Institute of Pharmacology and Toxicology, Academy of Medical Sciences of Ukraine, Kiev, Ukraine.
Br J Pharmacol. 2010 Apr;159(8):1724-31. doi: 10.1111/j.1476-5381.2010.00666.x. Epub 2010 Mar 9.
Diabetes mellitus (DM) causes multiple dysfunctions including circulatory disorders such as cardiomyopathy, angiopathy, atherosclerosis and arterial hypertension. Rho kinase (ROCK) and protein kinase C (PKC) regulate vascular smooth muscle (VSM) Ca(2+) sensitivity, thus enhancing VSM contraction, and up-regulation of both enzymes in DM is well known. We postulated that in DM, Ca(2+) sensitization occurs in diabetic arteries due to increased ROCK and/or PKC activity.
Rats were rendered hyperglycaemic by i.p. injection of streptozotocin. Age-matched control tissues were used for comparison. Contractile responses to phenylephrine (Phe) and different Ca(2+) concentrations were recorded, respectively, from intact and chemically permeabilized vascular rings from aorta, tail and mesenteric arteries.
Diabetic tail and mesenteric arteries demonstrated markedly enhanced sensitivity to Phe while these changes were not observed in aorta. The ROCK inhibitor HA1077, but not the PKC inhibitor chelerythrine, caused significant reduction in sensitivity to agonist in diabetic vessels. Similar changes were observed for myofilament Ca(2+) sensitivity, which was again enhanced in DM in tail and mesenteric arteries, but not in aorta, and could be reduced by both the ROCK and PKC blockers.
We conclude that in DM enhanced myofilament Ca(2+) sensitivity is mainly manifested in muscular-type blood vessels and thus likely to contribute to the development of hypertension. Both PKC and, in particular, ROCK are involved in this phenomenon. This highlights their potential usefulness as drug targets in the pharmacological management of DM-associated vascular dysfunction.
糖尿病(DM)会导致多种功能障碍,包括循环系统障碍,如心肌病、血管病变、动脉粥样硬化和动脉高血压。Rho 激酶(ROCK)和蛋白激酶 C(PKC)调节血管平滑肌(VSM)的 Ca(2+)敏感性,从而增强 VSM 收缩,DM 中这两种酶的上调是众所周知的。我们推测,在 DM 中,由于 ROCK 和/或 PKC 活性增加,糖尿病动脉中会发生 Ca(2+)敏化。
通过腹腔注射链脲佐菌素使大鼠产生高血糖。使用年龄匹配的对照组织进行比较。分别从主动脉、尾和肠系膜动脉的完整和化学渗透血管环中记录对苯肾上腺素(Phe)和不同 Ca(2+)浓度的收缩反应。
糖尿病尾和肠系膜动脉对 Phe 的敏感性明显增强,而这种变化在主动脉中未观察到。ROCK 抑制剂 HA1077,但不是 PKC 抑制剂 Chelerythrine,可显著降低糖尿病血管中激动剂的敏感性。肌球蛋白 Ca(2+)敏感性也观察到类似的变化,在 DM 中尾和肠系膜动脉的敏感性增强,但在主动脉中没有,ROCK 和 PKC 阻滞剂均可降低其敏感性。
我们得出结论,在 DM 中增强的肌球蛋白 Ca(2+)敏感性主要表现在肌型血管中,因此可能有助于高血压的发展。PKC 和 ROCK 都参与了这一现象。这突出了它们作为 DM 相关血管功能障碍药物靶点的潜在用途。