Arai T, Takeyama N, Tanaka T
Department of Emergency and Critical Care Medicine, Kansai Medical University, Moriguchi, Osaka, Japan.
J Neurosurg. 1999 Mar;90(3):527-32. doi: 10.3171/jns.1999.90.3.0527.
The mechanism of arterial vasoconstriction caused by oxyhemoglobin production after subarachnoid hemorrhage was investigated.
Using a fluorescent Ca++ indicator (fura-2 acetoxymethyl ester), the change in the cytosolic intracellular Ca++ concentration, [Ca++]i. was measured in cultured rat vascular smooth-muscle cells exposed to oxyhemoglobin and other substances. Oxyhemoglobin induced transient elevation of smooth-muscle cell [Ca++]i in either the presence or absence of ethyleneglycol-bis (beta-aminoethylether)-N,N'-tetraacetic acid, indicating that Ca++ released by oxyhemoglobin was derived from [Ca++]i stores. In contrast, methemoglobin had no effect on the smooth-muscle cells. Exposure of the cells to reactive oxygen species generated by xanthine plus xanthine oxidase yielded the same results as with oxyhemoglobin, that is, transient elevation of smooth-muscle cell [Ca++]i. Procaine (a Ca++ channel blocker) failed to inhibit the oxyhemoglobin-induced elevation of [Ca++]i. Ryanodine (a Ca++ channel opener) plus oxyhemoglobin caused markedly greater elevation of [Ca++]i than ryanodine alone, whereas thapsigargin (an adenosine triphosphate [ATP]-dependent Ca++ pump inhibitor) plus oxyhemoglobin had no additional effect when compared with thapsigargin alone. The oxyhemoglobin-induced elevation of [Ca++]i could be blocked by an Fe++ chelator (ferene), but not by an Fe chelator (deferoxamine mesylate). Treatment with either dithiothreitol or glutathione monoethyl ester markedly inhibited the oxyhemoglobin-induced elevation of [Ca++]i.
These results indicate that Fe++-catalyzed hydroxyl radicals generated from oxyhemoglobin-derived free radicals induce the elevation of [Ca++]i by inhibiting the ATP-dependent Ca++ pump rather than the Ca++ channels in the sarcoplasmic reticulum and that thiols may prevent Ca++ pump inactivation by inhibiting the oxidation of membrane sulfhydryl groups.
研究蛛网膜下腔出血后氧合血红蛋白产生导致动脉血管收缩的机制。
使用荧光钙指示剂(fura-2乙酰甲酯),在暴露于氧合血红蛋白和其他物质的培养大鼠血管平滑肌细胞中测量胞质内细胞钙浓度[Ca++]i的变化。在存在或不存在乙二醇双(β-氨基乙基醚)-N,N'-四乙酸的情况下,氧合血红蛋白均可诱导平滑肌细胞[Ca++]i短暂升高,表明氧合血红蛋白释放的钙来自[Ca++]i储存库。相比之下,高铁血红蛋白对平滑肌细胞无影响。将细胞暴露于黄嘌呤加黄嘌呤氧化酶产生的活性氧中,产生的结果与氧合血红蛋白相同,即平滑肌细胞[Ca++]i短暂升高。普鲁卡因(一种钙通道阻滞剂)未能抑制氧合血红蛋白诱导的[Ca++]i升高。ryanodine(一种钙通道开放剂)加氧合血红蛋白导致的[Ca++]i升高明显大于单独使用ryanodine时,而毒胡萝卜素(一种依赖三磷酸腺苷[ATP]的钙泵抑制剂)加氧合血红蛋白与单独使用毒胡萝卜素相比没有额外作用。氧合血红蛋白诱导的[Ca++]i升高可被Fe++螯合剂(ferene)阻断,但不能被Fe螯合剂(甲磺酸去铁胺)阻断。用二硫苏糖醇或谷胱甘肽单乙酯处理可显著抑制氧合血红蛋白诱导的[Ca++]i升高。
这些结果表明,氧合血红蛋白衍生的自由基产生的Fe++催化的羟基自由基通过抑制依赖ATP的钙泵而非肌浆网中的钙通道诱导[Ca++]i升高,并且硫醇可能通过抑制膜巯基的氧化来防止钙泵失活。