Abstract
Gomisin J (GJ) is a small molecular weight lignan found in Schisandra chinensis and has been demonstrated to have vasodilatory activity. In this study, the authors investigated the effect of GJ on blood pressure (BP) in angiotensin II (Ang II)-induced hypertensive mice. In addition, we determined the relative potencies of gomisin A (GA) and GJ with respect to vasodilatory activity and antihypertensive effects. C57/BL6 mice infused s.c. with Ang II (2 μg kg−1 min−1 for 2 weeks) showed an increase in BP and a decrease in plasma nitric oxide (NO) metabolites. In the thoracic aortas of Ang II-induced hypertensive mice, a decrease in vascular NO was accompanied by an increase in reactive oxygen species (ROS) production. Furthermore, these alterations in BP, plasma concentrations of NO metabolites and in the vascular productions of NO and ROS in Ang II-treated mice were reversed by the co-administration of GJ (1 and 3 μg kg−1 min−1). In in vitro studies, Ang II decreased the cellular concentration of NO, which was accompanied by a reduction in phosphorylated endothelial nitric oxide synthase (eNOS) and an increase in ROS production. These eNOS phosphorylation and ROS production changes in Ang II-treated cells were also reversed by GJ pretreatment (0–3 μg ml−1). Interestingly, the vasodilatory and antihypertensive effects of GJ were more prominent than those of GA. Collectively, an increase in BP in mice treated with Ang II was markedly attenuated by GJ, which was attributed to the preservations of vascular NO bioavailability and eNOS function, and to the inhibition of ROS production in Ang II-induced hypertensive mice.
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Introduction
Hypertension is a major cardiovascular risk factor,1, 2, 3 and dysfunctional endothelium (ED) is recognized as an independent factor of an increase in arterial blood pressure (BP),4 which in addition to being the most common cardiovascular disease is an independent, though modifiable, risk factor of cardiovascular and cerebrovascular diseases.1, 5 It is well known that the impairment in endothelial nitric oxide synthase (eNOS) activity has an important role in the pathogenesis of endothelial cell dysfunction. Previous studies indicate that eNOS activity is upregulated by post-translational modifications, such as Akt-induced phosphorylation,6, 7 and thus, it is considered that a decline in nitric oxide (NO) bioavailability may be caused by alterations in cellular signaling involved in eNOS activation, as well as by accelerated NO degradation by reactive oxygen species (ROS).8
An increasing evidence suggests novel roles for angiotensin II (Ang II) in the regulation of balance between NO and ROS in the vasculature.9, 10 Ang II activates NAD(P)H oxidase and induces ROS generation in vascular smooth muscle cells (VSMCs), endothelial cells and intact arteries.11 Furthermore, NADPH oxidase-derived ROS have a role in vascular pathology and in the maintenance of normal physiological vascular function.12 Moreover, strict cross-talk between Ang II and NADPH oxidase has been confirmed by in vivo studies.11 Indeed, many of the consequences of Ang II exposure, including hypertension and vascular remodeling, are reportedly related to the production of ROS.13, 14 In Ang II-induced hypertensive mice, voltage-dependent calcium channels in endothelial cells contribute to ROS production and endothelial dysfunction.15
Schisandra chinensis (SC) fruits contain a variety of pharmacologically active lignans that possess a dibenzocyclooctadiene skeleton and these include gomisin A (GA), gomisin J (GJ) and gomisin N.16, 17 Traditionally, SC has been used as an antioxidant, an antitussive, an anti-ageing agent and an astringent and for the treatment of cardiovascular symptoms in Korea, China and Japan.18, 19, 20 Previous studies have shown that GJ protects against hydrogen peroxide-induced cell death21 and LPS-induced inflammatory reactions.22 However, our knowledge of the pharmacological mechanism responsible for the effects of GJ on the cardiovascular system is limited. Recently, we demonstrated that GJ isolated from SC induced vasorelaxation,23 which suggested that GJ might prevent increases in arterial BP.
In the present study, we evaluated the effect of chronic GJ treatment in Ang II-induced hypertensive mice with respect to its efficacy and biochemical mechanisms. In addition, we determined the relative potencies of GA and GJ with respect to vasodilatory activity and antihypertensive effects in Ang II-induced hypertensive mice.
