Takushima Sachiyo, Nishi Yoshihiro, Nonoshita Akiko, Mifune Hiroharu, Hirata Rumiko, Tanaka Eiichiro, Doi Ryosuke, Hori Daizo, Kamura Toshiharu, Ushijima Kimio
Department of Obstetrics and Gynecology, Kurume University School of Medicine, Kurume, Japan.
J Obstet Gynaecol Res. 2015 Apr;41(4):540-50. doi: 10.1111/jog.12602. Epub 2014 Nov 5.
Diminished vasodilator activity during pregnancy, which augments vascular responses to vasoconstrictors, is one reason for the onset of pre-eclampsia and superimposed pre-eclampsia. It is known that Dahl salt-sensitive (Dahl-S) rats develop salt-sensitive hypertension like African-Americans. The present study attempted to assess the changes and the interactions of the NOS-NO-sGC-cGMP and NP-NPR-cGMP systems in the hypertensive placenta using Dahl-S rats as an animal model of superimposed pre-eclampsia.
Pregnant Dahl-S rats were fed a high-salt diet to induce the development of hypertension and fetal growth restriction. Using these rats, we investigated the regulation of these two vasodilatation systems, including the kinetics of cyclic guanosine monophosphate (cGMP), soluble guanylate cyclase (sGC), endothelial nitric oxide synthase (NOS), cytokine-inducible NOS, natriuretic peptides (NP) (atrial NP, brain NP and C-type NP), and NP receptors (NPR) (NPR-A, NPR-B, NPR-C).
Dahl-S rats fed a high-salt diet exhibited hypertension, fetal growth restriction and thickening of the walls in decidual vessels. The placental cGMP level in the rats fed the high-salt diet was significantly decreased compared with that in controls. The expression levels of endothelial NOS and cytokine-inducible NOS mRNA increased significantly, while that of sGCα2-sunbnit declined significantly. Messenger RNA levels of NPR-C, a clearance-type receptor of NP, declined significantly, whereas those of NP and their functional receptors NPR-A and NPR-B were unchanged.
As Dahl-S rats with excess salt-loading during pregnancy exhibited pathological changes similar to those observed in female humans with pre-eclampsia/superimposed pre-eclampsia, this rat could be useful as an animal model of superimposed pre-eclampsia. In the placentas of hypertensive Dahl-S rats, vasodilatation seemed to be disturbed by the deregulation of both the NO-sGC-cGMP and NP-NPR-cGMP systems.
孕期血管舒张活性降低,增强了血管对血管收缩剂的反应,这是子痫前期和叠加子痫前期发病的原因之一。已知Dahl盐敏感(Dahl-S)大鼠像非裔美国人一样会发展为盐敏感性高血压。本研究试图以Dahl-S大鼠作为叠加子痫前期的动物模型,评估高血压胎盘组织中一氧化氮合酶-一氧化氮-可溶性鸟苷酸环化酶-cGMP系统(NOS-NO-sGC-cGMP)和利钠肽-NP受体-cGMP系统(NP-NPR-cGMP)的变化及相互作用。
给妊娠Dahl-S大鼠喂食高盐饮食以诱导高血压和胎儿生长受限的发生。利用这些大鼠,我们研究了这两个血管舒张系统的调节情况,包括环磷酸鸟苷(cGMP)、可溶性鸟苷酸环化酶(sGC)、内皮型一氧化氮合酶(NOS)、细胞因子诱导型NOS、利钠肽(NP)(心房钠尿肽、脑钠尿肽和C型利钠肽)以及NP受体(NPR)(NPR-A、NPR-B、NPR-C)的动力学变化。
喂食高盐饮食的Dahl-S大鼠出现高血压、胎儿生长受限以及蜕膜血管壁增厚。与对照组相比,喂食高盐饮食大鼠的胎盘cGMP水平显著降低。内皮型NOS和细胞因子诱导型NOS的mRNA表达水平显著升高,而sGCα2亚基的表达水平显著下降。NP的清除型受体NPR-C的mRNA水平显著下降,而NP及其功能性受体NPR-A和NPR-B的mRNA水平未发生变化。
由于孕期盐负荷过量的Dahl-S大鼠表现出与子痫前期/叠加子痫前期女性相似的病理变化,该大鼠可作为叠加子痫前期的动物模型。在高血压Dahl-S大鼠的胎盘中,血管舒张似乎因NO-sGC-cGMP和NP-NPR-cGMP系统的失调而受到干扰。