Xu Ying, Henning Rob H, Sandovici Maria, van der Want Johannes J, van Gilst Wiek H, Buikema Hendrik
Department of Clinical Pharmacology, Groningen University Institute for Drug Exploration (GUIDE), University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Eur J Heart Fail. 2009 Mar;11(3):246-55. doi: 10.1093/eurjhf/hfn027. Epub 2009 Jan 12.
We previously showed that enhanced myogenic constriction (MC) of peripheral resistance arteries involves active AT(1) receptors in chronic heart failure (CHF). Recent data suggest both transactivation of EGF receptors and caveolae-like microdomains to be implicated in the activity of AT(1) receptors. Thus, we assessed their roles in increased MC in mesenteric arteries of CHF rats.
Male Wistar rats underwent myocardial infarction to induce CHF and were sacrificed after 12 weeks. The number of caveolae in smooth muscle cells (SMC) of mesenteric arteries of CHF rats was decreased by 43.6 +/- 4.0%, this was accompanied by increased MC, which was fully normalized to the level of sham by antagonists of the AT(1)-receptor (losartan) or EGF-receptor (AG1478). Acute disruption of caveolae in sham rats affected caveolae numbers and MC to a similar extent as CHF, however MC was only reversed by the antagonist of the EGF-receptor, but not by the AT(1)-receptor antagonist. Further, in sham rats, MC was increased by a sub-threshold concentration of angiotensin II and reversed by both AT(1)- as well as EGF-receptor inhibition. In contrast, increased MC by a sub-threshold concentration of EGF was only reversed by EGF receptor inhibition.
These findings provide the first evidence that decreased SMC caveolae numbers are involved in enhanced MC in small mesenteric arteries, by affecting AT(1)- and EGF-receptor function. This suggests a novel mechanism involved in increased peripheral resistance in CHF.
我们之前发现,慢性心力衰竭(CHF)时外周阻力动脉的肌源性收缩(MC)增强涉及活性AT(1)受体。最近的数据表明,表皮生长因子(EGF)受体的转活化以及小窝样微区均与AT(1)受体的活性有关。因此,我们评估了它们在CHF大鼠肠系膜动脉MC增加中的作用。
雄性Wistar大鼠接受心肌梗死手术以诱导CHF,并在12周后处死。CHF大鼠肠系膜动脉平滑肌细胞(SMC)中的小窝数量减少了43.6±4.0%,这伴随着MC增加,而AT(1)受体拮抗剂(氯沙坦)或EGF受体拮抗剂(AG1478)可使MC完全恢复至假手术组水平。在假手术大鼠中急性破坏小窝对小窝数量和MC的影响程度与CHF相似,然而MC仅被EGF受体拮抗剂逆转,而不能被AT(1)受体拮抗剂逆转。此外,在假手术大鼠中,低于阈值浓度的血管紧张素II可使MC增加,而AT(1)受体和EGF受体抑制均可使其逆转。相比之下,低于阈值浓度的EGF使MC增加仅可被EGF受体抑制所逆转。
这些发现首次证明,SMC小窝数量减少通过影响AT(1)受体和EGF受体功能,参与了小肠系膜动脉MC增强。这提示了CHF时外周阻力增加的一种新机制。