Methods
Plant collection and extraction of GJ and GA
SC fruits were collected in September 2005 from Mungyeong, Republic of Korea. A voucher specimen (accession number SC-PDRL-1) has been deposited in the Herbarium of Pusan National University. SC was identified by one of the authors (Young Whan Choi).
The dried fruits of SC were ground to a fine powder and extracted with n-hexane. The suspension obtained was filtered, evaporated and lyophilized to obtain the hexane extract. This extract was chromatographed on a silica gel column (40 m, J.T. Baker, NJ, USA) using a ethyl acetate in hexane step gradient. Fraction 26 was separated on a silica gel column using 1% acetone in CH2Cl2 to obtain 26IA-26IT. Fraction 26IJ was re-separated on a silica gel column using 1% acetone in CH2Cl2 to give GJ. The solid form of GJ was dissolved in 100% dimethyl sulfoxide to produce stock solutions of concentration 100 mg l−1 and these were subsequently diluted in media for experiments. GA was prepared as previously described.24
Cell culture
A mouse aorta was dissected, cut into 1–2 mm2 segments and placed as explants in cell culture dishes containing Dulbecco's modified Eagle's medium (DMEM) (Gibco BRL, Grand Island, NY, USA) plus 10% fetal bovine serum. VSMC purity was determined by staining with smooth muscle-specific actin monoclonal antibodies (Sigma-Aldrich, St Louis, MO, USA). YPEN-1 was obtained from ATCC (Manassas, VA, USA). Cells were cultured in DMEM containing 5% fetal bovine serum.
Animals and experimental design
All animal procedures were conducted in accordance with the guidelines issued by the Pusan National University Animal Care and Use Committee. Male C57BL/6 mice (20–25 g, 8 weeks of age) were implanted with a s.c. osmotic minipump (Alzet model 1002, Alza, Vacaville, CA, USA) filled with either Ang II (Sigma-Aldrich, St Louis, MO, USA) or NaCl (sham-treated mice) for 14 days. The average Ang II infusion rate was 2 μg kg−1 min−1. To determine the effects of GJ on Ang II-induced hypertension, some animals were treated concomitantly with a s.c. implanted osmotic minipump containing GJ (1 or 3 μg kg−1 min−1) for 14 days. Systolic BPs were measured by tail cuff plethysmography with the aid of a computerized system (BP2000 Blood Pressure Analysis System, Visitech Systems, Apex, NC, USA).
Preparation of aortic rings and tension measurement
All animal procedures were conducted in accordance with the guidelines issued by the Pusan National University Animal Care and Use Committee. Mice (20–25 g) were anesthetized with sodium pentobarbital (50 mg kg−1, i.p.) and thoracic aortas were rapidly removed. Aortic rings (2–3 mm thick) were suspended in 10-ml organ chambers filled with Krebs’ solution (37 °C) at a resting tension of 2 g. After aortic rings have been allowed to equilibrate for 90 min, sustained and stable contraction was induced by treating them with phenylephrine (10−5 m). Changes in isometric tension were recorded using a force-displacement transducer (Grass FT 0.3, Quincy, MA, USA) connected to a Power Lab system 400 (ML 118, PowerLab, AD Instruments, Medford, MA, USA).
The vasodilatory potency of GJ was studied by cumulatively adding GJ at concentrations of 3 × 10−5–10−3 M. The involvement of ED in GJ-induced relaxation was also examined by comparing the magnitudes of relaxation of ED-denuded and ED-intact specimens (ED was removed by gently rubbing the intimal surface with a cotton swab). Relaxations are expressed as percentages of relaxation of phenylephrine-induced tone.
Measurements of NO metabolites in plasma
Accumulations of nitrate and nitrite, the end products of NO metabolism, were used as indices of NOS activity in plasma and were measured as previously described.25 In brief, plasma samples were deproteinized by ultrafiltration using centrifugal concentrators (Nanosep, Pall Filtron, Northborough, MA, USA) and the supernatants were reacted with Griess solution (Promega, Madison, WI, USA) for 15 min. Sample absorbances were measured at 540 nm using an Emax ELISA microplate reader and SoftMax Pro Software (Bio-Tek Instruments, Winooski, VT, USA).
