Institute for Fetology, First Hospital of Soochow University, Suzhou, China.
Institute for Fetology, First Hospital of Soochow University, Suzhou, China
J Am Heart Assoc. 2018 Mar 15;7(6):e008148. doi: 10.1161/JAHA.117.008148.
Prenatal hypoxia is suggested to be associated with increased risks of hypertension in offspring. This study tested whether prenatal hypoxia resulted in salt-sensitive offspring and its related mechanisms of vascular ion channel remodeling.
Pregnant rats were housed in a normoxic (21% O) or hypoxic (10.5% O) chamber from gestation days 5 to 21. A subset of male offspring received a high-salt diet (8% NaCl) from 4 to 12 weeks after birth. Blood pressure was significantly increased only in the salt-loading offspring exposed to prenatal hypoxia, not in the offspring that received regular diets and in control offspring provided with high-salt diets. In mesenteric artery myocytes from the salt-loading offspring with prenatal hypoxia, depolarized resting membrane potential was associated with decreased density of L-type voltage-gated Ca (Cav1.2) and voltage-gated K channel currents and decreased calcium sensitive to the large-conductance Ca-activated K channels. Protein expression of the L-type voltage-gated Ca α1C subunit, large-conductance calcium-activated K channel (β1, not α subunits), and voltage-gated K channel (K2.1, not K1.5 subunits) was also decreased in the arteries of salt-loading offspring with prenatal hypoxia.
The results demonstrated that chronic prenatal hypoxia may program salt-sensitive hypertension in male offspring, providing new information of ion channel remodeling in hypertensive myocytes. This information paves the way for early prevention and treatments of salt-induced hypertension related to developmental problems in fetal origins.
产前缺氧被认为与后代高血压风险增加有关。本研究旨在检验产前缺氧是否导致盐敏感后代,并探讨其血管离子通道重塑的相关机制。
从妊娠第 5 天到第 21 天,将怀孕的大鼠置于常氧(21% O)或缺氧(10.5% O)环境中。一部分雄性后代在出生后 4 至 12 周接受高盐饮食(8% NaCl)。仅在暴露于产前缺氧的盐负荷后代中,血压显著升高,而在接受常规饮食的后代和接受高盐饮食的对照后代中则没有。在产前缺氧盐负荷后代的肠系膜动脉肌细胞中,去极化静息膜电位与 L 型电压门控 Ca(Cav1.2)和电压门控 K 通道电流密度降低以及大电导 Ca 激活 K 通道的钙敏感性降低有关。L 型电压门控 Caα1C 亚基、大电导钙激活 K 通道(β1,非α 亚基)和电压门控 K 通道(K2.1,非 K1.5 亚基)的蛋白表达在产前缺氧盐负荷后代的动脉中也降低。
研究结果表明,慢性产前缺氧可能导致雄性后代发生盐敏感型高血压,为高血压肌细胞离子通道重塑提供了新信息。这些信息为预防和治疗与胎儿起源发育问题相关的盐诱导高血压提供了新的思路。