De Mello Walmor C
Department of Pharmacology, Medical Sciences Campus, UPR, San Juan, Puerto Rico, USA.
J Hypertens. 2006 Jun;24(6):1181-6. doi: 10.1097/01.hjh.0000226209.88312.db.
Evidence is available that activation of the renin-angiotensin system is involved in cardiac remodeling. It is unknown whether renin can change the inward calcium current (ICa) in the failing heart. This problem was investigated in the present study.
Cardiomyocytes were isolated from the ventricle of 4-month-old cardiomyopathic hamsters and measurements of the L-type ICa were performed using the patch-clamp technique in a whole-cell configuration.
Extracellular renin (128 pmol Ang I/ml per min) plus angiotensinogen (110 pmol angiotensin I generated by renin to exhaustion) incremented the peak ICa density significantly, an effect suppressed by enalapril maleate (10 mol/l) or by losartan (10 mol/l) added to the bath, indicating that the effect of renin plus angiotensinogen was related to the formation of angiotensin I and its conversion to angiotensin II at the surface cell membrane. Renin internalization seems to increment the ICa because intracellular dialysis of renin (128 pmol Ang I/ml per min) plus angiotensinogen (110 pmol angiotensin I generated by renin to exhaustion) also increased the peak ICa density significantly, an effect suppressed by intracellular losartan (10 mol/l) but not by extracellular losartan (10 mol/l).
Extracellular renin plus angiotensinogen increases the ICa in isolated myocytes from the failing heart of cardiomyopathic hamsters through the formation of angiotensin II and the activation of angiotensin type 1 receptors at the surface cell membrane. A similar increment of ICa was found with intracellular administration of renin plus angiotensinogen. This finding might indicate that renin internalization is involved in control of inward calcium current in the failing heart.
有证据表明肾素-血管紧张素系统的激活参与心脏重塑。目前尚不清楚肾素是否能改变衰竭心脏中的内向钙电流(ICa)。本研究对这一问题进行了调查。
从4月龄心肌病仓鼠的心室分离出心肌细胞,采用全细胞膜片钳技术测量L型ICa。
细胞外肾素(每分钟128 pmol血管紧张素I/ml)加血管紧张素原(肾素生成血管紧张素I至耗竭时为110 pmol)可显著增加ICa峰值密度,浴槽中加入马来酸依那普利(10 μmol/l)或氯沙坦(10 μmol/l)可抑制该效应,表明肾素加血管紧张素原的作用与血管紧张素I的形成及其在细胞膜表面转化为血管紧张素II有关。肾素内化似乎可增加ICa,因为细胞内透析肾素(每分钟128 pmol血管紧张素I/ml)加血管紧张素原(肾素生成血管紧张素I至耗竭时为110 pmol)也可显著增加ICa峰值密度,细胞内氯沙坦(10 μmol/l)可抑制该效应,但细胞外氯沙坦(10 μmol/l)则不能。
细胞外肾素加血管紧张素原通过血管紧张素II的形成和细胞膜表面血管紧张素1型受体的激活,增加了心肌病仓鼠衰竭心脏分离出的单个心肌细胞中的ICa。细胞内给予肾素加血管紧张素原也发现了类似的ICa增加。这一发现可能表明肾素内化参与了衰竭心脏内向钙电流的控制。