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精氨酸酶 1 导致糖尿病患者冠状动脉小动脉扩张减弱。

Arginase 1 contributes to diminished coronary arteriolar dilation in patients with diabetes.

机构信息

Department of Pharmacology, University of Oxford, Oxford, United Kingdom.

出版信息

Am J Physiol Heart Circ Physiol. 2011 Mar;300(3):H777-83. doi: 10.1152/ajpheart.00831.2010. Epub 2011 Jan 7.

DOI:10.1152/ajpheart.00831.2010
PMID:21217072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3064303/
Abstract

Arginase 1, via competing with nitric oxide (NO) synthase for the substrate L-arginine, may interfere with NO-mediated vascular responses. We tested the hypothesis that arginase 1 contributes to coronary vasomotor dysfunction in patients with diabetes mellitus (DM). Coronary arterioles were dissected from the right atrial appendages of 41 consecutive patients with or without DM (the 2 groups suffered from similar comorbidities), and agonist-induced changes in diameter were measured with videomicroscopy. We found that the endothelium-dependent agonist ACh elicited a diminished vasodilation and caused constriction to the highest ACh concentration (0.1 μM) with a similar magnitude in patients with (18 ± 8%) and without (17 ± 9%) DM. Responses to ACh were not significantly affected by the inhibition of NO synthesis with N(G)-nitro-L-arginine methyl ester in either group. The NO donor sodium nitroprusside-dependent dilations were not different in patients with or without DM. Interestingly, we found that the presence of N(G)-hydroxy-L-arginine (10 μM), a selective inhibitor of arginase or application of L-arginine (3 mM), restored ACh-induced coronary dilations only in patients with DM (to 47 ± 6% and to 40 ± 19%, respectively) but not in subjects without DM. Correspondingly, the protein expression of arginase 1 was increased in coronary arterioles of patients with DM compared with subjects without diabetes. Moreover, using immunocytochemistry, we detected an abundant immunostaining of arginase 1 in coronary endothelial cells of patients with DM, which was colocalized with NO synthase. Collectively, we provided evidence for a distinct upregulation of arginase 1 in coronary arterioles of patients with DM, which contributes to a reduced NO production and consequently diminished vasodilation.

摘要

精氨酸酶 1 通过与一氧化氮 (NO) 合酶竞争底物 L-精氨酸,可能会干扰 NO 介导的血管反应。我们检验了一个假说,即精氨酸酶 1 可能导致糖尿病患者的冠状动脉血管舒缩功能障碍。我们从 41 例连续患者(有或没有糖尿病)的右心耳中分离出冠状动脉小动脉,并使用视频显微镜测量激动剂诱导的直径变化。我们发现,内皮依赖性激动剂 ACh 引起的血管舒张减弱,并且在相同的程度上引起最大 ACh 浓度(0.1 μM)的收缩。在有(18 ± 8%)和没有(17 ± 9%)糖尿病的患者中,ACh 的反应没有明显受到 N(G)-硝基-L-精氨酸甲酯对 NO 合成的抑制的影响。在有或没有糖尿病的患者中,NO 供体硝普钠依赖性扩张没有差异。有趣的是,我们发现,存在 N(G)-羟基-L-精氨酸(10 μM),一种精氨酸酶的选择性抑制剂,或应用 L-精氨酸(3 mM),仅在糖尿病患者中恢复 ACh 诱导的冠状动脉扩张(分别为 47 ± 6%和 40 ± 19%),但在没有糖尿病的患者中没有。相应地,与没有糖尿病的患者相比,糖尿病患者的冠状动脉小动脉中的精氨酸酶 1 蛋白表达增加。此外,通过免疫细胞化学,我们在糖尿病患者的冠状动脉内皮细胞中检测到大量的精氨酸酶 1 免疫染色,其与 NO 合酶共定位。总的来说,我们提供了证据表明,糖尿病患者的冠状动脉小动脉中精氨酸酶 1 的表达明显上调,导致 NO 产生减少,进而血管舒张减弱。

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