Abstract
The water channels, aquaporins (AQPs) are key mediators of transcellular fluid transport. However, their expression and role in cardiac tissue is poorly characterized. Particularly, AQP1 was suggested to transport other molecules (nitric oxide (NO), hydrogen peroxide (H2O2)) with potential major bearing on cardiovascular physiology. We therefore examined the expression of all AQPs and the phenotype of AQP1 knockout mice (vs. wild-type littermates) under implanted telemetry in vivo, as well as endothelium-dependent relaxation in isolated aortas and resistance vessels ex vivo. Four aquaporins were expressed in wild-type heart tissue (AQP1, AQP7, AQP4, AQP8) and two aquaporins in aortic and mesenteric vessels (AQP1–AQP7). AQP1 was expressed in endothelial as well as cardiac and vascular muscle cells and co-segregated with caveolin-1. AQP1 knockout (KO) mice exhibited a prominent microcardia and decreased myocyte transverse dimensions despite no change in capillary density. Both male and female AQP1 KO mice had lower mean BP, which was not attributable to altered water balance or autonomic dysfunction (from baroreflex and frequency analysis of BP and HR variability). NO-dependent BP variability was unperturbed. Accordingly, endothelium-derived hyperpolarizing factor (EDH(F)) or NO-dependent relaxation were unchanged in aorta or resistance vessels ex vivo. However, AQP1 KO mesenteric vessels exhibited an increase in endothelial prostanoids-dependent relaxation, together with increased expression of COX-2. This enhanced relaxation was abrogated by COX inhibition. We conclude that AQP1 does not regulate the endothelial EDH or NO-dependent relaxation ex vivo or in vivo, but its deletion decreases baseline BP together with increased prostanoids-dependent relaxation in resistance vessels. Strikingly, this was associated with microcardia, unrelated to perturbed angiogenesis. This may raise interest for new inhibitors of AQP1 and their use to treat hypertrophic cardiac remodeling.
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Introduction
Aquaporins are transmembrane protein water channels involved in diverse physiologic functions in mammalians, including transepithelial fluid transport, brain water balance, cell migration with rapid changes in cell volume, cell proliferation, neuroexcitation, fat metabolism, or epidermal hydration [42]. Thirteen aquaporins are currently known (AQP0–AQP12) and the first to be discovered by Agre and colleague in 1991 was AQP1 [34]—formerly called CHIP28. AQP1 protein is constitutively organized as a homotetramer where each monomeric subunit contains 269 amino acid residues and forms two tandem repeats of three-membrane-spanning α-helices, forming each six transmembrane domains (M1–M6) connected by five loops (loop A–loop E). Due to their repeated Asn-Pro-Ala consensus motif (also called NPA box), loop B (cytoplasmic) and loop E (extracellular) domains dip into the membrane and contribute to the central constriction site within the pore; the second aromatic/arginine, outer constriction site was later identified as a major contributor to selectivity in solute permeation through mutational analysis [3]. Each monomer works as an independent water pore but needs the tetrameric organization for proper functioning [50]. The intracellular loop D domain currently appears as a main gating domain for modulation of AQP1 activity via drugs interactions [48]. Some authors would attribute to AQP1 an additional role as a cGMP-gated cation channel and propose a five-pore model for the AQP1 homotetramere where cations would permeate AQP1 via a putative central pore with relative permeability of K+, Cs+, and Na+ [5, 49]. However, this hypothetical cation permeability of AQP1 remains controversial [1, 43].
Some aquaporins, like AQP3, AQP7, AQP9, and AQP10 are also called “aquaglyceroporins” due to their capacity to transport small molecules like urea and glycerol [35]. Others are called unorthodox aquaporins, like AQP6, AQP8, AQP11, and AQP12, because of a highly conserved cysteine residue downstream of the second NPA box [21] whose function is currently being examined [35]. Finally, some authors have proposed that some aquaporins, including AQP1, would also transport other molecules besides water like CO2, NH3, and particularly nitric oxide (NO) [17, 18], although this remains debated. Some others authors have reported that AQP1 would also transport H2O2 [2].
The capacity to mediate transmembrane water transport justifies a particular interest for AQP1 in the heart, where myocardial edema is generated in many pathophysiologic conditions involving ischemia–reperfusion such as after an acute coronary occlusion or coronary artery bypass grafting. In basal situation, the passage of water is mainly done by diffusion and via aquaporins for only 28 %, but during osmotic stress (resulting, e.g., from metabolites accumulation in ischemic regions), water flow increases up to 800× mainly through AQP-mediated transport [22]. The impairment of myocardial function has been correlated with the presence of myocardial edema which could not only decrease systolic and diastolic function but also increase the diffusion distance of oxygen through thickened myocardial interstitium [10]. However, the specific implication of cardiac AQP1 in these phenomena is unknown.
