Jabs A, Oelze M, Mikhed Y, Stamm P, Kröller-Schön S, Welschof P, Jansen T, Hausding M, Kopp M, Steven S, Schulz E, Stasch J-P, Münzel T, Daiber A
2nd Medical Clinic, Department of Cardiology, Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Bayer Pharma AG, Wuppertal, Germany.
Vascul Pharmacol. 2015 Aug;71:181-91. doi: 10.1016/j.vph.2015.03.007. Epub 2015 Apr 11.
Chronic nitroglycerin (GTN) anti-ischemic therapy induces side effects such as nitrate tolerance and endothelial dysfunction. Both phenomena could be based on a desensitization/oxidation of the soluble guanylyl cyclase (sGC). Therefore, the present study aims at investigating the effects of the therapy with the sGC activator BAY 60-2770 and the sGC stimulator BAY 41-8543 on side effects induced by chronic nitroglycerin treatment. Male Wistar rats were treated with nitroglycerin (100mg/kg/d for 3.5days, s.c. in ethanol) and BAY 60-2770 (0.5 or 2.5mg/kg/d) or BAY 41-8543 (1 and 5mg/kg/d) for 6days. Therapy with BAY 60-2770 but not with BAY 41-8543 improved nitroglycerin-triggered endothelial dysfunction and nitrate tolerance, corrected the decrease in aortic nitric oxide levels, improved the cGMP dependent activation of protein kinase I in aortic tissue and reduced vascular, cardiac and whole blood oxidative stress (fluorescence and chemiluminescence assays; 3-nitrotyrosine staining). In contrast to BAY 41-8543, the vasodilator potency of BAY 60-2770 was not impaired in isolated aortic ring segments from nitrate tolerant rats. sGC activator therapy improves partially the adverse effects of nitroglycerin therapy whereas sGC stimulation has only minor beneficial effects pointing to a nitroglycerin-dependent sGC oxidation/inactivation mechanism contributing to nitrate tolerance.
慢性硝酸甘油(GTN)抗缺血治疗会引发诸如硝酸盐耐受性和内皮功能障碍等副作用。这两种现象可能都基于可溶性鸟苷酸环化酶(sGC)的脱敏/氧化。因此,本研究旨在探究sGC激活剂BAY 60 - 2770和sGC刺激剂BAY 41 - 8543对慢性硝酸甘油治疗所引发的副作用的影响。雄性Wistar大鼠接受硝酸甘油(100mg/kg/d,连续3.5天,皮下注射于乙醇中)以及BAY 60 - 2770(0.5或2.5mg/kg/d)或BAY 41 - 8543(1和5mg/kg/d)治疗6天。BAY 60 - 2770治疗而非BAY 41 - 8543治疗改善了硝酸甘油引发的内皮功能障碍和硝酸盐耐受性,纠正了主动脉一氧化氮水平的降低,改善了主动脉组织中蛋白激酶I的cGMP依赖性激活,并降低了血管、心脏和全血的氧化应激(荧光和化学发光测定;3 - 硝基酪氨酸染色)。与BAY 41 - 8543不同,BAY 60 - 2770在来自硝酸盐耐受大鼠的离体主动脉环段中的血管舒张效力并未受损。sGC激活剂治疗部分改善了硝酸甘油治疗的不良反应,而sGC刺激仅有轻微的有益作用,这表明存在一种依赖硝酸甘油的sGC氧化/失活机制导致硝酸盐耐受性。