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慢性赖诺普利治疗通过 G1 激动剂增强去卵巢自发性高血压大鼠舒张功能和血管紧张素-(1-7)轴。

Amplifying effect of chronic lisinopril therapy on diastolic function and the angiotensin-(1-7) Axis by the G1 agonist in ovariectomized spontaneously hypertensive rats.

机构信息

Department of Anesthesiology, Wake Forest School of Medicine, Winston Salem, North Carolina.

Department of Anesthesiology, Wake Forest School of Medicine, Winston Salem, North Carolina; Department of Internal Medicine-Molecular Medicine, Wake Forest School of Medicine, Winston Salem, North Carolina.

出版信息

Transl Res. 2021 Sep;235:62-76. doi: 10.1016/j.trsl.2021.04.004. Epub 2021 Apr 26.

Abstract

G protein-coupled estrogen receptor (GPER) activation by G1 attenuates diastolic dysfunction from estrogen loss, which may be partly due to suppression of angiotensin II pathological actions. We aimed to determine the independent effects of 8 weeks of G1 (100 µg/kg/d, subcutaneous pellet), ACE-inhibition (ACEi; lisinopril 10 mg/kg, drinking water), or combination therapy versus vehicle in the ovariectomized (OVX) spontaneously hypertensive rat (SHR) on cardiac function and morphometrics (echocardiography), serum equilibrium of angiotensins (mass spectroscopy) and cardiac components of the RAS (Western blotting). G1 alone and when combined with ACEi enhanced myocardial relaxation (é: 30 and 17%) and diastolic wall strain (DWS: 76 and 68%) while reducing relative wall thickness (RWT: 20 and 33%) and filling pressures (E/é: 30 and 37%). Cardiac expression levels of Mas receptor (Mas-R) and ACE2 also increased in the presence of G1. Strong antihypertensive effects of lisinopril monotherapy were associated with reductions in RWT, collagen deposition and E/é without overtly altering é or DWS. Chronic ACEi also increased cardiac levels of Mas-R and AT-R and tilted the circulating RAS toward the formation of Ang-(1-7), which was amplified in the presence of G1. In vitro studies further revealed that an inhibitor to prolyl endopeptidase (PEP), but not to neprilysin, significantly reduced serum Ang-(1-7) levels in G1-treated rats, suggesting that G1 might be increasing Ang-(1-7) formation via PEP. We conclude that activating GPER with G1 augments components of the cardiac RAS and improves diastolic function without lowering blood pressure, and that lisinopril-induced blood pressure control and cardiac alterations in OVX SHR are permissive in facilitating G1 to augment Ang-(1-7) in serum, thereby strengthening its cardioprotective benefits.

摘要

G 蛋白偶联雌激素受体(GPER)的激活可减轻雌激素缺乏引起的舒张功能障碍,这可能部分归因于抑制血管紧张素 II 的病理作用。我们旨在确定 8 周的 G1(100μg/kg/d,皮下植入物)、血管紧张素转换酶抑制剂(ACEi;赖诺普利 10mg/kg,饮用水)或联合治疗与载体在去卵巢(OVX)自发性高血压大鼠(SHR)中的独立作用对心脏功能和形态计量学(超声心动图)、血管紧张素的血清平衡(质谱)和心脏 RAS 成分(Western blot)的影响。G1 单独使用和与 ACEi 联合使用均可增强心肌松弛(é:30%和 17%)和舒张壁应变(DWS:76%和 68%),同时降低相对壁厚度(RWT:20%和 33%)和充盈压(E/é:30%和 37%)。在 G1 的存在下,心脏 Mas 受体(Mas-R)和 ACE2 的表达水平也增加。赖诺普利单药的强烈降压作用与 RWT、胶原蛋白沉积和 E/é 的减少有关,而没有明显改变 é 或 DWS。慢性 ACEi 还增加了心脏 Mas-R 和 AT-R 的水平,并使循环 RAS 向 Ang-(1-7)的形成倾斜,而 G1 的存在又放大了这一作用。体外研究进一步表明,脯氨酰内肽酶(PEP)的抑制剂,但不是 Neprilysin 的抑制剂,可显著降低 G1 治疗大鼠的血清 Ang-(1-7)水平,表明 G1 可能通过 PEP 增加 Ang-(1-7)的形成。我们的结论是,用 G1 激活 GPER 可增强心脏 RAS 的成分并改善舒张功能,而不会降低血压,赖诺普利诱导的 OVX SHR 血压控制和心脏改变有助于 G1 增强血清中的 Ang-(1-7),从而增强其心脏保护作用。

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