Before examining the role of AQP1 in stressed conditions, one needs a full characterization of its function in cardiovascular homeostasis, as can be deduced from the phenotype of AQP1 knockout (KO) mice. In this study, we used mice with systemic deletion of AQP1 [24] and compared their phenotype to wild-type (WT) littermates of the same age. We focused on cardiac and vessel morphometry, histology, and blood pressure regulation by implanted telemetry. Moreover, we characterized the expression, cellular, and subcellular localization of AQP1 as well as other isoforms potentially upregulated in heart and vessels of AQP1 KO mice. We identified unexpected morphometric changes and abnormal endothelium- and prostanoids-dependent relaxation in AQP1 KO mice, which identify potential new roles of AQP1 in cardiovascular homeostasis. As new agonists and antagonists of this AQP are being developed [8], our observations raise interest for their use in cardiovascular diseases associated with heart and vessel remodeling.
Materials and methods
Animals
Breeding pairs of heterozygous aquaporin-1 KO mice in the Sv129 background were kindly provided by Dr. O. Devuyst (Division of Nephrology, Université catholique de Louvain, Belgium). Heterozygous mice were cross-bred to obtain homozygous AQP1 KO mice and their WT littermate controls. All studied mice were at least 16 weeks old and age-matched between genotypes. On the day of surgery, each mouse was anesthetized with ketamine hydrochloride (84 mg/kg; intraperitoneally (ip)) and xylazine hydrochloride (10 mg/kg, ip), and received analgesia after surgery (Buprenorphine 0.1 mg/kg, ip). All protocols were carried out in accord to the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health.
Reverse transcriptase–quantitative polymerase chain reaction
All tissue extracts (fresh or directly preserved in RNA later (Ambion) at −80° C after sacrifice) were homogenized with tissue grinder using Trizol (Molecular Research Center) on ice. Purity and concentration of the RNA obtained was controlled by spectrophotometer (ND-1000 V3.7.1). The integrity of heart RNA was confirmed on agarose gels by the presence of 18S and 28S ribosomal RNA. After reverse transcription, real-time quantitative PCR (SYBR Green) was performed using an IQ5 multicolor Real-Time PCR detection system (Bio-Rad). Specific primer pairs for each aquaporin isoforms were used.Footnote 1 All reactions were run in triplicate, including negative controls without reverse transcriptase [28]. Results were expressed either as Ct (number of cycles needed to generate a fluorescent signal above a predefined threshold), ΔCt (corresponding to the difference between the Ct of the gene of interest and the Ct of the gene used to normalize the results), ΔΔCt (corresponding to the difference between the mean ΔCt of the gene of interest in the AQP1 KO genotype and the mean of ΔCt of this same gene in the WT control), or 2−ΔΔCt (logarithmic value of ΔΔCt).
Antibodies
For western blot analysis, we used the following primary antibodies at the indicated dilutions: polyclonal rabbit anti-AQP1 (AB2219, Millipore, 1/5000), polyclonal goat anti-AQP4 (sc-9888, Santa Cruz Biotechnology, 1/500), polyclonal rabbit anti-AQP7 (ab32826, Abcam, 1/500), purified monoclonal mouse anti-AQP8 (AT1173a, Abgent, 1/1,000), polyclonal goat anti-COX-2 (sc-174, Santa Cruz Biotechnology, 1/250), polyclonal rabbit anti-caveolin-1 (610060, BD Biosciences, 1/10,000), and monoclonal mouse anti-β-actin (A5441, Sigma-Aldrich, 1/10,000). Secondary antibodies were all from Jackson ImmunoResearch (1:5,000). For immunohistochemistry, rabbit anti-AQP1 (Millipore, 1/1,000) and rat anti-CD31 (BD Biosciences, 1/50) were used and revealed with Alexa Fluor-conjugated secondary antibodies (Invitrogen, 1/500).
Ultracentrifugation protocol
Cardiac fresh tissues extracts were homogenized with tissue grinder, incubated in 1 ml of buffer solution containing Tris–HCl 20 mM (pH 7,4), dithiothreitol 0.1mM, saccharose 250 mM, and a mix of protease inhibitors (Sigma-Aldrich) 1/1,000 and fractionated by ultracentrifugation (105,000×g for 20 min at +4 °C). The supernatant (corresponding to soluble cytosolic extracts) was recovered and the pellet was suspended in 0.5 ml of buffer solution containing beta-glycerophosphate 80 mM, EGTA 20 mM, MgCl2 15 mM, Triton X-100 0.5 %, glycerol 10 %, and the same mix of protease inhibitors as mentioned above. After sonication and further centrifugation to remove cellular debris, the final supernatant (enriched in membrane fragments, including nuclei and cytoplasmic organelles) was recovered.
