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Amlodipine limits microglia activation and cognitive dysfunction in aged hypertensive mice

Journal of Hypertension, vol. 41, pp. 1159–1167

Abstract

BACKGROUND: SBP and blood pressure variability are independent risk factors for cerebral small vessel disease, a leading cause for stroke and dementia. Calcium-channel blockers are known to reduce blood pressure variability and may thus offer benefit against dementia. Beyond this effect, the impact of calcium-channel blockers on hypertension-induced neuroinflammation, and especially, microglial phenotype remains unknown. We aimed to study the ability of amlopidine to alleviate microglia inflammation, and slow down cognitive dysfunction in aged hypertensive mice. METHODS: Hypertensive BPH/2J and normotensive BPN/3J mice were studied until 12 months of age. Hypertensive mice were untreated or received amlodipine (10 mg/kg per day). Blood pressure parameters were measured by telemetry and tail cuff plethysmography. Mice underwent repeated series of cognitive tasks. Brain immunohistochemistry was performed to study blood-brain barrier dysfunction and microglial pro-inflammatory phenotype (CD68 + Iba1 + cells; morphological analysis). RESULTS: Amlodipine normalized SBP over the entire life span and decreased blood pressure variability. BPH/2J mice exhibited impaired short-term memory that was prevented by amlodipine at 12 months (discrimination index 0.41 ± 0.25 in amlodipine-treated vs. 0.14 ± 0.15 in untreated BPH/2J mice, P = 0.02). Amlopidine treatment of BPH/2J did not prevent blood-brain barrier leakage, a measure of cerebral small vessel disease, but limited its size. Microglia's inflammatory phenotype in BPH/2J, characterized by an increased number of Iba1 + CD68 + cells, increased soma size and shortened processes, was partly reduced by amlodipine. CONCLUSION: Amlodipine attenuated the short-term memory impairment in aged hypertensive mice. Beyond its blood pressure lowering capacity, amlodipine may be cerebroprotective by modulating neuroinflammation.

Authors 11

  1. Maastricht University Medical Centre · Maastricht University

    Affiliation as printed

    CARIM, School for Cardiovascular Diseases

    Department of Neurology, Maastricht University Medical Center

    Department of Pathology

  2. Affiliation as printed

    CARIM, School for Cardiovascular Diseases

  3. Maastricht University

    Affiliation as printed

    Department of Psychiatry and Neuropsychology

    MH&NS, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands

  4. Maastricht University

    Affiliation as printed

    Department of Psychiatry and Neuropsychology

    MH&NS, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands

  5. Affiliation as printed

    CARIM, School for Cardiovascular Diseases

  6. Affiliation as printed

    CARIM, School for Cardiovascular Diseases

  7. Maastricht University

    Affiliation as printed

    Department of Psychiatry and Neuropsychology

    MH&NS, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands

  8. Maastricht University Medical Centre · Maastricht University

    Affiliation as printed

    CARIM, School for Cardiovascular Diseases

    Department of Neurology, Maastricht University Medical Center

  9. RWTH Aachen University

    Affiliation as printed

    CARIM, School for Cardiovascular Diseases

    Department of Pathology

    IMCAR, Institute for Molecular Cardiology Research, RWTH Aachen, Aachen, Germany

  10. Maastricht University Medical Centre · Maastricht University

    Affiliation as printed

    CARIM, School for Cardiovascular Diseases

    Department of Neurology, Maastricht University Medical Center

    MH&NS, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands

  11. Sébastien Foulquier corresponding

    Maastricht University

    Affiliation as printed

    CARIM, School for Cardiovascular Diseases

    Department of Pharmacology-Toxicology, Maastricht University, Maastricht, The Netherlands

    MH&NS, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands

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References 48