Giardina J B, Green G M, Rinewalt A N, Granger J P, Khalil R A
Department of Physiology, Center for Excellence in Cardiovascular-Renal Research, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Hypertension. 2001 Feb;37(2 Pt 2):516-23. doi: 10.1161/01.hyp.37.2.516.
High salt diet is often associated with increases in blood pressure, and the state of activation of endothelium-dependent vascular relaxation pathways is critical under these conditions. Basal activation of endothelial endothelin B (ET(B)) receptors by endothelin has been suggested to stimulate the release of factors that promote vascular relaxation. However, whether ET(B) receptors play a role in enhancing endothelium-dependent vascular relaxation during high salt diet is unclear. In this study, we investigated whether chronic treatment with an ET(B) receptor antagonist is associated with impaired endothelium-dependent vascular relaxation and enhanced vascular reactivity particularly during high salt diet. Isometric contraction was measured in aortic strips isolated from male Sprague-Dawley rats on normal sodium (NS, 1%) and high sodium diet (HS, 8%) for 7 days and untreated or treated with the ET(B) receptor antagonist A-192621 (30 mg/kg per day) for 5 days. The mean arterial pressure was (in mm Hg) 122+/-3 in NS, 132+/-3 in HS, 144+/-2 in NS/ET(B) antagonist, and 171+/-12 in HS/ET(B) antagonist rats. In endothelium-intact strips, phenylephrine (Phe, 10(-5) mol/L) increased active stress to 7.6+/-1.0x10(3)N/m(2) in NS rats and 8.2+/-0.9x10(3)N/m(2) in HS rats. Phe (10(-5) mol/L) -induced stress was significantly greater in NS/ET(B) antagonist (11.3+/-0.9x10(3)N/m(2)) than NS and far greater in HS/ET(B) antagonist (14.1+/-0.1.2x10(3)N/m(2)) than HS rats. Also, Phe was more potent in NS/ET(B) antagonist and HS/ET(B) antagonist rats (ED(50)=0.3x10(-7) and 0.15x10(-7) mol/L) than in NS and HS rats (ED(50)=0.8x10(-7) and 0.7x10(-7) mol/L). Removal of the endothelium enhanced Phe-induced contraction significantly in NS and to a greater extent in HS, but not in NS/ET(B) antagonist or HS/ET(B) antagonist rats. In endothelium-intact strips, acetylcholine (ACh) caused relaxation of Phe contraction that was less in NS/ET(B) antagonist than NS and far less in HS/ET(B) antagonist than HS rats. Pretreatment of endothelium-intact strips with L-NAME (10(-4) mol/L), to inhibit nitric oxide (NO) synthase, or with methylene blue (10(-5) mol/L) or 1H-[1,2,4]oxadiazolo[4,3]-quinoxalin-1-one (ODQ, 10(-6) mol/L), to inhibit cGMP production in smooth muscle, inhibited ACh-induced relaxation and enhanced Phe-induced contraction significantly in NS and HS, slightly in NS/ET(B) antagonist, but not in HS/ET(B) antagonist rats. Measurement of basal and ACh-induced nitrite/nitrate production from aortic strips showed a significant reduction in NS/ET(B) antagonist compared with NS, and a greater reduction in HS/ET(B) antagonist compared with HS rats. Relaxation of Phe contraction with sodium nitroprusside was not significantly different among the different groups of rats. Thus, an endothelial ET(B) receptor-mediated pathway of vascular relaxation involving release of NO seems to be active under basal conditions and may protect against excessive vasoconstriction and increased blood pressure particularly during high salt diet.
高盐饮食常与血压升高相关,在此情况下内皮依赖性血管舒张途径的激活状态至关重要。内皮素对内皮内皮素B(ET(B))受体的基础激活已被认为可刺激促进血管舒张的因子释放。然而,ET(B)受体在高盐饮食期间增强内皮依赖性血管舒张中是否发挥作用尚不清楚。在本研究中,我们调查了用ET(B)受体拮抗剂进行慢性治疗是否与内皮依赖性血管舒张受损及血管反应性增强相关,尤其是在高盐饮食期间。对从雄性Sprague-Dawley大鼠分离的主动脉条进行等长收缩测量,这些大鼠分别在正常钠(NS,1%)和高钠饮食(HS,8%)条件下饲养7天,且未处理或用ET(B)受体拮抗剂A-192621(每天30 mg/kg)处理5天。平均动脉压(以毫米汞柱计)在NS组大鼠中为122±3,HS组为132±3,NS/ET(B)拮抗剂组为144±2,HS/ET(B)拮抗剂组为171±12。在内皮完整的条带中,去氧肾上腺素(Phe,10⁻⁵ mol/L)使NS组大鼠的主动张力增加至7.6±1.0×10³ N/m²,HS组大鼠中为8.2±0.9×10³ N/m²。Phe(10⁻⁵ mol/L)诱导的张力在NS/ET(B)拮抗剂组(11.3±0.9×10³ N/m²)中显著高于NS组,在HS/ET(B)拮抗剂组(14.1±0.12×10³ N/m²)中比HS组大鼠高得多。此外,Phe在NS/ET(B)拮抗剂组和HS/ET(B)拮抗剂组大鼠中(ED₅₀ = 0.3×10⁻⁷和0.15×10⁻⁷ mol/L)比在NS组和HS组大鼠中(ED₅₀ = 0.8×10⁻⁷和0.7×10⁻⁷ mol/L)更有效。去除内皮后,Phe诱导的收缩在NS组中显著增强,在HS组中增强程度更大,但在NS/ET(B)拮抗剂组或HS/ET(B)拮抗剂组大鼠中未增强。在内皮完整的条带中,乙酰胆碱(ACh)引起Phe收缩的舒张,在NS/ET(B)拮抗剂组中比NS组小,在HS/ET(B)拮抗剂组中比HS组大鼠小得多。用L-硝基精氨酸甲酯(L-NAME,10⁻⁴ mol/L)预处理内皮完整的条带以抑制一氧化氮(NO)合酶,或用亚甲蓝(10⁻⁵ mol/L)或1H-[1,2,4]恶二唑并[4,3]-喹喔啉-1-酮(ODQ,10⁻⁶ mol/L)预处理以抑制平滑肌中的环鸟苷酸(cGMP)产生,在NS组和HS组中显著抑制ACh诱导的舒张并增强Phe诱导的收缩,在NS/ET(B)拮抗剂组中略有增强,但在HS/ET(B)拮抗剂组大鼠中未增强。对主动脉条基础和ACh诱导的亚硝酸盐/硝酸盐产生的测量显示,与NS组相比,NS/ET(B)拮抗剂组显著降低,与HS组大鼠相比,HS/ET(B)拮抗剂组降低幅度更大。不同组大鼠中硝普钠使Phe收缩舒张的情况无显著差异。因此,一种涉及NO释放的内皮ET(B)受体介导血管舒张途径似乎在基础条件下是活跃的,并且可能预防过度血管收缩和血压升高,尤其是在高盐饮食期间。