Department of Anesthesiology, Eastern Hepatobiliary Surgery Hospital, The Second Military Medical University, 225 Changhai Road, Shanghai, China; Department of Anesthesiology, General Hospital of Shenyang Region, 83 Wenhua Road, Shenyang, China.
Department of Anesthesiology, Eastern Hepatobiliary Surgery Hospital, The Second Military Medical University, 225 Changhai Road, Shanghai, China.
Biomed Pharmacother. 2019 Jan;109:511-518. doi: 10.1016/j.biopha.2018.10.151. Epub 2018 Nov 3.
Numerous studies have demonstrated the impaired cardiovascular reactivity in cholestasis patients and bile duct ligated animals. However, the underlying mechanism remains uncertain. Transient receptor potential cation V4 (TRPV4) channels are reported to be naturally expressed in the cardiovascular system, especially on endothelial cells. However, the role of TRPV4 (transient receptor potential vanilloid 4) in regulating vascular reactivity is poorly established. In this study, we first determined that bile acids elicited endothelium-dependent vasoconstrictor hypo-activity via TRPV4 channels, which further activated cyclooxygenase 2 (COX2). Myography results demonstrated that the vascular contractile response was attenuated in BDL rats when exposed to 60 mmol/L KCl. Real time PCR and western blotting results showed that bile duct ligation (BDL) induced a time-dependent increase in TRPV4 expression levels. In addition, bile acids upregulated the expression of TRPV4 protein, which proved to be located on the cell surface of endothelial cells, and induced intracellular Ca events. The relaxation response was increased while the contractile response was decreased in BDL rats, and those effects were reversed by a TRPV4 inhibitor (HC067047). Contractions induced by norepinephrine were primarily inhibited by the COX2 inhibitor, but not the NOS inhibitor, and the expression of COX2 was downregulated after TRPV4 inhibition. These data indicated that TRPV4/COX2 pathways in the endothelium are involved in vasoconstrictor hypo-activity. Our current results suggested that the TRPV4 pathway is involved in the regulation of bile acids in vasoconstrictor hypo-activity in bile duct ligation rats.
大量研究表明,胆汁淤积症患者和胆管结扎动物的心血管反应受损。然而,其潜在机制尚不清楚。瞬时受体电位阳离子通道 V4(TRPV4)被报道在心血管系统中自然表达,特别是在内皮细胞上。然而,TRPV4(瞬时受体电位香草醛 4)在调节血管反应中的作用尚未得到充分确立。在这项研究中,我们首先确定胆汁酸通过 TRPV4 通道引起内皮依赖性血管收缩反应性降低,进而激活环氧化酶 2(COX2)。肌动描记法结果表明,当暴露于 60mmol/L KCl 时,BDL 大鼠的血管收缩反应减弱。实时 PCR 和 Western blot 结果显示,胆管结扎(BDL)诱导 TRPV4 表达水平呈时间依赖性增加。此外,胆汁酸上调 TRPV4 蛋白的表达,证明其位于内皮细胞的细胞表面,并诱导细胞内 Ca 事件。BDL 大鼠的舒张反应增加,收缩反应减少,这些作用被 TRPV4 抑制剂(HC067047)逆转。去甲肾上腺素诱导的收缩主要被 COX2 抑制剂抑制,而不是 NOS 抑制剂抑制,并且 TRPV4 抑制后 COX2 的表达下调。这些数据表明,内皮细胞中的 TRPV4/COX2 途径参与血管收缩反应性降低。我们目前的结果表明,TRPV4 途径参与了胆汁酸在胆管结扎大鼠血管收缩反应性降低中的调节。