Mazzuca Marc Q, Dang Yiping, Khalil Raouf A
Vascular Surgery Research Laboratory, Division of Vascular and Endovascular Surgery, Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02115, USA.
Br J Pharmacol. 2013 Jul;169(6):1335-51. doi: 10.1111/bph.12225.
Normal pregnancy is associated with decreased vascular resistance and increased release of vasodilators. Endothelin-1 (ET-1) causes vasoconstriction via endothelin receptor type A (ET(A)R), but could activate ET(B)R in the endothelium and release vasodilator substances. However, the roles of ET(B)R in the regulation of vascular function during pregnancy and the vascular mediators involved are unclear.
Pressurized mesenteric microvessels from pregnant and virgin Sprague-Dawley rats were loaded with fura-2/AM for simultaneous measurement of diameter and [Ca²⁺]i.
High KCl (51 mM) and phenylephrine (PHE) caused increases in vasoconstriction and [Ca²⁺]i that were similar in pregnant and virgin rats. ET-1 caused vasoconstriction that was less in pregnant than virgin rats, with small increases in [Ca²⁺]i. Pretreatment with the ET(B)R antagonist BQ-788 caused greater enhancement of ET-1-induced vasoconstriction in pregnant rats. ACh caused endothelium-dependent relaxation and decreased [Ca²⁺]i, and was more potent in pregnant than in virgin rats. ET-1 + ET(A)R antagonist BQ-123, and the ET(B)R agonists sarafotoxin 6c (S6c) and IRL-1620 caused greater vasodilation in pregnant than in virgin rats with no changes in [Ca²⁺]i, suggesting up-regulated ET(B)R-mediated relaxation pathways. ACh-, S6c- and IRL-1620-induced relaxation was reduced by the NO synthase inhibitor Nω-nitro-L-arginine methyl ester, and abolished by tetraethylammonium or endothelium removal. Western blots revealed greater amount of ET(B)R in intact microvessels of pregnant than virgin rats, but reduced levels in endothelium-denuded microvessels, supporting a role of endothelial ET(B)R.
The enhanced ET(B)R-mediated microvascular relaxation may contribute to the decreased vasoconstriction and vascular resistance during pregnancy.
正常妊娠与血管阻力降低及血管舒张剂释放增加有关。内皮素-1(ET-1)通过A型内皮素受体(ET(A)R)引起血管收缩,但可激活内皮细胞中的ET(B)R并释放血管舒张物质。然而,ET(B)R在孕期血管功能调节中的作用以及所涉及的血管介质尚不清楚。
将怀孕和未孕的Sprague-Dawley大鼠的肠系膜微血管加压,加载fura-2/AM以同时测量血管直径和细胞内钙离子浓度([Ca²⁺]i)。
高钾(51 mM)和去氧肾上腺素(PHE)引起的血管收缩和[Ca²⁺]i增加在怀孕大鼠和未孕大鼠中相似。ET-1引起的血管收缩在怀孕大鼠中比未孕大鼠小,[Ca²⁺]i仅有小幅增加。用ET(B)R拮抗剂BQ-788预处理导致怀孕大鼠中ET-1诱导的血管收缩增强更明显。乙酰胆碱(ACh)引起内皮依赖性舒张并降低[Ca²⁺]i,且在怀孕大鼠中比未孕大鼠更有效。ET-1 + ET(A)R拮抗剂BQ-123以及ET(B)R激动剂沙拉新6c(S6c)和IRL-1620在怀孕大鼠中比未孕大鼠引起更大的血管舒张,[Ca²⁺]i无变化,提示ET(B)R介导的舒张途径上调。一氧化氮合酶抑制剂Nω-硝基-L-精氨酸甲酯降低了ACh、S6c和IRL-1620诱导的舒张,而四乙铵或去除内皮则消除了这种舒张。蛋白质免疫印迹显示,怀孕大鼠完整微血管中的ET(B)R量比未孕大鼠多,但在内皮剥脱的微血管中水平降低,支持内皮ET(B)R的作用。
增强的ET(B)R介导的微血管舒张可能有助于孕期血管收缩和血管阻力的降低。