短期药理学激活 Nrf2 可改善老年大鼠和病理性人血管的血管功能障碍。这是一种有治疗干预潜力的潜在靶点。

Short-term pharmacological activation of Nrf2 ameliorates vascular dysfunction in aged rats and in pathological human vasculature. A potential target for therapeutic intervention.

机构信息

Servicio de Histología-Investigación, Unidad de Investigación Traslacional en Cardiología (IRYCIS-UFV), Hospital Ramón y Cajal, Madrid, Spain; Centro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain.

Centro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain; Fundación para la Investigación Biomédica del Hospital Universitario de Getafe, Getafe, Spain.

出版信息

Redox Biol. 2019 Sep;26:101271. doi: 10.1016/j.redox.2019.101271. Epub 2019 Jul 5.

Abstract

Oxidative stress contributes to endothelial dysfunction, a key step in cardiovascular disease development. Ageing-related vascular dysfunction involves defective antioxidant response. Nuclear factor erythroid 2-like-2 (Nrf2), orchestrates cellular response to oxidative stress. We evaluated the impact of Nrf2-activation on endothelium-dependent and HO-mediated vasodilations in: aorta (RA), mesenteric artery (RMA), coronary artery (RCA) and corpus cavernosum (RCC) from ageing rats and in human penile arteries (HPRA) and corpus cavernosum (HCC) from erectile dysfunction (ED) patients. Relaxant responses were evaluated in organ chambers and wire myographs. Nrf2 content and heme oxygenase-1 (HO-1) were determined by ELISA. Superoxide and Nrf2 were detected by immunofluorescence. Pharmacological activation of Nrf2 with sulforaphane (SFN) improved NO- and endothelium-derived hyperpolarizing factor-mediated endothelium-dependent vasodilation and HO-induced relaxation in vascular beds from aging rats. SFN-induced effects were associated with increased Nrf2 (RMA, RCA) and reduced superoxide detection in RCA. Improvement of vascular function was confirmed in HPRA and HCC from ED patients and mimicked by another Nrf2 activator, oltipraz. Nrf2 increase and superoxide reduction together with HO-1 increase by Nrf2 activation was evidenced in HCC from ED patients. PDE5 inhibitor-induced relaxations of HPRA and HCC from ED patients were enhanced by SFN. Nrf2 short-term pharmacological activation attenuates age-related impairment of endothelium-dependent and reactive oxygen species (ROS)-induced vasodilation in different rat and human vascular territories by upregulation of Nrf2-related signaling and decreased oxidative stress. In ED patients target tissues, Nrf2 potentiates the functional effect of ED conventional pharmacological therapy suggesting potential therapeutic implication.

摘要

氧化应激导致内皮功能障碍,这是心血管疾病发展的关键步骤。与年龄相关的血管功能障碍涉及抗氧化反应缺陷。核因子红细胞 2 样 2(Nrf2)协调细胞对氧化应激的反应。我们评估了 Nrf2 激活对衰老大鼠主动脉(RA)、肠系膜动脉(RMA)、冠状动脉(RCA)和阴茎海绵体(RCC)以及勃起功能障碍(ED)患者的人阴茎动脉(HPRA)和阴茎海绵体(HCC)的内皮依赖性和 HO 介导的血管舒张的影响。在器官室和钢丝肌描记器中评估舒张反应。通过 ELISA 测定 Nrf2 含量和血红素加氧酶-1(HO-1)。通过免疫荧光检测超氧化物和 Nrf2。用萝卜硫素(SFN)药理学激活 Nrf2 可改善衰老大鼠血管床中 NO 和内皮衍生的超极化因子介导的内皮依赖性血管舒张和 HO 诱导的松弛。SFN 诱导的作用与 RCA 中 Nrf2 的增加(RMA、RCA)和 RCA 中超氧化物检测的减少相关。ED 患者的 HPRA 和 HCC 证实了血管功能的改善,并被另一种 Nrf2 激活剂奥替普拉模拟。在 ED 患者的 HCC 中,Nrf2 激活导致 Nrf2 增加、超氧化物减少以及 HO-1 增加,这表明 Nrf2 激活可增强 PDE5 抑制剂诱导的 ED 患者的 HPRA 和 HCC 的松弛反应。Nrf2 短期药理学激活通过上调 Nrf2 相关信号和减少氧化应激来减轻不同大鼠和人类血管区域与年龄相关的内皮依赖性和活性氧(ROS)诱导的血管舒张受损。在 ED 患者的靶组织中,Nrf2 增强了 ED 常规药物治疗的功能作用,这表明可能具有治疗意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dca/6626891/f7f114f95e89/gr1.jpg

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