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内毒素耐受中血管对血栓素类似物反应性的变化

Changes in vascular responsiveness to a thromboxane mimetic in endotoxin tolerance.

作者信息

Tempel G E, Brown A N, Morinelli T A, Halushka P V, Cook J A

机构信息

Department of Physiology, Medical University of South Carolina, Charleston, South Carolina 29425, USA.

出版信息

Shock. 2001 Nov;16(5):389-92. doi: 10.1097/00024382-200116050-00012.

Abstract

Our previous studies have demonstrated that peritoneal macrophages obtained from endotoxin-tolerant rats exhibit altered cellular activation by endotoxin, possibly involving changes in guanine nucleotide regulatory (G) protein-coupled signal transduction pathways. Endotoxin-tolerant rats also exhibit cross tolerance and altered hemodynamic responses to thromboxane (Tx)A2 mimetics, suggesting potential changes in vascular responsiveness. We tested the hypothesis that endotoxin tolerance results in vascular hyporesponsiveness to a TxA2 mimetic via alterations in the TxA2 receptor, G protein function, and/or second messenger production. Rats were rendered endotoxin tolerant by increasing sublethal consecutive doses of Salmonella enteritidis endotoxin (100 to 5000 micrograms/kg, i.p.) for 4 days. The animals were sacrificed 2 days after the final dose of endotoxin for removal of aortas. Contractile responses of aortic rings to U46619, a TxA2 agonist, were assessed in control and tolerant rats. The EC50 values for U46619 were 14.8 +/- 6.6 nM and 32.3 +/- 3.1 nM (n = 5-7), (P < 0.05) for control and tolerant rats, respectively. Crude membranes were prepared from aortas of control and tolerant rats, and binding of I-BOP TxA2/PGH2 receptor agonist, [1S-(1 alpha, 2 beta (5Z), 3 alpha (1E, 3S*), 4 alpha)]-7-[3-(3-hydroxy-4-(4'-iodophenoxy)-1-butenyl)-7- oxabicyclo-[2.2.1]heptan-2-yl]-5-heptenoic acid (I-BOP), a TxA2 agonist, was assessed by Scatchard analysis. I-BOP binding to the TxA2 receptor was saturable and revealed a single class of TxA2 receptors for both groups. There was no significant difference in control (n = 7) compared with tolerant (n = 5) Kd values (2.1 +/- 0.2 vs. 2.4 +/- 0.9 nM, respectively), or Bmax (31 +/- 6 vs. 28 +/- 12 fmol/mg protein, respectively). To assess potential changes in G protein function, aortic membrane GTpase activity was determined. GTPase activity in tolerant membranes was significantly reduced (P < 0.05) compared with control membranes (309 +/- 23 (n = 5) vs. 440 +/- 32 (n = 7) pmol/mg/protein/min, respectively). However, U46619-stimulated phosphoinositide production was similar in vascular tissue from control and tolerant rats. These observations suggest that the decreased contractile response to TxA2 mimetics in endotoxin tolerance does not result from a change in receptor number, affinity of TxA2 receptors, or changes in phosphatidylinositol metabolism but is associated with decreased vascular G protein function.

摘要

我们之前的研究表明,从内毒素耐受大鼠获得的腹膜巨噬细胞对内毒素的细胞激活表现出改变,这可能涉及鸟嘌呤核苷酸调节(G)蛋白偶联信号转导途径的变化。内毒素耐受大鼠还表现出交叉耐受性以及对血栓素(Tx)A2模拟物的血流动力学反应改变,提示血管反应性可能发生了变化。我们检验了这样一个假说,即内毒素耐受通过TxA2受体、G蛋白功能和/或第二信使产生的改变导致血管对TxA2模拟物的反应性降低。通过连续4天增加亚致死剂量的肠炎沙门氏菌内毒素(100至5000微克/千克,腹腔注射)使大鼠产生内毒素耐受。在最后一剂内毒素给药2天后处死动物以取出主动脉。在对照大鼠和耐受大鼠中评估主动脉环对TxA2激动剂U46619的收缩反应。U46619的半数有效浓度(EC50)值在对照大鼠和耐受大鼠中分别为14.8±6.6纳摩尔和32.3±3.1纳摩尔(n = 5 - 7),(P < 0.05)。从对照大鼠和耐受大鼠的主动脉制备粗制膜,并通过Scatchard分析评估I - BOP(一种TxA2/PGH2受体激动剂,[1S-(1α, 2β(5Z), 3α(1E, 3S*), 4α)]-7-[3-(3 - 羟基 - 4-(4'-碘苯氧基)-1 - 丁烯基)-7 - 氧杂双环-[2.2.1]庚烷 - 2 - 基]-5 - 庚烯酸)与TxA2受体的结合。I - BOP与TxA2受体的结合是可饱和的,并且两组均显示出单一类别的TxA2受体。对照(n = 7)与耐受(n = 5)大鼠的解离常数(Kd)值(分别为2.1±0.2与2.4±0.9纳摩尔)或最大结合量(Bmax)(分别为31±6与28±12飞摩尔/毫克蛋白)无显著差异。为了评估G蛋白功能的潜在变化,测定了主动脉膜的GTP酶活性。与对照膜相比,耐受膜中的GTP酶活性显著降低(P < 0.05)(分别为309±23(n = 5)与440±32(n = 7)皮摩尔/毫克/蛋白/分钟)。然而,U46619刺激的磷脂酰肌醇产生在对照大鼠和耐受大鼠的血管组织中相似。这些观察结果表明,内毒素耐受中对TxA2模拟物收缩反应的降低并非源于受体数量、TxA2受体亲和力的变化或磷脂酰肌醇代谢的改变,而是与血管G蛋白功能降低有关。

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