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Inhibition of endoplasmic reticulum stress and mitochondrial oxidative stress limits the development of abdominal aortic aneurysm and cardiac hypertrophy
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  • Miquel Navas-Madroñal,
  • Lidia Puertas-Umbert,
  • FRANCESC JIMENEZ-ALTAYO,
  • Silvia Aguiló,
  • Marta Consegal-Pérez,
  • Josep Julve,
  • Belen Perez,
  • Modar Kassan,
  • Jose Martínez-González,
  • Cristina Rodríguez,
  • María Galán
Miquel Navas-Madroñal
Institut de Recerca del Hospital de la Santa Creu i Sant Pau, Instituto de Investigación Biomédica (IIB) Sant Pau

Corresponding Author:[email protected]

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Lidia Puertas-Umbert
Institut de Recerca del Hospital de la Santa Creu i Sant Pau, Instituto de Investigación Biomédica (IIB) Sant Pau
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FRANCESC JIMENEZ-ALTAYO
Universitat Autonoma de Barcelona
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Silvia Aguiló
Institut de Recerca del Hospital de la Santa Creu i Sant Pau, Instituto de Investigación Biomédica (IIB) Sant Pau
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Marta Consegal-Pérez
Institut de Recerca del Hospital de la Santa Creu i Sant Pau, Instituto de Investigación Biomédica (IIB) Sant Pau
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Josep Julve
Institut de Recerca del Hospital de la Santa Creu i Sant Pau, Instituto de Investigación Biomédica (IIB) Sant Pau
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Belen Perez
Universitat Autonoma de Barcelona
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Modar Kassan
University of Tennessee Health Science Center. Memphis, TN, USA.
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Jose Martínez-González
Instituto de Investigaciones Biomédicas de Barcelona-Consejo Superior de Investigaciones Científicas (IIBB-CSIC), IIB Sant Pau
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Cristina Rodríguez
Institut de Recerca Hospital de la Santa Creu i Sant Pau (IRHSCSP), IIB-Sant Pau, Barcelona, Spain.
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María Galán
Institut de Recerca del Hospital de la Santa Creu i Sant Pau
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Abstract

Background and purpose: Persistent endoplasmic reticulum (ER) stress and its deleterious crosstalk with mitochondria trigger oxidative stress, mitochondrial dysfunction and inflammation contributing to the pathophysiology of a myriad of cardiovascular diseases linked with hypertension such as abdominal aortic aneurysm (AAA) and cardiac hypertrophy. The purpose of this work was to determine whether inhibition of ER and mitochondrial stress is effective preventing aneurysm development and cardiac hypertrophy in angiotensin II (AngII)-infused apolipoprotein-E-deficient (ApoE−/−) mice. Experimental approach and results: The expression of ER stress markers (Hspa5, Atf4, Atf6, Chop and Ern1) was up-regulated in aneurysmal abdominal aortas from AngII-infused ApoE−/−mice. The treatment with ER stress inhibitors improved survival, decreased systolic blood pressure, limited the incidence and severity of AAA and reduced the AngII-induced increase of aortic diameter evaluated by ultrasonography. These beneficial effects were mimicked by the mitochondria-targeted tetrapeptide SS31. The disorganisation of elastin and collagen fibres, the increased expression of metalloproteinases and pro-inflammatory markers and the infiltration of immune cells induced by AngII in the abdominal aorta were effectively reduced by both, ER inhibitors and SS31. Additionally, treatment with SS31 prevented the alteration of mitochondrial dysfunction and reduced ER stress markers expression and plasmatic ROS levels. Mechanistically, CHOP deficiency in ApoE−/−mice reduced the blood pressure and the incidence of AAA. Interestingly, both pharmacological interventions and CHOP deficiency attenuated AngII-induced cardiac hypertrophic remodelling and improved systolic and diastolic function. Conclusions: Our data evidence that inhibition of ER and mitochondrial stress limits abdominal aortic aneurysm formation, increases survival and ameliorates hypertensive cardiac hypertrophy.