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Publication : A critical role for vascular smooth muscle in acute glucocorticoid-induced hypertension.

First Author  Goodwin JE Year  2008
Journal  J Am Soc Nephrol Volume  19
Issue  7 Pages  1291-9
PubMed ID  18434569 Mgi Jnum  J:242124
Mgi Id  MGI:5904466 Doi  10.1681/ASN.2007080911
Citation  Goodwin JE, et al. (2008) A critical role for vascular smooth muscle in acute glucocorticoid-induced hypertension. J Am Soc Nephrol 19(7):1291-9
abstractText  Although glucocorticoid (GC)-induced hypertension has commonly been attributed to promiscuous activation of the mineralocorticoid receptor by cortisol, thereby promoting excess reabsorption of sodium and water, numerous lines of evidence indicate that this is not the only or perhaps even the primary mechanism. GC induce a number of effects on vascular smooth muscle (VSM) in vitro that may be pertinent to hypertension, but their contribution in vivo is unknown. To address this question, a mouse model with a tissue-specific knockout (KO) of the GC receptor in the VSM was created and characterized. Similar to control mice, KO mice exhibited normal baseline BP and, interestingly, showed normal circadian variation in BP. When dexamethasone was administered, however, the acute hypertensive response was markedly attenuated in KO mice, and there was a trend toward a decreased chronic hypertensive response. These data suggest that the GC receptor in VSM plays a critical role in the acute hypertensive response to GC in vivo.
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