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藏于平凡之中:奈必洛尔展现出令人瞩目的保胎作用。

Hiding in Plain Sight: Nebivolol Exhibits Compelling Tocolytic Properties.

机构信息

Pharmacology, University of Nevada, Reno School of Medicine, Reno, Nevada.

出版信息

J Cell Mol Med. 2018 Dec;22(12):6391-6395. doi: 10.1111/jcmm.13883. Epub 2018 Sep 6.

DOI:10.1111/jcmm.13883
PMID:30188599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6237580/
Abstract

Preterm birth before 37 weeks of completed gestation results in numerous health consequences for the foetus. Preterm labour leads to preterm birth in over 50% of cases, and no FDA-approved treatment can prevent labour or help a foetus remain in the womb until term. Examination of nitric oxide mediated relaxation signaling in the uterine smooth muscle reveals a role for protein S-nitrosation. The recent discovery of upregulated S-nitrosoglutathione reductase (GSNOR) in spontaneously preterm labouring women has emphasized the need to explore the function of S-nitrosation regulation in the maintenance of uterine quiescence. Here we have examined the ability of nebivolol to relax uterine smooth muscle and tested recent claims that nebivolol is a GSNOR inhibitor. In uterine smooth muscle strips from both mouse and human, nebivolol relaxes oxytocin-induced contractions in a dose dependent manner. Our data indicates that nebivolol has no effect on GSNOR activity, nor does nebivolol inhibit thioredoxin reductase, two of the major protein denitrosylases. The ability of nebivolol to relax uterine smooth muscle is likely the combined effects of increased nitric oxide synthase activity and β3-adregnegic stimulation.

摘要

早产发生于妊娠 37 周前,会导致胎儿出现许多健康问题。超过 50%的早产是由于早产宫缩引起的,目前没有获得 FDA 批准的治疗方法可以预防宫缩或帮助胎儿在子宫内维持到足月。对一氧化氮介导的子宫平滑肌松弛信号的研究揭示了蛋白质 S-亚硝基化的作用。最近在自发性早产的妇女中发现上调的 S-亚硝基谷胱甘肽还原酶(GSNOR),强调了需要探索 S-亚硝基化调节在维持子宫静止中的功能。在这里,我们检查了尼群地平松弛子宫平滑肌的能力,并测试了尼群地平是 GSNOR 抑制剂的最新说法。在来自小鼠和人的子宫平滑肌条带中,尼群地平以剂量依赖的方式松弛催产素诱导的收缩。我们的数据表明,尼群地平对 GSNOR 活性没有影响,也不抑制硫氧还蛋白还原酶,这两种主要的蛋白质去亚硝基酶。尼群地平松弛子宫平滑肌的能力可能是一氧化氮合酶活性增加和β3-肾上腺素能刺激的综合作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/6237580/025d3552fe44/JCMM-22-6391-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/6237580/ffd8acb4d759/JCMM-22-6391-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/6237580/025d3552fe44/JCMM-22-6391-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/6237580/ffd8acb4d759/JCMM-22-6391-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d261/6237580/025d3552fe44/JCMM-22-6391-g002.jpg

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本文引用的文献

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S-Nitrosoglutathione Reductase Underlies the Dysfunctional Relaxation to Nitric Oxide in Preterm Labor.S-亚硝基谷胱甘肽还原酶是早产中一氧化氮功能障碍松弛的基础。
Sci Rep. 2018 Apr 4;8(1):5614. doi: 10.1038/s41598-018-23371-w.
2
Nebivolol alleviates aortic remodeling through eNOS upregulation and inhibition of oxidative stress in l-NAME-induced hypertensive rats.比索洛尔通过上调 eNOS 和抑制氧化应激缓解 l-NAME 诱导的高血压大鼠主动脉重构。
Clin Exp Hypertens. 2017;39(7):628-639. doi: 10.1080/10641963.2017.1306539. Epub 2017 Jun 22.
3
The role of S-nitrosoglutathione reductase (GSNOR) in human disease and therapy.
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Crit Rev Biochem Mol Biol. 2017 Jun;52(3):340-354. doi: 10.1080/10409238.2017.1304353. Epub 2017 Apr 10.
4
Nebivolol Acts as a S-Nitrosoglutathione Reductase Inhibitor: A New Mechanism of Action.奈必洛尔作为一种S-亚硝基谷胱甘肽还原酶抑制剂:一种新的作用机制。
J Cardiovasc Pharmacol Ther. 2016 Sep;21(5):478-85. doi: 10.1177/1074248415626300. Epub 2016 Jan 8.
5
Effect of nebivolol treatment during pregnancy on the genital circulation, fetal growth and postnatal development in the Wistar rat.妊娠期间使用奈必洛尔治疗对 Wistar 大鼠生殖循环、胎儿生长和产后发育的影响。
Eur J Pharmacol. 2015 Jul 5;758:31-9. doi: 10.1016/j.ejphar.2015.04.001. Epub 2015 Apr 9.
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Births: final data for 2011.出生情况:2011年最终数据。
Natl Vital Stat Rep. 2013 Jun 28;62(1):1-69, 72.
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A direct and continuous assay for the determination of thioredoxin reductase activity in cell lysates.一种用于测定细胞裂解物中硫氧还蛋白还原酶活性的直接连续测定法。
Anal Biochem. 2013 Dec 1;443(1):34-40. doi: 10.1016/j.ab.2013.08.013. Epub 2013 Aug 21.
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