Western blot analysis
Denaturated proteins were loaded and separated on 15 % SDS-polyacrylamide gels (Mini-protean III, Bio-Rad) and transferred to a polyvinylidene difluoride membrane (PerkinElmer). After blocking with 5 % nonfat dry milk in Tris-buffered saline with 0.1 % Tween 20 (TBST, Sigma), membranes were incubated and hybridized with the antibodies cited above (overnight for all the primary antibodies except 1 h for β-actin), in TBST containing 1 % nonfat dry milk. After four washes (15 min each), membranes were incubated for 1 h with the respective secondary antibody in TBST containing 1 % nonfat dry milk. After four additional washes in TBST, membranes were incubated with a chemiluminescent reagent (ECL, Amersham for AQP1, AQP4, AQP8, caveolin-1, and β-actin, and Immobilon Western, Millipore for AQP7 and COX-2) and exposed to X-ray film.
Blood pressure and heart rate telemetry recording in vivo
Implants were surgically inserted as previously reported [7]. The use of miniaturized chronically implanted instruments with a recovery period of 10 days reduced the confounding effects of stress on the animals. Recordings were done during periods of 24 h to monitor circadian variations. The dose–response studies were performed via a chronically inserted intraperitoneal soft catheter connected to a syringe outside of the cage to avoid any stress to the animal. This catheter was gently removed from the animal after completion of the dose–response experiments.
Spectral analysis of systolic blood pressure and heart rate variability
Spectral analysis using a fast Fourier transformation algorithm on sequences of 512 points was performed using the HEM 3.4 software (Notocord Systems, France) on systolic blood pressure recordings in order to analyze the systolic blood pressure (and heart rate deduced from the tracings) variability (SBPV and HRV, respectively). The total spectral area of this variability can be subdivided into three specific known domains: the very low frequency (“VLF,” between 0.05 and 0.4 Hz) of SBPV which is modulated by the NO-dependent endothelial function, the low frequency (“LF,” between 0.4 and 1.5 Hz) of SBPV which reflects the sympathetic, and the high frequency (“HF,” between 1.5 and 5 Hz) of HRV which is the parasympathetic regulation [33]. All values were normalized to the total spectral area from the same recordings in each mouse.
Myograph recording
Nineteen- to 20-week-old mice were euthanized and thoracic aortas were rapidly removed and immersed in ice cold physiological Tyrode solution (NaCl 128.3 mM, KCl 4.5 mM, NaHCO3 20.23 mM, NaH2PO4 0.35 mM, glucose 1 mM, CaCl2 1.35 mM, MgSO4 1.05 mM) gassed with a mixture of 95 % O2–5 % CO2. Vessel segments (<2 mm), cleaned of all fat and connective tissue, were mounted in a wire myograph M610 (DMT, Aarhus, Denmark). After normalization of the internal diameter, arterial rings were left to recover for 45–60 min. NO-mediated relaxation was evaluated in vessels precontracted with high KCl solution in presence of indomethacin 100 μM (NaCl 37.2 mM, KCl 95.6 mM, NaHCO3 20.23 mM, NaH2PO4·2H2O 0.0546 mM, glucose 1.98 mM, CaCl2 1.35 mM, MgSO4 1.05 mM) and exposed to a dose–response of acetylcholine (10−8 to 3 × 10−5 M). In order to analyze the participation of prostanoids in the endothelial relaxation, another set of experiments were performed following the same protocol but in the absence of indomethacin.
Myocytes and vessels immunohistochemistry
The hearts and vessels were dissected, embedded in Neg-50 frozen section compound (Microm), and subsequently frozen in liquid nitrogen vapors. Vessel cryosections (5 μm) were stained with hematoxylin and eosin. To quantify the cardiomyocyte area and the number of vessels, heart cryosections were labeled with rhodamine–wheat germ agglutinin (WGA), as a membrane marker, and with biotinylated-Isolectine B4, revealed with fluorescein–avidin, as an endothelial marker (all reagents from Vector). For AQP1 detection, vessel and heart cryosections were incubated with anti-AQP1 together with anti-CD31 antibodies or with fluorescein–WGA (Vector), respectively. Primary antibodies were revealed with AlexaFluor-conjugated antibodies as mentioned above. Nuclei were then stained with DAPI and labeled sections were imaged by structured illumination microscopy (Zeiss AxioImager equipped with an ApoTome module). Cardiomyocyte area was determined with Axiovision software.