Measurement of NO
At the end of the study period, mice were anesthetized with chloral hydrate (450 mg kg−1, i.p.) and thoracic aortas were rapidly excised and dissected from adhering connective and adipose tissues. For fluorometric experiments, aortic rings (3 mm thick) were incubated for 2 h in the dark in Krebs' buffer containing 10 μm 4-amino-5-methylamino-2′,7′-difluorofluorescein diacetate (DAF-FM DA (a fluorescent NO-sensitive dye; Molecular Probes, Karlsruhe, Germany). Aortic rings were then rapidly removed, frozen at −20 °C, sectioned at 10 μm using a microtome (HM550, MICROM GmbH, Walldorf, Germany) and placed onto microscope slides without any mounting medium or coverslip. Fluorescence was detected using an Axiovert 200 fluorescence microscope (Carl Zeiss, Oberkochem, Germany). Cells were cultured in DMEM containing 5% fetal bovine serum. After reaching subconfluency, cells were incubated in red phenol-free DMEM containing GJ and DAF-FM DA was then loaded into cells. After incubation for 5 min at 37 °C, cells were washed gently three times with PBS to eliminate interference. Fluorescence was detected using an Axivoert 200 fluorescence microscope and quantified using Metamorph software (Molecular Devices, Downingtown, PA, USA).
Western blot analysis for eNOS and p47phox
Equal amounts (20 μg) of protein per sample were separated on 8% SDS-polyacrylamide gel electrophoresis gels and subsequently transferred to polyvinylidenefluoride membranes. After blocking with 5% skim milk, membranes were incubated with purified mouse anti-eNOS (1:1000, Santa Cruz Biotechnology, Santa Cruz, CA, USA) and purified mouse anti-phospho Ser1177 eNOS (1:1000, Santa Cruz) at 4 °C overnight. Membranes were then washed and further incubated with secondary antibody. Bands were visualized using enhanced chemiluminescence detection reagents.
To determine membrane translocation of p47phox, cells were washed with PBS and collected. After centrifugation at 1000 g for 5 min, the pellets were lysed in lysis buffer (12.5 mm Tris, 2 mm EGTA, 25 mm β-glycerophosphate, 2 mm Na3VO4, 10 μm PMSF, 10 μm aprotinin and 0.5 μg ml−1 leupeptin) and centrifuged at 100 000 g for 60 min at 4 °C. The resulting pellets were resuspended with lysis buffer containing 1% Triton X-100 and used as the membrane fraction. The supernatants were used as the cytosolic fraction.
Measurement of ROS
Vascular superoxide anion production was measured using the lucigenin-enhanced chemiluminescence method. Aortic ring segments were cryocut into 3 μm thick sections, mounted on gelatin chromalumin coated slides, incubated for 30 min with 5 μm dihydroethidium and washed twice with PBS. Dihydroethidium fluorescence was detected using an Axiovert 200 fluorescence microscope (Carl Zeiss).
Intracellular ROS was measured using dichloro-dihydro-fluorescein diacetate (DCFH-DA) (Molecular Probes), which reacts with ROS to form highly fluorescent dichlorofluorescein.26 VSMCs and endothelial cells grown in 12-well plates were incubated with 10 μm DCFH-DA for 30 min and washed with PBS. DCFH-DA fluorescence was detected using an Axiovert 200 fluorescence microscope (Carl Zeiss).
ROS activity was determined using the DCFDA Cellular ROS Detection Assay Kit (Abcam, Cambridge, MA, USA) following the manufacturer’s instructions.
Statistics
Results are expressed as means±s.e.m. The significances of differences between the groups were determined by one-way analysis of variance followed by Tukey’s multiple comparison test. The analysis was conducted using Prism version 3.03 software (GraphPad Software, San Diego, CA, USA) and P-values of <0.05 were regarded significant.
