Link Timothy E, Murakami Kentaro, Beem-Miller Micah, Tranmer Bruce I, Wellman George C
Department of Pharmacology, University of Vermont College of Medicine, 86 Beaumont Ave, Burlington, VT 05405, USA.
Stroke. 2008 Jul;39(7):2122-8. doi: 10.1161/STROKEAHA.107.508754. Epub 2008 Apr 24.
Cerebral vasospasm after subarachnoid hemorrhage (SAH) is a major contributor to mortality and morbidity after aneurysm rupture. Recently, R-type voltage-dependent Ca(2+) channel (VDCC) expression has been associated with increased cerebral artery constriction in a rabbit model of SAH. The goal of the present study was to examine whether the blood component oxyhemoglobin (oxyHb) can mimic the ability of SAH to cause R-type VDCC expression in the cerebral vasculature.
Rabbit cerebral arteries were organ cultured in serum-free media for up to 5 days in the presence or absence of purified oxyHb (10 micromol/L). Diameter changes in response to diltiazem, (L-type VDCC antagonist) and SNX-482 (R-type VDCC antagonist) were recorded at day 1, 3, or 5 in arteries constricted by elevated extracellular potassium. RT-PCR was performed on RNA extracted from arteries cultured for 5 days (+/-oxyHb) to assess VDCC expression.
After 5 days, oxyHb-treated arteries were less sensitive and partially resistant to diltiazem compared to similar arteries organ cultured in the absence of oxyHb. Further, SNX-482 dilated arteries organ cultured for 5 days in the presence, but not in the absence, of oxyHb. RT-PCR revealed that oxyHb treated arteries expressed R-type VDCCs (Ca(V) 2.3) in addition to L-type VDCCs (Ca(V) 1.2), whereas untreated arteries expressed only Ca(V) 1.2.
These results demonstrate that oxyhemoglobin exposure for 5 days induces the expression of Ca(V) 2.3 in cerebral arteries. We propose that oxyhemoglobin contributes to enhanced cerebral artery constriction after SAH via the emergence of R-type VDCCs.
蛛网膜下腔出血(SAH)后的脑血管痉挛是动脉瘤破裂后死亡率和发病率的主要影响因素。最近,在SAH兔模型中,R型电压依赖性钙通道(VDCC)的表达与脑动脉收缩增加有关。本研究的目的是检验血液成分氧合血红蛋白(oxyHb)是否能模拟SAH在脑血管系统中引起R型VDCC表达的能力。
将兔脑动脉在无血清培养基中进行器官培养,在有或无纯化的氧合血红蛋白(10微摩尔/升)的情况下培养长达5天。在细胞外钾升高导致动脉收缩的第1、3或5天,记录对地尔硫䓬(L型VDCC拮抗剂)和SNX - 482(R型VDCC拮抗剂)的直径变化。对培养5天(±氧合血红蛋白)的动脉提取的RNA进行逆转录聚合酶链反应(RT - PCR),以评估VDCC的表达。
5天后,与在无氧合血红蛋白情况下进行器官培养的类似动脉相比,经氧合血红蛋白处理的动脉对地尔硫䓬的敏感性较低且部分耐药。此外,SNX - 482使在有氧合血红蛋白存在而非无氧合血红蛋白情况下培养5天的动脉扩张。RT - PCR显示,经氧合血红蛋白处理的动脉除了表达L型VDCC(Ca(V)1.2)外,还表达R型VDCC(Ca(V)2.3),而未处理的动脉仅表达Ca(V)1.2。
这些结果表明,暴露于氧合血红蛋白5天可诱导脑动脉中Ca(V)2.3的表达。我们认为,氧合血红蛋白通过R型VDCC的出现导致SAH后脑动脉收缩增强。