Abstract 067: Unexpected Actions of the Endothelial-EP
4
Receptor for PGE
2
to Promote Hypertension
Prostaglandin E2 (PGE 2 ) is a major prostanoid produced by the kidney with vasodilator and natriuretic actions and its actions are mediated by four distinct E-prostanoid (EP) receptor isoforms: EP 1 -EP 4 . The EP 4 receptor (EP 4 R) has multiple actions that could impact blood pressure (BP) by triggering macula densa stimulation of renin, inducing vasodilation, and inhibiting epithelial sodium transport. Accordingly, we examined the role of EP 4 R on BP regulation by generating EP 4 R-deficient mice. Because deletion of EP 4 R in utero causes peri-natal mortality due to persistent patent ductus arteriosus, we carried out conditional deletion using an EP 4 flox/flox mouse line. We first generated mice completely lacking EP 4 R in all tissues (TBKO) using a tamoxifen-inducible transgene driving Cre expression in all tissues. Resting mean arterial pressure (MAP) measured by radiotelemetry tended to be elevated in TBKOs compared to controls (106±2 vs 111±2 mmHg; p=0.06). In addition TBKOs showed exaggerated salt sensitivity and enhanced hypertensive response to chronic Ang II infusion compared to controls (MAP increase: 25±3 vs. 37±2 mmHg; p<0.05). To determine whether altered BP responses in the TBKOs were due to elimination of EP 4 R-depedent actions in vascular smooth muscle cells (VSMCs) or in endothelial cells (ECs), we generated mice lacking EP 4 R in VSMCs (SMKO) or ECs (ECKO) using EP 4 flox/flox and transgenic mice with tamoxifen-inducible expression of Cre limited to VSMCs or ECs. Resting MAP in SMKO mice was significantly reduced compared to controls (109±1 vs. 104±2 mmHg; p<0.05), but salt sensitivity and Ang II-dependent hypertension were unaffected. Although no statistically significant differences in baseline MAP or salt sensitivity were observed between ECKOs and controls, the hypertensive response to AngII infusion was significantly reduced in ECKOs (MAP increase: 31±3 vs 24±2 mmHg; p<0.05). In summary, our work suggests a complex role for PGE 2 acting via its EP 4 R in BP regulation, with a major effect to promote resistance to hypertension, apparent in the TBKOs. However, we have also uncovered an unexpected and opposing effect of EP 4 R in endothelium to promote hypertension.