Chen Frank C, Ogut Ozgur, Rhee Albert Y, Hoit Brian D, Brozovich Frank V
Division of Cardiovascular Diseases, Mayo Clinic, Guggenheim 9, 200 First Street, Southwest, Rochester, MN 55905, USA.
J Mol Cell Cardiol. 2006 Sep;41(3):488-95. doi: 10.1016/j.yjmcc.2006.05.018. Epub 2006 Jul 3.
Congestive heart failure (CHF) is characterized by abnormal vasoconstriction and an impairment in nitric oxide (NO)-mediated vasodilatation. We have previously demonstrated that the decrease in sensitivity to NO lies at least partially at the level of the smooth muscle and is due to a reduction in the relative expression of the leucine zipper positive (LZ(+)) isoform of the myosin targeting subunit (MYPT1) of myosin light chain phosphatase. We hypothesized that since the attenuated vasodilatory response to NO in CHF has been shown to be secondary to an increased activity of the renin-angiotensin system, angiotensin converting enzyme (ACE) inhibition could affect MYPT1 isoform expression. To test this hypothesis, a rat myocardial infarction (MI) model of CHF was used; following left coronary artery ligation, rats were divided into control and captopril-treated groups. A third group of rats was given prazosin for 4 weeks. In the untreated control group, left ventricular function (LVF) was reduced at 2 weeks post-MI and remained at this level. Captopril treatment attenuated the fall in LVF. In the control aorta and iliac artery, the expression of the LZ(+) MYPT1 isoform fell 44-52% between 2 and 4 weeks post-MI, whereas in animals treated with captopril, MYPT1 isoform expression did not change. A decrease in the sensitivity to cGMP-mediated smooth muscle relaxation occurred coincident with the decrease in LZ(+) MYPT1 expression. The change in LZ(+) MYPT1 expression was not due to the decrease in afterload, as prazosin therapy produced an improvement in LVF but did not increase the relative expression of LZ(+) MYPT1 isoform. These data suggest that ACE inhibition, unique from pure afterload reduction, prevents MYPT1 isoform switching, which would preserve normal flow, or NO-mediated vasodilatation.
充血性心力衰竭(CHF)的特征是血管收缩异常以及一氧化氮(NO)介导的血管舒张功能受损。我们之前已经证明,对NO敏感性的降低至少部分发生在平滑肌水平,并且是由于肌球蛋白轻链磷酸酶的肌球蛋白靶向亚基(MYPT1)的亮氨酸拉链阳性(LZ(+))亚型的相对表达减少所致。我们推测,由于CHF中对NO的血管舒张反应减弱已被证明是肾素-血管紧张素系统活性增加的继发结果,因此血管紧张素转换酶(ACE)抑制可能会影响MYPT1亚型的表达。为了验证这一假设,使用了CHF的大鼠心肌梗死(MI)模型;在左冠状动脉结扎后,将大鼠分为对照组和卡托普利治疗组。第三组大鼠给予哌唑嗪4周。在未治疗的对照组中,MI后2周左心室功能(LVF)降低并维持在该水平。卡托普利治疗减轻了LVF的下降。在对照主动脉和髂动脉中,LZ(+) MYPT1亚型的表达在MI后2至4周下降了44 - 52%,而在接受卡托普利治疗的动物中,MYPT1亚型的表达没有变化。对cGMP介导的平滑肌舒张的敏感性降低与LZ(+) MYPT1表达的降低同时发生。LZ(+) MYPT1表达的变化不是由于后负荷的降低,因为哌唑嗪治疗改善了LVF,但没有增加LZ(+) MYPT1亚型的相对表达。这些数据表明,与单纯降低后负荷不同,ACE抑制可防止MYPT1亚型转换,从而维持正常血流或NO介导的血管舒张。