Institute of Cardiovascular and Medical Sciences, BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Department of Pharmacology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Commun Biol. 2022 Jul 26;5(1):746. doi: 10.1038/s42003-022-03715-z.
Hyperaldosteronism causes cardiovascular disease as well as hypomagnesemia. Mechanisms are ill-defined but dysregulation of TRPM7, a Mg-permeable channel/α-kinase, may be important. We examined the role of TRPM7 in aldosterone-dependent cardiovascular and renal injury by studying aldosterone-salt treated TRPM7-deficient (TRPM7) mice. Plasma/tissue [Mg] and TRPM7 phosphorylation were reduced in vehicle-treated TRPM7 mice, effects recapitulated in aldosterone-salt-treated wild-type mice. Aldosterone-salt treatment exaggerated vascular dysfunction and amplified cardiovascular and renal fibrosis, with associated increased blood pressure in TRPM7 mice. Tissue expression of Mg-regulated phosphatases (PPM1A, PTEN) was downregulated and phosphorylation of Smad3, ERK1/2, and Stat1 was upregulated in aldosterone-salt TRPM7-deficient mice. Aldosterone-induced phosphorylation of pro-fibrotic signaling was increased in TRPM7 fibroblasts, effects ameliorated by Mg supplementation. TRPM7 deficiency amplifies aldosterone-salt-induced cardiovascular remodeling and damage. We identify TRPM7 downregulation and associated hypomagnesemia as putative molecular mechanisms underlying deleterious cardiovascular and renal effects of hyperaldosteronism.
原发性醛固酮增多症可导致心血管疾病和低镁血症。其发病机制尚不清楚,但可能与 Mg 通透性通道/α-激酶 TRPM7 的失调有关。我们通过研究醛固酮-盐处理的 TRPM7 缺陷(TRPM7)小鼠,研究了 TRPM7 在醛固酮依赖性心血管和肾脏损伤中的作用。在未用药物处理的 TRPM7 小鼠中,血浆/组织 [Mg] 和 TRPM7 磷酸化减少,在醛固酮-盐处理的野生型小鼠中也观察到了类似的效果。醛固酮-盐处理可加重血管功能障碍,并放大心血管和肾脏纤维化,同时 TRPM7 小鼠的血压升高。在 TRPM7 缺乏的小鼠中,Mg 调节的磷酸酶(PPM1A、PTEN)的组织表达下调,Smad3、ERK1/2 和 Stat1 的磷酸化上调。TRPM7 成纤维细胞中促纤维化信号的醛固酮诱导磷酸化增加,而补充 Mg 可改善这些作用。TRPM7 缺乏可放大醛固酮-盐诱导的心血管重塑和损伤。我们认为 TRPM7 下调和相关的低镁血症是原发性醛固酮增多症导致心血管和肾脏损伤的潜在分子机制。