Statistical analyses
All results are expressed as mean ± SEM. Raw data were first analyzed with a Kolmogorov–Smirnov test to confirm their normal distribution and then analyzed by Student's t test or two-way ANOVA where appropriate. The only exception was the analysis of vessels thickness where a nonparametric test (Mann–Whitney) was used. P < 0.05 was considered statistically significant. Graph Pad Prism 4.0 was used to create the artwork.
Results
Identification and subcellular localization of aquaporin isoforms in cardiac and vascular tissues
Specific primers cited in Table 1 for all currently known aquaporins were used for reverse transcriptase–quantitative polymerase chain reaction (RTqPCR) in total extracts of the heart and aorta of WT mice from both genders. RTqPCR analysis of aquaporin transcripts, normalized to the best housekeeping gene tested of each organ (heart—HPRT, aorta—RPL13a), reveals the presence of a limited number of isoforms in the heart and in the aorta. Five aquaporin transcripts appeared to be expressed in the heart, namely, by order of abundance, AQP1, AQP7, AQP4, AQP8 and AQP11 (Fig. 1a, b). In the aorta, two aquaporins are expressed, namely, by order of abundance, AQP1 and AQP7 (Fig. 2a, b). Females had higher AQP1 expression in the heart than males (P < 0.05; data not shown).
We next compared the abundance of these transcripts in AQP1 KO and their WT littermates using the 2−∆∆Ct analysis to verify if AQP1 genetic deletion was accompanied with compensatory upregulation of the other aquaporin isoforms. We found that AQP4, AQP7, and AQP11 were significantly increased in the heart of male mice (Fig. 1c) but not in females, which exhibited a downregulation of AQP8 (Fig. 1d). In the aorta, no significant increases were observed (Fig. 2c, d).
We then used specific antibodies for these most abundant aquaporins to confirm their expression at the protein level in extracts of male heart, aorta, and mesenteric vessel from both genotypes (except for AQP11 for which specific antibodies are lacking). In WT mice, western blot analysis confirmed the presence of AQP1, AQP4, AQP7, and AQP8 in the heart (Figs. 1e and 3a) and AQP1 and AQP7 in the aorta (Figs. 2e and 3b) and in mesenteric artery (Fig. 2f). In AQP1 KO mice, we observed a significant upregulation of AQP4, AQP7, and AQP8 in the heart (Fig. 1f–h) and AQP7 in the aorta (Fig. 2g), but not in the mesenteric vessel (Fig. 2h).
We also resolved the subcellular localization of AQPs in heart tissue by ultracentrifugation and observed that AQP1 protein was located preferentially in the membrane compartments (Fig. 3a). For the remaining AQPs, subcellular localization varied among isoforms, with AQP7 showing the same subcellular distribution as AQP1 (Fig. 4b), but AQP4 being distributed both in the membrane and cytosolic fractions (Fig. 4a) and AQP8 preferentially in the cytosolic fraction (Fig. 4c). The comparison between genders also confirmed higher AQP1 expression in WT females (Fig. 3a) and lower AQP8 in AQP1 KO females consistent with our RTqPCR analysis.
Notably, we observed several bands for the AQP1 protein in total extracts of the heart (Fig. 3a), aorta (Fig. 3b), and mesenteric artery (Fig. 3c) which was attributed to differential migration of glycosylated proteins, as these disappeared after deglycosylation of both cardiac and aortic extracts (Fig. 3d).
AQP1 gene deletion results in abnormal heart and vessels morphometry
We analyzed the total heart as well as left ventricular (LV) weight/tibia length ratio in the two genders and genotypes. As illustrated in Fig. 5a–c, we observed microcardia in the AQP1 KO mice of both genders, as confirmed by lower values of LV weight/tibia length (4.8 ± 0.13 vs. 5.8 ± 0.15 in the WT, n = 16 per genotype and gender; P < 0.001). Histomorphometric analysis of cardiac myocytes transverse area confirmed significantly smaller myocytes in AQP1 KO (317.2 vs. 366.2 μm2 in the WT, n = 6 mice per genotype, 15 randomly chosen fields for each histologic section, and 9 histologic sections per heart, analyzed in blinded fashion, P < 0.001; Fig. 5e), whereas capillary density was unchanged (n = 6 mice per genotype, 15 randomly chosen fields for each histologic section, and 9 histologic sections per heart, analyzed in blinded fashion, P = 0.79; Fig. 5f). Figure 5d also illustrates the preferential localization of AQP1 in the cardiac myocyte membrane, consistent with our subcellular fractionation data (Fig. 3a).
Histomorphometric analysis of the vessels showed a significant decrease in the thickness of the arterial walls both in the aorta (Fig. 6a) and mesenteric artery (Fig. 6b) of the AQP1 KO mice from both genders (P < 0.05 vs. WT for each vessel type; Mann–Whitney test). Figure 6c, d also shows the distribution of AQP1 staining both in the endothelium (co-staining with CD31) and medial smooth muscle cells of the WT vessel.
