Huang Hsiao-Ning, Lu Pei-Jung, Lo Wan-Chen, Lin Chia-Hui, Hsiao Michael, Tseng Ching-Jiunn
Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Circulation. 2004 Oct 19;110(16):2476-83. doi: 10.1161/01.CIR.0000145116.75657.2D. Epub 2004 Oct 4.
Previously, we have shown that nitric oxide (NO) plays a significant role in central cardiovascular regulation and modulates the baroreflex in the nucleus tractus solitarii (NTS) of rats. NO production is mediated by activation of NO synthase (NOS). Insulin signaling was involved in controlling peripheral blood pressure via the activation of endothelial NOS. Here, we investigated whether the insulin signal transduction pathway is involved in controlling central cardiovascular effects.
Insulin was injected into NTS of urethane-anesthetized male Wistar-Kyoto (WKY) rats. Unilateral microinjection (60 nL) of insulin (100 IU/mL) into the NTS produced prominent depressor and bradycardic effects in 8- and 16-week-old WKY rats. In addition, pretreatment with the phosphatidylinositol 3-kinase (PI3K) inhibitor LY294002 and the NOS inhibitor L-NAME into the NTS caused attenuation of the cardiovascular response evoked by insulin in either 8- or 16-week-old WKY rats. Western blot analysis showed a significant increase (2.6+/-0.4-fold; P<0.05) in Akt phosphorylation after insulin injection, whereas LY294002 abolished the insulin-induced effects. In situ Akt phosphorylation was found in NTS by immunohistochemistry analysis after injection of insulin. This in situ Akt phosphorylation was abolished significantly after injection of LY294002.
Take together, these results suggest that the insulin-PI3K-Akt-NOS signaling pathway may play a significant role in central cardiovascular regulation.
此前,我们已经表明一氧化氮(NO)在中枢心血管调节中发挥重要作用,并调节大鼠孤束核(NTS)中的压力反射。NO的产生由一氧化氮合酶(NOS)的激活介导。胰岛素信号传导通过激活内皮型NOS参与控制外周血压。在此,我们研究了胰岛素信号转导途径是否参与控制中枢心血管效应。
将胰岛素注射到乌拉坦麻醉的雄性Wistar-Kyoto(WKY)大鼠的NTS中。向NTS单侧微量注射(60 nL)胰岛素(100 IU/mL)在8周龄和16周龄的WKY大鼠中产生了显著的降压和心动过缓效应。此外,在NTS中预先用磷脂酰肌醇3激酶(PI3K)抑制剂LY294002和NOS抑制剂L-NAME预处理,可减弱8周龄或16周龄WKY大鼠中胰岛素诱发的心血管反应。蛋白质印迹分析显示胰岛素注射后Akt磷酸化显著增加(2.6±0.4倍;P<0.05),而LY294002消除了胰岛素诱导的效应。注射胰岛素后通过免疫组织化学分析在NTS中发现原位Akt磷酸化。注射LY294002后,这种原位Akt磷酸化显著消除。
综上所述,这些结果表明胰岛素-PI3K-Akt-NOS信号通路可能在中枢心血管调节中发挥重要作用。