Monoclonal Antibody to Marinobufagenin Downregulates TGFβ Profibrotic Signaling in Left Ventricle and Kidney and Reduces Tissue Remodeling in Salt-Sensitive Hypertension

Yongqing Zhang, Wen Wei, Victoria Shilova, Natalia N. Petrashevskaya, Valentina I. Zernetkina, Yulia N. Grigorova, Courtney A. Marshall, Rachel C. Fenner, Elin Lehrmann, William H. Wood, Kevin G. Becker, Edward Lakatta, Alexei Y. Bagrov, Olga V. Fedorova

Research output: Contribution to journalArticle

Abstract

Background Elevated levels of an endogenous Na/K-ATPase inhibitor marinobufagenin accompany salt-sensitive hypertension and are implicated in cardiac fibrosis. Immunoneutralization of marinobufagenin reduces blood pressure in Dahl salt-sensitive (Dahl-S) rats. The effect of the anti-marinobufagenin monoclonal antibody on blood pressure, left ventricular (LV) and renal remodeling, and gene expression were investigated in hypertensive Dahl-S rats. Methods and Results Dahl-S rats were fed high NaCl (8%, HS; n=14) or low NaCl (0.1%, LS; n=14) diets for 8 weeks. Animals were administered control antibody (LS control antibody, LSC; HS control antibody, HSC; n=7 per group) or anti-marinobufagenin antibody once on week 7 of diet intervention (n=7 per group). Levels of marinobufagenin, LV, and kidney mRNAs and proteins implicated in profibrotic signaling were assessed. Systolic blood pressure was elevated (211±8 versus 133±3 mm Hg, P<0.01), marinobufagenin increased 2-fold in plasma (P<0.05) and 5-fold in urine (P<0.01), LV and kidney weights increased, and levels of LV collagen-1 rose 3.5-fold in HSC versus LSC. Anti-marinobufagenin antibody treatment decreased systolic blood pressure by 24 mm Hg (P<0.01) and reduced organ weights and level of LV collagen-1 (P<0.01) in hypertensive Dahl salt-sensitive rats with anti-marinobufagenin antibody versus HSC. The expression of genes related to transforming growth factor-β-dependent signaling was upregulated in the left ventricles and kidneys in HSC versus LSC groups and became downregulated following administration of anti-marinobufagenin antibody to hypertensive Dahl-S rats. Marinobufagenin also activated transforming growth factor-β signaling in cultured ventricular myocytes from Dahl-S rats. Conclusions Immunoneutralization of heightened marinobufagenin levels in hypertensive Dahl-S rats resulted in a downregulation of genes implicated in transforming growth factor-β pathway, which indicates that marinobufagenin is an activator of profibrotic transforming growth factor-β-dependent signaling in salt-sensitive hypertension.

Original languageEnglish (US)
Pages (from-to)e012138
JournalJournal of the American Heart Association
Volume8
Issue number20
DOIs
StatePublished - Oct 15 2019

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Cardiomegaly
Transforming Growth Factors
Heart Ventricles
Inbred Dahl Rats
Down-Regulation
Salts
Monoclonal Antibodies
Hypertension
Kidney
Blood Pressure
Transforming Growth Factor beta
Anti-Idiotypic Antibodies
marinobufagenin
Antibodies
Collagen
Diet
Gene Expression
Ventricular Remodeling
Organ Size
Muscle Cells

Keywords

  • cardiac hypertrophy
  • Dahl salt‐sensitive hypertension
  • marinobufagenin
  • monoclonal antibody
  • transforming growth factor

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Monoclonal Antibody to Marinobufagenin Downregulates TGFβ Profibrotic Signaling in Left Ventricle and Kidney and Reduces Tissue Remodeling in Salt-Sensitive Hypertension. / Zhang, Yongqing; Wei, Wen; Shilova, Victoria; Petrashevskaya, Natalia N.; Zernetkina, Valentina I.; Grigorova, Yulia N.; Marshall, Courtney A.; Fenner, Rachel C.; Lehrmann, Elin; Wood, William H.; Becker, Kevin G.; Lakatta, Edward; Bagrov, Alexei Y.; Fedorova, Olga V.

In: Journal of the American Heart Association, Vol. 8, No. 20, 15.10.2019, p. e012138.

