Hypertension has stage-dependent signatures in the hypertensive rat frontal brain
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ABSTRACT: Long-term arterial hypertension causes cerebral microvascular dysfunction and doubles dementia risk in aging. However, cognitive health preservation by therapeutical blood pressure lowering alone might be limited by disease duration, the degree of irreversible tissue damage and whether microvascular function can be restored. This study aimed to understand cellular and molecular temporo-spatial pathomechanisms in the course of arterial hypertension. We investigated initial, early chronic and late chronic hypertension effects in the frontal brain of hypertensive rats by applying behavioral tests, histology, immunofluorescence, FACS and microvascular/neural tissue RNA sequencing as well as 18F-FDG PET imaging. Chronic hypertension caused frontal brain-specific behavioral deficits. From a mechanistic perspective our results suggest continuous microvascular stress and wounding due to hypertension, which in turn leads to an early recruitment of activated microglia and peripheral immune cells, blood-brain-barrier breakdown and an energy-demanding hypermetabolic state. Vascular adaptation mechanisms e.g., vessel wall strengthening by production of cellular adhesion molecules and extracellular matrix (ECM), and angiogenesis were first observed first in late chronic stages. Additionally, we identified late-chronic vascular accumulation of Igfbp-5 in the brains of rats and humans with hypertensive cerebral small vessel disease, possibly attenuating protective Igf-1 signaling in the cerebral microvasculature. Thus, we characterized cellular and molecular temporo-spatial pathomechanisms in the course of arterial hypertension, that might represent critical points for clinical decision-making and could therefore be used to prevent irreversible tissue damage.
ORGANISM(S): Rattus norvegicus
PROVIDER: GSE223851 | GEO | 2026/01/01
REPOSITORIES: GEO
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