AQP1 KO mice exhibit lower blood pressure with preservation of circadian variation
We next measured the systolic, diastolic, and mean blood pressure of AQP1 KO mice and their WT littermate (from both genders) during 24 consecutive hours in non-anesthetized, awake mice under chronically implanted telemetry. We observed that AQP1 KO mice had a significantly lower systolic but no diastolic blood pressure with preservation of the circadian variation, in both genders (male, Fig. 7a; female, Fig. 7b). We also separately analyzed the recordings between nights and daylight hours (resting period for mice) in both genders and genotypesFootnote 2 which showed that the lower systolic and mean blood pressure in the AQP1 KO mice (of both genders) mainly occurs during the night (activity period for mice, Fig. 7c, d).
The hemodynamic profile of the AQP1 KO mice is not explained by dehydration
As systemic deletion of AQP1 is known to be associated with defective urinary concentrating ability and polyuria [24], we collected venous blood of AQP1 KO mice and their WT littermate (both genders) at the time of sacrifice and analyzed biological markers. The results confirmed the similar water balance in these mice.Footnote 3 Nevertheless, we observed a statistical difference in the daily water intake between the two genotypes (AQP1 KO mice, 10.9 ± 0.9 vs. 5.6 ± 0.6 ml in the WT group, P < 0.001), suggesting that AQP1 KO mice may have compensated urinary water loss by increased drinking.
Spectral analysis of systolic blood pressure variability shows preserved control by the autonomic nervous system and the NO pathway in AQP1 KO mice
We first compared the spectrum of the SBPV or HRV of AQP1 KO mice and their WT littermate (both genders) in the three frequency domains (VFL, LF, and HF) and did not observe any difference between the two genotypes,Footnote 4 particularly in the VLF domain reflective of NO-dependent regulation (Fig. 8b). To refine the analysis of the NO pathway, similar measurements were repeated after treatment with the NOS inhibitor, L-NAME. NOS inhibition raised mean blood pressure (MBP) to a similar value in both genotypes (Fig. 8a). Similarly, L-NAME increased SBPV in the VLF in both genotypes (Fig. 8c), suggesting preserved function of the endogenous NO pathway in both genotypes.
To test the sensitivity of downstream NO targets, graded doses of an exogenous NO donor (sodium nitroprusside) were infused through chronically implanted intraperitoneal catheters in telemetered mice. Sodium nitroprusside dose-dependently and identically reduced the SBPV in both genotypes (Fig. 9a). To avoid any interference from endogenous NO, measurements were repeated after NOS inhibition with L-NAME. The initial administration of L-NAME (30 min) identically increased the variability, as expected, after which increasing doses of sodium nitroprusside again reduced SBPV identically in both groups (Fig. 9b). This suggested preserved sensitivity to both endogenous and exogenous NO in the vasculature of both genotypes.
Consistent with an intact autonomic control, we also observed a preserved baroreflex response in the AQP1 KO mice, i.e., a decrease of heart rate proportional to blood pressure increases following administration of the vasoconstrictor, phenylephrine, which was comparable to WT (P = ns; two-way ANOVA for paired data; WT, Fig. 9c; AQP1 KO, Fig. 9d).
Ex vivo analysis of vascular reactivity shows unchanged NO-dependent relaxation in aortic and mesenteric rings from AQP1 KO mice, but a potentiation of the prostanoids-dependent relaxation
We further analyzed the endothelial NO-dependent relaxation in aortic and mesenteric rings of male AQP1 KO and their littermate WT.
First, aortic and mesenteric rings were precontracted with KCl (50 mM) in presence of indomethacin (100 μM) and a dose–response curve to acetylcholine (Ach) (10−8 to 3 × 10−5 M) was performed to analyze the NO-dependent relaxation. The results do not show any statistical difference between genotypes (Fig. 10a, c). To evaluate dual effects of NO and endothelium-derived hyperpolarizing factor (EDH(F)) in endothelial-dependent relaxation to Ach, aortic and mesenteric rings were preconstricted with phenylephrine (3 μM) (in the presence of indomethacin). Again, no difference in relaxation was observed (Fig. 10b, d).
We next analyzed similar dose–response curves to Ach in aortic and mesenteric rings precontracted with KCl (50 mM) but in the absence of indomethacin to preserve the prostanoids-dependent relaxation in addition to NO. In the aorta of AQP1 KO mice, this resulted in a potentiation of the Ach relaxant effect at low concentrations (up to 3 × 10−7 M), which was reversed at higher concentrations (Fig. 11a). In mesenteric vessels, however, the relaxant response was significantly potentiated up to 3 × 10−6 M, with maximal relaxation identical to WT (Fig. 11b).
