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Yuhan Chen, Bethany L Dale, Matthew R Alexander, Liang Xiao, Mingfang Ao, Arvind K Pandey, Charles D Smart, Gwendolyn K Davis, Meena S Madhur, Class switching and high-affinity immunoglobulin G production by B cells is dispensable for the development of hypertension in mice, Cardiovascular Research, Volume 117, Issue 4, 1 April 2021, Pages 1217–1228, https://doi.org/10.1093/cvr/cvaa187
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Abstract
Elevated serum immunoglobulins have been associated with experimental and human hypertension for decades but whether immunoglobulins and B cells play a causal role in hypertension pathology is unclear. In this study, we sought to determine the role of B cells and high-affinity class-switched immunoglobulins on hypertension and hypertensive end-organ damage to determine if they might represent viable therapeutic targets for this disease.
We purified serum immunoglobulin G (IgG) from mice exposed to vehicle or angiotensin (Ang) II to induce hypertension and adoptively transferred these to wild type (WT) recipient mice receiving a subpressor dose of Ang II. We found that transfer of IgG from hypertensive animals does not affect blood pressure, endothelial function, renal inflammation, albuminuria, or T cell-derived cytokine production compared with transfer of IgG from vehicle infused animals. As an alternative approach to investigate the role of high-affinity, class-switched immunoglobulins, we studied mice with genetic deletion of activation-induced deaminase (Aicda−/−). These mice have elevated levels of IgM but virtual absence of class-switched immunoglobulins such as IgG subclasses and IgA. Neither male nor female Aicda−/− mice were protected from Ang II-induced hypertension and renal/vascular damage. To determine if IgM or non-immunoglobulin-dependent innate functions of B cells play a role in hypertension, we studied mice with severe global B-cell deficiency due to deletion of the membrane exon of the IgM heavy chain (µMT−/−). µMT−/− mice were also not protected from hypertension or end-organ damage induced by Ang II infusion or deoxycorticosterone acetate-salt treatment.
These results suggest that B cells and serum immunoglobulins do not play a causal role in hypertension pathology.