M.P., A.J.B., B.J.E., J.S.G., J.F.R.) and Department of Mathematics and Statistics, University of Minnesota Duluth (R.R.R.), Duluth, Minnesota jregal@d.umn.edu. LA - eng GR - R01 HL114096/HL/NHLBI NIH HHS/United States GR - R15 HL109843/HL/NHLBI NIH HHS/United States GR - R15-HL109843/HL/NHLBI NIH HHS/United States GR - R01-HL114096/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20140822 PL - United States TA - J Pharmacol Exp Ther JT - The Journal of pharmacology and experimental therapeutics JID - 0376362 RN - 0 (Receptors, Complement) RN - 0 (Vascular Endothelial Growth Factor A) RN - 80295-42-7 (Complement C3a) RN - 80295-54-1 (Complement C5a) SB - IM MH - Animals MH - Cardiovascular System/*immunology/*physiopathology MH - Complement Activation/*immunology MH - Complement C3a/antagonists & inhibitors/*immunology MH - Complement C5a/antagonists & inhibitors/*immunology MH - Disease Models, Animal MH - Endothelium, Vascular/immunology/physiopathology MH - Female MH - Heart Rate/immunology MH - Hypertension/*immunology/*physiopathology MH - Ischemia/immunology/physiopathology MH - Placenta/immunology MH - Pregnancy MH - Rats MH - Receptors, Complement/immunology MH - Vascular Endothelial Growth Factor A/immunology PMC - PMC4201271 EDAT- 2014/08/26 06:00 MHDA- 2014/11/18 06:00 PMCR- 2015/11/01 CRDT- 2014/08/24 06:00 PHST- 2014/08/24 06:00 [entrez] PHST- 2014/08/26 06:00 [pubmed] PHST- 2014/11/18 06:00 [medline] PHST- 2015/11/01 00:00 [pmc-release] AID - jpet.114.218123 [pii] AID - JPET_218123 [pii] AID - 10.1124/jpet.114.218123 [doi] PST - ppublish SO - J Pharmacol Exp Ther. 2014 Nov;351(2):344-51. doi: 10.1124/jpet.114.218123. Epub 2014 Aug 22.