Department of Cardiology, Peking University People's Hospital, No. 11 South Avenue, Beijing, 100044, Xi Zhi Men Xicheng District, China.
Department of Urology, Peking University Fifth School of Clinical Medicine, Beijing, 100730, China.
Lipids Health Dis. 2020 May 19;19(1):95. doi: 10.1186/s12944-020-01279-7.
The prevalence of hypertension in young women is lower than that in age-matched men while the prevalence of hypertension in women is significantly increased after the age of 50 (menopause) and is greater than that in men. It is already known that sphingosine-1-phosphate (S1P) and ceramide regulate vascular tone with opposing effects. This study aimed to explore the effects of ovariectomy and estrogen supplementation on the ceramide/S1P rheostat of the aorta in rats, and to explore a potential mechanism for perimenopausal hypertension and a brand-new target for menopausal hormone therapy to protect vessels.
In total, 30 female adult SD rats were randomly divided into three groups: The sham operation group (SHAM), ovariectomy group (OVX) and ovariectomy plus estrogen group (OVX + E). After 4 weeks of treatment, the blood pressure (BP) of the rats was monitored by a noninvasive system; the sphingolipid content (e.g., ceramide and S1P) was detected by liquid chromatography-mass spectrometry (LC-MS); the expression of the key enzymes involved in ceramide anabolism and catabolism was measured by real-time fluorescence quantitative polymerase chain reaction (qPCR); and the expression of key enzymes and proteins in the sphingosine kinase 1/2 (SphK1/2)-S1P-S1P receptor 1/2/3 (S1P1/2/3) signaling pathway was detected by qPCR and western blotting.
In the OVX group compared with the SHAM group, the systolic BP (SBP), diastolic BP (DBP) and pulse pressure (PP) increased significantly, especially the SBP and PP (P < 0.001). For aortic ceramide metabolism, the mRNA level of key enzymes involved in anabolism and catabolism decreased in parallel 2-3 times, while the contents of total ceramide and certain long-chain subtypes increased significantly (P < 0.05). As for the S1P signaling pathway, SphK1/2, the key enzymes involved in S1P synthesis, decreased significantly, and the content of S1P decreased accordingly (P < 0.01). The S1P receptors showed various trends: S1P1 was significantly down-regulated, S1P2 was significantly up-regulated, and S1P3 showed no significant difference. No significant difference existed between the SHAM and OVX + E groups for most of the above parameters (P > 0.05).
Ovariectomy resulted in the imbalance of the aortic ceramide/S1P rheostat in rats, which may be a potential mechanism underlying the increase in SBP and PP among perimenopausal women. Besides, the ceramide/S1P rheostat may be a novel mechanism by which estrogen protects vessels.
年轻女性的高血压患病率低于同龄男性,而女性的高血压患病率在 50 岁(绝经后)后显著增加,且高于男性。已知鞘氨醇-1-磷酸(S1P)和神经酰胺通过相反的作用来调节血管张力。本研究旨在探讨去卵巢和雌激素补充对大鼠主动脉中神经酰胺/S1P 变阻器的影响,并探讨围绝经期高血压的潜在机制和绝经激素治疗保护血管的全新靶点。
共 30 只成年雌性 SD 大鼠随机分为三组:假手术组(SHAM)、去卵巢组(OVX)和去卵巢加雌激素组(OVX+E)。治疗 4 周后,通过非侵入性系统监测大鼠血压;通过液相色谱-质谱(LC-MS)检测鞘脂含量(如神经酰胺和 S1P);通过实时荧光定量聚合酶链反应(qPCR)测量参与神经酰胺合成和分解的关键酶的表达;通过 qPCR 和 Western blot 检测鞘氨醇激酶 1/2(SphK1/2)-S1P-S1P 受体 1/2/3(S1P1/2/3)信号通路中关键酶和蛋白的表达。
与 SHAM 组相比,OVX 组大鼠的收缩压(SBP)、舒张压(DBP)和脉压(PP)明显升高,尤其是 SBP 和 PP(P<0.001)。对于主动脉神经酰胺代谢,参与合成和分解的关键酶的 mRNA 水平平行下降 2-3 倍,而总神经酰胺和某些长链亚型的含量则显著增加(P<0.05)。至于 S1P 信号通路,SphK1/2,S1P 合成的关键酶,明显下降,S1P 的含量也相应下降(P<0.01)。S1P 受体表现出不同的趋势:S1P1 明显下调,S1P2 明显上调,S1P3 无明显差异。对于上述大多数参数,SHAM 组和 OVX+E 组之间没有显著差异(P>0.05)。
去卵巢导致大鼠主动脉神经酰胺/S1P 变阻器失衡,这可能是围绝经期女性 SBP 和 PP 升高的潜在机制。此外,神经酰胺/S1P 变阻器可能是雌激素保护血管的新机制。