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The Journal of Neuroscience, December 15, 2002, 22(24):10801-10810
Mice Lacking D5 Dopamine Receptors Have Increased
Sympathetic Tone and Are Hypertensive
Tom R.
Hollon1, *,
Martin
J.
Bek3, *,
Jean E.
Lachowicz4,
Marjorie A.
Ariano5,
Eva
Mezey2,
Ramesh
Ramachandran6,
Scott R.
Wersinger6,
Patricio
Soares-da-Silva7,
Zhi Fang
Liu1,
Alexander
Grinberg8,
John
Drago8,
W. Scott
Young III6,
Heiner
Westphal8,
Pedro A.
Jose3, and
David
R.
Sibley1
1 Molecular Neuropharmacology Section and
2 Basic Neurosciences Program, National Institute of
Neurological Disorders and Stroke, National Institutes of Health,
Bethesda, Maryland 20892-1406, 3 Department of Pediatrics,
Georgetown University Medical Center, Washington, DC 20007, 4 CNS/Cardiovascular Research, Schering-Plough
Research Institute, Kenilworth, New Jersey 07033, 5 Department of Neuroscience, The Chicago Medical School,
North Chicago, Illinois 60064, 6 Section on Neural Gene
Expression, National Institute of Mental Health, Bethesda, Maryland
20892, 7 Institute of Pharmacology and Therapeutics,
Faculty of Medicine of Porto, Porto, Portugal, and
8 Laboratory of Mammalian Genes and Development, National
Institute of Child Health and Human Development, National Institutes of
Health, Bethesda, Maryland 20892
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ABSTRACT |
Dopamine is an important transmitter in the CNS and PNS, critically
regulating numerous neuropsychiatric and physiological functions. These
actions of dopamine are mediated by five distinct receptor subtypes. Of
these receptors, probably the least understood in terms of
physiological functions is the D5 receptor subtype. To
better understand the role of the D5 dopamine receptor
(DAR) in normal physiology and behavior, we have now used
gene-targeting technology to create mice that lack this receptor
subtype. We find that the D5 receptor-deficient mice are
viable and fertile and appear to develop normally. No compensatory
alterations in other dopamine receptor subtypes were observed. We find,
however, that the mutant mice develop hypertension and exhibit
significantly elevated blood pressure (BP) by 3 months of age. This
hypertension appears to be caused by increased sympathetic tone,
primarily attributable to a CNS defect. Our data further suggest that
this defect involves an oxytocin-dependent sensitization of
V1 vasopressin and non-NMDA glutamatergic receptor-mediated
pathways, potentially within the medulla, leading to increased
sympathetic outflow. These results indicate that D5
dopamine receptors modulate neuronal pathways regulating blood pressure
responses and may provide new insights into mechanisms for some forms
of essential hypertension in humans, a disease that afflicts up to 25%
of the aged adult population in industrialized societies.
Key words:
D5 receptor; gene knock-out; hypertension; sympathetic tone; oxytocin; vasopressin
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INTRODUCTION |
Dopamine is an important
neurotransmitter in the brain as well as the periphery and plays a
critical role in regulating numerous locomotor, neuroendocrine,
cognitive, and emotional functions. Dysregulation of dopaminergic
systems has also been hypothesized to underlie several neuropsychiatric
and endocrine disorders, including Parkinson's disease, schizophrenia,
Tourette's syndrome, and hyperprolactinemia. The actions of dopamine
are mediated by five distinct receptor subtypes that belong to the
G-protein-coupled receptor super-family and are divided into two major
subgroups, D1-like and
D2-like, the basis of their structure and
pharmacology (Neve and Neve, 1997 ). The D1-like
subfamily consists of the D1 and
D5 subtypes (also called
D1A and D1B, respectively),
both of which transduce their signals by increasing intracellular cAMP levels. The D2-like subfamily consists of the
D2, D3, and
D4 receptors, all of which can diminish cAMP
production as well as regulate the activity of various ion channels.
Although the D1-like and D2-like subfamilies can be differentiated
pharmacologically, it is difficult to discriminate between receptors
within each subfamily using selective ligands. This has led to
uncertainties in ascribing specific physiological and behavioral
functions to individual receptor subtypes. Investigators have
approached this issue, in part, by creating genetically altered animals
that lack individual receptor subtypes. Thus far, mice lacking
D1, D2,
D3, or D4 receptors have
been produced, all of which have exhibited informative phenotypes (Sibley, 1999 ; Glickstein and Schmauss, 2001 ). This has resulted in the
elucidation of receptor functions that could not have been obtained
through other means such as the predominant presynaptic and
postsynaptic roles of the D2S and
D2L receptor isoforms, respectively (Usiello et
al., 2000 ).
The D5 dopamine receptor (DAR) has generated
significant interest because of its relatively high affinity for
dopamine, compared with other DARs, and its purported constitutive
activity (Sunahara et al., 1991 ; Tiberi and Caron, 1994 ). This has
suggested that the D5 DAR may be activated in the
absence or presence of low concentrations of endogenous agonist.
Although the D5 DAR is functionally coupled to
the activation of adenylate cyclase, recent studies suggest that the
D5 DAR may also modulate
GABAA receptor-mediated activity through both
second messenger cascades (Yan and Surmeier, 1997 ) as well as through
direct receptor-receptor interactions (Liu et al., 2000 ). Localization
of the D5 DAR in the brain has revealed a
widespread distribution, with the highest expression in the cerebral
cortex, hippocampus, and basal ganglia (Ariano et al., 1997 ; Ciliax et
al., 2000 ). Interestingly, recent reports have suggested a possible
association of the D5 DAR gene with schizophrenia
(Muir et al., 2001 ) or substance abuse (Vanyukov et al., 1998 ).
