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牛磺酸在血管系统中的作用:实验研究与人体研究综述

Role of taurine in the vasculature: an overview of experimental and human studies.

作者信息

Abebe Worku, Mozaffari Mahmood S

机构信息

Department of Oral Biology, College of Dental Medicine, Georgia Health Sciences University Augusta, GA, USA.

出版信息

Am J Cardiovasc Dis. 2011;1(3):293-311. Epub 2011 Sep 10.

Abstract

Taurine is a sulfur-containing amino acid-like endogenous compound found in substantial amounts in mammalian tissues. It exerts a diverse array of biological effects, including cardiovascular regulation, antioxidation, modulation of ion transport, membrane stabilization, osmoregulation, modulation of neurotransmission, bile acid conjugation, hypolipidemia, antiplatelet activity and modulation of fetal development. This brief review summarizes the role of taurine in the vasculature and modulation of blood pressure, based on experimental and human studies. Oral supplementation of taurine induces antihypertensive effects in various animal models of hypertension. These effects of taurine have been shown to be both centrally and peripherally mediated. Consistent with this, taurine produces endothelium-dependent and independent relaxant effects in isolated vascular tissue preparations. Oral administration of taurine also ameliorates impairment of vascular reactivity, intimal thickening, arteriosclerosis, endothelial apoptosis, oxidative stress and inflammation, associated primarily with diabetes and, to a lesser extent with obesity, hypertension and nicotine-induced vascular adverse events. In rat aortic vascular smooth muscle cells (VSMCs), taurine acts as an antiproliferative and antioxidant agent. In endothelial cells, taurine inhibits apoptosis, inflammation, oxidative stress and cell death while increasing NO generation. Oral taurine in hypertensive human patients alleviates the symptoms of hypertension and also reverses arterial stiffness and brachial artery reactivity in type 1 diabetic patients. However, despite these favorable findings, there is a need to further establish certain aspects of the reported results and also consider addressing unresolved related issues. In addition, the molecular mechanism (s) involved in the vascular effects of taurine is largely unknown and requires further investigations. Elucidation of the mechanisms through which taurine affects the vasculature could facilitate the development of therapeutic and/or diet-based strategies to reduce the burdens of vascular diseases.

摘要

牛磺酸是一种含硫的氨基酸样内源性化合物,在哺乳动物组织中大量存在。它具有多种生物学效应,包括心血管调节、抗氧化、离子转运调节、膜稳定、渗透调节、神经传递调节、胆汁酸结合、降血脂、抗血小板活性以及对胎儿发育的调节。本简要综述基于实验研究和人体研究,总结了牛磺酸在血管系统中的作用以及对血压的调节。口服补充牛磺酸在各种高血压动物模型中具有降压作用。牛磺酸的这些作用已被证明是由中枢和外周介导的。与此一致的是,牛磺酸在离体血管组织制备中产生内皮依赖性和非依赖性舒张作用。口服牛磺酸还可改善主要与糖尿病相关、在较小程度上与肥胖、高血压和尼古丁诱导的血管不良事件相关的血管反应性损害、内膜增厚、动脉硬化、内皮细胞凋亡、氧化应激和炎症。在大鼠主动脉血管平滑肌细胞(VSMC)中,牛磺酸作为一种抗增殖和抗氧化剂起作用。在内皮细胞中,牛磺酸抑制细胞凋亡、炎症、氧化应激和细胞死亡,同时增加一氧化氮的生成。高血压患者口服牛磺酸可缓解高血压症状,还可逆转1型糖尿病患者的动脉僵硬度和肱动脉反应性。然而,尽管有这些有利的发现,但仍需要进一步确定报告结果的某些方面,并考虑解决未解决的相关问题。此外,牛磺酸血管效应所涉及的分子机制在很大程度上尚不清楚,需要进一步研究。阐明牛磺酸影响血管系统的机制有助于制定治疗和/或基于饮食的策略,以减轻血管疾病的负担。

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