PMID- 26290529 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150820 LR - 20181113 IS - 2051-817X (Print) IS - 2051-817X (Electronic) IS - 2051-817X (Linking) VI - 3 IP - 8 DP - 2015 Aug TI - Circulating angiotensin II deteriorates left ventricular function with sympathoexcitation via brain angiotensin II receptor. LID - 10.14814/phy2.12514 [doi] LID - e12514 AB - Sympathoexcitation contributes to the progression of heart failure. Activation of brain angiotensin II type 1 receptors (AT1R) causes central sympathoexcitation. Thus, we assessed the hypothesis that the increase in circulating angiotensin II comparable to that reported in heart failure model affects cardiac function through the central sympathoexcitation via activating AT1R in the brain. In Sprague-Dawley rats, the subcutaneous infusion of angiotensin II for 14 days increased the circulating angiotensin II level comparable to that reported in heart failure model rats after myocardial infarction. In comparison with the control, angiotensin II infusion increased 24 hours urinary norepinephrine excretion, and systolic blood pressure. Angiotensin II infusion hypertrophied left ventricular (LV) without changing chamber dimensions while increased end-diastolic pressure. The LV pressure -: volume relationship indicated that angiotensin II did not impact on the end-systolic elastance, whereas significantly increased end-diastolic elastance. Chronic intracerebroventricular infusion of AT1R blocker, losartan, attenuated these angiotensin II-induced changes. In conclusion, circulating angiotensin II in heart failure is capable of inducing sympathoexcitation via in part AT1R in the brain, subsequently leading to LV diastolic dysfunction. CI - (c) 2015 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of the American Physiological Society and The Physiological Society. FAU - Shinohara, Keisuke AU - Shinohara K AD - Departments of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Kishi, Takuya AU - Kishi T AD - Department of Advanced Therapeutics for Cardiovascular Diseases, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan tkishi@cardiol.med.kyushu-u.ac.jp. FAU - Hirooka, Yoshitaka AU - Hirooka Y AD - Department of Cardiovascular Regulation and Therapeutics, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. FAU - Sunagawa, Kenji AU - Sunagawa K AD - Departments of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan. LA - eng PT - Journal Article PL - United States TA - Physiol Rep JT - Physiological reports JID - 101607800 PMC - PMC4562594 OTO - NOTNLM OT - Angiotensin II OT - heart failure OT - sympathetic nerve activity EDAT- 2015/08/21 06:00 MHDA- 2015/08/21 06:01 PMCR- 2015/08/19 CRDT- 2015/08/21 06:00 PHST- 2015/08/21 06:00 [entrez] PHST- 2015/08/21 06:00 [pubmed] PHST- 2015/08/21 06:01 [medline] PHST- 2015/08/19 00:00 [pmc-release] AID - 3/8/e12514 [pii] AID - 10.14814/phy2.12514 [doi] PST - ppublish SO - Physiol Rep. 2015 Aug;3(8):e12514. doi: 10.14814/phy2.12514.