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肥胖患者冠状动脉基础张力和一氧化氮介导舒张的潜在机制:β1 亚基介导的 BK 通道上调的作用。

Underlying mechanisms preserving coronary basal tone and NO-mediated relaxation in obesity: Involvement of β1 subunit-mediated upregulation of BK channels.

机构信息

Departamento de Fisiología, Facultad de Farmacia, Universidad Complutense, Madrid, Spain.

Departamento de Fisiología, Facultad de Farmacia, Universidad Complutense, Madrid, Spain.

出版信息

Atherosclerosis. 2017 Aug;263:227-236. doi: 10.1016/j.atherosclerosis.2017.06.354. Epub 2017 Jun 23.

DOI:10.1016/j.atherosclerosis.2017.06.354
PMID:28672269
Abstract

BACKGROUND AND AIMS

The impact of obesity on vasomotor regulation of coronary arteries and its underlying mechanisms are not completely understood and, in particular, the role of BK channels in the NO-mediated coronary vasodilation in obesity remains to be elucidated.

METHODS

The effects of selective blockade of BK channel was tested on nitric oxide (NO)-mediated vasodilator responses of coronary arteries from lean and obese Zucker rats (LZR and OZR, respectively) by means of simultaneous measurements of intracellular Ca concentration ([Ca]) by Fura-2 fluorescence and tension in endothelium-denuded coronary arteries mounted in microvascular myographs. BK channel subunits expression was measured by Western blot.

RESULTS

The selective BK channel blocker iberitoxin largely reduced the relaxations and decreases in [Ca] induced by a NO donor in coronary arteries from OZR. Iberitoxin increased to a great extent both basal [Ca] and tone in OZR. The agonist of the voltage-gated L-type calcium channels Bay K8644 induced an increase in [Ca] and tone that was significantly smaller in arteries from OZR, which was restored to control levels in LZR after BK channel inhibition. Caffeine- and ryanodine-induced intracellular Ca mobilization and BK channel β1 subunit expression were increased in arteries from OZR.

CONCLUSIONS

The present study suggests that an enhanced activity of VSM BK channels, associated with up-regulation of channel β1 subunit and with a higher intracellular Ca mobilization, contributes to the preserved NO-mediated vasodilatation and basal tone of coronary arteries in obesity.

摘要

背景与目的

肥胖对冠状动脉血管舒缩调节的影响及其潜在机制尚未完全阐明,特别是 BK 通道在肥胖引起的一氧化氮(NO)介导的冠状动脉舒张中的作用仍有待阐明。

方法

通过同时测量 Fura-2 荧光法测量的内皮细胞去除的冠状动脉微血管肌动图中细胞内 Ca 浓度 ([Ca]) 和张力,测试选择性阻断 BK 通道对瘦型和肥胖型 Zucker 大鼠(LZR 和 OZR)冠状动脉中 NO 介导的血管舒张反应的影响。通过 Western blot 测量 BK 通道亚基表达。

结果

选择性 BK 通道阻滞剂 Iberitoxin 大大减少了 OZR 冠状动脉中 NO 供体诱导的松弛和 [Ca] 降低。Iberitoxin 极大地增加了 OZR 中的基础 [Ca] 和张力。电压门控 L 型钙通道激动剂 Bay K8644 诱导 [Ca] 和张力增加,而 OZR 中的增加幅度明显较小,在 BK 通道抑制后恢复到 LZR 的对照水平。OZR 动脉中的咖啡因和 Ryanodine 诱导的细胞内 Ca 动员和 BK 通道 β1 亚基表达增加。

结论

本研究表明,VSM BK 通道活性增强,与通道 β1 亚基上调以及细胞内 Ca 动员增加有关,有助于肥胖时 NO 介导的血管舒张和基础张力的维持。

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