D5 DARs are also expressed in the hypothalamus, where they may regulate circadian rhythms (Rivkees and Lachowicz, 1997 )
and female sexual behaviors (Apostolakis et al., 1996a ,b ). Within the
periphery, D5 DARs have been found in adrenal
tissue (Dahmer and Senogles, 1996 ), kidney (Sanada et al., 2000 ), and also the gastrointestinal tract, where they may exert a protective effect on the intestinal mucosa (Mezey et al., 1996 ). To further elucidate the physiological roles of the D5 DAR,
we have now used gene-targeting technology to generate mice lacking
functional D5 DARs.
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MATERIALS AND METHODS |
Construction of targeting vector and gene targeting.
The targeting construct "pD5KO" contained a 9.6 kb genomic fragment
of the mouse D5 receptor gene isolated from a
129/Sv genomic library. This genomic sequence was subcloned as an
EcoRV-NheI fragment into the gene targeting
vector pPNT (Tybulewicz et al., 1991 ). Through a number of
intermediate subcloning steps, a neomycin resistance gene was ligated,
in reverse orientation, at the unique SfiI site of the
D5 receptor gene, thus disrupting the reading frame within the coding region. The length of D5
receptor genomic DNA flanking the neomycin gene in the targeting vector
was 6.9 kb (3') and 2.7 kb (5'). The targeting vector pD5KO was
subsequently electroporated into the J1 line (Li et al., 1992 ) of
embryonic stem (ES) cells, and simultaneous G418 positive selection and gancyclovir negative selection were used to enrich for ES cell colonies
with successful gene targeting. Southern hybridization analysis was
used to examine DNA from ES colonies for gene-targeting events.
Homologous recombination at the 5' end of the targeting construct was
detected by digesting ES cell genomic DNA with NcoI and
hybridizing the Southern blot with probe A (see Results). The normal
allele was 6 kb in length, and the recombinant allele was 3.4 kb. Probe
B (see Results) was hybridized to Southern blots of ES genomic DNA cut
with KpnI to detect homologous recombination at the 3' end.
The normal allele was 28 kb, and the length of the recombinant allele
was 18 kb. A hybridization probe, derived from the Neo gene, detected a
single 3.4 kb band on NcoI Southern blots for those ES
colonies in which gene targeting was successful; bands different in
length from 3.4 kb on these blots indicated random integration of one
of more copies of the targeting vector into the ES cell genome.
Mutant mouse generation and genotyping. C57BL/6 blastocysts
were injected with ES cells from five different recombinant ES colonies
and implanted into foster mothers. The 129/Sv-C57BL/6 chimeric
offspring produced by blastocyst injection were bred with C57BL/6 mice
to pass the recombinant D5 receptor allele from the germline of these chimeras to an F1 generation. Southern blots of
NcoI- or KpnI-digested genomic DNA from mouse
tail biopsies, hybridized with probes A or B, respectively, were used
to detect germline passage of the recombinant D5
receptor allele in the F1 generation mice. Homozygous mutant ( / )
and wild-type (+/+) mice were generated from heterozygous mouse
intermatings. In the later stages of this study, the mice were
genotyped using a PCR-based method involving amplification from mouse
genomic DNA isolated from tail biopsies. Oligonucleotide primers were
designed to flank the SfiI restriction site into which the
neomycin cassette was ligated. Primer 1 (5'-ACTCTCTTAATCGTCTGGACCTTG-3') and primer 2 (5'-TCGCAGGCTGGGGTCAGGTTCGCA-3') were used to amplify the wild-type allele, whereas primer 3 (5'-TGATCAACTAGTGCCCGGGCGGTA-3'), which was unique to the neomycin cassette, was used with primer 1 to amplify
the recombinant allele. The PCR reaction used 0.2 µg of genomic tail
DNA in a 50 µl reaction (50 mM KCl, 10 mM Tris-HCl, 1.5 mM
MgCl2, 0.2 mM dNTP, 0.5 µM of each forward and reverse primer with 2.5 U TaqDNA polymerase). The initial cycle of amplification was
as follows: denaturation at 94°C for 1 min, primer annealing at
55°C for 2 min, and extension at 72°C for 2 min. The reaction then
was carried through 30 cycles consisting of 94°C for 45 sec, 55°C
for 1 min, and 72°C for 1 min. The extension time at 72°C for the
final cycle was 10 min.
Immunohistochemistry and in situ hybridization.
The immunohistochemical analysis of the D5
receptor protein was performed as described previously (Ariano et al.,
1997 ). Adult male wild-type and homozygous mutant mice were
killed, the brains were removed, and 10-µM-thick
fresh-frozen brain sections were generated. Tissue sections from
mutants and wild-type brains were processed simultaneously. In
situ hybridization histochemistry was performed as described (Malik et al., 1996 ).
Receptor autoradiography. Brains from wild-type and
D5 mutant mice (n = 4 each) were
removed after decapitation, frozen on dry ice, and stored at 80°C.
Brain sections in the coronal plane were cut at 12 µm thickness and
thaw-mounted on Superfrost plus slides (Fisher Scientific, Pittsburgh,
PA). One set of slides from each animal that represented forebrain and
midbrain regions was used for labeling the oxytocin receptor (OTR),
whereas another set was used for labeling the vasopressin-1a receptor
(VP). OTR autoradiography was performed using
125I-labeled ornithine vasotocin analog
[D(CH2)5-[Tyr(Me)2,
Thr4,
Tyr-NH29],
125I-OTA; specific activity, 2200 Ci/mmol;
NEN Life Sciences Products, Boston, MA; NEX 254] as described
previously (Insel and Shapiro, 1992 ). VP autoradiography was performed
using 125I-labeled linear VP ligand
[HO-phenylacetyl1-D-Tyr(Me)2-Phe3-Gln4-Asn5-Arg6-Pro7-Arg8-NH2;
specific activity, 2200 Ci/mmol; NEN Life Sciences Products; NEX 310]
as described previously (Young et al., 2000 ).
