Department of Anesthesiology, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-0012, Japan.
J Anesth. 2012 Oct;26(5):682-8. doi: 10.1007/s00540-012-1415-5. Epub 2012 May 29.
Angiotensin II (Ang II)-induced vascular contraction is mediated by Ca(2+)-dependent mechanisms and Ca(2+) sensitization mechanisms. The phosphorylation of protein kinase C (PKC) regulates myofilament Ca(2+) sensitivity. We have previously demonstrated that sevoflurane inhibits Ang II-induced vasoconstriction by inhibiting PKC phosphorylation, whereas isoflurane inhibits Ang II-induced vasoconstriction by decreasing intracellular Ca(2+) concentration (Ca(2+)) in vascular smooth muscle. Propofol also induces vasodilation; however, the effect of propofol on PKC-mediated myofilament Ca(2+) sensitivity is poorly understood. The aim of this study is to determine the mechanisms by which propofol inhibits Ang II-induced vascular contraction in rat aortic smooth muscle.
An isometric force transducer was used to investigate the effect of propofol on vasoconstriction, a fluorometer was used to investigate the change in Ca(2+), and Western blot testing was used to analyze Ang II-induced PKC phosphorylation.
Ang II (10(-7) M) elicited a transient contraction of rat aortic smooth muscle, which was associated with an elevation of Ca(2+). Propofol (10(-6 )M) inhibited Ang II-induced vascular contraction (P < 0.01) and increase in Ca(2+) (P < 0.05) in rat aortic smooth muscle. Ang II also induced a rapid increase in Ca(2+) in cultured vascular smooth muscle cells, which was suppressed by propofol (P < 0.05). Propofol (10(-6) M) attenuated Ang II-stimulated PKC phosphorylation (P < 0.05).
These results suggest that the inhibitory effect of propofol on Ang II-induced vascular contraction is mediated by the attenuation of a Ca(2+)-dependent pathway and Ca(2+) sensitivity through the PKC signaling pathway.
血管紧张素 II(Ang II)诱导的血管收缩是通过 Ca(2+)依赖性机制和 Ca(2+)敏感化机制介导的。蛋白激酶 C(PKC)的磷酸化调节肌球蛋白丝 Ca(2+)敏感性。我们之前已经证明,七氟醚通过抑制 PKC 磷酸化来抑制 Ang II 诱导的血管收缩,而异氟醚通过降低血管平滑肌细胞内的 Ca(2+)浓度([Ca(2+)](i))来抑制 Ang II 诱导的血管收缩。丙泊酚也诱导血管舒张;然而,丙泊酚对 PKC 介导的肌球蛋白丝 Ca(2+)敏感性的影响知之甚少。本研究的目的是确定丙泊酚抑制大鼠主动脉平滑肌 Ang II 诱导的血管收缩的机制。
使用等长力传感器研究丙泊酚对血管收缩的影响,使用荧光计研究 [Ca(2+)](i)的变化,使用 Western blot 检测分析 Ang II 诱导的 PKC 磷酸化。
Ang II(10(-7)M)引起大鼠主动脉平滑肌短暂收缩,伴有 [Ca(2+)](i)升高。丙泊酚(10(-6)M)抑制 Ang II 诱导的血管收缩(P < 0.01)和大鼠主动脉平滑肌 [Ca(2+)](i)的增加(P < 0.05)。Ang II 还在培养的血管平滑肌细胞中引起 [Ca(2+)](i)的快速增加,丙泊酚抑制了这种增加(P < 0.05)。丙泊酚(10(-6)M)减弱了 Ang II 刺激的 PKC 磷酸化(P < 0.05)。
这些结果表明,丙泊酚对 Ang II 诱导的血管收缩的抑制作用是通过减弱依赖 Ca(2+)的途径和通过 PKC 信号通路的 Ca(2+)敏感性来介导的。