Research output: Contribution to journalArticle

Zhang, Y, Wei, W, Shilova, V, Petrashevskaya, NN, Zernetkina, VI, Grigorova, YN, Marshall, CA, Fenner, RC, Lehrmann, E, Wood, WH, Becker, KG, Lakatta, E, Bagrov, AY & Fedorova, OV 2019, 'Monoclonal Antibody to Marinobufagenin Downregulates TGFβ Profibrotic Signaling in Left Ventricle and Kidney and Reduces Tissue Remodeling in Salt-Sensitive Hypertension', Journal of the American Heart Association, vol. 8, no. 20, pp. e012138. https://doi.org/10.1161/JAHA.119.012138
Zhang, Yongqing ; Wei, Wen ; Shilova, Victoria ; Petrashevskaya, Natalia N. ; Zernetkina, Valentina I. ; Grigorova, Yulia N. ; Marshall, Courtney A. ; Fenner, Rachel C. ; Lehrmann, Elin ; Wood, William H. ; Becker, Kevin G. ; Lakatta, Edward ; Bagrov, Alexei Y. ; Fedorova, Olga V. / Monoclonal Antibody to Marinobufagenin Downregulates TGFβ Profibrotic Signaling in Left Ventricle and Kidney and Reduces Tissue Remodeling in Salt-Sensitive Hypertension. In: Journal of the American Heart Association. 2019 ; Vol. 8, No. 20. pp. e012138.
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title = "Monoclonal Antibody to Marinobufagenin Downregulates TGFβ Profibrotic Signaling in Left Ventricle and Kidney and Reduces Tissue Remodeling in Salt-Sensitive Hypertension",
abstract = "Background Elevated levels of an endogenous Na/K-ATPase inhibitor marinobufagenin accompany salt-sensitive hypertension and are implicated in cardiac fibrosis. Immunoneutralization of marinobufagenin reduces blood pressure in Dahl salt-sensitive (Dahl-S) rats. The effect of the anti-marinobufagenin monoclonal antibody on blood pressure, left ventricular (LV) and renal remodeling, and gene expression were investigated in hypertensive Dahl-S rats. Methods and Results Dahl-S rats were fed high NaCl (8{\%}, HS; n=14) or low NaCl (0.1{\%}, LS; n=14) diets for 8 weeks. Animals were administered control antibody (LS control antibody, LSC; HS control antibody, HSC; n=7 per group) or anti-marinobufagenin antibody once on week 7 of diet intervention (n=7 per group). Levels of marinobufagenin, LV, and kidney mRNAs and proteins implicated in profibrotic signaling were assessed. Systolic blood pressure was elevated (211±8 versus 133±3 mm Hg, P<0.01), marinobufagenin increased 2-fold in plasma (P<0.05) and 5-fold in urine (P<0.01), LV and kidney weights increased, and levels of LV collagen-1 rose 3.5-fold in HSC versus LSC. Anti-marinobufagenin antibody treatment decreased systolic blood pressure by 24 mm Hg (P<0.01) and reduced organ weights and level of LV collagen-1 (P<0.01) in hypertensive Dahl salt-sensitive rats with anti-marinobufagenin antibody versus HSC. The expression of genes related to transforming growth factor-β-dependent signaling was upregulated in the left ventricles and kidneys in HSC versus LSC groups and became downregulated following administration of anti-marinobufagenin antibody to hypertensive Dahl-S rats. Marinobufagenin also activated transforming growth factor-β signaling in cultured ventricular myocytes from Dahl-S rats. Conclusions Immunoneutralization of heightened marinobufagenin levels in hypertensive Dahl-S rats resulted in a downregulation of genes implicated in transforming growth factor-β pathway, which indicates that marinobufagenin is an activator of profibrotic transforming growth factor-β-dependent signaling in salt-sensitive hypertension.",
keywords = "cardiac hypertrophy, Dahl salt‐sensitive hypertension, marinobufagenin, monoclonal antibody, transforming growth factor",
author = "Yongqing Zhang and Wen Wei and Victoria Shilova and Petrashevskaya, {Natalia N.} and Zernetkina, {Valentina I.} and Grigorova, {Yulia N.} and Marshall, {Courtney A.} and Fenner, {Rachel C.} and Elin Lehrmann and Wood, {William H.} and Becker, {Kevin G.} and Edward Lakatta and Bagrov, {Alexei Y.} and Fedorova, {Olga V.}",
year = "2019",
month = "10",
day = "15",
doi = "10.1161/JAHA.119.012138",
language = "English (US)",
volume = "8",
pages = "e012138",
journal = "Journal of the American Heart Association",
issn = "2047-9980",
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}

TY - JOUR

T1 - Monoclonal Antibody to Marinobufagenin Downregulates TGFβ Profibrotic Signaling in Left Ventricle and Kidney and Reduces Tissue Remodeling in Salt-Sensitive Hypertension

AU - Zhang, Yongqing

AU - Wei, Wen

AU - Shilova, Victoria

AU - Petrashevskaya, Natalia N.

AU - Zernetkina, Valentina I.

AU - Grigorova, Yulia N.

AU - Marshall, Courtney A.

AU - Fenner, Rachel C.

AU - Lehrmann, Elin

AU - Wood, William H.

AU - Becker, Kevin G.

