Neuroimmune contributions to hypertension sensitization in a preclinical model of PTSD

NIH RePORTER · NIH · F30 · $42,403 · view on reporter.nih.gov ↗

Abstract

PROJECT SUMMARY Post-traumatic stress disorder (PTSD) is a devastating psychiatric disorder that afflicts more than 7% of all Americans across their lifespan. PTSD increases the risk for inflammatory cardiovascular diseases, such as hypertension, but the etiology of this increased predilection for hypertension after trauma is unknown. Both PTSD and hypertension characteristically display increases in circulating levels of catecholamines, as well as alterations in T-lymphocyte-driven inflammation. T-lymphocytes are highly reactive to catecholamines, and we have previously reported that splenic T-lymphocytes exposed to these neurotransmitters in vitro secrete increased levels of interleukin 6 (IL-6) and interleukin 17A (IL-17A); pro-inflammatory cytokines which have been mechanistically linked to the pathogenesis of hypertension. Furthermore, using an accepted preclinical mouse model of PTSD known as repeated social defeat, we have also recently described increased splenic catecholamine levels, elevated circulating IL-6 and IL-17A levels, as well as a potentiated hypertensive response to angiotensin II (AngII) in animals undergoing this psychological trauma. These observations were abrogated in socially-defeated mice lacking T-lymphocytes, demonstrating these adaptive immune cells are mechanistic in the sensitization to hypertension after trauma. To this end, I hypothesize that psychological trauma increases the splenic catecholamine milieu that drives T-lymphocyte inflammation causing hypertension sensitization. In Specific Aim 1, I will determine the contribution of neuronally-derived catecholamines in the sensitization of hypertension by selectively ablating the splenic nerve. In Specific Aim 2, I will utilize a novel genetic knockout mouse model that lacks tyrosine hydroxylase—the rate-limiting enzyme in catecholamine synthesis—exclusively in T- lymphocytes. I will investigate the contribution of these sources of catecholamines to the A) behavioral phenotype, B) T-lymphocyte autonomic and inflammatory profiles, and C) development of hypertension. Completion of these aims will further our ability to design and implement novel therapies that will ultimately reduce the morbidity and mortality of cardiovascular disease in PTSD patients.

Key facts

NIH application ID
10064671
Project number
1F30HL154535-01
Recipient
UNIVERSITY OF NEBRASKA MEDICAL CENTER
Principal Investigator
Safwan Kijana Elkhatib
Activity code
F30
Funding institute
NIH
Fiscal year
2020
Award amount
$42,403
Award type
1
Project period
2020-09-01 → 2024-08-31