To examine the potential source of such enhanced prostanoids response, we first measured the abundance of transcripts for the two cycloxygenase isoforms (COX-1 and COX-2) in extracts of aortic and mesenteric arteries. Only COX-2 could be amplified from these vessels (data not shown). We then performed a western blot analysis of total extracts of the same vessels using a specific antibody against COX-2. In the aorta, we did not find any difference in terms of protein expression between the two genotypes (Fig. 11c, e). However, in mesenteric vessels, COX-2 expression was significantly higher in the AQP1 KO compared to the littermate WT (Fig. 11d, f).
Discussion
The expression of the water channels, aquaporins, has been demonstrated in hearts from humans, rats, and mice and AQP1 appears as the most abundant aquaporin in all these species [4].
Indeed, our expression analysis in WT mice shows AQP1 to be highest, followed in order of abundance by AQP7, AQP4, AQP8, and AQP11. In cardiac extracts, we found AQP1 to be predominantly expressed in membrane fractions and to be glycosylated, as in other tissues [6, 27]. Our immunohistochemical analysis reveals AQP1 expression both in cardiac endothelial cells and myocytes, consistent with previous observations (including by electron microscopy [32]). Likewise, AQP1 was not only clearly identified in endothelial cells of aortic vessels but also in vascular smooth muscle cells of the aortae and first- and second-order mesenteric arteries. Likewise, AQP1 expression had been shown in rat pulmonary artery [23] and in human coronary artery where it mediated rapid water transport in response to changes in external osmolarity [39].
As the purpose of our study is to characterize the role of AQP1 on the cardiovascular phenotype in AQP1 KO mice, we first examined whether deletion of this isoform affects the expression of other aquaporins. Indeed, we found overexpression of AQP4, AQP7, and AQP8 in the hearts of male AQP1KO mice (Fig. 1e–h), but only AQP7 in their vessels (Fig. 2e–h). AQP4 protein expression was previously shown in cardiac tissue of different species [4, 36], although this isoform has been mainly implicated in development and resolution of brain edema [37]. However, its role can probably be extended to the control of myocardial edema since it was shown to be upregulated with cell swelling in a murine model of myocardial infarction [46] and infarct size was reduced in AQP4 KO mice after coronary artery ligation [36]. This would be consistent with its partial localization at cardiac membranes, as observed in our study (Fig. 4a). AQP8 transcripts had previously been detected in the heart (but the protein was not detected probably due poor performance of antibodies [4, 25]). Although AQP8 expression is extensively described in the gastrointestinal tract including in hepatocytes and Kupffer cells [20], its role in the heart remains unclear. In primary cultures of hepatocytes, AQP8 was present in intracellular vesicles, with increased plasma membrane trafficking upon stimulation with cAMP [14]. Likewise, our fractionation experiments show an exclusive localization in cytosolic extracts (Fig. 4c), but whether a similar redistribution can be induced upon stimulation is unknown. AQP7 has the same subcellular distribution as AQP1 in our hands, i.e., it co-localizes with caveolin-1 in membrane extracts (Fig. 4b). So far, only the AQP7 transcripts had been detected in cardiac tissue [19] and AQP7 protein had been shown by immunohistochemistry in capillaries [40] or in skeletal muscle cells [44]. This is of particular interest in light of its known implication in the transport of glycerol from the bloodstream through the endothelial (and probably myocyte) membranes. Recent evidence implicates glycerol not only as an energetic substrate but also a key regulator of lipid metabolic pathway influencing the balance of glucose/fatty acid utilization in the heart. Although the cardiac muscle cell mainly utilizes fatty acids as an energy source in physiologic conditions [29], increasing glycerol availability shifts the balance towards to an increase in glucose utilization resulting in a reduced oxygen consumption and β-oxidation of lipids, a simultaneous increase of phospholipid (instead of triglycerides) synthesis into the myocyte membrane leading to cardiac cytoprotection [12]. Accordingly, AQP7 KO mice did not adapt well to pressure overload with an increase in mortality rate after transverse aortic constriction [19]. Whereas the contribution of glycerol as energetic substrate is probably low in resting conditions (15 % of glucose oxidation [12] but can sustain heart beating ex vivo as sole substrate [19]), it could significantly increase under stress, as modeled by catecholamine-induced tachycardia [13]. Therefore, upregulation of AQP7 may be cardioprotective. However, the functional significance of AQP7 expression in the aorta and mesenteric vessels, as clearly shown in our study (Fig. 2a, b, e, f), remains speculative, as glycerol is not used as energetic substrate in these vessels, at least according to conventional thinking. It may, however, impact on glycerol transport to or from periadventitial fat, which may influence triglycerides accumulation in adipocytes and their ensuing production of inflammatory cytokines. Whether these phenomena are implicated in the development of neoadventitia and atherosclerosis remains to be proven [15, 26].
