{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:34:44Z","timestamp":1771461284695,"version":"3.50.1"},"reference-count":67,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2019,2,19]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Prostaglandin E\n              <jats:sub>2<\/jats:sub>\n              (\n              <jats:styled-content style=\"fixed-case\">PGE<\/jats:styled-content>\n              <jats:sub>2<\/jats:sub>\n              ) is a major prostanoid with multiple actions that potentially affect blood pressure (\n              <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n              ).\n              <jats:styled-content style=\"fixed-case\">PGE<\/jats:styled-content>\n              <jats:sub>2<\/jats:sub>\n              acts through 4 distinct E\u2010prostanoid (\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              ) receptor isoforms:\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              1 to\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4. The\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4 receptor (\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4R) promotes\n              <jats:styled-content style=\"fixed-case\">PGE<\/jats:styled-content>\n              <jats:sub>2<\/jats:sub>\n              \u2010dependent vasodilation, but its role in the pathogenesis of hypertension is not clear.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              To address this issue, we studied mice after temporal\u2010 and cell\u2010specific deletion of\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4R. First, using a mouse line with loss of\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4 expression induced universally after birth, we confirm that\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4R mediates a major portion of the acute vasodilatory effects of infused\n              <jats:styled-content style=\"fixed-case\">PGE<\/jats:styled-content>\n              <jats:sub>2<\/jats:sub>\n              . In addition,\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4 contributes to control of resting\n              <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n              , which was increased by 5\u00b11\u00a0mm\u00a0Hg in animals with generalized deficiency of this receptor. We also show that\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4 is critical for limiting elevations in\n              <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n              caused by high salt feeding and long\u2010term infusion of angiotensin\n              <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n              . To more precisely identify the mechanism for these actions, we generated mice in which\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4R loss is induced after birth and is limited to smooth muscle. In these mice, acute\n              <jats:styled-content style=\"fixed-case\">PGE<\/jats:styled-content>\n              <jats:sub>2<\/jats:sub>\n              \u2010dependent vasodilation was attenuated, indicating that this response is mediated by\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4R in vascular smooth muscle cells. However, absence of\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4R only in this vascular compartment had a paradoxical effect of lowering resting\n              <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n              , whereas the protective effect of\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4R on limiting angiotensin II\u2013dependent hypertension was unaffected.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Taken together, our findings support a complex role for\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4R in regulation of\n              <jats:styled-content style=\"fixed-case\">BP<\/jats:styled-content>\n              and in hypertension, which appears to involve actions of the\n              <jats:styled-content style=\"fixed-case\">EP<\/jats:styled-content>\n              4R in tissues beyond vascular smooth muscle cells.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.118.010745","type":"journal-article","created":{"date-parts":[[2019,2,15]],"date-time":"2019-02-15T10:00:44Z","timestamp":1550224844000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Complex Role for E\u2010Prostanoid 4 Receptors in Hypertension"],"prefix":"10.1161","volume":"8","author":[{"given":"Marcela","family":"Herrera","sequence":"first","affiliation":[{"name":"Division of Nephrology Department of Medicine Duke University Durham NC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ting","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine Duke University Durham 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