Fricker Ruth, Hesse Christiane, Weiss Johanna, Tayrouz Yorki, Hoffmann Michael M, Unnebrink Kristina, Mansmann Ulrich, Haefeli Walter E
Department of Internal Medicine VI, Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, D-69120 Heidelberg, Germany.
Br J Clin Pharmacol. 2004 Aug;58(2):169-77. doi: 10.1111/j.1365-2125.2004.02130.x.
Polymorphisms of the NOSIII gene and of the CYBA gene have been associated with a number of pathological conditions such as arterial hypertension, coronary artery disease, and myocardial infarction. Because endothelium-dependent vasodilation is impaired in these disorders, we hypothesized that polymorphisms of NOSIII or CYBA might modulate endothelial function of venous capacitance vessels already before cardiovascular disease becomes overt.
Endothelium-dependent and -independent venodilation was assessed by measuring local vascular responses to bradykinin and sodium nitroprusside in the dorsal hand vein after preconstriction with phenylephrine in 72 healthy male Caucasians after careful exclusion of cardiovascular risk factors. Genotyping was performed for polymorphisms of the NOSIII gene (T-786C, G894T, (CA)(n)) and the CYBA gene (C242T).
Genotype distribution for each polymorphism followed the Hardy-Weinberg equilibrium. In all studied single nucleotide polymorphisms no significant difference between the respective genotypes and the venodilator response to either sodium nitroprusside or bradykinin was observed, and the number of CA repeat copies was not related to the venodilator response to bradykinin. Mean venodilation induced by bradykinin 50 ng min(-1) (+/-SEM) for homozygote carriers of the single nucleotide polymorphisms was 48.9 +/- 8.5% venodilation (G894T; wild type: 49.8 +/- 6.9), 50.3 +/- 11.0% venodilation (T-786C; wild type: 42.6 +/- 5.2), and 30.4 +/- 9.1% venodilation (C242T; wild type: 49.2 +/- 6.0), respectively.
This study suggests that the studied polymorphisms of NOSIII and CYBA do not significantly modulate endothelium-dependent venodilation in individuals without vascular risk factors.
一氧化氮合酶III(NOSIII)基因和细胞色素b5还原酶α(CYBA)基因的多态性与许多病理状况相关,如动脉高血压、冠状动脉疾病和心肌梗死。由于这些疾病中内皮依赖性血管舒张功能受损,我们推测在心血管疾病明显出现之前,NOSIII或CYBA的多态性可能已经调节了静脉容量血管的内皮功能。
在仔细排除心血管危险因素后,对72名健康的高加索男性,先用去氧肾上腺素预收缩,然后通过测量手背静脉对缓激肽和硝普钠的局部血管反应,评估内皮依赖性和非内皮依赖性静脉舒张。对NOSIII基因(T-786C、G894T、(CA)(n))和CYBA基因(C242T)的多态性进行基因分型。
每种多态性的基因型分布均符合Hardy-Weinberg平衡。在所有研究的单核苷酸多态性中,未观察到各基因型与对硝普钠或缓激肽的静脉舒张反应之间存在显著差异,并且CA重复拷贝数与对缓激肽的静脉舒张反应无关。对于单核苷酸多态性的纯合子携带者,50 ng min(-1)(±标准误)缓激肽诱导的平均静脉舒张率分别为48.9±8.5%(G894T;野生型:49.8±6.9)、50.3±11.0%(T-786C;野生型:42.6±5.2)和30.4±9.1%(C242T;野生型:49.2±6.0)。
本研究表明,在没有血管危险因素的个体中,所研究的NOSIII和CYBA多态性不会显著调节内皮依赖性静脉舒张。