Although the mechanism underlying the effect of androgen on BP and cardiovascular disease is not well understood, recent studies suggest that 8,11,, a primary cytochrome P450 4 (Cyp4)-derived eicosanoid, may mediate androgen-induced hypertension. Here, treatment of normotensive mice with 5a-dihydrotestosterone increased BP and induced both Cyp4a12 expression and 20-HETE levels in preglomerular microvessels. Administration of a 20-HETE antagonist prevented and reversed the effects of dihydrotestosterone on BP. Cyp4a14(2/2) mice, which exhibit androgen-sensitive hypertension in the male mice, produced increased levels of vascular 20-HETE; furthermore, administration of a 20-HETE antagonist normalized BP. To examine whether androgen-independent increases in 20-HETE are sufficient to cause hypertension, we studied Cyp4a12-transgenic mice, which express the CYP4A12-20-HETE synthase under the control of a doxycycline-sensitive promoter. Administration of doxycycline increased BP by 40%, and administration of a 20-HETE antagonist prevented this increase. Levels of CYP4A12 and 20-HETE in preglomerular microvessels of doxycycline-treated transgenic mice approximately doubled, correlating with increased 20-HETE-dependent sensitivity to phenylephrine-mediated vasoconstriction and with decreased acetylcholine-mediated vasodilation in the renal microvasculature. We observed a similar contribution of 20-HETE to myogenic tone in the mesenteric microvasculature. Taken together, these results suggest that 20-HETE both mediates androgeninduced hypertension and can cause hypertension independent of androgen. 24: 128824: -129624: , 201324: . doi: 10.1681 The v-hydroxylation of arachidonic acid (AA) to 20-hydroxy-5,8,11,14-eicosatetraenoic acid (20-HETE) is catalyzed by members of the cytochrome P450 4 (CYP4) gene family and regulated by factors such as age, sex hormones, and dietary lipids. 1,2 CYP4 expression and 20-HETE synthesis have been implicated in the regulation of vascular and tubular function and the development of hypertension in experimental models. [3][4][5] Studies demonstrating that 20-HETE is a vasoconstrictor [6][7][8] suggest that increased 20-HETE synthesis and/or effects in the renal vasculature underlies its prohypertensive property. [9][10][11][12] This notion has been substantiated by several reports showing the following: (1) the synthesis of and vascular reactivity to 20-HETE are significantly higher in spontaneously hypertensive rats (SHRs), 13,14 (2) inhibition of vascular 20-HETE synthesis by CYP4A2 antisense oligonucleotides decreases BP in SHRs, 15,16
J Am Soc Nephrol