High salt intake and the brain renin-angiotensin system in Dahl salt-sensitive rats

Objectives To assess changes in the activity of the brain renin-angiotensin system during (i) the development of salt-sensitive hypertension; and (ii) the prevention of salt-sensitive hypertension by blocking brain 'ouabain', Methods In protocol I, angiotensin converting enzyme (ACE) mRNA and activity and angiotensin I and II levels were assessed in the hypothalamus and pens of Dahl salt-sensitive (Dahl S) and salt-resistant (Dahl R) rats on regular (120 mu mol Na+ per g) or high (1370 mu mol Na+ per g) salt diet from 4-6 weeks or 4-9 weeks of age. In protocol II, ACE mRNA and activity were assessed in the hypothalamus and pens in Dahl S on regular or high salt treated with intracerebroventricular (i.c.v.) Fab fragments blocking brain 'ouabain' or gamma -globulins, and in Dahl R on high or regular salt. ACE mRNA was assessed by quantitative reverse transcriptase-polymerase chain reaction (RT-PCR) assay and angiotensin I and Il by radioimmunoassay after high-performance liquid chromatography, In protocol III, effects of i.c.v. angiotensin I and i.c.v. bradykinin on renal sympathetic nerve activity (RSNA), heart rate and blood pressure before and after i.c.v. captopril were assessed in Dahl S and R rats on regular or high salt intake from 4-8 weeks of age. Results High salt diet caused a gradual, but marked increase in blood pressure in Dahl S but not Dahl R rats, Dahl S rats showed small but significant increases in ACE mRNA in the hypothalamus on regular salt diet. In Dahl S rats on high salt diet for 2 or 5 weeks ACE mRNA levels significantly increased in both hypothalamus and pens, compared with Dahl R rats on either diet or Dahl S rats on regular diet. After 5 weeks of high salt diet, ACE mRNA levels in the hypothalamus in Dahl S rats were almost three-fold higher and in the pens two-fold higher than in Dahl R rats on either diet or Dahl S on regular salt diet. High salt diet also increased ACE activity of the hypothalamus and pens in Dahl S but not Dahl R, Consistent with this increased ACE activity, central responses to angiotensin I were clearly enhanced and to bradykinin markedly diminished in Dahl S on high salt intake. Chronic blockade of brain 'ouabain' by i.c.v. Fab fragments prevented the increases in blood pressure, ACE mRNA and activity in the hypothalamus and pens by high salt intake in Dahl S rats. Angiotensin I levels in the hypothalamus and pens were similar in both groups of rats and there were no significant changes caused by high salt diet in Dahl S and R rats, On regular salt intake angiotensin II levels in the hypothalamus of Dahl S rats showed a significant decrease as compared with Dahl R rats on regular salt diet, and were similar in the pens of the two strains. High salt intake did not affect angiotensin II levels in either hypothalamus or pens in Dahl S and R rats. Conclusions These results indicate that high salt intake increases blood pressure, ACE expression and activity in the hypothalamus and pens of Dahl S rats without a parallel increase in angiotensin II levels. Effects of high salt intake on ACE mRNA and activity appear to be secondary to activation of brain 'ouabain', (C) 2001 Lippincott Williams & Wilkins.