激活 BK 通道通过 Akt 信号转导改善血管平滑肌钙化。
Activating BK channels ameliorates vascular smooth muscle calcification through Akt signaling.
机构信息
Minhang Hospital & Department of Pharmacology, School of Pharmacy, Fudan University, Shanghai, 201203, China.
Department of Central Laboratory and Neurosurgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200062, China.
出版信息
Acta Pharmacol Sin. 2022 Mar;43(3):624-633. doi: 10.1038/s41401-021-00704-6. Epub 2021 Jun 23.
Vascular calcification (VC) is characterized by pathological depositions of calcium and phosphate in the arteries and veins via an active cell-regulated process, in which vascular smooth muscle cells (VSMCs) transform into osteoblast/chondrocyte-like cells as in bone formation. VC is associated with significant morbidity and mortality in chronic kidney disease (CKD) and cardiovascular disease, but the underlying mechanisms remain unclear. In this study we investigated the role of large-conductance calcium-activated potassium (BK) channels in 3 experimental VC models. VC was induced in vascular smooth muscle cells (VSMCs) by β-glycerophosphate (β-GP), or in rats by subtotal nephrectomy, or in mice by high-dosage vitamin D3. We showed that the expression of BK channels in the artery of CKD rats with VC and in β-GP-treated VSMCs was significantly decreased, which was functionally confirmed by patch-clamp recording. In β-GP-treated VSMCs, BK channel opener NS1619 (20 μM) significantly alleviated VC by decreasing calcium content and alkaline phosphatase activity. Furthermore, NS1619 decreased mRNA expression of ostoegenic genes OCN and OPN, as well as Runx2 (a key transcription factor involved in preosteoblast to osteoblast differentiation), and increased the expression of α-SMA protein, whereas BK channel inhibitor paxilline (10 μM) caused the opposite effects. In primary cultured VSMCs from BK mice, BK deficiency aggravated calcification as did BK channel inhibitor in normal VSMCs. Moreover, calcification was more severe in thoracic aorta rings of BK mice than in those of wild-type littermates. Administration of BK channel activator BMS191011 (10 mg· kg ·d) in high-dosage vitamin D3-treated mice significantly ameliorated calcification. Finally, co-treatment with Akt inhibitor MK2206 (1 μM) or FoxO1 inhibitor AS1842856 (3 μM) in calcified VSMCs abrogated the effects of BK channel opener NS1619. Taken together, activation of BK channels ameliorates VC via Akt/FoxO1 signaling pathways. Strategies to activate BK channels and/or enhance BK channel expression may offer therapeutic avenues to control VC.
血管钙化(VC)的特征是通过一个主动的细胞调节过程,在动脉和静脉中病理性地沉积钙和磷酸盐,其中血管平滑肌细胞(VSMCs)转化为成骨细胞/软骨细胞样细胞,就像在骨形成中一样。VC 与慢性肾脏病(CKD)和心血管疾病的显著发病率和死亡率有关,但潜在机制尚不清楚。在这项研究中,我们研究了大电导钙激活钾(BK)通道在 3 种实验性 VC 模型中的作用。通过β-甘油磷酸(β-GP)诱导血管平滑肌细胞(VSMCs)中的 VC,通过肾部分切除术诱导大鼠中的 VC,或通过高剂量维生素 D3 诱导小鼠中的 VC。我们表明,在伴有 VC 的 CKD 大鼠的动脉中和在β-GP 处理的 VSMCs 中的 BK 通道表达显著降低,这通过膜片钳记录得到了功能上的证实。在β-GP 处理的 VSMCs 中,BK 通道 opener NS1619(20 μM)通过降低钙含量和碱性磷酸酶活性显著减轻 VC。此外,NS1619 降低了成骨基因 OCN 和 OPN 的 mRNA 表达,以及 Runx2(参与前成骨细胞向成骨细胞分化的关键转录因子),并增加了α-SMA 蛋白的表达,而 BK 通道抑制剂 paxilline(10 μM)则产生相反的效果。在 BK 小鼠的原代培养 VSMCs 中,BK 缺乏症加重了钙化,就像在正常 VSMCs 中的 BK 通道抑制剂一样。此外,BK 小鼠的胸主动脉环中的钙化比野生型同窝仔鼠中的更严重。在高剂量维生素 D3 处理的小鼠中给予 BK 通道激活剂 BMS191011(10mg·kg·d)可显著改善钙化。最后,在钙化的 VSMCs 中共同处理 Akt 抑制剂 MK2206(1 μM)或 FoxO1 抑制剂 AS1842856(3 μM)消除了 BK 通道 opener NS1619 的作用。总之,激活 BK 通道通过 Akt/FoxO1 信号通路改善 VC。激活 BK 通道和/或增强 BK 通道表达的策略可能为控制 VC 提供治疗途径。