Arendshorst William J, Thai Tiffany L
Department of Cell and Molecular Physiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Curr Opin Nephrol Hypertens. 2009 Jan;18(1):40-9. doi: 10.1097/MNH.0b013e32831cf5bd.
Emerging evidence highlights the importance of physiological participation of ryanodine receptors (RyR) and Ca-induced-Ca-release (CICR) from the sarcoplasmic reticulum in Ca signaling and arteriolar contraction in the renal microcirculation.
Adenosine diphosphate -ribosyl (ADPR) cyclase and its endogenous metabolites cyclic adenosine diphosphate-ribose and nicotinic acid adenine dinucleotide phosphate mobilize intracellular Ca from sarcoplasmic reticulum stores in the renal vasculature via actions on RyR. The ADPR cyclase/cyclic adenosine diphosphate-ribose/RyR/CICR second messenger system mediates significant (>50%) changes in cytosolic Ca concentration ([Ca]i) and contractile function of preglomerular arteries/arterioles during angiotensin II and endothelin-1 stimulation of G-protein coupled receptors. These receptors rapidly activate ADPR cyclase via stimulation of superoxide (O2) production by nicotinamide adenine dinucleotide phosphate oxidases. Basal ADPR cyclase activity and RyR/CICR contribute to [Ca]i responses initiated by Ca entry and by inositol trisphosphate receptor-induced sarcoplasmic reticulum Ca release. Acute [Ca]i responses in isolated afferent arterioles and renal vasoconstriction in vivo are attenuated by more than 50% by pharmacological inhibition of ADPR cyclase or RyR. Similarly, renal vascular reactivity to angiotensin II, endothelin-1 and norepinephrine is attenuated by approximately 50% in mice lacking CD38, the main mammalian ADPR cyclase.
RyR and CICR are important regulations of Ca signaling and contractile tone of renal resistance arterioles in healthy kidneys. The role of this novel-signaling pathway in pathophysiological mechanisms awaits investigation.
新出现的证据突出了雷诺丁受体(RyR)的生理参与以及肌浆网中钙诱导钙释放(CICR)在肾微循环中钙信号传导和小动脉收缩中的重要性。
二磷酸腺苷 - 核糖基(ADPR)环化酶及其内源性代谢产物环二磷酸腺苷核糖和烟酸腺嘌呤二核苷酸磷酸通过作用于RyR,从肾血管系统的肌浆网储存中动员细胞内钙。在血管紧张素II和内皮素 - 1刺激G蛋白偶联受体期间,ADPR环化酶/环二磷酸腺苷核糖/RyR/CICR第二信使系统介导肾小球前动脉/小动脉胞浆钙浓度([Ca]i)和收缩功能发生显著(>50%)变化。这些受体通过烟酰胺腺嘌呤二核苷酸磷酸氧化酶刺激超氧化物(O2)生成来快速激活ADPR环化酶。基础ADPR环化酶活性和RyR/CICR有助于由钙内流和肌醇三磷酸受体诱导的肌浆网钙释放引发的[Ca]i反应。通过ADPR环化酶或RyR的药理学抑制,离体传入小动脉中的急性[Ca]i反应和体内肾血管收缩减弱超过50%。同样,在缺乏主要哺乳动物ADPR环化酶CD38的小鼠中,肾血管对血管紧张素II、内皮素 - 1和去甲肾上腺素的反应性减弱约50%。
RyR和CICR是健康肾脏中肾阻力小动脉钙信号传导和收缩张力的重要调节因素。这条新信号通路在病理生理机制中的作用有待研究。