Rutkai Ibolya, Feher Attila, Erdei Nora, Henrion Daniel, Papp Zoltan, Edes Istvan, Koller Akos, Kaley Gabor, Bagi Zsolt
Division of Clinical Physiology, Institute of Cardiology, University of Debrecen, Debrecen, Hungary.
Cardiovasc Res. 2009 Jul 1;83(1):148-54. doi: 10.1093/cvr/cvp098. Epub 2009 Mar 19.
Type 2 diabetes mellitus is frequently associated with hypertension, but the underlying mechanisms are not completely understood. We tested the hypothesis that activation of type 1 prostaglandin E(2) (PGE(2)) receptor (EP1) increases skeletal muscle arteriolar tone and blood pressure in mice with type 2 diabetes.
In 12-week-old, male db/db mice (with homozygote mutation in leptin receptor), systolic blood pressure was significantly elevated, compared with control heterozygotes. Isolated, pressurized gracilis muscle arterioles ( approximately 90 microm) of db/db mice exhibited an enhanced pressure- and angiotensin II (0.1-10 nM)-induced tone, which was reduced by the selective EP1 receptor antagonist, AH6809 (10 microM), to the level observed in arterioles of control mice. Exogenous application of PGE(2) (10 pM-100 nM) or the selective agonist of the EP1 receptor, 17-phenyl-trinor-PGE(2) (10 pM-100 nM), elicited arteriolar constrictions that were significantly enhanced in db/db mice (max: 31 +/- 4 and 29 +/- 5%), compared with controls (max: 20 +/- 2 and 14 +/- 3%, respectively). In the aorta of db/db mice, an increased protein expression of EP1, but not EP4, receptor was also detected by western immunoblotting. Moreover, we found that oral administration of the EP1 receptor antagonist, AH6809 (10 mg/kg/day, for 4 days), significantly reduced the systolic blood pressure in db/db, but not in control mice.
Activation of EP1 receptors increases arteriolar tone, which could contribute to the development of hypertension in the db/db mice.
2型糖尿病常与高血压相关,但潜在机制尚未完全明确。我们验证了以下假说:在2型糖尿病小鼠中,1型前列腺素E2(PGE2)受体(EP1)的激活会增加骨骼肌小动脉张力和血压。
与对照杂合子相比,12周龄雄性db/db小鼠(瘦素受体纯合子突变)的收缩压显著升高。分离的db/db小鼠加压股薄肌小动脉(约90微米)对压力和血管紧张素II(0.1 - 10纳摩尔)诱导的张力增强,而选择性EP1受体拮抗剂AH6809(10微摩尔)可将其降低至对照小鼠小动脉中观察到的水平。外源性应用PGE2(10皮摩尔 - 100纳摩尔)或EP1受体的选择性激动剂17 - 苯基 - 三降 - PGE2(10皮摩尔 - 100纳摩尔)会引起小动脉收缩,与对照相比,db/db小鼠的收缩增强更为显著(最大值分别为31±4%和29±5%,对照分别为20±2%和14±3%)。通过蛋白质免疫印迹法还检测到db/db小鼠主动脉中EP1受体而非EP4受体的蛋白表达增加。此外,我们发现口服EP1受体拮抗剂AH6809(10毫克/千克/天,持续4天)可显著降低db/db小鼠的收缩压,但对对照小鼠无此作用。
EP1受体的激活会增加小动脉张力,这可能导致db/db小鼠高血压的发生。