Glucocorticoid receptor haploinsufficiency causes hypertension and attenuates hypothalamic-pituitary-adrenal axis and blood pressure adaptions to high-fat diet



Michailidou, Z and Carter, RN and Marshall, E and Sutherland, HG and Brownstein, DG and Owen, E and Cockett, K and Kelly, V and Ramage, L and Al-Dujaili, Emad A S and Ross, M and Maraki, I and Newton, K and Holmes, MC and Seckl, J and Morton, NM and Kenyon, CJ and Chapman, KE (2008) Glucocorticoid receptor haploinsufficiency causes hypertension and attenuates hypothalamic-pituitary-adrenal axis and blood pressure adaptions to high-fat diet. The FASEB Journal, 22 (11). pp. 3896-3907. ISSN 0892-6638

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Abstract

Glucocorticoid hormones are critical to respond and adapt to stress. Genetic variations in the glucocorticoid receptor (GR) gene alter hypothalamic-pituitary-adrenal (HPA) axis activity and associate with hypertension and susceptibility to metabolic disease. Here we test the hypothesis that reduced GR density alters blood pressure and glucose and lipid homeostasis and limits adaption to obesogenic diet. Heterozygous GR βgeo/+ mice were generated from embryonic stem (ES) cells with a gene trap integration of a β-galactosidase-neomycin phosphotransferase (βgeo) cassette into the GR gene creating a transcriptionally inactive GR fusion protein. Although GRβgeo/+ mice have 50% less functional GR, they have normal lipid and glucose homeostasis due to compensatory HPA axis activation but are hypertensive due to activation of the renin-angiotensin- aldosterone system (RAAS). When challenged with a high-fat diet, weight gain, adiposity, and glucose intolerance were similarly increased in control and GRβgeo/+ mice, suggesting preserved control of intermediary metabolism and energy balance. However, whereas a high-fat diet caused HPA activation and increased blood pressure in control mice, these adaptions were attenuated or abolished in GRβgeo/+ mice. Thus, reduced GR density balanced by HPA activation leaves glucocorticoid functions unaffected but mineralocorticoid functions increased, causing hypertension. Importantly, reduced GR limits HPA and blood pressure adaptions to obesogenic diet. © FASEB.

Item Type: Article
Uncontrolled Keywords: Diet-induced obesity; Glucose and lipid homeostasis; HPA axis; NR3C1
Divisions: School of Health Sciences > Dietetics, Nutrition and Biological Sciences
Date Deposited: 13 Oct 2009 12:12
Last Modified: 19 Mar 2014 12:56
URI: http://eresearch.qmu.ac.uk/id/eprint/733

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