Abstract-Recent studies have identified the presence of macrophages in the arterial wall of hypertensive animals and suggested that as is the case in atherosclerosis, macrophage products may be important mediators of the adaptive response of the arterial wall. In support of this, we have previously shown that the expression of monocyte chemoattractant protein-1 is upregulated in the arteries of hypertensive animals. We hypothesized that macrophage recruitment is a critical step in the pathogenesis of hypertension. To obtain insights into this potential mechanism, we made use of mice deficient in the CC chemokine receptor 2 (CCR2), the receptor for monocyte chemoattractant protein-1. Hypertension was induced with the subcutaneous administration of angiotensin II (0.75 mg ⅐ kg Ϫ1 ⅐ d
Ϫ1) for 7 days. Using in situ hybridization with a probe for c-fms to identify macrophages, we found that hypertension-induced macrophage infiltration of the arterial wall was virtually eliminated in CCR2-deficient mice. In addition, vascular hypertrophy was reduced by Ϸ65% compared with wild-type animals. These data demonstrate that CCR2 is essential for the recruitment of macrophages into the arterial wall in the setting of hypertension. Furthermore, the decreased hypertrophic response suggests that vascular hypertrophy occurs in part as a consequence of macrophage infiltration. In angiotensin II-induced hypertension, CCR2-mediated responses are critical to the process of macrophage recruitment and vascular hypertrophy and may represent one mechanism by which at least some forms of hypertension may lead to the development of atherosclerosis. (Hypertension. 2000;36:360-363.) Key Words: proteins Ⅲ angiotensin II Ⅲ hypertrophy Ⅲ macrophages I t is becoming increasingly apparent that hypertension, like atherosclerosis, is associated with the presence of an inflammatory response in the arterial wall. 1,2 The initial phase of this inflammatory response is characterized by the accumulation of macrophages in the arterial wall. [3][4][5] The importance of this macrophage infiltration in the development of hypertensive vasculopathy remains unknown. Furthermore, the precise factors that control macrophage recruitment into the vascular wall have not been determined.We recently demonstrated that the expression of monocyte chemoattractant protein-1 (MCP-1) is upregulated at both the message and protein level in aortic tissues of hypertensive animals. 4 This response was seen in animals made hypertensive with the infusion of either angiotensin II or norepinephrine. MCP-1 is a potent macrophage chemoattractant that has been previously implicated in the development of atherosclerosis. 6 -9 We hypothesized that in at least some forms of hypertension, MCP-1 upregulation and subsequent macrophage infiltration may represent a key step in the development of vascular hypertrophy. Implicit in this hypothesis is the assumption that vascular hypertrophy is dependent to a significant degree on the production of growth factors by resident macrophages.To gain ...