Department of Pharmacology, Faculty of Medical Sciences, University of Campinas (UNICAMP), Brazil.
Department of Pharmacology, Faculty of Medical Sciences, University of Campinas (UNICAMP), Brazil.
Nitric Oxide. 2021 Jan 1;106:9-16. doi: 10.1016/j.niox.2020.10.005. Epub 2020 Oct 23.
Vascular aging leads to structural and functional changes. Iliac arteries (IA) provide blood flow to lower urinary tract and pelvic ischemia has been reported as an important factor for bladder remodeling and overactivity. Dysfunction of the nitric oxide (NO)-cyclic guanosine monophosphate pathway (cGMP) is one factor involved in the development of lower urinary tract (LUT) disorders. Therefore, we hypothesized that ageing-associated LUT disorders is a consequence of lower cGMP productions due to an oxidation of soluble guanylate cylase (sGC) that results in local ischemia. In the present study IA from middle-aged and young rats were isolated and the levels of NO, reactive oxygen species (ROS), the gene expression of the enzymes involved in the NO-pathway and concentration-response curves to the soluble guanylate (sGC) stimulator (BAY 41-2272), sGC activator (BAY 58-2667), tadalafil, acetylcholine (ACh) and sodium nitroprusside (SNP) were determined. In IA from middle-aged rats the gene expression for endothelial nitric oxide synthase and the ROS were lower and higher, respectively than the young group. The relaxations induced by ACh and SNP were significantly lower in IA from middle-aged rats. In IA from middle-aged rats the mRNA expression of PDE5 was 55% higher, accompanied by lower relaxation induced by tadalafil. On the other hand, the gene expression for sGCα1 were similar in IA from both groups. Both BAY 41-2272 and BAY 58-2667 produced concentration-dependent relaxations in IA from both groups, however, the latter was 9-times more potent than BAY 41-2272 and produced similar relaxations in IA in both middle-aged and young groups. Yet, the sGC oxidant, ODQ increased the relaxation and the cGMP levels induced by BAY 58-2667. On the other hand, in tissues stimulated with SNP, tadalafil and BAY-2272, the intracellular levels of cGMP were lower in IA from middle-aged than young rats. In conclusion, our results clearly showed that the relaxations induced by the endothelium-dependent and -independent agents, by the PDE5 inhibitor and by sGC stimulator were impaired in IA from aged rats, while that induced by sGC activator was preserved. It suggests that sGC activator may be advantageous in treating ischemia-related functional changes in the lower urinary tract organs in situations where the NO levels are reduced.
血管老化导致结构和功能的改变。髂动脉(IA)为下尿路提供血流,盆腔缺血已被报道为膀胱重塑和过度活动的重要因素。一氧化氮(NO)-环鸟苷酸单磷酸途径(cGMP)的功能障碍是导致下尿路(LUT)障碍的一个因素。因此,我们假设与年龄相关的 LUT 障碍是由于可溶性鸟苷酸环化酶(sGC)氧化导致局部缺血,从而导致 cGMP 产生减少的结果。在本研究中,我们分离了中年和年轻大鼠的 IA,并测定了 NO、活性氧(ROS)、NO 通路相关酶的基因表达水平以及可溶性鸟苷酸(sGC)刺激剂(BAY 41-2272)、sGC 激活剂(BAY 58-2667)、他达拉非、乙酰胆碱(ACh)和硝普钠(SNP)的浓度-反应曲线。在中年大鼠的 IA 中,内皮型一氧化氮合酶的基因表达和 ROS 分别低于年轻组。ACh 和 SNP 诱导的舒张明显低于中年大鼠的 IA。在中年大鼠的 IA 中,PDE5 的 mRNA 表达增加了 55%,同时他达拉非诱导的舒张减少。另一方面,sGCα1 的基因表达在两组 IA 中相似。BAY 41-2272 和 BAY 58-2667 在两组 IA 中均产生浓度依赖性舒张,但后者比 BAY 41-2272 强 9 倍,在中年和年轻组的 IA 中产生相似的舒张。然而,sGC 氧化剂 ODQ 增加了 BAY 58-2667 诱导的舒张和 cGMP 水平。另一方面,在 SNP、他达拉非和 BAY-2272 刺激的组织中,中年大鼠的 IA 中 cGMP 的细胞内水平低于年轻大鼠。总之,我们的结果清楚地表明,内皮依赖性和非依赖性药物、PDE5 抑制剂和 sGC 刺激剂诱导的舒张在老年大鼠的 IA 中受损,而 sGC 激活剂诱导的舒张保持不变。这表明,在 NO 水平降低的情况下,sGC 激活剂可能有利于治疗与缺血相关的下尿路器官功能变化。