Shi Lin, Du Jun-bao, Pu Ding-fang, Qi Jian-guang, Tang Chao-shu
Department of Pediatrics, Peking University First Hospital, China.
Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2006 Aug;22(3):343-7.
Pulmonary hypertension is a common complication of congenital heart disease with a left-to right shunt. The mechanism of pulmonary hypertension induced by high pulmonary blood flow is still not fully understood. Recent studies showed that hydrogen sulfide (H2S) could relax vascular smooth muscle cells. But the change of the system of H2S in pulmonary hypertension induced by high pulmonary blood flow was not reported. We studied the influence on expression of CSE mRNA and production of hydrogen sulfide in rat lung tissues by L-Arginine, in order to demonstrate a regulating role of nitric oxide (NO) in the regulation of cystathionine-gamma-lyase/hydrogen sulfide system (CSE/H2S).
Thirty male SD rats were randomly divided into shunting group, shunting with L-Arginine group, and control group. Abdominal aorta and inferior vena cava shunting was produced in rats of the later group. Pulmonary artery mean pressure (mPAP) and the hypertrophy of right ventricle of each rat were analyzed. The expression of lung tissue CSE mRNA was measured using quantitative reverse transcription-polymerase chain reaction and in situ hybridization. The activity of CSE in lung tissue was measured according to chemical analysis.
mPAP was significantly increased in shunted rats compared with normal control (P < 0.01), the expression of lung tissue CSE mRNA and the activity of CSE in lung tissue were decreased in shunt group (P < 0.01). However, L-arginine significantly attenuated pulmonary artery pressure, but augmented the expression of lung tissue CSE mRNA as well as the activity of CSE in lung tissue.
L-Arginine reverses the down-regulation of CSE/H2S system in high pulmonary blood flow-induced pulmonary hypertension.
肺动脉高压是先天性心脏病伴左向右分流的常见并发症。高肺血流量所致肺动脉高压的机制尚未完全明确。近期研究表明,硫化氢(H2S)可使血管平滑肌细胞舒张。但高肺血流量所致肺动脉高压中H2S系统的变化尚未见报道。我们研究了L-精氨酸对大鼠肺组织中胱硫醚-γ-裂解酶(CSE)mRNA表达及硫化氢生成的影响,以证实一氧化氮(NO)在胱硫醚-γ-裂解酶/硫化氢系统(CSE/H2S)调节中的作用。
30只雄性SD大鼠随机分为分流组、分流加L-精氨酸组和对照组。后两组大鼠行腹主动脉与下腔静脉分流术。分析每只大鼠的肺动脉平均压(mPAP)及右心室肥厚情况。采用定量逆转录-聚合酶链反应和原位杂交法检测肺组织CSE mRNA的表达。根据化学分析法检测肺组织中CSE的活性。
与正常对照组相比,分流大鼠的mPAP显著升高(P < 0.01),分流组肺组织CSE mRNA的表达及肺组织中CSE的活性降低(P < 0.01)。然而,L-精氨酸可显著减轻肺动脉压力,但增加肺组织CSE mRNA的表达及肺组织中CSE的活性。
L-精氨酸可逆转高肺血流量所致肺动脉高压中CSE/H2S系统的下调。