M acrophages accumulate in the vascular wall during hypertension and likely contribute to the oxidative stress, endothelial dysfunction, and vascular inflammation that are hallmarks of the condition and that ultimately contribute to clinically relevant end points, such as atherosclerosis and arterial remodeling and stiffening.1,2 The circulating precursors of macrophages are monocytes, and depletion of these cells in mice is known to provide protection against experimentally induced hypertension. 3 Chemokines are chemotactic cytokines that can be released from cells at sites of injury or infection. By binding to specific receptors expressed on the surface of leukocytes, chemokines stimulate the extravasation and accumulation of leukocytes at sites of damage. Receptors for chemokines belong to the G-protein-coupled receptor superfamily, the largest and most tractable drug targets in the human genome.4-6 Twenty chemokine receptors have been identified to date, each of which may be stimulated by one or several chemokine ligands.
5In the present study, we performed a polymerase chain reaction (PCR) screen to identify chemokine receptor genes that are upregulated in the vascular wall of mice after induction of hypertension by treatment with a combination of deoxycorticosterone acetate (DOCA) and salt. Having identified CCR2 as one such chemokine receptor, we then examined the effect of a recently described and highly selective CCR2 antagonist, INCB3344, 7-9 on macrophage accumulation and blood pressure (BP) in the DOCA/salt model. Treatment of mice with INCB3344 reversed DOCA/ salt-induced increases in CCR2 expression and macrophage accumulation in the vascular wall. Importantly, these effects were accompanied by a reduction in BP, highlighting CCR2 as a promising drug target in hypertension.Abstract-Infiltration of macrophages into the artery wall plays detrimental roles during hypertension by promoting vascular inflammation and endothelial dysfunction, and it occurs via a chemo-attractant action of chemokines on macrophage cytokine receptors. We sought to identify the key chemokine receptors associated with macrophage infiltration into the vascular wall during deoxycorticosterone acetate (DOCA)/salt-induced hypertension in mice and to evaluate the impact of pharmacological inhibition of these receptors on blood pressure and leukocyte accumulation. 10,11 Mice were anesthetized via intraperitoneal injection of ketamine (100 mg/kg; Parnell Laboratories, Australia) and xylazine (10 mg/kg; Troy Laboratories), and a dorsal-lateral incision was made through the skin and muscle layers to expose the left kidney. The renal artery was then tied off with sutures and cut, distal to the ligature, to allow removal of the kidney. Before closing, the same incision site was used to implant a 21-day continuous-release DOCA pellet (2.4 mg/d; Innovative Research of America) subcutaneously in the scapular region. Finally, the drinking water was replaced with 0.9% saline. In sham-treated animals, the kidney was exposed but not removed, a...