Receptor binding assays. Homogenate radioligand binding
assays using striatal or kidney membrane preparations were performed as
described previously for D1-like receptors (Jiang
and Sibley, 1999 ) and D2-like receptors (Schetz
et al., 2000 ). [3H]-SCH-23390
(DuPont/NEN; 71.3 Ci/mmol) was used to label
D1-like receptors, whereas
[3H]-methylspiperone (DuPont/NEN; 84 Ci/mmol) was used to label D2-like receptors.
Adult male or female wild-type and homozygous mutant mice were killed,
the brains were removed, and the corpus striatum was rapidly dissected
and immediately frozen before subsequent membrane preparations and
radioligand binding assays. Membrane protein concentrations were
determined with the bicinchoninic acid protein reagent (Pierce,
Rockford, IL) and a BSA standard curve.
Blood pressure studies. The mice were anesthetized with
pentobarbital (50 mg/kg, i.p.), placed on heated board to maintain body
temperature at 37°C, and tracheotomized (PE 90). Catheters were inserted into the femoral vessels and right jugular vein (PE
50 heat-stretched to 180 µm tip) for fluid administration, blood drawing, and blood pressure (BP) monitoring. After a 60 min
stabilization period after the surgical procedures, the following agents were infused intravenously in random order:
[1-( -mercapto- , -cyclopentamethylene propionic acid),
2-(O-methyl)tyrosine]-Arg8-vasopressin
(Peninsula Laboratories, San Carlos, CA) at 10 µg/kg over 30 sec;
BQ610 (Peninsula Laboratories) at 100 µg · kg 1 · min 1
for 10 min; BQ788 (Peninsula Laboratories) at 6.6 µg · kg 1 · min 1
for 15 min; phentolamine (RBI, Natick, MA) at 5 ng · kg 1 · min 1
for 30 min; losartan (Merck, Philadelphia, PA) at 3 mg/kg over 30 sec;
GYKI 52466 (RBI) at 8 mg/kg over 30 sec; and CNQX (RBI) given at 1 mg/kg over 30 sec. The effects of these drugs, if any, on blood
pressure and heart rate were monitored for 20-45 min. The blood
pressure was allowed to stabilize at pre-infusion values for 30-60 min
before the administration of subsequent drugs. In preliminary studies,
the nonglutamatergic antagonists were shown to completely block the
vasopressor effects of their respective agonists: arginine-vasopressin,
phenylephrine, endothelin-1, and angiotensin II given over 30 sec at
volumes of 40 µl (data not shown). In some mice, an oxytocin
antagonist,
D(CH2)5[Tyr(Me)2,
Thr4, Thy-NH2]OVT
(Bachem AG, Torrance, CA) was administered intraperitoneally (0.3 µg/kg) 12 and 24 hr before blood pressure determination. The blood
pressures were determined before oxytocin antagonist administration
under a short-acting anesthetic agent, 2,2,2-tribromoethanol. The blood
pressure effects of the V1 vasopressin receptor
antagonist and GYKI 52466 were subsequently tested under pentobarbital
anesthesia as described above.
In some 2,2,2-tribromoethanol-anesthetized mice, blood pressures were
measured during the placement of a femoral artery catheter, coated with
5% heparin complex, that was threaded upward and out of a 5 mm
incision at the nape of the neck. Analgesia (buprenorphine) was given
during the recovery period and continued on the first day after
surgery. One-third ml of a sterile solution (1/2 mg plasmin and
1000 U heparin/ml of sterile saline) was used to flush the catheter
immediately and every 2 d thereafter. Blood pressures were
subsequently measured in freely moving, unanesthetized mice, 1-3 d
after catheter placement.
Determination of catecholamine levels. The adrenal glands
were homogenized with 0.1 M
HClO4 and centrifuged at 6000 × g for 20 min at 4°C, and catecholamine concentrations were
determined by HPLC and electrochemical detection (Caramona and
Soares-da-Silva, 1985 ).
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RESULTS |
Generation of D5 DAR-deficient mice
A PCR-generated cDNA encoding the rat D5 DAR
was used to screen a 129/Sv mouse genomic library to isolate the mouse
D5 DAR gene. Several clones were isolated and
characterized through partial sequencing and restriction mapping to
confirm that they encoded the D5 DAR gene. A
restriction map of the mouse D5 DAR gene is shown
at the top of Figure
1A. To inactivate the
D5 DAR gene, a neomycin resistance gene was
ligated, in reverse orientation, into a unique SfiI site of
the D5 receptor gene, thereby disrupting the
reading frame within the coding region (Fig. 1A). A
stop codon was engineered into the proximal neomycin gene linker such
that the recombinant D5 receptor would be
prematurely truncated subsequent to Gly-190 in the second extracellular
loop of the receptor. A total of 216 transfected ES cell lines were
screened by Southern blotting (Fig. 1B), resulting in
the identification of six cell lines exhibiting homologous
recombination. ES cells amplified from five of these lines were used to
generate chimeric male mice that were subsequently bred with C57/BL6
females. Only one line (Fig. 1B, 112)
produced chimeras capable of transmitting the mutant allele to their
offspring. Southern analysis of tail DNA from the progeny of
heterozygous matings revealed the predicted restriction patterns for
wild-type (+/+), heterozygote (+/ ), and mutant ( / ) genotypes
(Fig. 1C).

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Figure 1.
Generation of D5 receptor-deficient
mice. A, The D5 receptor gene, targeting
construct, and mutant loci of the D5 gene. The open
box represents the coding region of the D5 gene,
the solid box depicts the neomycin phosphotransferase
gene, and the stippled box represents the herpes simplex
thymidine kinase gene. Probes used in Southern hybridization analysis
and predicted lengths of restriction fragments are also shown.
A, AscI; E, EcoRV;
K, KpnI; N,
NcoI; Nh, NheI;
S, SfiI,
S/E, ligation junction of SrfI and
EcoRV sites. B, Genomic analysis of
targeted ES cell DNA. Recombination was detected at the 5' end by
digesting ES cell DNA with NcoI and hybridizing the
Southern blot with probe A. J1 represents the wild-type
ES cell DNA, and 112 represents a targeted ES cell line
exhibiting homologous recombination. C, Representative
pedigree obtained from genotyping a litter of mice derived from
crossing heterozygote parents. The genomic DNA was obtained from tail
biopsies and digested with NcoI. The blot was
subsequently hybridized with Probe A as described in
B.
