Waeckel Ludovic, Badier-Commander Cécile, Damery Thibaut, Köhler Ralf, Sansilvestri-Morel Patricia, Simonet Serge, Vayssettes-Courchay Christine, Wulff Heike, Félétou Michel
Institut de Recherches Servier, 92150, Suresnes, France.
Pflugers Arch. 2015 Sep;467(9):1945-63. doi: 10.1007/s00424-014-1644-6. Epub 2014 Nov 12.
Angiotensin-II and oxidative stress are involved in the genesis of aortic aneurysms, a phenomenon exacerbated by endothelial nitric oxide synthase (eNOS) deletion or uncoupling. The purpose of this work was to study the endothelial function in wild-type C57BL/6 (BL) and transgenic mice expressing the h-angiotensinogen and h-renin genes (AR) subjected to either a control, or a high-salt diet plus a treatment with a NO-synthase inhibitor, N-ω-nitro-L-arginine-methyl-ester (L-NAME; BLSL and ARSL). BLSL showed a moderate increase in blood pressure, while ARSL became severely hypertensive. Seventy-five percent of ARSL developed aortic aneurysms, characterized by major histo-morphological changes and associated with an increase in NADP(H) oxidase-2 (NOX2) expression. Contractile responses (KCl, norepinephrine, U-46619) were similar in the four groups of mice, and relaxations were not affected in BLSL and AR. However, in ARSL, endothelium-dependent relaxations (acetylcholine, UK-14304) were significantly reduced, and this dysfunction was similar in aortae without or with aneurysms. The endothelial impairment was unaffected by catalase, superoxide-dismutase mimetic, radical scavengers, cyclooxygenase inhibition, or TP-receptor blockade and could not be attributed to sGC oxidation. Thus, ARSL is a severe hypertension model developing aortic aneurysm. A vascular dysfunction, involving both endothelial (reduced role of NO) and smooth muscle cells, precedes aneurysms formation and, paradoxically, does not appear to involve oxidative stress.
血管紧张素 II 和氧化应激参与主动脉瘤的发生,而内皮型一氧化氮合酶 (eNOS) 的缺失或解偶联会加剧这一现象。本研究的目的是研究野生型 C57BL/6 (BL) 小鼠和表达人血管紧张素原和人肾素基因 (AR) 的转基因小鼠的内皮功能,这些小鼠分别接受对照饮食、高盐饮食加一氧化氮合酶抑制剂 N-ω-硝基-L-精氨酸甲酯 (L-NAME) 处理 (BLSL 和 ARSL)。BLSL 组血压有中度升高,而 ARSL 组则出现严重高血压。75% 的 ARSL 小鼠发生了主动脉瘤,其特征为主要组织形态学改变,并伴有烟酰胺腺嘌呤二核苷酸磷酸 (NADP(H)) 氧化酶-2 (NOX2) 表达增加。四组小鼠的收缩反应 (氯化钾、去甲肾上腺素、U-46619) 相似,BLSL 和 AR 组的舒张反应未受影响。然而,在 ARSL 组中,内皮依赖性舒张反应 (乙酰胆碱、UK-14304) 显著降低,且在有无动脉瘤的主动脉中这种功能障碍相似。过氧化氢酶、超氧化物歧化酶模拟物、自由基清除剂、环氧化酶抑制或 TP 受体阻断均未影响内皮损伤,且不能归因于可溶性鸟苷酸环化酶 (sGC) 氧化。因此,ARSL 是一种发生主动脉瘤的严重高血压模型。血管功能障碍,包括内皮细胞 (一氧化氮作用减弱) 和平滑肌细胞功能障碍,在动脉瘤形成之前就已出现,而且矛盾的是,似乎不涉及氧化应激。