We read with great interest the recent article by Dr Gironacci and colleagues 1 dealing with the sympatholytic action of angiotensin (Ang)-(1-7) in the central nervous system of spontaneously hypertensive rats (SHR). The results of their study demonstrated that Ang-(1-7) decreased the K ϩ -induced norepinephrine (NE) release in the hypothalamus of SHR by stimulating the angiotensin type-2 (AT 2 ) receptors, which might be consistent with their previous report. 2 In addition, they indicated that the inhibitory effect of Ang-(1-7) on NE release was blocked by the nitric oxide (NO) synthase inhibitor N G -nitro-L-arginine methyl ester and bradykinin (BK) B 2 receptor antagonist icatibant. The authors proposed that Ang-(1-7) reduced NE release from the hypothalamus of SHR via the AT 2 receptors, acting through a BK/NO-mediated mechanism.Several studies have reported the possible mechanisms of altered NE release in the central nervous system of hypertension. [3][4][5] In a study we presented earlier, the change in NE release induced by BK was investigated in the hypothalamus of normotensive and hypertensive rats. 6,7 In an in vitro study using rat brain slices, we showed that BK increased the stimulation-evoked NE release in a dose-dependent manner. It was also demonstrated that a dihydropyridine (DHP)-sensitive calcium (Ca) channel agonist Bay K 8644 significantly potentiated the facilitatory effect of BK on NE release. In contrast, nicardipine, a DHP-sensitive Ca channel blocker, reversed the increase in NE release induced by BK and Bay K 8644. The finding might indicate a possible interaction of BK with DHP-sensitive Ca channels in the central nervous system of hypertension. Recently, it has been shown that BK might increase the intracellular Ca concentration via intracellular Ca-release and extracellular Ca-influx through the transduction of G protein in PC 12 cells. 8 It can be speculated that multiple signal transduction pathways may be associated with the effects of BK. 9 Therefore, we would like to know whether BK itself might have a synergistic effect with Ang-(1-7) on NE release in the hypothalamus of SHR in the present study of Dr Gironacci and colleagues. Further studies should be performed to assess more thoroughly the relationships between Ang-(1-7) and BK and their role in the regulation of central sympathetic nerve activity in hypertension.Kazushi
Response:I read with interest Tsuda's letter to the editor about our work. Measurement of kinin peptides gives important information about the functioning of the kallikrein-kinin system. Campbell et al 1 have demonstrated that bradykinin (BK) levels in the brain of spontaneously hypertensive rats are similar to those found in normotensive rats, being Ϸ6.5 fmol/g tissue in 10-week-old rats and 12.1 fmol/g tissue in 20-week-old rats. 1,2 Tsuda et al 3 showed that high concentrations of BK (1 and 3.3 mol/L) induced a 20% to 30% increase in stimulationevoked [ 3 H]norepinephrine (NE) release from hypothalamic slices of normotensive rats, that is, BK seems to e...