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The D5 DAR null mutant mice develop normally with
no notable differences from wild-type littermates with respect to
appearance, body weight, or home cage behaviors. The mutant allele
appears to be inherited in a Mendelian manner, and the null mutants
were fertile and capable of reproduction. Histological examinations revealed no abnormalities in major organ systems, and no obvious neurological or behavioral anomalies were noted. A more detailed behavioral characterization of these animals is presented elsewhere (Holmes et al., 2001 ).
Confirmation of D5 DAR gene disruption
To confirm the disruption of the D5 DAR
gene, we took two different approaches. Because the
D1 and D5 DARs are
pharmacologically similar, there are no radioligands that selectively
label the D5 subtype, and because as the
D1 DAR is more prevalent than the D5, binding assays with
D1-like ligands will predominantly label the
D1 DAR with little signal contributed by the
D5 subtype. Thus, we initially verified that the
recombinant transcript was expressed by the mutant animals by
performing RT-PCR analysis using RNA extracted from mouse brains.
Figure 2A shows our
strategy for the identification and detection of the wild-type and
mutant transcripts by PCR. We designed three primers: 1 and 2 are
unique to the coding sequence of the D5 receptor
and flank the SfiI site into which the neomycin resistance
gene was inserted, whereas primer 3 is unique to the inserted
neo gene sequence. Amplification with primers 1 and 2 should
only result in a 702 bp fragment from the wild-type allele, whereas
amplification with primers 1 and 3 should only result in a 468 bp
fragment from the mutant allele. Although theoretically primers 1 and 2 could also give rise to a very large fragment from the mutant
allele, the PCR conditions were not optimized for this to occur. Figure
2B shows an RT-PCR experiment using RNA extracted
from the brains of homozygous wild-type (+/+), heterozygous (+/ ), and
homozygous mutant ( / ) mice that had been genotyped via Southern
blotting as shown in Figure 1C. As can be seen, all of the
genotypes gave the predicted pattern of PCR fragments. Similar RT-PCR
data were generated using RNA extracted from kidneys of wild-type and
mutant genotypes (data not shown). These results indicate that the
mutant mice are expressing the recombinant transcript as expected.

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Figure 2.
Documentation that the D5 mutant
allele is expressed in vivo. A, RT-PCR
strategy for detection of the wild-type and mutant D5
receptor alleles in mouse tissues. Top, The coding
region of the wild-type allele is shown with the unique
SfiI restriction site. Primers 1 and
2 are derived from the coding region sequence. The
predicted wild-type fragment is 702 bp in length.
Bottom, The recombinant gene is shown with the neomycin
resistance gene insert. Primer 3 is derived from the
neomycin resistance gene. The predicted mutant fragment is 468 bp in
length. B, RT-PCR analysis of RNA isolated from brain
tissue. Wild-type (+/+), heterozygous ( /+), and mutant ( / )
animals, identified by genotyping, were killed, brains were removed,
and total RNA was isolated using the RNEasy Mini Kit (Qiagen, Hilden,
Germany) and used for first-strand cDNA synthesis (Superscript II,
Invitrogen, Gaithersburg, MD). An aliquot of this cDNA was subjected to
amplification by PCR using the genotyping procedure described in
Materials and Methods. The primers used in each amplification reaction
are indicated at the top of each lane;
the size of the fragments is indicated on the
left.
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Disruption of the D5 DAR gene was further
confirmed by directly examining the expression of the
D5 receptor protein using immunohistochemistry.
We have previously described selective antisera for labeling the
D5 receptor protein in rat brain (Ariano et al., 1997 ). Two antisera were generated using peptides derived from the
third extracellular and third intracellular loops of the
D5 DAR. Both of these epitopes are
"downstream" of the truncation site in the recombinant
D5 DAR and should not be expressed in the mutant
animals. Figure 3 shows
immunofluorescence in fresh-frozen sections of frontal cortices from
wild-type and mutant mouse brains. Both anti-D5
DAR antisera detected neurons in the frontal cortices of wild-type
animals (Fig. 3A,D), analogous to
results in rat brain tissue (Ariano et al., 1997 ). In contrast, no
staining was observed in brains from the D5
mutant animals (Fig. 3B,E), and the
fluorescence was at background levels (C,
F). Taken together, the data in Figures 2 and 3
confirm that the D5 DAR gene was disrupted in the
mutant animals.

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Figure 3.
Immunohistochemical detection of D5
receptor protein in wild-type and mutant mouse brains. Fresh-frozen
mouse brains were mounted in the coronal plane and sectioned at 10 µm. Sections derived from frontal cortex were subsequently processed
as described in Materials and Methods.
A-C show results with antisera P14,
which is directed to an extracellular epitope in the third external
loop of the receptor. D-F show results
with antisera C14, which is directed to an intracellular epitope in the
third cytoplasmic loop of the receptor. C and
F show wild-type tissue processed in the absence of
primary antisera. Scale bar, 25 µm.
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D1- and D2-like receptor binding is normal
in the D5 mutant mice
As part of our initial characterization of the
D5 mutant mice, we wished to assess whether there
were any alterations in the expression of other dopamine receptor
subtypes, perhaps arising as a consequence of developmental
compensation. We thus performed radioligand binding assays using
striatal membrane homogenates because the striatum is one of the
regions of highest expression for the D1 and
D2 receptor subtypes and also contains
D3 and D4 receptors
(Ariano, 1996 ). Figure
4A shows a saturation
radioligand binding experiment using the D1-like
selective antagonist [3H]SCH-23390 in
membranes prepared from wild-type and mutant mice. As can be seen,
there were no differences between the genotypes. Similar results were
obtained via D1 receptor radioligand binding assays in kidney membranes derived from both genotypes (data not shown). Because only the D1 receptor is being
labeled in the D5 mutant mice, these results
indicated that there were no compensatory alterations in this receptor
subtype and further illustrated the predominance of the
D1 DAR. In other studies, we also used
D1-selective antisera and immunohistochemical
techniques to verify that the cellular staining of the
D1 receptor was unaltered in various brain
regions of the D5 DAR-deficient mice (data not
shown).

