Christy Clare, Hadoke Patrick W F, Paterson Janice M, Mullins John J, Seckl Jonathan R, Walker Brian R
School of Molecular and Clinical Medicine, Endocrinology Unit, University of Edinburgh, Western General Hospital, Edinburgh, UK.
Hypertension. 2003 Oct;42(4):580-7. doi: 10.1161/01.HYP.0000088855.06598.5B. Epub 2003 Aug 18.
Both isozymes of 11beta-hydroxysteroid dehydrogenase, which interconvert active and inactive glucocorticoids, are expressed in the mouse aortic wall. Mice deficient in 11HSD type 2 (which converts active corticosterone into inert 11-dehydrocorticosterone) have hypertension and impaired endothelial nitric oxide activity. It has been suggested that 11HSD2 influences vascular function directly by limiting glucocorticoid-mediated inhibition of endothelium-derived nitric oxide. This study sought to determine (1) the cellular distribution of the 11HSD isozymes within the mouse aortic wall and (2) the influence of 11HSD2 on direct glucocorticoid-mediated changes in aortic function. Mouse aortas were separated into their component layers and RNA extracted for RT-PCR. Both types of corticosteroid (mineralocorticoid and glucocorticoid) receptors and both 11HSD isozymes were expressed in the aortic wall. 11HSD1 expression colocalized with alpha-smooth muscle actin (a marker for smooth muscle cells), whereas 11HSD2 colocalized with TIE-2 (a marker for endothelial cells). Functional relaxation responses of mouse aortic rings were unaltered after exposure to glucocorticoids for 24 hours. In the presence of l-arginine, glucocorticoids produced an endothelium-independent reduction of contraction; similar results were obtained with aortas from mice with genetic inactivation of 11HSD2. Incubation in medium containing l-arginine reversed the endothelial cell dysfunction associated with 11HSD2 inactivation. Thus, 11HSD2 is appropriately sited to modulate endothelial cell function, but endothelial dysfunction in 11HSD2 knockout mice cannot be explained simply by increased access of corticosterone to endothelial cell corticosteroid receptors. Therefore, additional mechanisms, possibly involving indirect effects of enhanced corticosterone action in the kidney and the resultant hypertension, must be involved.
11β-羟基类固醇脱氢酶的两种同工酶可使活性和非活性糖皮质激素相互转化,它们均在小鼠主动脉壁中表达。2型11HSD(将活性皮质酮转化为惰性11-脱氢皮质酮)缺陷的小鼠患有高血压且内皮一氧化氮活性受损。有人提出,11HSD2通过限制糖皮质激素介导的对内皮源性一氧化氮的抑制作用来直接影响血管功能。本研究旨在确定:(1)11HSD同工酶在小鼠主动脉壁内的细胞分布;(2)11HSD2对糖皮质激素直接介导的主动脉功能变化的影响。将小鼠主动脉分离成各层组分,提取RNA用于逆转录聚合酶链反应。两种类型的皮质类固醇(盐皮质激素和糖皮质激素)受体以及两种11HSD同工酶均在主动脉壁中表达。11HSD1的表达与α-平滑肌肌动蛋白(平滑肌细胞标志物)共定位,而11HSD2与TIE-2(内皮细胞标志物)共定位。暴露于糖皮质激素24小时后,小鼠主动脉环的功能性舒张反应未改变。在存在L-精氨酸的情况下,糖皮质激素使收缩产生内皮非依赖性降低;11HSD2基因失活的小鼠的主动脉也得到了类似结果。在含有L-精氨酸的培养基中孵育可逆转与11HSD2失活相关的内皮细胞功能障碍。因此,11HSD2的定位适当,可调节内皮细胞功能,但11HSD2基因敲除小鼠的内皮功能障碍不能简单地用皮质酮更容易进入内皮细胞皮质类固醇受体来解释。因此,必然涉及其他机制,可能包括增强的皮质酮作用在肾脏中的间接影响以及由此导致的高血压。