Ma Yu-Guang, Zhang Yin-Bin, Bai Yun-Gang, Dai Zhi-Jun, Liang Liang, Liu Mei, Xie Man-Jiang, Guan Hai-Tao
Department of Oncology, The Second Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China.
Department of Aerospace Physiology, Key Laboratory of Aerospace Medicine of Ministry of Education, Fourth Military Medical University, Xi'an, 710032, Shaanxi, China.
Cardiovasc Diabetol. 2016 Apr 12;15:63. doi: 10.1186/s12933-016-0382-9.
Vascular dysfunction is a distinctive phenotype in diabetes mellitus. Current treatments mostly focus on the tight glycemic control and few of these treatments have been designed to directly recover the vascular dysfunction in diabetes. As a classical natural medicine, berberine has been explored as a possible therapy for DM. In addition, it is reported that berberine has an extra-protective effect in diabetic vascular dysfunction. However, little is known whether the berberine treatment could ameliorate the smooth muscle contractility independent of a functional endothelium under hyperglycemia. Furthermore, it remains unknown whether berberine affects the arterial contractility by regulating the intracellular Ca(2+) handling in vascular smooth cells (VSMCs) under hyperglycemia.
Sprague-Dawley rats were used to establish the diabetic model with a high-fat diet plus injections of streptozotocin (STZ). Berberine (50, 100, and 200 mg/kg/day) were intragastrically administered to control and diabetic rats for 8 weeks since the injection of STZ. The intracellular Ca(2+) handling of isolated cerebral VSMCs was investigated by recording the whole-cell L-type Ca(2+) channel (CaL) currents, assessing the protein expressions of CaL channel, and measuring the intracellular Ca(2+) in response to caffeine. Our results showed that chronic administration of 100 mg/kg/day berberine not only reduced glucose levels, but also inhibited the augmented contractile function of cerebral artery to KCl and 5-hydroxytryptamine (5-HT) in diabetic rats. Furthermore, chronic administration of 100 mg/kg/day berberine significantly inhibited the CaL channel current densities, reduced the α1C-subunit expressions of CaL channel, decreased the resting intracellular Ca(2+) ([Ca(2+)]i) level, and suppressed the Ca(2+) releases from RyRs in cerebral VSMCs isolated from diabetic rats. Correspondingly, acute application of 10 μM berberine could directly inhibit the hyperglycemia-induced CaL currents and suppress the hyperglycemia-induced Ca(2+) releases from RyRs in cerebral VSMCs isolated from normal control rats.
Our study indicated that berberine alleviated the cerebral arterial contractility in the rat model of streptozotocin-induced diabetes via regulating the intracellular Ca(2+) handling of smooth muscle cells.
血管功能障碍是糖尿病的一种显著表型。目前的治疗大多集中在严格控制血糖,而这些治疗中很少有旨在直接恢复糖尿病血管功能障碍的。作为一种经典的天然药物,黄连素已被探索作为糖尿病的一种可能治疗方法。此外,有报道称黄连素对糖尿病血管功能障碍有额外的保护作用。然而,黄连素治疗是否能在高血糖状态下独立于功能性内皮改善平滑肌收缩性,目前知之甚少。此外,黄连素是否通过调节高血糖状态下血管平滑肌细胞(VSMCs)内的钙离子处理来影响动脉收缩性,仍不清楚。
采用Sprague-Dawley大鼠,通过高脂饮食加注射链脲佐菌素(STZ)建立糖尿病模型。自注射STZ起,对对照大鼠和糖尿病大鼠灌胃给予黄连素(50、100和200mg/kg/天),持续8周。通过记录全细胞L型钙通道(CaL)电流、评估CaL通道的蛋白表达以及测量咖啡因刺激后的细胞内钙离子浓度,研究分离的脑VSMCs的细胞内钙离子处理情况。我们的结果表明,每天100mg/kg黄连素的长期给药不仅降低了血糖水平,还抑制了糖尿病大鼠脑动脉对氯化钾和5-羟色胺(5-HT)增强的收缩功能。此外,每天100mg/kg黄连素的长期给药显著抑制了CaL通道电流密度,降低了CaL通道的α1C亚基表达,降低了静息细胞内钙离子([Ca2+]i)水平,并抑制了糖尿病大鼠分离的脑VSMCs中兰尼碱受体(RyRs)释放钙离子。相应地,急性应用10μM黄连素可直接抑制高血糖诱导的CaL电流,并抑制正常对照大鼠分离的脑VSMCs中高血糖诱导的RyRs释放钙离子。
我们的研究表明,黄连素通过调节平滑肌细胞的细胞内钙离子处理,减轻了链脲佐菌素诱导的糖尿病大鼠模型中的脑动脉收缩性。