Compared with age-matched WT littermate, we confirmed that AQP1 KO mice had lower blood pressure, as previously observed [30]. However, our use of chronically implanted telemetry in unanesthetized mice allowed a more complete analysis of short- and long-term variability as well as autonomic control. Indeed, our analysis shows that the reduced mean blood pressure in AQP1 KO is mainly due to a decrease in systolic (not diastolic) BP during the night (i.e., activity period for mice; Fig. 7a, b and Table 2). As AQP1 KO mice are known to exhibit mild polyuria and could present defective water balance, we measured biological parameters before sacrifice; as shown in Table 3, the values (hematocrit, BUN, creatinine, and plasma osmolality) do not confirm dehydration. This is probably explained by a compensatory increase in water intake, as confirmed by our measurements. Together with our observation of systolic (not diastolic) low BP only during the night, these measurements reasonably exclude dehydration as a likely cause for hypotension.
Given the uncertainty about the aetiology of this arterial hypotension, we decided to study in more detail the neurohormonal regulation of AQP1 KO mice by spectral analysis of blood pressure variability (as previously done by us in mice [7]). The total spectra area of BP and HR variability can be subdivided into three specific known domains: the very low frequency (VLF, between 0.05 and 0.4 Hz) of SBPV which is influenced by the NO-dependent endothelial function, the low frequency (LF, between 0.4 and 1.5 Hz) of SBPV which reflects the sympathetic modulation, and the high frequency (HF, between 1.5 and 5 Hz) of HRV which is the parasympathetic pathway [7] (Table 4). No difference was observed in terms of sympathetic nervous system balance between the two genotypesFootnote 5 which could therefore not explain the difference in hemodynamic profile observed; in particular, AQP1 KO mice exhibited a normal baroreflex arc, with a reduction in HR proportional to vasoconstrictor-induced increase in BP, and a slope identical to WT littermates (Fig. 9c, d).
Since the endogenous NOS system is a key regulator of BP, we studied the response of these mice to NOS inhibition in vivo. L-NAME increased MBP to a similar value in both genotypes (Fig. 8a). Specific analysis of the NO-sensitive VLF revealed identical values in both genotypes (and genders) at baseline and a similar increase after L-NAME (Fig. 8b, c). These results are consistent with a preserved NO-dependent endothelial function pathway in the AQP1 KO mice in vivo. Furthermore, the preservation of the VLF response to exogenous NO (before and after endogenous NOS inhibition) rules out any alteration in downstream response of the NO pathway (Fig. 9a, b). Finally, the integrity of endothelial and NO-mediated relaxation was confirmed in isolated aortic and mesenteric rings ex vivo, after precontraction with KCl and indomethacin treatment to exclude EDH(F) and prostanoids involvement, respectively.
This is in contrast [17] with previous reports of impairment of the endothelial NO-dependent relaxation in aortic rings of AQP1 KO mice. Several explanations may account for this difference. Unlike in our study, true littermate control mice were not used in this earlier report (CD1 mice were used as control group) while endothelial NO-dependent relaxation is known to vary between different strains (as confirmed by an independent comparison between Sv129 and C57BL6/J in our lab; data not shown). Also, pretreatment with indomethacin (known to inhibit COX-dependent production of prostanoids [16]), was not included in the protocols of this earlier study so that some of these observations could have resulted from an endothelial prostanoids-dependent response superimposed on NO.
Since the NOS-dependent response is unperturbed in AQP1 KO compared with WT littermate, we examined NOS-independent endothelial responses. We found no difference in ex vivo relaxation with superimposed EDH(F) response (Fig. 10b, d), but a phenotype was clearly apparent when EDH(F) was excluded (with KCl precontraction) but prostanoids were preserved (in absence of indomethacin; Fig. 11a, b); this resulted in a bimodal relaxation in the aorta with early potentiation that was reversed at higher agonist concentration (Fig. 11a); this was probably due to concentration-dependent release of relaxant and contracting prostanoids in response to Ach in the aorta. In resistance (mesenteric) vessels of AQP1 KO, however, a unimodal potentiation of the relaxation was observed (Fig. 11b). As we did not find COX-1 transcripts (by RTqPCR) in aortic as well as in mesenteric artery extracts in either mouse strain, we postulated that COX-2 was the major cyclooxygenase involved in prostanoids production in these vessels. Consistent with enhanced prostanoids-dependent relaxation, we found increased COX-2 proteins in mesenteric (but not aortic) extracts of AQP1 KO mice. Together with unperturbed NO and EDH(F) relaxations, the fact that indomethacin (a COX inhibitor) abrogates the potentiated relaxation in AQP1 KO vessels (Fig. 10b, d) strongly supports causality for this enhanced COX-2 expression in the AQP1 KO vascular phenotype.
