Aleksandrowicz Marta
Laboratory of Preclinical Research and Environmental Agents, Mossakowski Medical Research Institute, Polish Academy of Sciences, A. Pawińskiego Str. 5, 02-106, Warsaw, Poland.
Pflugers Arch. 2025 May 28. doi: 10.1007/s00424-025-03097-1.
Hyponatremia is the most common electrolyte disturbance in hospitalized patients. Symptoms of hyponatremia include attention deficits and cognitive impairments. The cause of such abnormalities may be disturbances in the regulation of microcirculation. Previous studies have shown that increased vasopressin (AVP) concentration to 15 pg/ml in the presence of decreased Na concentration to 121 mM, which mimics AVP-associated hyponatremia in vivo leads to dysfunction, i.e., constriction and impaired endothelial regulation of small intracerebral blood vessels-parenchymal arterioles (PA). One of the possible causes of this dysfunction may be excessive production of superoxide anion (O2). The superoxide anion binds nitric oxide (NO) in a reaction that produces aggressive nitrogen-free radical, peroxynitrite (ONOO), which simultaneously reduces the bioavailability of NO. The present studies were performed in the organ chamber on isolated, perfused, and pressurized rats' PA in low sodium environment in the presence of AVP. These studies aimed to investigate the mechanism leading to PA dysfunction, i.e., constriction and disturbed endothelial regulation. L-NAME (N(ω)-nitro-L-arginine methyl ester) did not elicit constriction of PA, indicating reduced involvement of NO in maintaining basal tone of PA. Vasopressin V receptor antagonist (SR 49059), endothelin ET/ET receptors antagonist (PD 142,893), peroxynitrite decomposition catalyst (FeTMPyP) and ROS scavengers: superoxide dismutase (SOD) and catalase (CAT) improved studied responses. Dihydroethidium (DHE) staining confirmed the increased superoxide anion formation in low sodium environment in the presence of AVP. Thromboxane A/prostaglandin H receptor blocker (SQ 29,548), an inhibitor of the production of 20-HETE (HET0016), and L-arginine, a precursor of NO, did not improve dysfunctions of PA. Thus, in studied conditions, endothelial dysfunction occurs due to oxidative/nitrosative stress. These findings provide novel insight into the detrimental effects of decreased Na concentration in the presence of increased AVP concentration that mimic hyponatremia, on the regulation of cerebral microcirculation.
低钠血症是住院患者中最常见的电解质紊乱。低钠血症的症状包括注意力缺陷和认知障碍。此类异常的原因可能是微循环调节紊乱。先前的研究表明,在血钠浓度降至121 mM的情况下,血管加压素(AVP)浓度升高至15 pg/ml,这在体内模拟了与AVP相关的低钠血症,会导致功能障碍,即小脑血管实质小动脉(PA)收缩以及内皮调节受损。这种功能障碍的一个可能原因可能是超氧阴离子(O2)产生过多。超氧阴离子与一氧化氮(NO)结合,反应生成具有攻击性的无氮自由基——过氧亚硝酸盐(ONOO),同时降低了NO的生物利用度。本研究在器官腔中对低钠环境下、存在AVP的离体、灌注且加压的大鼠PA进行。这些研究旨在探究导致PA功能障碍(即收缩和内皮调节紊乱)的机制。L - 精氨酸甲酯(L - NAME)未引起PA收缩,表明NO在维持PA基础张力中的作用减弱。血管加压素V受体拮抗剂(SR 49059)、内皮素ET/ET受体拮抗剂(PD 142,893)、过氧亚硝酸盐分解催化剂(FeTMPyP)以及活性氧清除剂:超氧化物歧化酶(SOD)和过氧化氢酶(CAT)改善了所研究的反应。二氢乙锭(DHE)染色证实了在低钠环境且存在AVP的情况下超氧阴离子生成增加。血栓素A/前列腺素H受体阻滞剂(SQ 29,548)、20 - 羟基二十碳四烯酸(20 - HETE)生成抑制剂(HET0016)以及NO前体L - 精氨酸均未改善PA功能障碍。因此,在研究条件下,内皮功能障碍是由氧化/亚硝化应激引起的。这些发现为模拟低钠血症时血钠浓度降低且AVP浓度升高对脑微循环调节的有害影响提供了新的见解。