Nephrology Department, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv, Israel.
Am J Nephrol. 2013;37(6):613-9. doi: 10.1159/000350614. Epub 2013 Jun 13.
The spectrum of cardiovascular toxicity by cyclosporine (CsA) includes hypertension, accelerated atherosclerosis, and thrombotic microangiopathy, all of which are the result of endothelial cell dysfunction. Endothelial cell dysfunction is characterized by decreased endothelial nitric oxide synthase (eNOS) activity. Cationic amino acid transporter-1 (CAT-1) is the specific arginine transporter for eNOS. CsA has been shown to attenuate nitric oxide (NO) generation. However, the mechanism remains elusive. We hypothesize that CsA inhibits eNOS activity through modulation of its selective arginine supplier CAT-1.
We studied the effect of CsA on arginine uptake, NO2/NO3 generation, and CAT-1, protein kinase Cα (PKCα), and phosphorylated PKCα protein expression in human umbilical vein endothelial cell cultures (HUVEC) in the absence and presence of L-arginine.
CsA (0.5-2 μg/ml) significantly attenuated arginine transport in a dose- and time-dependent manner, a phenomenon which was prevented by co-incubation with L-arginine (1 mM). The aforementioned findings were accompanied by increased protein nitration, a measure for peroxynitrite accumulation. In contrast, no changes were observed in NO2/NO3 generation. CsA significantly decreased the abundance of CAT-1 protein, an effect that was attenuated by L-arginine. PKCα and phosphorylated PKCα (CAT-1 inhibitors) protein contents were not affected by CsA.
CsA inhibits arginine transport and induces protein nitration in HUVEC through modulation of CAT-1.
环孢素(CsA)引起的心血管毒性谱包括高血压、动脉粥样硬化加速和血栓性微血管病,所有这些都是内皮细胞功能障碍的结果。内皮细胞功能障碍的特征是内皮型一氧化氮合酶(eNOS)活性降低。阳离子氨基酸转运蛋白-1(CAT-1)是 eNOS 的特定精氨酸转运蛋白。已经表明 CsA 会减弱一氧化氮(NO)的产生。然而,其机制仍不清楚。我们假设 CsA 通过调节其选择性精氨酸供体 CAT-1 来抑制 eNOS 活性。
我们研究了 CsA 对人脐静脉内皮细胞(HUVEC)中精氨酸摄取、NO2/NO3 生成以及 CAT-1、蛋白激酶 Cα(PKCα)和磷酸化 PKCα 蛋白表达的影响,同时研究了有无 L-精氨酸的存在。
CsA(0.5-2 μg/ml)以剂量和时间依赖的方式显著减弱精氨酸转运,而与 L-精氨酸(1 mM)共同孵育可预防这种现象。上述发现伴随着蛋白质硝化的增加,这是过氧亚硝酸盐积累的一种衡量标准。相比之下,NO2/NO3 生成没有变化。CsA 显著降低 CAT-1 蛋白的丰度,而 L-精氨酸可减轻这种作用。PKCα 和磷酸化 PKCα(CAT-1 抑制剂)蛋白含量不受 CsA 影响。
CsA 通过调节 CAT-1 抑制 HUVEC 中的精氨酸转运并诱导蛋白质硝化。