Aldosterone-induced hypertension is sex-dependent, mediated by T cells and sensitive to GPER activation

Cardiovasc Res. 2021 Feb 22;117(3):960-970. doi: 10.1093/cvr/cvaa075.

Abstract

Aims: The G protein-coupled estrogen receptor 1 (GPER) may modulate some effects of aldosterone. In addition, G-1 (a GPER agonist) can lower blood pressure (BP) and promote T cell-mediated anti-inflammatory responses. This study aimed to test the effects of G-1 and G-15 (a GPER antagonist) on aldosterone-induced hypertension in mice and to examine the cellular mechanisms involved.

Methods and results: C57Bl/6 (wild-type, WT), RAG1-deficient and GPER-deficient mice were infused with vehicle, aldosterone (0.72 mg/kg/day S.C. plus 0.9% NaCl for drinking) ± G-1 (0.03 mg/kg/day S.C.) ± G-15 (0.3 mg/kg/day S.C.) for 14 days. G-1 attenuated aldosterone-induced hypertension in male WT but not male GPER-deficient mice. G-15 alone did not alter hypertension but it prevented the anti-hypertensive effect of G-1. In intact female WT mice, aldosterone-induced hypertension was markedly delayed and suppressed compared with responses in males, with BP remaining unchanged until after Day 7. In contrast, co-administration of aldosterone and G-15 fully increased BP within 7 days in WT females. Similarly, aldosterone robustly increased BP by Day 7 in ovariectomized WT females, and in both sexes of GPER-deficient mice. Whereas aldosterone had virtually no effect on BP in RAG1-deficient mice, adoptive transfer of T cells from male WT or male GPER-deficient mice into male RAG1-deficient mice restored the pressor response to aldosterone. This pressor effect could be attenuated by G-1 in RAG1-deficient mice that were reconstituted with either WT or GPER-deficient T cells, suggesting that G-1 does not act via T cells to lower BP.

Conclusion: Our findings indicate that although aldosterone-induced hypertension is largely mediated by T cells, it can be attenuated by activation of GPER on non-T cells, which accounts for the sex difference in sensitivity to the pressor effect.

Keywords: Aldosterone; Estrogen; GPER; Hypertension; T cells.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aldosterone*
  • Animals
  • Antihypertensive Agents / pharmacology*
  • Benzodioxoles / pharmacology
  • Blood Pressure / drug effects*
  • Cyclopentanes / pharmacology*
  • Disease Models, Animal
  • Estrogen Antagonists / pharmacology
  • Female
  • Homeodomain Proteins / genetics
  • Homeodomain Proteins / metabolism
  • Hypertension / chemically induced
  • Hypertension / immunology
  • Hypertension / metabolism*
  • Hypertension / prevention & control
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Ovariectomy
  • Quinolines / pharmacology*
  • Receptors, Estrogen / antagonists & inhibitors
  • Receptors, Estrogen / genetics
  • Receptors, Estrogen / metabolism
  • Receptors, G-Protein-Coupled / agonists*
  • Receptors, G-Protein-Coupled / antagonists & inhibitors
  • Receptors, G-Protein-Coupled / genetics
  • Receptors, G-Protein-Coupled / metabolism
  • Sex Factors
  • Signal Transduction
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism*

Substances

  • 1-(4-(6-bromobenzo(1,3)dioxol-5-yl)-3a,4,5,9b-tetrahydro-3H-cyclopenta(c)quinolin-8-yl)ethanone
  • 4-(6-bromo-1,3-benzodioxol-5-yl)-3a,4,5,9b-3H-cyclopenta(c)quinoline
  • Antihypertensive Agents
  • Benzodioxoles
  • Cyclopentanes
  • Estrogen Antagonists
  • GPER1 protein, mouse
  • Homeodomain Proteins
  • Quinolines
  • Receptors, Estrogen
  • Receptors, G-Protein-Coupled
  • RAG-1 protein
  • Aldosterone