Results
Characterization of Ang II-induced hypertension
At the beginning of the experiment, mean BP values of control and Ang II (2 μg kg−1 min−1)-treated mice were 92.3±6.1 mm Hg and 90.6±1.1 mm Hg, respectively. However, whereas control BP levels remained constant throughout the 2-week experimental period, mean BP of Ang II (2 μg kg−1 min−1)-treated mice started to increase at day 2 and peaked at day 10 (135.7±8.4 mm Hg) and remained at a high level for the remaining 14 days (Figure 1a). However, mean heart rates in the two groups were not significantly different throughout the experimental period (417±20 beats min−1 in the control group and 572±40 beats min−1 in the Ang II 2 μg kg−1 min−1 group).
When plasma concentrations of NO metabolites (nitrate plus nitrite) were plotted as a function of changes in BP, plasma levels were found to decrease significantly as BP increased in Ang II-treated mice (Figure 1b), which agrees with previous reports on the inhibition of eNOS activity by Ang II.27, 28 Furthermore, aortic tissues from Ang II-infused mice had low NO concentrations and high ROS levels (Figures 1c and d).
Effect of GJ on BP and vascular NO production in Ang II-treated mice
As shown in Figure 2a, concomitant treatment with GJ (1 and 3 μg kg−1 min−1) in Ang II-treated mice significantly and dose-dependently attenuated BP increases. However, no significant intergroup difference was found among heart rates (446±29 beats min−1 in the control group; 525±27 beats min−1 and 432±57 beats min−1 in the GJ 1 μg kg−1 min−1- and 3 μg kg−1 min−1-treated groups, respectively) and heart-to-body weight ratio (5.6±0.3 mg g−1 in the control group; 5.2±0.4 mg g−1 and 5.1±0.5 mg g−1 in the GJ 1 μg kg−1 min−1- and 3 μg kg−1 min−1-treated groups, respectively).
The concentrations of NO metabolites were markedly lower in the plasma of Ang II-treated mice compared with controls. Likewise, vascular NO production (as assayed using DAF-FM) was also markedly lower in Ang II-infused animals compared with controls. Furthermore, diminished NO concentrations in isolated aortas and in plasma from Ang II-treated mice were restored by the simultaneous chronic administration of GJ (1 or 3 μg kg−1 min−1) in Ang II-induced hypertensive mice (Figures 2b and c), suggesting that GJ might attenuate BP elevation in Ang II-treated mice by increasing the bioavailability of NO.
Effect of GJ on cellular NO production and eNOS activity
In line with the vascular production of NO, cellular NO production (assayed by DAF-FM) was also markedly lower in Ang II-treated endothelial cells and restored in cells pretreated with GJ in a dose-dependent manner (Figure 3a).
To assess the involvement of Ang II in the regulation of eNOS activity, we studied the effects of Ang II on the levels of eNOS and phosphorylated eNOS protein expression in endothelial cells. As shown in Figure 3b, the expression level of phosphorylated eNOS at Ser1177, but not that of eNOS, was markedly lower in Ang II-treated cells and this attenuation in eNOS phosphorylation was inhibited dose-dependently by simultaneous treatment with GJ. In addition, GJ increased the expression of phosphorylated eNOS protein in control endothelial cells (Figure 3c), suggesting that GJ direct stimulated eNOS activity.
Effects of GJ on Ang II-enhanced ROS production
Ang II acts as a regulatory factor during vascular oxidation–reduction signaling by enhancing superoxide production.29 Likewise, ROS production (measured by dihydroethidium) was significantly elevated in aortas isolated from Ang II-treated mice. Furthermore, increased ROS production by Ang II was markedly attenuated in the aortic tissues of Ang II and GJ co-treated (Figure 4a). Likewise, when vascular cells, such as VSMCs and endothelial cells, were exposed to Ang II (10 μm) for 24 h, intracellular ROS production was markedly increased, but this increase was inhibited concentration-dependently by GJ (Figures 4b and c).
To determine molecular mechanism by which GJ inhibits ROS production, we investigated the role of GJ on membrane translocation of cytosolic p47phox because p47phox phosphorylation and subsequent translocation to membrane is known as an initiating mechanism to activate NADPH oxidase. In cells stimulated with Ang II, an increase in the membrane fraction of p47phox was detectable at 30 min and maintained high up to 60 min, which was markedly attenuated by pretreatment with GJ (Figure 5a). These results suggested that GJ attenuated ROS production induced by Ang II via an inhibition of membrane translocation of cytosolic p47phox.