AU - Lakatta, Edward

AU - Bagrov, Alexei Y.

AU - Fedorova, Olga V.

PY - 2019/10/15

Y1 - 2019/10/15

N2 - Background Elevated levels of an endogenous Na/K-ATPase inhibitor marinobufagenin accompany salt-sensitive hypertension and are implicated in cardiac fibrosis. Immunoneutralization of marinobufagenin reduces blood pressure in Dahl salt-sensitive (Dahl-S) rats. The effect of the anti-marinobufagenin monoclonal antibody on blood pressure, left ventricular (LV) and renal remodeling, and gene expression were investigated in hypertensive Dahl-S rats. Methods and Results Dahl-S rats were fed high NaCl (8%, HS; n=14) or low NaCl (0.1%, LS; n=14) diets for 8 weeks. Animals were administered control antibody (LS control antibody, LSC; HS control antibody, HSC; n=7 per group) or anti-marinobufagenin antibody once on week 7 of diet intervention (n=7 per group). Levels of marinobufagenin, LV, and kidney mRNAs and proteins implicated in profibrotic signaling were assessed. Systolic blood pressure was elevated (211±8 versus 133±3 mm Hg, P<0.01), marinobufagenin increased 2-fold in plasma (P<0.05) and 5-fold in urine (P<0.01), LV and kidney weights increased, and levels of LV collagen-1 rose 3.5-fold in HSC versus LSC. Anti-marinobufagenin antibody treatment decreased systolic blood pressure by 24 mm Hg (P<0.01) and reduced organ weights and level of LV collagen-1 (P<0.01) in hypertensive Dahl salt-sensitive rats with anti-marinobufagenin antibody versus HSC. The expression of genes related to transforming growth factor-β-dependent signaling was upregulated in the left ventricles and kidneys in HSC versus LSC groups and became downregulated following administration of anti-marinobufagenin antibody to hypertensive Dahl-S rats. Marinobufagenin also activated transforming growth factor-β signaling in cultured ventricular myocytes from Dahl-S rats. Conclusions Immunoneutralization of heightened marinobufagenin levels in hypertensive Dahl-S rats resulted in a downregulation of genes implicated in transforming growth factor-β pathway, which indicates that marinobufagenin is an activator of profibrotic transforming growth factor-β-dependent signaling in salt-sensitive hypertension.

AB - Background Elevated levels of an endogenous Na/K-ATPase inhibitor marinobufagenin accompany salt-sensitive hypertension and are implicated in cardiac fibrosis. Immunoneutralization of marinobufagenin reduces blood pressure in Dahl salt-sensitive (Dahl-S) rats. The effect of the anti-marinobufagenin monoclonal antibody on blood pressure, left ventricular (LV) and renal remodeling, and gene expression were investigated in hypertensive Dahl-S rats. Methods and Results Dahl-S rats were fed high NaCl (8%, HS; n=14) or low NaCl (0.1%, LS; n=14) diets for 8 weeks. Animals were administered control antibody (LS control antibody, LSC; HS control antibody, HSC; n=7 per group) or anti-marinobufagenin antibody once on week 7 of diet intervention (n=7 per group). Levels of marinobufagenin, LV, and kidney mRNAs and proteins implicated in profibrotic signaling were assessed. Systolic blood pressure was elevated (211±8 versus 133±3 mm Hg, P<0.01), marinobufagenin increased 2-fold in plasma (P<0.05) and 5-fold in urine (P<0.01), LV and kidney weights increased, and levels of LV collagen-1 rose 3.5-fold in HSC versus LSC. Anti-marinobufagenin antibody treatment decreased systolic blood pressure by 24 mm Hg (P<0.01) and reduced organ weights and level of LV collagen-1 (P<0.01) in hypertensive Dahl salt-sensitive rats with anti-marinobufagenin antibody versus HSC. The expression of genes related to transforming growth factor-β-dependent signaling was upregulated in the left ventricles and kidneys in HSC versus LSC groups and became downregulated following administration of anti-marinobufagenin antibody to hypertensive Dahl-S rats. Marinobufagenin also activated transforming growth factor-β signaling in cultured ventricular myocytes from Dahl-S rats. Conclusions Immunoneutralization of heightened marinobufagenin levels in hypertensive Dahl-S rats resulted in a downregulation of genes implicated in transforming growth factor-β pathway, which indicates that marinobufagenin is an activator of profibrotic transforming growth factor-β-dependent signaling in salt-sensitive hypertension.

KW - cardiac hypertrophy

KW - Dahl salt‐sensitive hypertension

KW - marinobufagenin

KW - monoclonal antibody

KW - transforming growth factor

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U2 - 10.1161/JAHA.119.012138

DO - 10.1161/JAHA.119.012138

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C2 - 31576777

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JO - Journal of the American Heart Association

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SN - 2047-9980

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