Shaul P W, Farrar M A, Magness R R
Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas 75235.
Dev Pharmacol Ther. 1992;18(1-2):89-99.
Prostacyclin (PGI2) is an important local mediator of vasomotor tone in the fetus and newborn, acting via stimulation of cAMP production by vascular smooth muscle (VSM) adenylate cyclase. In this investigation PGI2 and prostaglandin (PG) E2 synthesis and stimulation of cAMP production were compared in vitro in ovine fetal pulmonary versus systemic (mesenteric) arteries. PGI2 synthesis was similar in the pulmonary and systemic arteries (2.4 +/- 0.2 and 2.6 +/- 0.3 ng/mg protein.h, respectively), as was PGE2 synthesis (1.9 +/- 0.2 and 1.5 +/- 0.2 ng/mg protein.h, respectively); synthesis was greater for PGI2 versus PGE2 in both artery types. 65-71% of PGI2 synthesis and 51-59% of PGE2 synthesis occurred in the endothelium. Basal (nonstimulated) cAMP production was fully attenuated by indomethacin, indicating that it is mediated exclusively by endogenous PG. Basal cAMP production was 3.8-fold less in pulmonary versus systemic arteries, and this was related to a 9.7-fold difference in responsiveness to PG. A 14.7-fold difference in the response to forskolin indicates that underlying mechanism may be a disparity in the quantity and/or function of the adenylate cyclase enzyme complex. Thus, prostacyclin and PGE2 synthesis are comparable in ovine fetal pulmonary versus systemic arteries, but the cAMP response to the prostanoids is markedly greater in the latter artery type due to differences in the activation of adenylate cyclase. This heterogeneity in VSM intracellular signalling may contribute to differential vasomotor tone and responses in the fetal pulmonary and systemic circulation.
前列环素(PGI2)是胎儿和新生儿血管运动张力的重要局部介质,通过刺激血管平滑肌(VSM)腺苷酸环化酶产生cAMP发挥作用。在本研究中,对绵羊胎儿肺动脉与体循环(肠系膜)动脉的PGI2和前列腺素(PG)E2合成以及cAMP产生的刺激进行了体外比较。肺动脉和体循环动脉中的PGI2合成相似(分别为2.4±0.2和2.6±0.3 ng/mg蛋白质·小时),PGE2合成也相似(分别为1.9±0.2和1.5±0.2 ng/mg蛋白质·小时);两种动脉类型中PGI2的合成均高于PGE2。65 - 71%的PGI2合成和51 - 59%的PGE2合成发生在内皮细胞中。吲哚美辛可完全抑制基础(未刺激)cAMP的产生,表明其完全由内源性PG介导。肺动脉的基础cAMP产生比体循环动脉少3.8倍,这与对PG的反应性相差9.7倍有关。对福斯高林的反应相差14.7倍,表明潜在机制可能是腺苷酸环化酶复合物的数量和/或功能存在差异。因此,绵羊胎儿肺动脉与体循环动脉中的前列环素和PGE2合成相当,但由于腺苷酸环化酶激活的差异,后一种动脉类型中前列腺素对cAMP的反应明显更大。VSM细胞内信号传导的这种异质性可能导致胎儿肺循环和体循环中血管运动张力和反应的差异。