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内皮素和前列腺素H2/血栓素A2通过增加小动脉平滑肌的钙敏感性来增强高血压中的肌源性收缩。

Endothelin and prostaglandin H(2)/thromboxane A(2) enhance myogenic constriction in hypertension by increasing Ca(2+) sensitivity of arteriolar smooth muscle.

作者信息

Ungvari Z, Koller A

机构信息

Institute of Pathophysiology, Semmelweis University of Medicine, Budapest, Hungary.

出版信息

Hypertension. 2000 Nov;36(5):856-61. doi: 10.1161/01.hyp.36.5.856.

Abstract

The myogenic response of skeletal muscle arterioles is enhanced in hypertension because of the release of endothelin (ET) and prostaglandin H(2) (PGH(2))/thromboxane A(2) (TxA(2)) from the endothelium. We hypothesized that ET and PGH(2)/TxA(2) modulate Ca(2+) signaling in arteriolar smooth muscle and thereby enhance myogenic constriction. Thus, simultaneous changes in intracellular Ca(2+) concentration in smooth muscle (Ca(2+)), measured by fura 2 microfluorometry (expressed as Ca(2+) fluorescence ratio [R(Ca)]), and diameter were obtained as a function of intraluminal pressure (P(i)) in isolated cannulated gracilis muscle arterioles (diameter approximately 120 micrometer) of normotensive Wistar rats (WR) and spontaneously hypertensive rats (SHR). In the absence of extracellular Ca(2+), increases in P(i) from 20 to 160 mm Hg increased the passive diameter of arterioles without changes in R(Ca). In the presence of extracellular Ca(2+) and endothelium, increases in P(i) elicited similar increases in R(Ca) (30+/-7% for control and 33+/-8% for SHR at 160 mm Hg) but a significantly (P<0.05) greater constriction of SHR arterioles compared with WR arterioles (at 160 mm Hg, 55+/-4% versus 38+/-2%, respectively, of passive diameter). In the absence of the endothelium, P(i)-induced changes in the R(Ca) and diameter of SHR and WR arterioles did not differ significantly. Also, a step increase in P(i) (from 80 to 140 mm Hg) elicited a similar increase in R(Ca) but greater constrictions in SHR versus WR arterioles. In the presence of the TxA(2) receptor inhibitor SQ29,548 and the ET(A) receptor inhibitor BQ123, there was no difference between responses of SHR and WR arterioles. In WR arterioles, increasing concentrations of KCl elicited a significant increase in R(Ca) (38+/-7% at 80 mmol/L) and completely constricted the arterioles. In contrast, constrictions to ET (52+/-7% at 3x10(-12) mol/L) and the TxA(2) agonist U46619 (40+/-8% at 3x10(-9) mol/L) were not accompanied by increases in R(Ca) at submaximal concentrations. Collectively, these findings suggest that in hypertension, endothelium-derived ET and PGH(2)/TxA(2) increase the Ca(2+) sensitivity of the contractile apparatus of arteriolar smooth muscle; thus, the similar increases in Ca(2+) in response to the elevation of intraluminal pressure elicit greater myogenic constriction.

摘要

由于内皮细胞释放内皮素(ET)和前列腺素H₂(PGH₂)/血栓素A₂(TxA₂),高血压患者骨骼肌小动脉的肌源性反应增强。我们推测ET和PGH₂/TxA₂调节小动脉平滑肌中的Ca²⁺信号传导,从而增强肌源性收缩。因此,通过fura 2显微荧光测定法测量的平滑肌细胞内Ca²⁺浓度([Ca²⁺]i)的同时变化(表示为Ca²⁺荧光比率[R(Ca)])和直径,作为正常血压Wistar大鼠(WR)和自发性高血压大鼠(SHR)分离的插管股薄肌小动脉(直径约120微米)腔内压力(Pi)的函数获得。在无细胞外Ca²⁺的情况下,Pi从20毫米汞柱增加到160毫米汞柱会增加小动脉的被动直径,而R(Ca)无变化。在存在细胞外Ca²⁺和内皮的情况下,Pi增加会引起R(Ca)的类似增加(160毫米汞柱时,对照组为30±7%,SHR为33±8%),但与WR小动脉相比,SHR小动脉的收缩明显(P<0.05)更大(160毫米汞柱时,分别为被动直径的55±4%和38±2%)。在内皮不存在的情况下,Pi诱导的SHR和WR小动脉的R(Ca)和直径变化无显著差异。此外,Pi的阶跃增加(从80毫米汞柱增加到140毫米汞柱)会引起R(Ca)的类似增加,但SHR小动脉的收缩比WR小动脉更大。在存在TxA₂受体抑制剂SQ29,548和ET(A)受体抑制剂BQ123的情况下,SHR和WR小动脉的反应没有差异。在WR小动脉中,增加KCl浓度会引起R(Ca)的显著增加(80毫摩尔/升时为38±7%)并使小动脉完全收缩。相比之下,在亚最大浓度下,对ET(3×10⁻¹²摩尔/升时为52±7%)和TxA₂激动剂U46619(3×10⁻⁹摩尔/升时为40±8%)的收缩并不伴随R(Ca)的增加。总体而言,这些发现表明,在高血压中,内皮源性ET和PGH₂/TxA₂增加了小动脉平滑肌收缩装置的Ca²⁺敏感性;因此,腔内压力升高引起的[Ca²⁺]i的类似增加会引发更大的肌源性收缩。

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