The central renin-angiotensin system : A genetic pathway, functional decoding, and selective target engagement characterization in humans

Accumulating evidence suggests that the brain renin angiotensin system (RAS) plays a pivotal role in the regulation of cognition and behavior as well as in the neuropathology of neurological and mental disorders. The angiotensin II type 1 receptor (AT1R) mediates most functional and neuropathology-relevant actions associated with the central RAS. However, an overarching comprehension to guide translation and utilize the therapeutic potential of the central RAS in humans is currently lacking. We conducted a comprehensive characterization of the RAS using an innovative combination of transcriptomic gene expression mapping, image-based behavioral decoding, and pre-registered randomized controlled discovery-replication pharmacological resting-state functional magnetic resonance imaging (fMRI) trials (N = 132) with a selective AT1R antagonist. The AT1R exhibited a particular dense expression in a subcortical network encompassing the thalamus, striatum, and amygdalo-hippocampal formation. Behavioral decoding of the AT1R gene expression brain map showed an association with memory, stress, reward, and motivational processes. Transient pharmacological blockade of the AT1R further decreased neural activity in subcortical systems characterized by a high AT1R expression, while increasing functional connectivity in the cortico-basal ganglia-thalamo-cortical circuitry. Effects of AT1R blockade on the network level were specifically associated with the transcriptomic signatures of the dopaminergic, opioid, acetylcholine, and corticotropin-releasing hormone signaling systems. The robustness of the results was supported in an independent pharmacological fMRI trial. These findings present a biologically informed comprehensive characterization of the central AT1R pathways and their functional relevance on the neural and behavioral level in humans.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:121

Enthalten in:

Proceedings of the National Academy of Sciences of the United States of America - 121(2024), 8 vom: 20. Feb., Seite e2306936121

Sprache:

Englisch

Beteiligte Personen:

Xu, Ting [VerfasserIn]
Chen, Zhiyi [VerfasserIn]
Zhou, Xinqi [VerfasserIn]
Wang, Lan [VerfasserIn]
Zhou, Feng [VerfasserIn]
Yao, Dezhong [VerfasserIn]
Zhou, Bo [VerfasserIn]
Becker, Benjamin [VerfasserIn]

Links:

Volltext

Themen:

11128-99-7
Angiotensin
Angiotensin II
Angiotensin II Type 1 Receptor Blockers
Journal Article
MRI
Memory
Receptor, Angiotensin, Type 1
Reward
Transcriptomic

Anmerkungen:

Date Completed 15.02.2024

Date Revised 28.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1073/pnas.2306936121

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368400085