Antenatal Betamethasone Exposure is Associated with Lower CSF Ang-(1-7) and Increased CSF ACE in Adult Sheep
AJP Regulatory Integrative and Comparative Physiology
Published online on August 15, 2013
Abstract
Antenatal betamethasone (BM) therapy accelerates lung development in preterm infants but may induce early programming events with long-term cardiovascular consequences. To elucidate these events, we developed a model of programming whereby pregnant ewes are administered BM (2 doses of 0.17 mg/kg) or vehicle at the 80th day of gestation and offspring are delivered at term. The BM-exposed (BMX) offspring develop elevated blood pressure, decreased baroreflex sensitivity, and alterations in the circulating, renal, and brain renin-angiotensin systems (RAS) by 6-months of age. We compared components of the choroid plexus 4th ventricle (ChP4) and CSF RAS between control and BMX male offspring at 6-months of age. In the ChP, high molecular weight renin protein and Ang I-intact angiotensinogen were unchanged between BMX and control animals. ACE2 activity was 3-fold higher than either NEP or ACE in control and BMX animals. Moreover, all three enzymes were equally enriched ~2.5 fold in ChP4 brush border membrane preparations. CSF Ang-(1-7) levels were significantly lower in BMX animals (351.8 ± 76.8 vs. 77.5 ± 29.7 fmol/mg; p<0.05) and ACE activity was significantly higher (6.6 ± 0.5 vs. 8.9 ± 0.5 fmol/min/ml; P<0.05) while ACE2 and NEP activities were below measurable limits. A thiol-sensitive peptidase contributed to the majority of Ang-(1-7) metabolism in the CSF, with higher activity in the BMX animals. We conclude that in utero BM exposure alters CSF but not ChP RAS components resulting in lower Ang-(1-7) levels in exposed animals.