Schwartz Idit F, Grupper Ayelet, Chernichovski Tamara, Grupper Avishai, Hillel Oren, Engel Anat, Schwartz Doron
Department of Nephrology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel.
J Vasc Res. 2011;48(3):252-60. doi: 10.1159/000320356. Epub 2010 Nov 23.
Hyperuricemia provokes endothelial dysfunction (ECD). Decreased endothelial nitric oxide synthase (eNOS) activity is an important source of ECD. Cationic amino acid transporter-1 (CAT-1) is the specific arginine transporter for eNOS. We hypothesize that hyperuricemia inhibits arginine uptake.
Experiments were performed in freshly harvested aortas from untreated animals and rats fed with oxonic acid (hyperuricemia), and compared to hyperuricemic rats treated with either allopurinol, benzbromarone or arginine.
Arginine transport was significantly decreased in hyperuricemia. Benzbromarone and arginine prevented the decrease in arginine transport in hyperuricemic rats while allopurinol did not. Arginine transport was significantly decreased in control rats treated with allopurinol. Blood pressure response to acetylcholine was significantly attenuated in hyperuricemic rats, an effect which was prevented in all other experimental groups. L-NAME inhibitable cGMP response to carbamyl-choline was significantly decreased in hyperuricemic rats and this was completely prevented by both benzbromarone and arginine, while allopurinol partially prevented the aforementioned phenomenon. Hyperuricemia induced a significant increase in protein nitration that was prevented by benzbromarone, allopurinol, and arginine. Protein abundance of CAT-1, PKCα, and phosphorylated PKCα remained unchanged in all experimental groups.
In hyperuricemia, the decrease in aortic eNOS activity is predominantly the result of attenuated arginine uptake.
高尿酸血症可引发内皮功能障碍(ECD)。内皮型一氧化氮合酶(eNOS)活性降低是ECD的一个重要来源。阳离子氨基酸转运体1(CAT-1)是eNOS的特异性精氨酸转运体。我们推测高尿酸血症会抑制精氨酸摄取。
实验在未处理动物和喂食氧嗪酸(高尿酸血症)的大鼠新鲜收获的主动脉中进行,并与用别嘌醇、苯溴马隆或精氨酸治疗的高尿酸血症大鼠进行比较。
高尿酸血症时精氨酸转运显著降低。苯溴马隆和精氨酸可防止高尿酸血症大鼠精氨酸转运的降低,而别嘌醇则不能。用别嘌醇治疗的对照大鼠精氨酸转运也显著降低。高尿酸血症大鼠对乙酰胆碱的血压反应显著减弱,而在所有其他实验组中这种作用均被阻止。高尿酸血症大鼠中L-NAME可抑制的对氨甲酰胆碱的cGMP反应显著降低,苯溴马隆和精氨酸均可完全阻止这种降低,而别嘌醇只能部分阻止上述现象。高尿酸血症导致蛋白质硝化显著增加,苯溴马隆、别嘌醇和精氨酸均可阻止这种增加。所有实验组中CAT-1、PKCα和磷酸化PKCα的蛋白质丰度均保持不变。
在高尿酸血症中,主动脉eNOS活性降低主要是精氨酸摄取减少的结果。