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Figure 4.
D1- and D2-like receptor
binding assays in striatal membrane homogenates of D5
mutant mice. Striatal membranes were prepared from wild-type
(WT) and mutant (KO) mice, and
radioligand binding assays were performed as described in Materials and
Methods with the indicated concentrations of ligands. Only specific
binding is shown. The data represent the mean ± SEM values from
three separate experiments using individual mice. A,
Saturation binding analyses in striatal membranes using the
D1-like selective antagonist [3H]SCH
23390. Computer analysis of the radioligand binding data resulted in
the following parameters: wild-type, KD = 0.34 ± 0.01 nM,
Bmax = 1.01 ± 0.18 pmol/mg
protein; mutant, KD = 0.38 ± 0.03 nM, Bmax = 1.17 ± 0.28 pmol/mg protein. Using Student's t test, there was
no significant difference between the Bmax
values (p = 0.51). B,
Saturation binding analyses in striatal membranes using the
D2-like selective antagonist
[3H]methylspiperone. Computer analysis of the
radioligand binding data resulted in the following parameters:
wild-type, KD = 0.30 ± 0.04 nM, Bmax = 430 ± 81 fmol/mg protein; mutant, KD = 0.28 ± 0.02 nM, Bmax = 460 ± 60 fmol/mg protein. Using Student's t test, there
was no significant difference between the
Bmax values (p = 0.67).
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Figure 4B shows a saturation radioligand binding
assay using the D2-like selective antagonist
[3H]methylspiperone. This ligand will
label the D2, D3, and
D4 receptors with approximately equal affinity.
Within the striatum, however, ~90-95% of the
D2-like receptors are composed of the
D2 subtype, with the rest consisting of the lower
abundant D3 and D4
receptors. As can be seen, there are no significant differences in
[3H]methylspiperone binding between the
two mouse genotypes. Although the D3 and
D4 receptors remain to be analyzed in greater
detail, these results suggested that there were no alterations in
D2 receptor expression in the
D5 mutant animals.
The D5 receptor mutant mice are hypertensive and have
increased sympathetic tone
Several physiological parameters were examined in adult
D5 mutant mice ( / ), and comparisons were made
with wild-type littermates (+/+) as well as with the parental
C57BL/6 and 129/Sv mouse strains (Table
1). Although there were no differences in
body or kidney weights between the D5 +/+ and
D5 / genotypes, the D5
mutant mice exhibited significantly elevated heart weights as well as elevated systolic, diastolic, and mean blood pressures. Blood pressures
were also significantly elevated in the mutant animals even in the
absence of anesthesia: wild-type (n = 4) systolic BP = 119 ± 4, mean BP = 103 ± 3, diastolic
BP = 93 ± 4; mutant (n = 5) systolic BP = 154 ± 6, mean BP = 127 ± 8, diastolic BP = 115 ± 8; p < 0.05 for all wild-type versus
mutant values; Student's t test. No gender differences were
noted.
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Table 1.
Physiological measurements in adult D5 mutant
( / ), wild-type littermates (+/+), and parental strains of mice
(3-9 months old)
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Because the 129 parental strain also showed significantly higher heart
weights (Table 1), the elevated heart weights in the D5 / mice could be attributable to
129-linked genes. Alternatively, the increased heart size in the
mutants may represent a compensatory response to the elevation in blood
pressure. To address this issue, we evaluated the cardiovascular
parameters in young mice not older than 2 months of age. Table
2 shows these results. No differences were observed in the genotypes for the parameters obtained using the
young mice. The blood pressures were slightly but not significantly elevated at this age, and there were no differences in the heart weights. These results indicate that the hypertension exhibited by the
D5 / mice was age dependent and suggest that
the cardiac hypertrophy observed in the adult mutants was a result of
the elevated blood pressure.
Because D5 receptors inhibit catecholamine
release from adrenal chromaffin cells (Dahmer and Senogles, 1996 ), we
tested whether elevated adrenal catecholamines might contribute to the
increased blood pressure in the null mutants. Adrenal norepinephrine
and epinephrine levels are presented in Table
3. No significant differences in the
absolute levels of norepinephrine or epinephrine were found between
genotypes, but there was a significant elevation in the epinephrine/norepinephrine ratio in the mutant animals. Furthermore, acute adrenalectomy resulted in a greater reduction in mean arterial pressure in the D5 mutant animals (110 ± 8 to 62 ± 6 mmHg; n = 7) compared with wild-type
mice (88 ± 0.4 to 56 ± 5 mmHg; n = 6).
Given these results, we wondered whether sympathetic blockade would
normalize the blood pressure in the mutant mice relative to wild-type
animals. Infusion of the -adrenergic antagonist phentolamine
resulted in a greater and more rapid reduction of blood pressure in the
mutant mice compared with wild-type animals (Fig.
5A). Taken together, these
experiments suggested that activation of the sympathetic nervous system
occurred after disruption of the D5 receptor
gene.

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Figure 5.
Mean arterial blood pressure responses in mice
resulting from infusion of various pharmacological agents. Infusions
were performed as described in Materials and Methods. The data
represent the means ± SEM. In some cases, the error bars are
smaller than the data points. A, The -adrenergic
antagonist phentolamine was infused into wild-type
(n = 7) and mutant (n = 14).
B, The peripherally restricted
(CNQX) and centrally acting (GYKI
52466) glutamatergic antagonists were infused into wild-type and
mutant mice: CNQX: wild-type (n = 6), mutant
(n = 6); GYKI 52466: wild-type
(n = 9), mutant (n = 9).
