PMID- 27903222 OWN - NLM STAT- MEDLINE DCOM- 20180712 LR - 20180905 IS - 1875-5631 (Electronic) IS - 1566-5232 (Linking) VI - 16 IP - 5 DP - 2017 TI - Sustained ELABELA Gene Therapy in High-salt Diet-induced Hypertensive Rats. PG - 349-360 LID - 10.2174/1566523217666161121111906 [doi] AB - BACKGROUND: Elabela (ELA) is a recently identified apelin receptor agonist essential for cardiac development, but its biology and therapeutic potential are unclear. In humans, ELA transcripts are detected in embryonic stem cells, induced pluripotent stem cells, kidney, heart and blood vessels. ELA through the apelin (APJ) receptor promotes angiogenesis in vitro, relaxes murine aortic blood vessels and attenuates high blood pressure in vivo. The APJ receptor when bound to its original ligand, apelin, exerts peripheral vasodilatory and positive inotropic effects, conferring cardioprotection in vivo. METHODS: This study initially assessed endogenous ELA expression in normal and diseased rats and then characterized the effects of long-term ELA gene delivery by adeno-associated virus serotype 9 (AAV9) vectors on cardiorenal function in Dahl salt-sensitive rats (DS) on a high-salt diet over 3 months. RESULTS: Endogenous ELA was predominantly expressed in the kidneys, especially in the renal collecting duct cells and was not affected by disease. Rat ELA was overexpressed in the heart via AAV9 vector by a single intravenous injection. ELA-treated animals showed delayed onset of blood pressure elevation. Prior to high-salt diet, a reduction in the fractional sodium and chloride excretion was observed in rats given the AAV9-ELA vector. After three months on a high-salt diet, ELA preserved glomerular architecture, decreased renal fibrosis and suppressed expression of fibrosis-associated genes in the kidneys. CONCLUSION: ELA is constitutively expressed in renal collecting ducts in rats. Sustained AAV-ELA expression may offer a potential long-term therapy for hypertension and renal remodeling. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.org. FAU - Schreiber, Claire A AU - Schreiber CA FAU - Holditch, Sara J AU - Holditch SJ FAU - Generous, Alex AU - Generous A FAU - Ikeda, Yasuhiro AU - Ikeda Y AD - Molecular Medicine, Mayo Clinic, 200 First St. SW, Rochester MN 55905, United States. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United Arab Emirates TA - Curr Gene Ther JT - Current gene therapy JID - 101125446 RN - 0 (Apelin Receptors) RN - 0 (Carrier Proteins) RN - 0 (Sodium Chloride, Dietary) SB - IM MH - Animals MH - Apelin Receptors/*agonists MH - Blood Pressure/genetics MH - Carrier Proteins/*genetics/metabolism MH - Dependovirus/genetics MH - Gene Expression MH - Genetic Therapy/*methods MH - Hypertension/etiology/genetics/*therapy MH - Kidney Tubules, Collecting/metabolism MH - Male MH - Rats, Inbred Dahl MH - Rats, Wistar MH - Sodium Chloride, Dietary/*adverse effects OTO - NOTNLM OT - AAV OT - APJ OT - DS OT - Elabela OT - hypertension OT - renal fibrosis EDAT- 2016/12/03 06:00 MHDA- 2018/07/13 06:00 CRDT- 2016/12/02 06:00 PHST- 2016/05/20 00:00 [received] PHST- 2016/11/02 00:00 [revised] PHST- 2016/11/18 00:00 [accepted] PHST- 2016/12/03 06:00 [pubmed] PHST- 2018/07/13 06:00 [medline] PHST- 2016/12/02 06:00 [entrez] AID - CGT-EPUB-79834 [pii] AID - 10.2174/1566523217666161121111906 [doi] PST - ppublish SO - Curr Gene Ther. 2017;16(5):349-360. doi: 10.2174/1566523217666161121111906.