Wong Michael S K, Delansorne R, Man Ricky Y K, Vanhoutte Paul M
Dept. of Pharmacology, Li Ka Shing Faculty of Medicine, Univ. of Hong Kong, Pokfulam, Hong Kong.
Am J Physiol Heart Circ Physiol. 2008 Jul;295(1):H289-96. doi: 10.1152/ajpheart.00116.2008. Epub 2008 May 16.
The available evidence suggests that vitamin D has cardiovascular effects besides regulating calcium homeostasis. To examine the effect of 1,25-dihydroxyvitamin D(3), the major metabolite of vitamin D, on endothelium-dependent contractions, aortic rings of spontaneously hypertensive rats (SHR) were suspended in organ chambers for isometric force measurements. Rings were incubated with N(omega)-nitro-l-arginine methyl ester (l-NAME) and then exposed to increasing concentrations of acetylcholine, ATP, or the calcium ionophore to trigger contractions. This was done in the absence or presence of 1,25-dihydroxyvitamin D(3). The release of prostacyclin after acetylcholine or A-23187 stimulation was also measured. The cytosolic-free calcium concentration was measured by confocal microscopy after incubation with the fluorescent dyes fluo-4 and fura red. The presence of vitamin D receptors was confirmed using immunohistochemistry. Acetylcholine- and ATP-induced endothelium-dependent contractions were significantly reduced compared with those obtained in the absence of the drug. This effect was not present if A-23187 was used as an agonist. The acetylcholine- but not the A-23187-induced release of prostacyclin was reduced by the acute administration of 1,25-dihydroxyvitamin D(3). Exposure to 1,25-dihydroxyvitamin D(3) reduced the increase in cytosolic-free calcium concentration caused by acetylcholine but not by A-23187 in cells. Vitamin D receptors were densely distributed in the endothelium. Inecalcitol (19-nor-14-epi-23-yne-1,25-dihydroxyvitamin D(3)), a synthetic analog of vitamin D, caused a comparable depression of endothelium-dependent contractions as 1,25-dihydroxyvitamin D(3). These results demonstrate that vitamin D(3) modulates vascular tone by reducing calcium influx into the endothelial cells and hence decreasing the production of endothelium-derived contracting factors.
现有证据表明,维生素D除了调节钙稳态外,还具有心血管效应。为了研究维生素D的主要代谢产物1,25-二羟基维生素D(3)对内皮依赖性收缩的影响,将自发性高血压大鼠(SHR)的主动脉环悬挂在器官浴槽中进行等长力测量。将血管环与N(ω)-硝基-L-精氨酸甲酯(L-NAME)孵育,然后暴露于浓度递增的乙酰胆碱、ATP或钙离子载体以引发收缩。这一过程在不存在或存在1,25-二羟基维生素D(3)的情况下进行。还测量了乙酰胆碱或A-23187刺激后前列环素的释放。在用荧光染料fluo-4和fura red孵育后,通过共聚焦显微镜测量细胞内游离钙浓度。使用免疫组织化学法确认维生素D受体的存在。与未使用该药物时相比,乙酰胆碱和ATP诱导的内皮依赖性收缩明显减弱。如果使用A-23187作为激动剂,则不存在这种效应。急性给予1,25-二羟基维生素D(3)可降低乙酰胆碱诱导的前列环素释放,但不影响A-23187诱导的前列环素释放。暴露于1,25-二羟基维生素D(3)可降低细胞内由乙酰胆碱而非A-23187引起的游离钙浓度升高。维生素D受体在内皮中密集分布。维生素D的合成类似物依奈西醇(19-去甲-14-表-23-炔-1,25-二羟基维生素D(3))对内皮依赖性收缩的抑制作用与1,25-二羟基维生素D(3)相当。这些结果表明,维生素D(3)通过减少钙流入内皮细胞,从而减少内皮源性收缩因子的产生,来调节血管张力。