C, The V1 vasopressin antagonist,
[1-( -mercapto- , -cyclopentamethylene propionic acid),
2-(O-methyl)tyrosine]-Arg8-vasopressin
was infused into wild-type (n = 8) and mutant
(n = 14) mice. D, The angiotensin II
AT1 receptor antagonist, losartan, and the endothelin A and
B receptor antagonists, BQ610 and BQ788, respectively, were infused
into wild-type and mutant mice (n = 6-14 per
group).
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Because of the low-level expression of D5
receptors in the adrenal medulla, we thought that the increased
sympathetic tone in the D5-deficient mice might
be explained more readily by a defect within the CNS. Because central
sympathetic nerve responses originating in the pons and medulla are
regulated by non-NMDA glutamatergic pathways (Butcher and Cechetto,
1998 ), we evaluated the effect of glutamatergic blockade on the blood
pressure responses. Figure 5B shows the results of infusing
the AMPA/kainate glutamatergic receptor antagonists CNQX and GYKI 52466 (Yoshiyama et al., 1995 ) into wild-type and mutant mice. CNQX does not
cross the blood-brain barrier and had no effect on the mean arterial
blood pressure in either wild-type or mutant mice. In contrast, GYK1
52466, which does cross the blood-brain barrier, reduced blood
pressure in the mutant mice but had no effect on the wild-type animals.
These results suggested that central non-NMDA glutamatergic pathways were abnormally activated in the null mutants, resulting in an elevation in blood pressure.
To further explore the central mechanisms underlying the hypertension
in the D5 DAR mutant mice, we investigated the
role of the neuropeptide vasopressin. Arginine vasopressin (AVP) and V1 vasopressin receptors regulate cardiovascular
function and blood pressure and may be involved in human essential
hypertension (Bakris et al., 1997 ). AVP also increases arterial blood
pressure via activation of V1 receptors in the
area postrema, which projects to the nucleus tractus solitarius in the
dorsomedial medulla (Migita et al., 1998 ). Interestingly, both NMDA and
non-NMDA glutamate receptors are known to regulate the synaptic pathway
between the area postrema and nucleus tractus solitarius (Aylwin et
al., 1998 ; Migita et al., 1998 ). Figure 5C shows that
infusion of the centrally acting V1 receptor
antagonist, [1-( -mercapto- , -cyclopentamethylene propionic
acid),
2-(O-methyl)tyrosine]-Arg8-vasopressin
(Bealer and Abell, 1995 ) reduced the mean arterial pressure in the
mutant mice to normal levels yet did not significantly affect blood
pressure in the wild-type animals. These results suggested that
increased central V1 receptor activity
contributed to the elevated blood pressure in the
D5 mutant mice. Importantly, co-administration of
the V1 receptor antagonist and the glutamate antagonist GYKI 52466 to the mutant mice did not result in an additive
reduction of blood pressure (data not shown), suggesting a common
mechanism or pathway of action.
Because endothelins and angiotensin II are pressor agents that have
been implicated in the pathogenesis of hypertension, we examined the
cardiovascular effects of antagonizing these receptor systems (Fig.
5D). The endothelin A and B receptor antagonists, BQ610
(Beyer et al., 1999 ) and BQ788 (Allcock et al., 1995 ), respectively, did not affect the mean arterial blood pressure in either genotype. In
contrast, the angiotensin II AT1 receptor
antagonist losartan (Asico et al., 1998 ) reduced the mean arterial
pressure to the same extent in both genotypes. These results indicated
that deletion of the D5 receptor did not alter
these peptide/receptor systems and demonstrated that the mutant mice
were not selectively sensitive to depressor agents in general.
Because pretreatment of rats with the peptide oxytocin sensitizes the
V1 receptor-mediated pressor response to
vasopressin (Poulin et al., 1994 ), we evaluated the role of oxytocin
pathways in the elevated blood pressure in the mutant mice. Figure
6 shows the results from an
experiment in which a centrally acting oxytocin receptor antagonist,
D(CH2)5[Tyr(Me)2,
Thr4, Thy-NH2]OVT
(Boccia et al., 1998 ), was administered 12 and 24 hr before the blood
pressure measurements. Interestingly, pretreatment with the oxytocin
antagonist alone was sufficient to reduce the systolic blood pressure
to normal levels in the mutant mice, whereas there was no effect on the
wild-type animals. Moreover, pretreatment with the oxytocin receptor
antagonist negated any further effect on blood pressure by subsequent
infusion of the glutamatergic antagonist GYKI 52466 or the
V1 receptor antagonist. These results suggested
that oxytocin elevated blood pressure in the D5
DAR-deficient mice by increasing the activity of central glutamatergic
and vasopressin pathways potentially involved in regulating sympathetic
outflow.

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Figure 6.
Blood pressure responses in mice pretreated with a
centrally acting oxytocin receptor antagonist. The blood pressures were
initially determined (BASAL) followed by two injections
of the oxytocin receptor antagonist
D(CH2)5[Tyr(Me)2,
Thr4, Thy-NH2]OVT, as described in
Materials and Methods. Systolic blood pressures were then evaluated
alone (OTR) or subsequent to the infusion of GYKI 52466 (OTR + GYKI) or [1-( -mercapto- ,
-cyclopentamethylene propionic acid),
2-(O-methyl)tyrosine]-Arg8-vasopressin
(OTR + V1) as described in Figure 5,
B and C. The data represent the mean ± SEM values from five to nine animals per group. In some cases, the
error bars are smaller than the data points. *p < 0.05 versus other groups; ANOVA; Newman-Keuls test. Similar results
were observed for diastolic blood pressures (data not shown).
