Steppan Jochen, Sikka Gautam, Jandu Simran, Barodka Viachaslau, Halushka Marc K, Flavahan Nicholas A, Belkin Alexey M, Nyhan Daniel, Butlin Mark, Avolio Alberto, Berkowitz Dan E, Santhanam Lakshmi
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
J Am Heart Assoc. 2014 Apr 10;3(2):e000599. doi: 10.1161/JAHA.113.000599.
Vascular aging is closely associated with increased vascular stiffness. It has recently been demonstrated that decreased nitric oxide (NO)-induced S-nitrosylation of tissue transglutaminase (TG2) contributes to age-related vascular stiffness. In the current study, we tested the hypothesis that exercise restores NO signaling and attenuates vascular stiffness by decreasing TG2 activity and cross-linking in an aging rat model.
Rats were subjected to 12 weeks of moderate aerobic exercise. Aging was associated with diminished phosphorylated endothelial nitric oxide synthase and phosphorylated vasodilator-stimulated phosphoprotein abundance, suggesting reduced NO signaling. TG2 cross-linking activity was significantly increased in old animals, whereas TG2 abundance remained unchanged. These alterations were attenuated in the exercise cohort. Simultaneous measurement of blood pressure and pulse wave velocity (PWV) demonstrated increased aortic stiffness in old rats, compared to young, at all values of mean arterial pressure (MAP). The PWV-MAP correlation in the old sedentary and old exercise cohorts was similar. Tensile testing of the vessels showed increased stiffness of the aorta in the old phenotype with a modest restoration of mechanical properties toward the young phenotype with exercise.
Increased vascular stiffness during aging is associated with decreased TG2 S-nitrosylation, increased TG2 cross-linking activity, and increased vascular stiffness likely the result of decreased NO bioavailability. In this study, a brief period of moderate aerobic exercise enhanced NO signaling, attenuated TG cross-linking activity, and reduced ex vivo tensile properties, but failed to reverse functional vascular stiffness in vivo, as measured by PWV.
血管老化与血管僵硬度增加密切相关。最近有研究表明,一氧化氮(NO)诱导的组织转谷氨酰胺酶(TG2)的S-亚硝基化减少与年龄相关的血管僵硬度有关。在本研究中,我们验证了以下假设:在衰老大鼠模型中,运动可通过降低TG2活性和交联作用来恢复NO信号传导并减轻血管僵硬度。
对大鼠进行为期12周的中等强度有氧运动。衰老与磷酸化内皮型一氧化氮合酶和磷酸化血管舒张刺激磷蛋白丰度降低有关,提示NO信号传导减弱。老年动物的TG2交联活性显著增加,而TG2丰度保持不变。这些改变在运动组中有所减轻。同时测量血压和脉搏波速度(PWV)发现,在所有平均动脉压(MAP)值下,老年大鼠的主动脉僵硬度均高于年轻大鼠。老年久坐组和老年运动组的PWV-MAP相关性相似。血管拉伸试验显示,老年表型的主动脉僵硬度增加,运动后其力学性能适度恢复至年轻表型。
衰老过程中血管僵硬度增加与TG2 S-亚硝基化减少、TG2交联活性增加以及血管僵硬度增加有关,这可能是NO生物利用度降低的结果。在本研究中,一段短暂的中等强度有氧运动增强了NO信号传导,减弱了TG交联活性,并降低了离体拉伸性能,但未能逆转通过PWV测量的体内功能性血管僵硬度。