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利奥西呱和维利西呱对肺血管和气道的不同作用。

Different Effects of Riociguat and Vericiguat on Pulmonary Vessels and Airways.

作者信息

Nubbemeyer Katharina, Krabbe Julia, Böll Svenja, Michely Anna, Kalverkamp Sebastian, Spillner Jan, Martin Christian

机构信息

Department of Thoracic Surgery, Medical Faculty, RWTH Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany.

Institute for Prevention and Occupational Health Bochum (IPA), Ruhr University Bochum, Bürkle de la Camp-Platz 1, 44789 Bonn, Germany.

出版信息

Biomedicines. 2025 Apr 2;13(4):856. doi: 10.3390/biomedicines13040856.

Abstract

: Pulmonary hypertension is a progressive disease leading to right heart failure. One treatment strategy is to induce vasodilation via the nitric oxide-soluble guanylate cyclase-cyclic guanosine monophosphate (NO-sGC-cGMP) signaling pathway. There are currently two soluble guanylate cyclase stimulators on the market: Riociguat and vericiguat, with vericiguat having a longer half-life and needing to be taken only once a day. This study investigated whether the pharmacological differences between the drugs affect pulmonary vessels and airways. : The effects of vericiguat and riociguat on pulmonary arteries, veins, and airways were studied using rat precision-cut lung slices (PCLS). Vessels were pretreated with endothelin-1 and airways with serotonin. In isolated perfused lungs (IPL), the effects of sGC stimulation on pulmonary artery pressure (PAP), airway resistance, inflammatory cytokine, and chemokine release were quantified. : Riociguat and vericiguat caused pulmonary artery dilation in PCLS. During IPL, riociguat was more effective than vericiguat in reducing PAP with a statistically significant reduction of 10%. Both drugs were potent bronchodilators in preconstricted airways ( < 0.001). Only vericiguat reduced airway resistance during IPL, as shown here for the first time. Both drugs significantly reduced IL-6 and IL-1ß levels, while riociguat also reduced VEGF-A and KC-GRO levels. : Riociguat and vericiguat had three main effects in the two rat ex-vivo models: They dilated the pulmonary arteries, induced bronchodilation, and reduced inflammation. These properties could make sGC stimulators useful for treating diseases associated with endothelial dysfunction. In the future, vericiguat may provide an alternative treatment to induce bronchodilation in respiratory diseases.

摘要

肺动脉高压是一种导致右心衰竭的进行性疾病。一种治疗策略是通过一氧化氮-可溶性鸟苷酸环化酶-环磷酸鸟苷(NO-sGC-cGMP)信号通路诱导血管舒张。目前市场上有两种可溶性鸟苷酸环化酶刺激剂:利奥西呱和维利西呱,维利西呱半衰期更长,每天只需服用一次。本研究调查了这两种药物之间的药理学差异是否会影响肺血管和气道。

使用大鼠精密肺切片(PCLS)研究了维利西呱和利奥西呱对肺动脉、静脉和气道的影响。血管用内皮素-1预处理,气道用血清素预处理。在离体灌注肺(IPL)中,量化了sGC刺激对肺动脉压(PAP)、气道阻力、炎性细胞因子和趋化因子释放的影响。

利奥西呱和维利西呱在PCLS中引起肺动脉扩张。在IPL期间,利奥西呱在降低PAP方面比维利西呱更有效,有统计学意义的10%的显著降低。两种药物在预收缩气道中都是有效的支气管扩张剂(<0.001)。如首次在此所示,只有维利西呱在IPL期间降低了气道阻力。两种药物都显著降低了IL-6和IL-1β水平,而利奥西呱还降低了VEGF-A和KC-GRO水平。

利奥西呱和维利西呱在两种大鼠离体模型中有三个主要作用

它们扩张肺动脉、诱导支气管扩张并减轻炎症。这些特性可能使sGC刺激剂对治疗与内皮功能障碍相关的疾病有用。未来,维利西呱可能为诱导呼吸系统疾病中的支气管扩张提供一种替代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c561/12024824/15d560c513db/biomedicines-13-00856-g0A1.jpg

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