Neurovascular Coupling in Hypertension Is Impaired by IL-17A through Oxidative Stress

Int J Mol Sci. 2023 Feb 16;24(4):3959. doi: 10.3390/ijms24043959.

Abstract

Hypertension, a multifactorial chronic inflammatory condition, is an important risk factor for neurovascular and neurodegenerative diseases, including stroke and Alzheimer's disease. These diseases have been associated with higher concentrations of circulating interleukin (IL)-17A. However, the possible role that IL-17A plays in linking hypertension with neurodegenerative diseases remains to be established. Cerebral blood flow regulation may be the crossroads of these conditions because regulating mechanisms may be altered in hypertension, including neurovascular coupling (NVC), known to participate in the pathogenesis of stroke and Alzheimer's disease. In the present study, the role of IL-17A on NVC impairment induced by angiotensin (Ang) II in the context of hypertension was examined. Neutralization of IL-17A or specific inhibition of its receptor prevents the NVC impairment (p < 0.05) and cerebral superoxide anion production (p < 0.05) induced by Ang II. Chronic administration of IL-17A impairs NVC (p < 0.05) and increases superoxide anion production. Both effects were prevented with Tempol and NADPH oxidase 2 gene deletion. These findings suggest that IL-17A, through superoxide anion production, is an important mediator of cerebrovascular dysregulation induced by Ang II. This pathway is thus a putative therapeutic target to restore cerebrovascular regulation in hypertension.

Keywords: NADPH oxidase 2; angiotensin II; hypertension; inflammation; interleukin-17A; neurovascular coupling; oxidative stress; reactive oxygen species.

MeSH terms

  • Alzheimer Disease / etiology
  • Angiotensin II / metabolism
  • Humans
  • Hypertension* / complications
  • Hypertension* / physiopathology
  • Interleukin-17* / genetics
  • Interleukin-17* / metabolism
  • NADPH Oxidases / metabolism
  • Neurovascular Coupling* / genetics
  • Oxidative Stress* / genetics
  • Stroke / etiology
  • Superoxides / metabolism

Substances

  • Angiotensin II
  • Interleukin-17
  • NADPH Oxidases
  • Superoxides
  • IL17A protein, human