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Because dopamine, acting partially via D1-like
DARs, stimulates the synthesis of vasopressin and oxytocin in the brain
and pituitary (Cornish and van den Buuse, 1995 ; Mathiasen et al., 1996 ;
Galfi et al., 2001 ), we examined their corresponding mRNA levels in the
D5 DAR-deficient mice. In situ
hybridization histochemical analysis of vasopressin and oxytocin mRNA
in the hypothalami of wild-type and mutant mice showed abundant
expression of both mRNAs in the paraventricular and supraoptic nuclei
(Fig. 7). Surprisingly, there was a
significant decrease in the expression of vasopressin mRNA in
D5 DAR-deficient mice but no alteration in the
mRNA levels for oxytocin. We also observed decreased plasma levels of
AVP in the mutant mice, although this did not achieve statistical significance (wild type: 0.070 ± 0.023 ng/ml, n = 12; mutant: 0.027 ± 0.007 ng/ml, n = 12;
p = 0.15).

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Figure 7.
In situ hybridization histochemical
(ISHH) analyses of vasopressin and oxytocin mRNA in the hypothalami of
wild-type (n = 8) and mutant mice
(n = 9). ISHH was performed as described in
Materials and Methods, with representative images shown at the
bottom of the figure. Phosphorimage analysis was
performed by choosing a level that went through the middle of the
paraventricular and supraoptic nuclei in each brain. The
y-axis represents arbitrary optical density (OD) values
assigned by the Image Gauge program of the Fuji phosphor imager. The
vasopressin mRNA levels were significantly decreased in the mutant
brains: OD mean ± SEM values: wild-type, 9.0 ± 0.73;
mutant, 5.1 ± 0.73; p < 0.05; Student's
t test.
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Given the results in Figure 7, we thought it would be of interest to
examine the expression of oxytocin and vasopressin
V1 receptors in the D5
mutant brains. Receptor autoradiography was performed throughout
multiple serial brain sections using radioiodinated ligands for both
V1 vasopressin and oxytocin receptors. Figure 8 shows representative coronal sections
through the hypothalami of wild-type and mutant mice. No consistent
differences were noted between the genotypes at any level examined.
Deletion of the D5 receptor therefore did not
appear to affect the expression levels of these receptors.

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Figure 8.
Receptor autoradiography of V1
vasopressin and oxytocin receptors in brain sections of wild-type
(n = 3) and mutant mice (n = 3). Representative autoradiograms of sections from wild-type
(A, C) and mutant (B,
D) mice through the hypothalamus show binding of the
oxytocin (A, B) and vasopressin
(C, D) receptor ligands. No consistent
differences were noted between the wild-type and knock-out mice at any
level examined. IV, Cortical layer 4; En,
endopiriform nucleus; HF, hippocampal formation;
LH, lateral hypothalamus; PL,
posterolateral cortical amygdaloid nucleus; PV, thalamic
paraventricular nucleus; VM, ventromedial hypothalamic
nucleus. Three sets of wild-type and D5 mutant brains were
examined with similar results.
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|
 |
DISCUSSION |
Since its initial discovery and characterization, the exact
physiological and behavioral roles of the D5
receptor have been difficult to clarify with certainty. This has been
attributable, in large part, to the fact that the
D1 and D5 DARs are
pharmacologically indistinguishable. There are few, if any, ligands
that exhibit >10-fold selectivity for either subtype (Neve and Neve,
1997 ). Interestingly, dopamine is one of the most selective agents
demonstrating ~10-fold higher affinity at the
D5 DAR compared with the
D1. This lack of selective ligands has made it
virtually impossible to selectively activate or block
D1 or D5 receptors in
vivo. Genetic approaches to this problem have been used by
investigators using antisense technologies to downregulate
D1 or D5 DAR expression as
well as the creation of D1 DAR-deficient mice
(Sibley, 1999 ; Glickstein and Schmauss, 2001 ). These studies have
demonstrated a predominant role of the D1
receptor in regulating various locomotor, cognitive, and other
behaviors. Reports of antisense "knock-down" of
D5 receptor expression have been sparse but have
suggested a role for the D5 DAR in regulating
female sexual behaviors (Apostolakis et al., 1996a ,b ) and locomotor
responses to dopaminergic agonists (Dziewczapolski et al., 1998 ).
In the present study, we have used gene targeting technology to
generate mice completely lacking functional D5
DARs. Documenting the inactivation of the D5 DAR
gene presented a challenge because there are no radioligands that can
be used to selectively label the D5 subtype
without simultaneously labeling the D1 DAR, and because as the D1 receptor is more abundant
relative to the D5, radioligand binding assays
with D1-like ligands will predominantly label the
D1 DAR with very little signal being contributed
by the D5 subtype. This has been well
demonstrated in the recent publication of Montague et al. (2001) , who
performed radioligand binding assays in mice lacking the
D1 receptor subtype. Using [3H]SCH-23390, which labels both
D1 and D5 receptors, almost
all D1-like binding was found to be ablated in
the brains of these animals. There were, however, demonstrable levels
of [3H]SCH-23390 binding in the
hippocampi of the D1 knock-out mice. This was
presumed to represent binding to the D5 receptor
because the hippocampus is a brain region of (relatively) high
expression for this subtype. Although the use of radioiodinated ligands
could probably detect more D5 receptor binding
sites in the D1 DAR-deficient mice, it is clear
that the D1 receptor is more abundant than the D5, and approaches other than radioligand binding
are needed to demonstrate the absence of a functional
D5 receptor. We thus used two complementary
approaches. First, we used RT-PCR analyses to show that the
D5 mutant mice were expressing the recombinant
transcript as expected. Second, we used selective antisera to the
D5 DAR and showed that the
D5-deficient mice lacked specific
immunohistochemical staining that was observed in wild-type mice. Taken
together, these results indicate that the D5 DAR
gene was inactivated as planned.
