PMID- 27488663 OWN - NLM STAT- MEDLINE DCOM- 20170606 LR - 20200930 IS - 1522-1563 (Electronic) IS - 0363-6143 (Print) IS - 0363-6143 (Linking) VI - 311 IP - 4 DP - 2016 Oct 1 TI - Toll-like receptor 4 mutation suppresses hyperhomocysteinemia-induced hypertension. PG - C596-C606 LID - 10.1152/ajpcell.00088.2016 [doi] AB - Hyperhomocysteinemia (HHcy) has been observed to promote hypertension, but the mechanisms are unclear. Toll-like receptor 4 (TLR-4) is a cellular membrane protein that is ubiquitously expressed in all cell types of the vasculature. TLR-4 activation has been known to promote inflammation that has been associated with the pathogenesis of hypertension. In this study we hypothesize that HHcy induces hypertension by TLR-4 activation, which promotes inflammatory cytokine (IL-1beta, IL-6, and TNF-alpha) upregulation and initiation of mitochondria-dependent apoptosis, leading to cell death and chronic vascular inflammation. To test this hypothesis, we used C57BL/6J (WT) mice, cystathionine beta-synthase (CBS)-deficient (CBS(+/-)) mice with genetic mild HHcy, C3H/HeJ (C3H) mice with TLR-4 mutation, and mice with combined genetic HHcy and TLR-4 mutation (CBS(+/-)/C3H). Ultrasonography of the superior mesenteric artery (SMA) detected an increase in wall-to-lumen ratio, resistive index (RI), and pulsatility index (PI). Tail cuff blood pressure (BP) measurement revealed elevated BP in CBS(+/-) mice. RI, PI, and wall-to-lumen ratio of the SMA in CBS(+/-)/C3H mice were similar to the control group, and BP was significantly alleviated. TLR-4, IL-1beta, IL-6, and TNF-alpha expression were upregulated in the SMA of CBS(+/-) mice and reduced in the SMA of CBS(+/-)/C3H mice. Molecules involved in the mitochondria-mediated cell death pathway (BAX, caspase-9, and caspase-3) were upregulated in CBS(+/-) mice and attenuated in CBS(+/-)/C3H mice. We conclude that HHcy promotes TLR-4-driven chronic vascular inflammation and mitochondria-mediated cell death, inducing hypertension. TLR-4 mutation attenuates vascular inflammation and cell death, which suppress hypertension. CI - Copyright (c) 2016 the American Physiological Society. FAU - Familtseva, Anastasia AU - Familtseva A AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. FAU - Chaturvedi, Pankaj AU - Chaturvedi P AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. FAU - Kalani, Anuradha AU - Kalani A AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. FAU - Jeremic, Nevena AU - Jeremic N AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. FAU - Metreveli, Naira AU - Metreveli N AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. FAU - Kunkel, George H AU - Kunkel GH AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky. FAU - Tyagi, Suresh C AU - Tyagi SC AD - Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky s0tyag01@Louisville.edu. LA - eng GR - F31 HL132527/HL/NHLBI NIH HHS/United States PT - Journal Article DEP - 20160803 PL - United States TA - Am J Physiol Cell Physiol JT - American journal of physiology. Cell physiology JID - 100901225 RN - 0 (Interleukin-1beta) RN - 0 (Interleukin-6) RN - 0 (Tlr4 protein, mouse) RN - 0 (Toll-Like Receptor 4) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (bcl-2-Associated X Protein) RN - EC 3.4.22.- (Caspase 3) RN - EC 3.4.22.- (Caspase 9) RN - EC 4.2.1.22 (Cystathionine beta-Synthase) SB - IM MH - Animals MH - Caspase 3/metabolism MH - Caspase 9/metabolism MH - Cell Death/genetics MH - Cystathionine beta-Synthase/metabolism MH - Hyperhomocysteinemia/*genetics/metabolism MH - Hypertension/*genetics/metabolism MH - Inflammation/genetics/metabolism MH - Interleukin-1beta/metabolism MH - Interleukin-6/metabolism MH - Mice MH - Mice, Inbred C3H MH - Mice, Inbred C57BL MH - Mitochondria/genetics/metabolism MH - Toll-Like Receptor 4/*genetics/metabolism MH - Tumor Necrosis Factor-alpha/metabolism MH - bcl-2-Associated X Protein/metabolism PMC - PMC5129755 OTO - NOTNLM OT - homocysteine OT - inward vascular remodeling OT - mitochondria-mediated cell death OT - peripheral resistance OT - vascular inflammation EDAT- 2016/08/05 06:00 MHDA- 2017/06/07 06:00 PMCR- 2017/10/01 CRDT- 2016/08/05 06:00 PHST- 2016/03/30 00:00 [received] PHST- 2016/08/01 00:00 [accepted] PHST- 2016/08/05 06:00 [pubmed] PHST- 2017/06/07 06:00 [medline] PHST- 2016/08/05 06:00 [entrez] PHST- 2017/10/01 00:00 [pmc-release] AID - ajpcell.00088.2016 [pii] AID - C-00088-2016 [pii] AID - 10.1152/ajpcell.00088.2016 [doi] PST - ppublish SO - Am J Physiol Cell Physiol. 2016 Oct 1;311(4):C596-C606. doi: 10.1152/ajpcell.00088.2016. Epub 2016 Aug 3.