Liu Z Z, Mathia S, Pahlitzsch T, Wennysia I C, Persson P B, Lai E Y, Högner A, Xu M Z, Schubert R, Rosenberger C, Patzak A
Institute of Vegetative Physiology, Berlin, Germany.
Department of Nephrology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Am J Physiol Renal Physiol. 2017 May 1;312(5):F908-F916. doi: 10.1152/ajprenal.00394.2016. Epub 2017 Jan 4.
Vasoconstriction plays an important role in the development of acute kidney injury in rhabdomyolysis. We hypothesized that myoglobin enhances the angiotensin II (ANG II) response in afferent arterioles by increasing superoxide and reducing nitric oxide (NO) bioavailability. Afferent arterioles of C57Bl6 mice were isolated perfused, and vasoreactivity was analyzed using video microscopy. NO bioavailability, superoxide concentration in the vessel wall, and changes in cytosolic calcium were measured using fluorescence techniques. Myoglobin treatment (10 M) did not change the basal arteriolar diameter during a 20-min period compared with control conditions. -nitro-l-arginine methyl ester (l-NAME, 10 M) and l-NAME + myoglobin reduced diameters to 94.7 and 97.9% of the initial diameter, respectively. Myoglobin or l-NAME enhanced the ANG II-induced constriction of arterioles compared with control (36.6 and 34.2%, respectively, vs. 65.9%). Norepinephrine responses were not influenced by myoglobin. Combined application of myoglobin and l-NAME further facilitated the ANG II response (7.0%). Myoglobin or l-NAME decreased the NO-related fluorescence in arterioles similarly. Myoglobin enhanced the superoxide-related fluorescence, and tempol prevented this enhancement. Tempol also partly prevented the myoglobin effect on the ANG II response. Myoglobin increased the fura 2 fluorescence ratio (cytosolic calcium) during ANG II application (10 to 10 M). The results suggest that the enhanced afferent arteriolar reactivity to ANG II is mainly due to a myoglobin-induced increase in superoxide and associated reduction in the NO bioavailability. Signaling pathways for the augmented ANG II response include enhanced cytosolic calcium transients. In conclusion, myoglobin may contribute to the afferent arteriolar vasoconstriction in this rhabdomyolysis model.
血管收缩在横纹肌溶解症所致急性肾损伤的发展过程中起重要作用。我们推测,肌红蛋白通过增加超氧化物生成并降低一氧化氮(NO)生物利用度,增强传入小动脉对血管紧张素II(ANG II)的反应。分离并灌注C57Bl6小鼠的传入小动脉,采用视频显微镜分析血管反应性。使用荧光技术测量血管壁中的NO生物利用度、超氧化物浓度以及胞质钙变化。与对照条件相比,肌红蛋白处理(10 μM)在20分钟内未改变基础小动脉直径。左旋硝基精氨酸甲酯(l-NAME,10 μM)和l-NAME + 肌红蛋白分别将小动脉直径缩小至初始直径的94.7%和97.9%。与对照相比(分别为36.6%和34.2%,对照为65.9%),肌红蛋白或l-NAME增强了ANG II诱导的小动脉收缩。去甲肾上腺素反应不受肌红蛋白影响。肌红蛋白和l-NAME联合应用进一步促进了ANG II反应(7.0%)。肌红蛋白或l-NAME同样降低了小动脉中与NO相关的荧光。肌红蛋白增强了与超氧化物相关的荧光,而tempol可防止这种增强。Tempol也部分阻止了肌红蛋白对ANG II反应的影响。在应用ANG II(10至10 μM)期间,肌红蛋白增加了fura 2荧光比率(胞质钙)。结果表明,传入小动脉对ANG II反应性增强主要是由于肌红蛋白诱导的超氧化物增加以及相关的NO生物利用度降低。ANG II反应增强的信号通路包括增强的胞质钙瞬变。总之,在该横纹肌溶解症模型中,肌红蛋白可能促成传入小动脉血管收缩。