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塞来昔布对用内皮素-1收缩的人肠系膜动脉舒张特性的影响。

Influence of celecoxib on the vasodilating properties of human mesenteric arteries constricted with endothelin-1.

作者信息

Grześk Grzegorz, Szadujkis-Szadurska Katarzyna, Matusiak Grzegorz, Malinowski Bartosz, Gajdus Marta, Wiciński Michał, Szadujkis-Szadurski Leszek

机构信息

Department of Pharmacology and Therapeutics, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz 85-094, Poland.

出版信息

Biomed Rep. 2014 May;2(3):412-418. doi: 10.3892/br.2014.233. Epub 2014 Jan 29.

Abstract

The mitogenic and vasoconstrictive properties of the vascular system are attributed to endothelin-1 (ET-1). ET-1 serum concentration increases in a number of pathological conditions, particularly in those associated with blood vessel constriction. ET-1 is also associated with the underlying pathomechanisms of primary pulmonary hypertension, arterial hypertension and eclampsia. The aim of this study was to compare the vasodilating properties of selected phosphodiesterase (PDE) inhibitors and celecoxib in human mesenteric arteries constricted with ET-1, and investigate the role of the endothelium in relaxation. Perfused human mesenteric arteries were collected and stored under the same conditions as organs for transplantation. The mesenteric arteries (with and without the endothelium) were constricted by the addition of ET-1 and treated with one of the following: sildenafil (PDE5 inhibitor), zaprinast (PDE5 and 6 inhibitor), rolipram (PDE4 inhibitor) and celecoxib [cyclooxygenase-2 (COX-2) inhibitor]. Based on the observed changes of the perfusion pressure, concentration response curves (CRCs) were prepared for the respective inhibitors and the EC (concentration causing an effect equal to half of the maximum effect), pD (negative common logarithm of EC) and relative potency (RP) were calculated. The results suggested that all the inhibitors triggered a concentration-dependent decrease in the perfusion pressure in isolated human superior mesenteric arteries with endothelium constricted by the addition of ET-1. In the arteries without endothelium, CRCs for celecoxib and rolipram were shifted to the right without a significant decrease in the maximum dilating effect. Moreover, CRCs for sildenafil and zaprinast were shifted to the right with a simultaneous significant decrease in the maximum dilating effect and with an increased inclination angle in reference to the concentration axis. In the presence of the endothelium, all of the evaluated PDE inhibitors, as well as celecoxib, reduced the reactivity of the mesenteric arteries caused by ET-1. Sildenafil indicated the lowest efficacy in the presence of the endothelium, but showed a higher potency compared to that of the other compounds. Removing the endothelium significantly reduced the vasodilating efficacy of PDE5 and 6 inhibitors and a statistically significant influence on the vasodilating efficacy of PDE4 inhibitor and celecoxib was observed. The high vasorelaxing efficacy of celecoxib at the background of the PDE inhibitors was observed, not only in the presence, but also in the absence of the endothelium and may be evidence for the relaxation induced by this COX-2 inhibitor in the cAMP- and cGMP-dependent pathways.

摘要

血管系统的促有丝分裂和血管收缩特性归因于内皮素 -1(ET -1)。在许多病理状况下,尤其是与血管收缩相关的状况中,ET -1血清浓度会升高。ET -1还与原发性肺动脉高压、动脉高血压和子痫的潜在发病机制相关。本研究的目的是比较所选磷酸二酯酶(PDE)抑制剂和塞来昔布对用ET -1收缩的人肠系膜动脉的舒张特性,并研究内皮在舒张过程中的作用。收集灌注的人肠系膜动脉,并在与用于移植的器官相同的条件下储存。肠系膜动脉(有内皮和无内皮)通过添加ET -1使其收缩,并用以下之一进行处理:西地那非(PDE5抑制剂)、扎普司特(PDE5和6抑制剂)、咯利普兰(PDE4抑制剂)和塞来昔布[环氧化酶 -2(COX -2)抑制剂]。根据观察到的灌注压力变化情况,为各自的抑制剂绘制浓度 -效应曲线(CRCs),并计算出EC(产生等于最大效应一半的效应时的浓度)、pD(EC的负常用对数)和相对效价(RP)。结果表明,所有抑制剂均使添加ET -1收缩的有内皮的离体人肠系膜上动脉的灌注压力呈浓度依赖性降低。在无内皮的动脉中,塞来昔布和咯利普兰的CRCs向右移动,最大舒张效应无显著降低。此外,西地那非和扎普司特的CRCs向右移动,同时最大舒张效应显著降低,且相对于浓度轴的倾斜角度增大。在内皮存在的情况下,所有评估的PDE抑制剂以及塞来昔布均降低了ET -1引起的肠系膜动脉反应性。西地那非在内皮存在时显示出最低的疗效,但与其他化合物相比效价更高。去除内皮显著降低了PDE5和6抑制剂的舒张疗效,并且观察到对PDE4抑制剂和塞来昔布的舒张疗效有统计学显著影响。不仅在内皮存在时,而且在内皮不存在时,均观察到在PDE抑制剂背景下塞来昔布具有较高的血管舒张疗效,这可能是这种COX -2抑制剂在cAMP和cGMP依赖性途径中诱导舒张的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8a3/3990212/2812c3180423/BR-02-03-0412-g00.jpg

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