Reynolds Oklahoma Center on Aging, Department of Geriatric Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma;
Am J Physiol Heart Circ Physiol. 2013 Dec;305(12):H1698-708. doi: 10.1152/ajpheart.00377.2013. Epub 2013 Oct 4.
Hypertension in the elderly substantially increases the risk of stroke and vascular cognitive impairment in part due to an impaired functional adaptation of aged cerebral arteries to high blood pressure. To elucidate the mechanisms underlying impaired autoregulatory protection in aging, hypertension was induced in young (3 mo) and aged (24 mo) C57BL/6 mice by chronic infusion of angiotensin II and pressure-induced changes in smooth muscle cell (SMC) intracellular Ca(2+) concentration ([Ca(2+)]i) and myogenic constriction of middle cerebral arteries (MCA) were assessed. In MCAs from young hypertensive mice, pressure-induced increases in vascular SMC [Ca(2+)]i and myogenic tone were increased, and these adaptive responses were inhibited by the cytochrome P-450 ω-hydroxylase inhibitor HET0016 and the transient receptor potential (TRP) channel blocker SKF96365. Administration of 20- hydroxyeicosatetraenoic acid (HETE) increased SMC [Ca(2+)]i and constricted MCAs, and these responses were inhibited by SKF96365. MCAs from aged hypertensive mice did not show adaptive increases in pressure-induced calcium signal and myogenic tone and responses to HET0016 and SKF96365 were blunted. Inhibition of large-conductance Ca(2+)-activated K(+) (BK) channels by iberiotoxin enhanced SMC [Ca(2+)]i and myogenic constriction in MCAs of young normotensive animals, whereas it was without effect in MCAs of young hypertensive mice. Iberiotoxin did not restore myogenic adaptation in MCAs of aged hypertensive mice. Thus functional maladaptation of aged cerebral arteries to hypertension is due to the dysregulation of pressure-induced 20-HETE and TRP channel-mediated SMC calcium signaling, whereas overactivation of BK channels is unlikely to play a role in this phenomenon.
老年人高血压会显著增加中风和血管性认知障碍的风险,部分原因是老年脑动脉对高血压的功能适应性受损。为了阐明衰老过程中自动调节保护受损的机制,通过慢性输注血管紧张素 II 诱导年轻(3 个月)和老年(24 个月)C57BL/6 小鼠发生高血压,并评估了平滑肌细胞(SMC)细胞内 Ca(2+)浓度 ([Ca(2+)]i) 和血管平滑肌的压力诱导收缩在大脑中动脉(MCA)中的变化。在年轻高血压小鼠的 MCA 中,压力诱导的血管 SMC [Ca(2+)]i 和肌源性张力增加,这些适应性反应被细胞色素 P-450 ω-羟化酶抑制剂 HET0016 和瞬时受体电位(TRP)通道阻滞剂 SKF96365 抑制。20-羟基二十碳四烯酸(HETE)增加 SMC [Ca(2+)]i 和收缩 MCA,并且这些反应被 SKF96365 抑制。高血压老年小鼠的 MCA 没有显示出压力诱导的钙信号和肌源性张力适应性增加,并且对 HET0016 和 SKF96365 的反应减弱。大电导钙激活钾(BK)通道抑制剂 iberiotoxin 增强了年轻正常血压动物 MCA 中的 SMC [Ca(2+)]i 和肌源性收缩,而在年轻高血压小鼠的 MCA 中则没有作用。iberiotoxin 没有恢复高血压老年小鼠 MCA 中的肌源性适应。因此,老年脑动脉对高血压的功能失调适应是由于压力诱导的 20-HETE 和 TRP 通道介导的 SMC 钙信号的失调所致,而 BK 通道的过度激活不太可能在这种现象中发挥作用。