Interestingly, the vessels of AQP1KO mice also exhibited characteristic morphometric differences, i.e., reduced wall thickness both in aorta and resistance (mesenteric) vessels. Whether this is a consequence or participates to the low systolic BP is unresolved. It is unlikely to simply be the consequence of low BP, since mice with endothelial-specific transgenic overexpression of eNOS, which exhibit 20 % lower systolic BP than their WT littermate (i.e., a more severe decrease in BP than our AQP1 KO mice), do not show any change in organ size or vessels morphology [31]. Rather, the morphometric changes observed here may in part be related to COX-2 overexpression, at least in resistance vessels. Indeed, genetic deletion of COX-2 resulted in severe pulmonary vascular smooth muscle cells (VSMC) hypertrophy (but no proliferation) and pulmonary hypertension in response to hypoxia, which could be reversed by exogenous PG(I2) or PG(E2), indicating a role for COX-2-derived prostanoids in the control of medial hypertrophy [11]. This does not exclude a direct implication of AQP1 as regulator of VSMC hypertrophy, as recently proposed [2] which would be in line with its expression across the vessel media.
Strikingly, AQP1 KO mice also exhibited a marked microcardia, as well as smaller cardiac myocytes cross-sectional area compared with WT littermates. Again, this is unlikely to merely be the consequence of the lower BP, since mice with even lower chronic hypotension do not exhibit a similar phenotype [31]. As we observed that these mice do not present permanent tachycardia compared to their littermate controls, lower stroke volume due to microcardia could at least in part contribute to their lower blood pressure. This microcardia is noteworthy in the context of the role of endothelial AQP1 in the process of cell migration involved, e.g., in angiogenesis [38], and previous demonstrations that physiologic cardiac development and hypertrophy are dependent on matching myocardial angiogenesis [41, 45]. However, we did not observe any decrease in capillary density (normalized per cardiac myocyte) that would support this hypothesis. Again, paracrine effects of COX-2-derived prostanoids from cardiac endothelium or a direct control of cardiac myocyte hypertrophy by AQP1 may be at play; for example, due to its strategic localization in cardiac cells within the T-tubules close to the Z line structure and in the associated vascular endothelium [10] and its osmolarity-dependent reversible internalization via caveolae [32], AQP1 could also modulate excitation contraction coupling requiring rapid osmotic equilibration. Failure to do so may perturb intracellular ion (e.g., calcium) homeostasis, with potential consequences on hypertrophic signaling although this needs to be tested in future experiments.
In conclusion, we found low systolic blood pressure with vessel and cardiac hypotrophy in AQP1 KO mice, together with upregulation of AQP7 in both tissues and AQP4 and AQP8 in the heart. Because of the proposed role of cardiac AQP1 (and AQP4) controlling the clearance of interstitial edema [9, 46, 47] and perhaps myocardial hypertrophic remodeling (this study), future studies will need to verify the specific effect of AQP1 deletion in pathological situations such as ischemia/reperfusion and pressure overload. Should an impact be observed, it may raise the interest for new modulators of AQP1 function derived from loop diuretics [8, 48] and their use to treat common situations, such as high blood pressure usually associated with hypertrophic cardiomyopathies.
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Acknowledgments
The authors are grateful to Yvette Cnops and Huguette Debaix from the Nephrology laboratory (NEFR/IREC), for their help in the RTqPCR and given some specifics primers for different aquaporins. VM is “Specialist doctorant” of the Fonds National de Recherche Scientifique (FNRS) and was supported by grants from the Fondation Saint Luc and FNRS (to JLB). CD is senior research scientist of the Fonds National de Recherche Scientifique (FNRS). CB is IREC imaging platform coordinator. These studies were supported in part by the European Community's Seventh Framework Programme (FP7/2007-2013) under grant no. 305608 (EURenOmics), the Actions de Recherche Concertées (ARC 10/15-029 and 11/16-039, Communauté Française de Belgique), the FNRS and FRSM, and the Inter-University Attraction Pole (Belgium Federal Government). The Aqp1 mice were initially obtained from A.S. Verkman (University of California, San Francisco, CA).
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Montiel, V., Leon Gomez, E., Bouzin, C. et al. Genetic deletion of aquaporin-1 results in microcardia and low blood pressure in mouse with intact nitric oxide-dependent relaxation, but enhanced prostanoids-dependent relaxation. Pflugers Arch - Eur J Physiol 466, 237–251 (2014). https://doi.org/10.1007/s00424-013-1325-x
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DOI: https://doi.org/10.1007/s00424-013-1325-x