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替米沙坦通过 PPARγ 依赖性表达和内皮型一氧化氮合酶的激活抑制血管收缩。

Telmisartan inhibits vasoconstriction via PPARγ-dependent expression and activation of endothelial nitric oxide synthase.

机构信息

Institute of Vascular Medicine, Li Ka Shing Institute of Health Sciences, School of Biomedical Sciences, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, China.

出版信息

Cardiovasc Res. 2011 Apr 1;90(1):122-9. doi: 10.1093/cvr/cvq392. Epub 2010 Dec 14.

Abstract

AIMS

Telmisartan activates peroxisome proliferator-activated receptor-γ (PPARγ) in addition to serving as an angiotensin II type 1 receptor (AT(1)R) blocker. The PPARγ activity of telmisartan on resistance arteries has remained largely unknown. The present study investigated the hypothesis that telmisartan inhibited vascular tension in mouse mesenteric resistance arteries, which was attributed to an increased nitric oxide (NO) production through the PPARγ-dependent augmentation of expression and activity of endothelial nitric oxide synthase (eNOS).

METHODS AND RESULTS

Second-order mesenteric arteries were isolated from male C57BL/6J, eNOS knockout and PPARγ knockout mice and changes in vascular tension were determined by isometric force measurement with a myograph. Expression and activation of relevant proteins were analysed by Western blotting. Real-time NO production was measured by confocal microscopy using the dye DAF. Telmisartan inhibited 9,11-dideoxy-11α,9α-epoxymethanoprostaglandin F(2α) (U46619)- or endothelin-1-induced contractions. An NOS inhibitor, N(G)-nitro-L-arginine methyl ester (l-NAME), or an inhibitor of soluble guanylate cyclase, 1H-[1,2,4]-oxadizolo[4,3-a]quinoxalin-1-one (ODQ), prevented telmisartan-induced inhibition of U46619 contractions. A PPARγ antagonist, GW9662, abolished telmisartan-induced inhibition. Likewise, the PPARγ antagonist rosiglitazone attenuated U46619-induced contractions. The effects of telmisartan and rosiglitazone were prevented by actinomycin-D, a transcription inhibitor. In contrast, losartan, olmesartan, and irbesartan did not inhibit contractions. The inhibition was absent in mesenteric arteries from eNOS knockout or PPARγ knockout mice. Telmisartan augmented eNOS expression, phosphorylation, and NO production, which were reversed by the co-treatment with GW9662.

CONCLUSIONS

The present results suggest that telmisartan-induced inhibition of vasoconstriction in resistance arteries is mediated through a PPARγ-dependent increase in eNOS expression and activity that is unrelated to AT₁R blockade.

摘要

目的

替米沙坦除了作为血管紧张素 II 型 1 型受体(AT(1)R)阻断剂外,还能激活过氧化物酶体增殖物激活受体-γ(PPARγ)。替米沙坦对阻力动脉的 PPARγ 活性在很大程度上仍不清楚。本研究假设替米沙坦通过增加内皮型一氧化氮合酶(eNOS)的表达和活性来增加一氧化氮(NO)的产生,从而抑制小鼠肠系膜阻力动脉的血管张力。

方法和结果

从雄性 C57BL/6J、eNOS 敲除和 PPARγ 敲除小鼠中分离出二级肠系膜动脉,并通过肌动描记法测量血管张力的变化。通过 Western blot 分析相关蛋白的表达和激活。通过使用染料 DAF 的共聚焦显微镜测量实时 NO 产生。替米沙坦抑制 9,11-二去氧-11α,9α-环氧甲酰基前列腺素 F(2α)(U46619)或内皮素-1 诱导的收缩。NOS 抑制剂 N(G)-硝基-L-精氨酸甲酯(l-NAME)或可溶性鸟苷酸环化酶抑制剂 1H-[1,2,4]-恶二唑[4,3-a]喹喔啉-1-酮(ODQ)可阻止替米沙坦诱导的 U46619 收缩抑制。PPARγ 拮抗剂 GW9662 消除了替米沙坦诱导的抑制作用。同样,PPARγ 拮抗剂罗格列酮也可减弱 U46619 诱导的收缩。替米沙坦和罗格列酮的作用被转录抑制剂放线菌素-D 所阻止。相比之下,氯沙坦、奥美沙坦和厄贝沙坦不会抑制收缩。在 eNOS 敲除或 PPARγ 敲除小鼠的肠系膜动脉中,抑制作用消失。替米沙坦增强了 eNOS 的表达、磷酸化和 NO 的产生,GW9662 的共同处理可逆转这些作用。

结论

本研究结果表明,替米沙坦抑制阻力动脉血管收缩是通过 PPARγ 依赖性增加 eNOS 表达和活性介导的,与 AT₁R 阻断无关。

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