Exercise training attenuates hypertension progression via activation of central ACE2-Ang(1-7)-Mas axis in prehypertensive rats

AIM: To investigate the effects of exercise training on the progression from prehypertension to hypertension, blood pressure regulation and the angiotensin-converting enzyme 2 (ACE2)-angiotensin (Ang) (1-7)-MAS axis activation in cardiovascular centers, and to elucidate the central mechanisms of exercise training postponing hypertension progression. METHODS: The male spontaneously hypertensive rats (SHR; n=20, 5 weeks old) and normotensive Wistar Kyoto (WKY) rats (n=20) were randomly assigned to sedentary (Sed) group and exercise training (ExT) group. The trained rats run on a treadmill in moderate-intensity for 20 weeks. Systolic blood pressure (SBP) was measured by tail-cuff method. The baroreflex sensitivity (BRS) was assessed by intravenous injection of phenylephrine. The expression of ACE2 and MAS receptor at mRNA and protein levels in baroreflex centers were determined by real-time PCR and Western blot, respectively. Alterations of BRS were evaluated before and after intracerebroventricular injection of MAS receptor agonist Ang (1-7) and its antagonist A779, respectively. RESULTS: Compared with SHR+Sed group, exercise training since prehypertension significantly postponed the development of hypertension, delayed the hypertension progression, and decreased SBP in both SHR and WKY rats (P<0.05). Exercise training enhanced blood pressure regulation and improved the BRS in SHR (P<0.01). The expression of ACE2 and MAS receptor at mRNA and protein levels in the baroreflex centers (rostral ventrolateral medulla, nucleus tract solitarius and paraventricular nucleus) were up-regulated in SHR+ExT group (P<0.05). Central administration of A779 abolished the benefits of exercise-induced improvement of BRS in SHR+ExT group (P<0.01). In contrast, Ang(1-7) improved the BRS in both SHR+Sed group and SHR+ExT group (P<0.05). CONCLUSION: Exercise training postpones hypertension progression and improves blood pressure regulation, which may be associated with the activation of central ACE2-Ang(1-7)-Mas axis.