Fu L C, Lv Y, Zhong Y, He Q, Liu X, Du L Z
Department of Neonatology, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Braz J Med Biol Res. 2017 Sep 12;50(11):e6237. doi: 10.1590/1414-431X20176237.
Intrauterine growth retardation (IUGR) is associated with the development of adult-onset diseases, including pulmonary hypertension. However, the underlying mechanism of the early nutritional insult that results in pulmonary vascular dysfunction later in life is not fully understood. Here, we investigated the role of tyrosine phosphorylation of voltage-gated potassium channel 1.5 (Kv1.5) in this prenatal event that results in exaggerated adult vascular dysfunction. A rat model of chronic hypoxia (2 weeks of hypoxia at 12 weeks old) following IUGR was used to investigate the physiological and structural effect of intrauterine malnutrition on the pulmonary artery by evaluating pulmonary artery systolic pressure and vascular diameter in male rats. Kv1.5 expression and tyrosine phosphorylation in pulmonary artery smooth muscle cells (PASMCs) were determined. We found that IUGR increased mean pulmonary artery pressure and resulted in thicker pulmonary artery smooth muscle layer in 14-week-old rats after 2 weeks of hypoxia, while no difference was observed in normoxia groups. In the PASMCs of IUGR-hypoxia rats, Kv1.5 mRNA and protein expression decreased while that of tyrosine-phosphorylated Kv1.5 significantly increased. These results demonstrate that IUGR leads to exaggerated chronic hypoxia pulmonary arterial hypertension (CH-PAH) in association with decreased Kv1.5 expression in PASMCs. This phenomenon may be mediated by increased tyrosine phosphorylation of Kv1.5 in PASMCs and it provides new insight into the prevention and treatment of IUGR-related CH-PAH.
宫内生长受限(IUGR)与包括肺动脉高压在内的成人期疾病的发生有关。然而,导致日后生活中肺血管功能障碍的早期营养损伤的潜在机制尚未完全明了。在此,我们研究了电压门控钾通道1.5(Kv1.5)的酪氨酸磷酸化在这一导致成人血管功能障碍加重的产前事件中的作用。采用IUGR后慢性缺氧大鼠模型(12周龄时缺氧2周),通过评估雄性大鼠的肺动脉收缩压和血管直径,研究宫内营养不良对肺动脉的生理和结构影响。测定肺动脉平滑肌细胞(PASMCs)中Kv1.5的表达及酪氨酸磷酸化情况。我们发现,IUGR使平均肺动脉压升高,并导致缺氧2周后14周龄大鼠的肺动脉平滑肌层增厚,而在常氧组未观察到差异。在IUGR-缺氧大鼠的PASMCs中,Kv1.5 mRNA和蛋白表达降低,而酪氨酸磷酸化的Kv1.5表达显著增加。这些结果表明,IUGR与PASMCs中Kv1.5表达降低相关,导致慢性缺氧性肺动脉高压(CH-PAH)加重。这种现象可能由PASMCs中Kv1.5酪氨酸磷酸化增加介导,为IUGR相关CH-PAH的防治提供了新的见解。