The D5 DAR-deficient mice were viable, appeared
to develop normally, and were fertile and capable of reproduction. This
latter observation was especially interesting given the antisense
studies (Apostolakis et al., 1996a ,b ) that described suppression of
lordosis behavior in receptive females after D5
DAR knock-down in the ventromedial nucleus of the hypothalamus. Despite
their ability to reproduce, it will be interesting to determine whether
the sexual behaviors of these animals are abnormal in any way. In
general, the home cage behaviors of the D5
DAR-deficient mice appeared normal. Casual observation could not
distinguish between mutant and wild-type animals. As is reported
elsewhere, however, the D5 mutant mice did show
some altered behavioral responses to dopaminergic agonist stimulation
(Holmes et al., 2001 ). Additional experimentation using the
D5 DAR-deficient mice is currently underway to
elucidate additional behavioral roles of this receptor subtype.
Because functional deletion of the D5 DAR might
result in compensatory upregulation of other dopamine receptor
subtypes, especially the D1 DAR, we examined the
expression of D1-like and
D2-like receptors in the striatum, a brain region
that expresses all DAR subtypes (Ariano, 1996 ). Using radioligands,
which label either D1-like or
D2-like receptors, we found no differences in the
receptor binding activities when comparing mutant and wild-type
animals. Similarly, no alterations in D1 receptor
expression were noted using immunohistochemical methods. These results
indicate that there are no compensatory alterations in the expression
of the D1 DAR and suggest that the
D2-like receptors (D2,
D3, and D4) are similarly unaffected.
As part of our initial characterization of the D5
mutant animals, we discovered that they were hypertensive, exhibiting
significantly elevated blood pressures. The elevation in the
epinephrine/norepinephrine ratio and the greater reduction in mean
arterial pressure after adrenalectomy, or with -adrenergic blockade,
in the mutant mice compared with wild-types, suggested that the
hypertension was caused by increased sympathetic activity. However,
because the percentage decrease in systolic blood pressure after
adrenalectomy was similar in both mutant and wild-type mice, we sought
to determine whether there were CNS mechanisms that may have
contributed to the increase in blood pressure in the
D5 mutant mice.
Dopamine receptors, including the D5 DAR, are
present in the prefrontal cortex (Ariano et al., 1997 ; Ciliax et al.,
2000 ), which projects to several brain areas involved with
cardiovascular regulation (Verbene and Owens, 1998 ). Sympathetic
responses from the prefrontal cortex are mediated within the lateral
hypothalamic area (LHA) and ventrolateral medulla (VLM). Moreover,
sympathetic responses originating in the prefrontal cortex and LHA are
mediated by non-NMDA glutamate receptors in the VLM (Butcher and
Cechetto, 1998 ). Indeed, CNS stimulation of non-NMDA glutamate
receptors, specifically in the VLM, increases blood pressure (Chen et
al., 1994 ; Araujo et al., 1999 ). Our studies suggest that the increased blood pressure in the D5 DAR-deficient mice may
be caused by activation of a sympathetic/non-NMDA glutamatergic axis
because only a centrally acting non-NMDA glutamatergic antagonist
decreased blood pressure in D5 mutant mice.
The D5 receptor may also negatively interact with
oxytocin and vasopressin pathways in the prefrontal cortex and other
brain areas associated with autonomic control (Ariano et al., 1997 ; Hermes et al., 1998 ; Buijs and Van Eden, 2000 ; Ciliax et al., 2000 ). Thus, V1 vasopressin (Bealer and Abell,
1995 ) and oxytocin (Boccia et al., 1998 ) antagonists that cross the
blood-brain barrier were found to decrease the blood pressure in the
D5 mutant but not wild-type mice. Interestingly,
the hypotensive effect of the oxytocin antagonist occurred only 24 hr
after its administration and negated any further reduction in blood
pressure by vasopressin or glutamatergic blockade. These results are
consistent with the observation that oxytocin has been shown to
sensitize V1 vasopressin receptors (Poulin et
al., 1994 ) and further suggests that the decrease in blood pressure in
the mutant mice engendered by these various antagonists occurs via a
common output pathway.
In summary, we have found that functional deletion of the
D5 DAR gene produces hypertension in mice. The
elevated blood pressure appears to be attributable to increased
sympathetic tone with an involvement of adrenal catecholamines. The
exact defect leading to the increase in sympathetic tone is unclear,
although it appears to be primarily central in origin. Our current
results suggest that D5 receptor deletion results
in an oxytocin-dependent sensitization of V1
vasopressin and non-NMDA glutamatergic receptor-mediated pathways,
potentially within the medulla, leading to increased sympathetic
outflow in the mutant mice. This change is not associated with
increased synthesis of either oxytocin or vasopressin, and in fact,
vasopressin synthesis appears reduced in the D5
DAR-deficient mice. Furthermore, there is no increase in oxytocin or
V1 vasopressin receptor numbers. This suggests
that the increased sensitivity must occur at the level of receptor
signaling, possibly via enhanced G-protein interactions, or other
regulatory mechanisms, and/or downstream intracellular signaling
pathways. The physiological events described here resulting from
D5 DAR deletion may provide new insights into
mechanisms for some forms of essential hypertension in humans and may
lead to new therapeutic approaches for its treatment.
 |
FOOTNOTES |
Received May 31, 2002; revised Sept. 19, 2002; accepted Sept. 20, 2002.
*
T.R.H. and M.J.B. contributed equally to this work.
This work was partially supported by Department of Defense Grant
17-99-1-9542 to M.A.A. We thank Dr. Dong Jiang, Dr. Laureano D. Asico,
David Cabrera, Sing Ping Huang, and Binu Tharakan for their assistance.
Correspondence should be addressed to Dr. David R. Sibley, Molecular
Neuropharmacology Section, National Institute of Neurological Disorders
and Stroke/National Institutes of Health, Building 10, Room 5C108, 10 Center Drive, MSC 1406, Bethesda, MD 20892-1406. E-mail:
sibley{at}helix.nih.gov.
J. Drago's present address: Neurosciences Group, Monash
University Department of Medicine, Monash Medical Centre, Clayton, Victoria, 3168, Australia.
M. J. Bek's present address: Department of Internal Medicine, Freiburg
University Medical School, Freiburg, Germany.
 |
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