Ramchandran Ramaswamy, Takezako Takanobu, Saad Yasser, Stull Linda, Fink Bruno, Yamada Hirotsugu, Dikalov Sergey, Harrison David G, Moravec Christine, Karnik Sadashiva S
Department of Molecular Cardiology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Proc Natl Acad Sci U S A. 2006 Dec 12;103(50):19087-92. doi: 10.1073/pnas.0602715103. Epub 2006 Dec 5.
It is not clear whether endothelial cell (EC) activation by the hormone angiotensin II (Ang II) modulates contraction of vascular smooth muscle cells (VSMCs) in the vasculature and whether impairment of this regulation in vivo contributes to hypertension. Delineation of the actions of Ang II through the type 1 receptor (AT1R) on ECs in the blood vessels has been a challenging problem because of the predominance of the AT1R functions in VSMCs that lie underneath the endothelium. We have obviated this limitation by generating transgenic (TG) mice engineered to target expression of the constitutively active N111G mutant AT1R only in ECs. In these TG mice, the enhanced angiotensinergic signal in ECs without infusion of Ang II resulted in hypotension and bradycardia. The pressor response to acute infusion of Ang II was significantly reduced. Increased expression of endothelial nitric oxide synthase and production of hypotensive mediators, nitric oxide and cyclic guanosine monophosphate, cause these phenotypes. Hypotension and bradycardia observed in the TG mice could be rescued by treatment with an AT1R-selective antagonist. Our results imply that the Ang II action by means of EC-AT1R is antagonistic to vasoconstriction in general, and it may moderate the magnitude of functional response to Ang II in VSMCs. This control mechanism in vivo most likely is a determinant of altered hemodynamic regulation involved in endothelial dysfunction in hypertensive cardiovascular disease.
目前尚不清楚激素血管紧张素II(Ang II)激活内皮细胞(EC)是否会调节血管系统中血管平滑肌细胞(VSMC)的收缩,以及体内这种调节功能的受损是否会导致高血压。由于血管紧张素II通过1型受体(AT1R)作用于血管内皮细胞的相关研究一直具有挑战性,因为位于内皮下方的VSMC中AT1R功能占主导地位。我们通过构建转基因(TG)小鼠克服了这一限制,该转基因小鼠经设计可使组成型活性N111G突变型AT1R仅在内皮细胞中表达。在这些TG小鼠中,即使不注入Ang II,内皮细胞中增强的血管紧张素能信号也会导致低血压和心动过缓。对急性注入Ang II的升压反应明显降低。内皮型一氧化氮合酶表达增加以及降压介质一氧化氮和环磷酸鸟苷的产生导致了这些表型。TG小鼠中观察到的低血压和心动过缓可通过使用AT1R选择性拮抗剂进行治疗来挽救。我们的结果表明,Ang II通过内皮细胞AT1R的作用总体上与血管收缩作用相反,并且它可能会调节VSMC对Ang II的功能反应强度。体内的这种控制机制很可能是高血压心血管疾病中涉及内皮功能障碍的血流动力学调节改变的一个决定因素。