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衰老雌性小鼠的颈动脉功能障碍是由α-肾上腺素受体活性增加和 COX 衍生的血管收缩性前列腺素介导的。

Carotid dysfunction in senescent female mice is mediated by increased α-adrenoceptor activity and COX-derived vasoconstrictor prostanoids.

机构信息

Department of Pharmacology, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

Department of Cell Biology and Anatomy, Cardiovascular Translational Research Center, University of South Carolina, Columbia, South Carolina, United States.

出版信息

Am J Physiol Heart Circ Physiol. 2023 Apr 1;324(4):H417-H429. doi: 10.1152/ajpheart.00495.2022. Epub 2023 Jan 27.

Abstract

α-Adrenergic receptors are crucial regulators of vascular hemodynamics and essential pharmacological targets for cardiovascular diseases. With aging, there is an increase in sympathetic activation, which could contribute to the progression of aging-associated cardiovascular dysfunction, including stroke. Nevertheless, there is little information directly associating adrenergic receptor dysfunction in the blood vessels of aged females. This study determined the role of a-adrenergic receptors in carotid dysfunction of senescent female mice (accelerated-senescence prone, SAMP8), compared with a nonsenescent (accelerated-senescence prone, SAMR1). Vasoconstriction to phenylephrine (Phe) was markedly increased in common carotid artery of SAMP8 [area under the curve (AUC), 527 ± 53] compared with SAMR1 (AUC, 334 ± 30, = 0.006). There were no changes in vascular responses to the vasoconstrictor agent U46619 or the vasodilators acetylcholine (ACh) and sodium nitroprusside (NPS). Hyperactivity to Phe in female SAMP8 was reduced by cyclooxygenase-1 and cyclooxygenase-2 inhibition and associated with augmented ratio of TXA2/PGI2 release (SAMR1, 1.1 ± 0.1 vs. SAMP8, 2.1 ± 0.3, = 0.007). However, no changes in cyclooxygenase expression were seen in SAMP8 carotids. Selective α-receptor antagonism markedly reduced maximal contraction, whereas α antagonism induced a minor shift in Phe contraction in SAMP8 carotids. Ligand binding analysis revealed a threefold increase of α-adrenergic receptor density in smooth muscle cells (VSMCs) of SAMP8 vs. SAMR1. Phe rapidly increased intracellular calcium (Ca) in VSMCs via the α-receptor, with a higher peak in VSMCs from SAMP8. In conclusion, senescence intensifies vasoconstriction mediated by α-adrenergic signaling in the carotid of female mice by mechanisms involving increased Ca and release of cyclooxygenase-derived prostanoids. The present study provides evidence that senescence induces hyperreactivity of α-adrenoceptor-mediated contraction of the common carotid. Impairment of α-adrenoceptor responses is linked to increased Ca influx and release of COX-derived vasoconstrictor prostanoids, contributing to carotid dysfunction in the murine model of female senescence (SAMP8). Increased reactivity of the common carotid artery during senescence may lead to morphological and functional changes in arteries of the cerebral microcirculation and contribute to cognitive decline in females. Because the elderly population is growing, elucidating the mechanisms of aging- and sex-associated vascular dysfunction is critical to better direct pharmacological and lifestyle interventions to prevent cardiovascular risk in both sexes.

摘要

α-肾上腺素能受体是血管血液动力学的关键调节剂,也是心血管疾病的重要药理学靶点。随着年龄的增长,交感神经激活增加,这可能导致与衰老相关的心血管功能障碍的进展,包括中风。然而,直接关联老年雌性血管中肾上腺素能受体功能障碍的信息很少。本研究确定了 α-肾上腺素能受体在与非衰老(加速衰老易感性,SAMR1)相比,衰老雌性小鼠(加速衰老易感性,SAMP8)颈动脉功能障碍中的作用。与 SAMR1(AUC,334±30)相比,SAMP8 颈总动脉对苯肾上腺素(Phe)的血管收缩作用明显增强[曲线下面积(AUC),527±53, = 0.006]。血管对血管收缩剂 U46619 或血管扩张剂乙酰胆碱(ACh)和硝普钠(NPS)的反应没有变化。SAMP8 雌性动物对 Phe 的高反应性通过环氧化酶-1 和环氧化酶-2 抑制而降低,并与 TXA2/PGI2 释放的比值增加相关(SAMR1,1.1±0.1 对 SAMP8,2.1±0.3, = 0.007)。然而,在 SAMP8 颈动脉中未观察到环氧化酶表达的变化。选择性 α-受体拮抗剂显著降低最大收缩,而 α 拮抗剂在 SAMP8 颈动脉中引起 Phe 收缩的轻微移位。配体结合分析显示,与 SAMR1 相比,SAMP8 平滑肌细胞(VSMCs)中 α-肾上腺素能受体密度增加了三倍。Phe 通过 α 受体快速增加 VSMCs 中的细胞内钙(Ca),SAMP8 中的峰值更高。结论:衰老通过涉及增加 Ca 和释放环氧化酶衍生的前列腺素的机制,增强雌性小鼠颈动脉中由 α-肾上腺素能信号介导的血管收缩。本研究提供的证据表明,衰老诱导雌性 SAMP8 小鼠颈总动脉中 α-肾上腺素能受体介导的收缩反应性增强。α-肾上腺素能受体反应的损害与 Ca 内流的增加和 COX 衍生的血管收缩性前列腺素的释放有关,导致雌性衰老(SAMP8)小鼠的颈动脉功能障碍。衰老过程中颈总动脉反应性的增加可能导致脑微循环中动脉的形态和功能发生变化,并导致女性认知能力下降。由于老年人口不断增加,阐明与衰老和性别相关的血管功能障碍的机制对于更好地指导药物和生活方式干预以预防两性的心血管风险至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a2e/11687965/f0be91a8def7/h-00495-2022r01.jpg

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