硫化氢代谢综合征相关血管并发症中的功能障碍涉及通过可溶性鸟苷酸环化酶过硫化调节环鸟苷酸。

Hydrogen sulfide dysfunction in metabolic syndrome-associated vascular complications involves cGMP regulation through soluble guanylyl cyclase persulfidation.

机构信息

Department of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy.

Department of Science, University of Basilicata, Potenza, Italy.

出版信息

Biomed Pharmacother. 2024 May;174:116466. doi: 10.1016/j.biopha.2024.116466. Epub 2024 Mar 28.

Abstract

Here, by using in vitro and ex vivo approaches, we elucidate the impairment of the hydrogen sulfide (HS) pathway in vascular complications associated with metabolic syndrome (MetS). In the in vitro model simulating hyperlipidemic/hyperglycemic conditions, we observe significant hallmarks of endothelial dysfunction, including eNOS/NO signaling impairment, ROS overproduction, and a reduction in CSE-derived HS. Transitioning to an ex vivo model using db/db mice, a genetic MetS model, we identify a downregulation of CBS and CSE expression in aorta, coupled with a diminished L-cysteine-induced vasorelaxation. Molecular mechanisms of eNOS/NO signaling impairment, dissected using pharmacological and molecular approaches, indicate an altered eNOS/Cav-1 ratio, along with reduced Ach- and Iso-induced vasorelaxation and increased L-NIO-induced contraction. In vivo treatment with the HS donor Erucin ameliorates vascular dysfunction observed in db/db mice without impacting eNOS, further highlighting a specific action on smooth muscle component rather than the endothelium. Analyzing the NO signaling pathway in db/db mice aortas, reduced cGMP levels were detected, implicating a defective sGC/cGMP signaling. In vivo Erucin administration restores cGMP content. This beneficial effect involves an increased sGC activity, due to enzyme persulfidation observed in sGC overexpressed cells, coupled with PDE5 inhibition. In conclusion, our study demonstrates a pivotal role of reduced cGMP levels in impaired vasorelaxation in a murine model of MetS involving an impairment of both HS and NO signaling. Exogenous HS supplementation through Erucin represents a promising alternative in MetS therapy, targeting smooth muscle cells and supporting the importance of lifestyle and nutrition in managing MetS.

摘要

在这里,我们通过体外和离体方法阐明了与代谢综合征(MetS)相关的血管并发症中硫化氢(HS)途径的损伤。在模拟高脂血症/高血糖条件的体外模型中,我们观察到内皮功能障碍的显著特征,包括 eNOS/NO 信号转导受损、ROS 过度产生以及 CSE 衍生的 HS 减少。在使用 db/db 小鼠(一种遗传 MetS 模型)的离体模型中,我们发现 CBS 和 CSE 的表达在主动脉中下调,同时 L-半胱氨酸诱导的血管舒张作用减弱。使用药理学和分子方法剖析 eNOS/NO 信号转导受损的分子机制表明,eNOS/Cav-1 比值发生改变,Ach 和 Iso 诱导的血管舒张作用减弱,L-NIO 诱导的收缩作用增强。HS 供体 Erucin 的体内治疗改善了 db/db 小鼠观察到的血管功能障碍,而不影响 eNOS,这进一步强调了其对平滑肌成分的特定作用而不是对内皮的作用。在 db/db 小鼠主动脉中分析 NO 信号通路时,检测到 cGMP 水平降低,表明 sGC/cGMP 信号转导缺陷。体内 Erucin 给药可恢复 cGMP 含量。这种有益作用涉及 sGC 活性增加,这归因于观察到的 sGC 过表达细胞中的酶过硫化,同时抑制 PDE5。总之,我们的研究表明,在涉及 HS 和 NO 信号转导受损的 MetS 小鼠模型中,cGMP 水平降低在血管舒张受损中起关键作用。通过 Erucin 补充外源性 HS 代表了 MetS 治疗的一种有前途的选择,靶向平滑肌细胞,并支持生活方式和营养在管理 MetS 中的重要性。

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