Yang Zhen, Li Yingrui, Huang Mengying, Li Xin, Fan Xuehui, Yan Chen, Meng Zenghui, Liao Bin, Hamdani Nazha, Yang Xiaoli, Zhou Xiaobo, El-Battrawy Ibrahim, Akin Ibrahim
Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, 637000 Nanchong, Sichuan, China.
First Department of Medicine, Medical Faculty Mannheim, University Medical Centre Mannheim (UMM), Heidelberg University, 68167 Mannheim, Germany.
Int J Med Sci. 2024 Jul 22;21(10):1964-1975. doi: 10.7150/ijms.96550. eCollection 2024.
Endothelial dysfunction may contribute to pathogenesis of Takotsubo cardiomyopathy, but mechanism underlying endothelial dysfunction in the setting of catecholamine excess has not been clarified. The study reports that D1/D5 dopamine receptor signaling and small conductance calcium-activated potassium channels contribute to high concentration catecholamine induced endothelial cell dysfunction. For mimicking catecholamine excess, 100 μM epinephrine (Epi) was used to treat human cardiac microvascular endothelial cells. Patch clamp, FACS, ELISA, PCR, western blot and immunostaining analyses were performed in the study. Epi enhanced small conductance calcium-activated potassium channel current (I) without influencing the channel expression and the effect was attenuated by D1/D5 receptor blocker. D1/D5 agonists mimicked the Epi effect, suggesting involvement of D1/D5 receptors in Epi effects. The enhancement of I caused by D1/D5 activation involved roles of PKA, ROS and NADPH oxidases. Activation of D1/D5 and SK1-3 channels caused a hyperpolarization, reduced NO production and increased ROS production. The NO reduction was membrane potential independent, while ROS production was increased by the hyperpolarization. ROS (H2O2) suppressed NO production. The study demonstrates that high concentration catecholamine can activate D1/D5 and SK1-3 channels through NADPH-ROS and PKA signaling and reduce NO production, which may facilitate vasoconstriction in the setting of catecholamine excess.
内皮功能障碍可能参与了应激性心肌病的发病机制,但儿茶酚胺过量情况下内皮功能障碍的潜在机制尚未阐明。该研究报告称,D1/D5多巴胺受体信号通路和小电导钙激活钾通道促成了高浓度儿茶酚胺诱导的内皮细胞功能障碍。为模拟儿茶酚胺过量,使用100μM肾上腺素(Epi)处理人心脏微血管内皮细胞。该研究进行了膜片钳、流式细胞术、酶联免疫吸附测定、聚合酶链反应、蛋白质免疫印迹和免疫染色分析。Epi增强了小电导钙激活钾通道电流(I),而不影响通道表达,且该效应被D1/D5受体阻滞剂减弱。D1/D5激动剂模拟了Epi的效应,表明D1/D5受体参与了Epi的作用。由D1/D5激活引起的I增强涉及蛋白激酶A、活性氧和烟酰胺腺嘌呤二核苷酸磷酸氧化酶的作用。D1/D5和SK1 - 3通道的激活导致超极化,减少一氧化氮生成并增加活性氧生成。一氧化氮的减少与膜电位无关,而活性氧生成因超极化而增加。活性氧(过氧化氢)抑制一氧化氮生成。该研究表明,高浓度儿茶酚胺可通过烟酰胺腺嘌呤二核苷酸磷酸 - 活性氧和蛋白激酶A信号通路激活D1/D5和SK1 - 3通道并减少一氧化氮生成,这可能在儿茶酚胺过量情况下促进血管收缩。