To further examine the ROS scavenging activity of GJ, we examined the effect of GJ on SIN-1-induced ROS production. As shown in Figure 5b, GJ had no effect on ROS production by SIN-1, whereas tolox dose-dependently decreased SIN-1-induced ROS production. These findings suggest that GJ inhibits ROS generation by Ang II, but that it has no direct scavenging effect.
Comparison of the potencies on the vasodilatory and antihypertensive effects of GJ and GA
As shown in Figures 6a and b, the vasorelaxant effect of GJ (0.1–30 μm) was more marked than that of GA (0.1–30 μm) in phenylephrine (10 μm)-precontracted aortic rings. Half-maximal effective dose values for the vasodilatory effects of GJ and GA were 99±12 μm and 284±31 μm, respectively. The most potent inhibitory effects of GJ on BP was also demonstrated in time course study of Ang II (2 μg kg−1 min−1)-induced hypertensive mice treated with same concentrations (3 μg kg−1 min−1) of GA, GJ and losartan (Figure 6c).
Discussion
The present study shows that the increase in arterial BP shown by mice infused s.c. with Ang II is markedly attenuated by the chronic administration of GJ. Furthermore, the beneficial effects of GJ on Ang II-induced hypertension were found to be partly associated with preservation of the bioavailability of NO in the vasculature. In addition, in the present study, GJ treatment was started at the prehypertensive stage, and thus, our results suggest that GJ has a prophylactic effect against the development of hypertension induced by Ang II.
Despite the large number of antihypertensive drugs developed and the progress made regarding the efficacies and tolerabilities of these agents, it is acknowledged that <25% of treated individuals achieve target BP levels.30 The current trend toward lower BP goals suggests that more effective and better tolerated antihypertensive therapies are needed, and in this context, natural products are an excellent potential source for candidates. Indeed, in our previous studies, hexane extracts of SC induced vasorelaxation in isolated rat thoracic aorta in an ED-dependent and independent manner.31 Furthermore, the relaxant effect of SC extracts on ED-intact aortas was more prominent than that on ED-denuded aortas. Accordingly, it was suggested that SC extracts might regulate BP via the ED-dependent NO pathway.
It has been shown that the vascular ED of hypertensive patients produces less NO32 and it has been suggested compounds that enhance endothelial function through the NO pathway might have potential in the prevention and treatment of hypertension.33, 34, 35 Therefore, the present study was designed to investigate the preventive role of GJ on the development of hypertension in mice treated with Ang II. In line with previous studies on the topic,23, 36, 37 we found an increase in arterial BP was associated with a decrease in NO metabolite levels in plasma and aortas of mice infused s.c. with Ang II.
The decreased levels of NO in vasculature could result from a reduction in NO synthesis via the inhibition of eNOS activity or enhanced NO inactivation due to greater ROS production in the vasculature. In the present study, ROS production in aortas was also significantly elevated in mice treated with Ang II. Thus, dysfunctional ED, characterized by less NO production and increased ROS production, appeared to lead to an increase in arterial BP in Ang II-infused mice via a decrease in NO bioavailability. It would appear that this decline in NO bioavailability could have been caused by alterations in cellular signaling involved in eNOS activation or by the enhanced degradation of NO by ROS.38
The present study shows that the chronic administration of Ang II to mice caused an increase in arterial BP and a decrease in the plasma concentrations of NO metabolites and that these were prevented by the continuous infusion of GJ. In our previous study,23 acute exposure of rat thoracic aorta to GJ caused vasorelaxation in both ED-intact and ED-denuded vasculature, although the vasorelaxant effects of GJ in ED-intact aorta were more prominent than those in ED-denuded vasculature. In addition, GJ induced an increase in NO production in the endothelial layer of rat thoracic aortas and in human coronary artery endothelial cells, which suggests that the vasorelaxation induced by GJ is mainly mediated by an NO-dependent pathway. On the basis of these previous data, the effect of GJ on NO bioavailability in Ang II-infused mice might be due to its protective effect on impaired NO synthesis or on increased NO inactivation by ROS.
To determine the role of GJ in NO synthesis, we investigated the effect of GJ on the regulation of eNOS activity. It was found that GJ attenuated the decrease in phosphorylated eNOS (Ser1177) expression and restored diminished plasma nitrate/nitrite levels. In our previous study, GA rapidly stimulated NO production and eNOS activation by enhancing eNOS phosphorylation without markedly affecting total eNOS expression.23 Likewise, in the present study, the level of eNOS expression in endothelial cells treated with Ang II was neither decreased compared with that in control nor affected by GJ treatment. In line with our previous study,23 the present study shows that the diminished level of phosphorylated eNOS in Ang II-treated endothelial cells is markedly preserved by GJ, indicates that GJ prevents Ang II-induced impairment of eNOS phosphorylation without affecting eNOS expression. However, further experiments are necessary to determine the effect of GJ on cross-talk between Ang II and eNOS.
The overproduction of ROS in blood vessel walls inhibits the synthesis of prostacyclin,39, 40 and together with the chemical inactivation of NO, probably impairs ED-dependent relaxation and favors an increase in arterial tone.40, 41 Many of the consequences of Ang II exposure, such as hypertension and vascular remodeling, are reportedly related to ROS formation due to the activation of NADPH oxidases.42, 43 Sachse and Wolf44 provided evidence that Ang II stimulates the intracellular formation of superoxide by upregulating subunits of membrane-bound NAD(P)H oxidase and by facilitating the assembly of these subunits. In endothelial cells, Ang II activates mainly the Nox2 (gp91phox) and Nox4 subunits and the genetic disruption of Nox2 prevented the endothelial dysfunction observed in a high-renin model of hypertension.45 Therefore, we assessed ROS production in the vasculature isolated from Ang II-infused mice, as well as in vascular cells (endothelial cells and VSMCs). The present study demonstrates that ROS production in the aortic tissues of Ang II-treated mice and in vascular cells treated with Ang II was markedly increased. These findings suggest that the hypertension caused by Ang II is mediated in part by reduced NO bioavailability caused by increased ROS production in the vasculature.
However, the increased ROS production in aortas isolated from Ang II-treated mice was markedly attenuated in Ang II-treated mice co-treated with GJ. In addition, in agreement with previous studies, in which Ang II enhanced ROS production in endothelial cells and VSMCs,46, 47 this study also shows that Ang II increased ROS in vascular cells. Moreover, in line with the results of our in vivo study, Ang II-induced ROS production in cultured vascular cells was also markedly attenuated by GJ pretreatment. Recently, it was reported that treatment with antioxidants blunts the increase in BP caused by Ang II.11, 48 Likewise, the results of the present study suggest that the antioxidative property-related protection afforded against ROS-mediated degradation of NO in vasculature might be involved in, at least in part, the antihypertensive effect of GJ. However, in our in vitro study, which was conducted to determine the mechanism responsible for the antioxidant activity of GJ, ROS production induced by chemical reaction was not inhibited by GJ, which suggested an antioxidant effect via the inhibition of a ROS-generating enzyme. Evidently, more experimentation is needed to determine the nature of cross-talk between GJ and enzymes involved in ROS generation.
In conclusion, the chronic administration of GJ had an antihypertensive effect in Ang II-induced hypertensive mice. Moreover, the beneficial effects of GJ on NO bioavailability, which were mediated by the preservation of vascular NO, appeared to be related to its antihypertensive activity. On the basis of these results, we suggest that GJ attenuated increases in arterial BP by preserving vascular NO bioavailability, by inhibiting ROS production and by preventing the impairment of eNOS function in the vasculature of Ang II-induced hypertensive mice. Furthermore, the antihypertensive effects of GJ were greater than those of GA or losartan, suggesting that GJ has been regarded as a promising antihypertensive agent.
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This study was supported by the Bio-industry Technology Development Program, Ministry for Food, Agriculture, Forestry and Fisheries, Republic of Korea (311054-03-1-HD120).
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Ye, B., Lee, S., Choi, Y. et al. Preventive effect of gomisin J from Schisandra chinensis on angiotensin II-induced hypertension via an increased nitric oxide bioavailability. Hypertens Res 38, 169–177 (2015). https://doi.org/10.1038/hr.2014.162
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DOI: https://doi.org/10.1038/hr.2014.162