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自发性高血压患者心脏内皮中组成型一氧化氮合酶活性增加。

Increased activity of constitutive nitric oxide synthase in cardiac endothelium in spontaneous hypertension.

作者信息

Nava E, Noll G, Lüscher T F

机构信息

University Hospital, Bern, Switzerland.

出版信息

Circulation. 1995 May 1;91(9):2310-3. doi: 10.1161/01.cir.91.9.2310.

Abstract

BACKGROUND

We analyzed the activity of nitric oxide synthase in the rat heart to study whether this activity is affected by high blood pressure. Hearts from young (3 to 4 weeks old) and adult (15 to 25 weeks old) Wistar-Kyoto (WKY) rats and spontaneously hypertensive rats (SHR) were excised and frozen in liquid nitrogen. The activities of Ca(2+)-dependent (cNOS) and Ca(2+)-independent (iNOS) were determined in homogenized tissues by measuring the conversion of [14C]-L-arginine to [14C]-L-citrulline in the presence or absence of either EGTA (1 mmol/L) or EGTA plus NG-nitro-L-arginine methyl ester (L-NAME, 1 mmol/L each).

METHODS AND RESULTS

Arterial pressure was higher in adult SHR than in young SHR and WKY rats of both ages (P < .01). The cNOS activity was two to three times higher in hypertensive than in normotensive hearts (P = .01 to P = .04). No significant activity of iNOS was detected in any tissue. Studies of the right and left ventricles demonstrated a higher cNOS activity in the left sides of the hearts of adult SHR (P < .05). No differences were found in hearts from WKY rats. Selective removal of endocardial or coronary endothelial cells in hearts of SHR and WKY rats substantially reduced cNOS activity (P < .01).

CONCLUSIONS

The cNOS activity is upregulated in cardiac endothelial cells of genetically hypertensive rats. The high activity of cardiac cNOS is related to increased arterial pressure of these animals. We propose that in the heart, endothelial cells respond with a higher production of nitric oxide as a compensatory mechanism against high blood pressure and its damaging effects in this organ.

摘要

背景

我们分析了大鼠心脏中一氧化氮合酶的活性,以研究该活性是否受高血压影响。将年轻(3至4周龄)和成年(15至25周龄)的Wistar-Kyoto(WKY)大鼠及自发性高血压大鼠(SHR)的心脏切除并在液氮中冷冻。通过在存在或不存在乙二醇双乙醚二胺四乙酸(EGTA,1 mmol/L)或EGTA加NG-硝基-L-精氨酸甲酯(L-NAME,各1 mmol/L)的情况下测量[14C]-L-精氨酸向[14C]-L-瓜氨酸的转化,来测定匀浆组织中钙依赖性(cNOS)和非钙依赖性(iNOS)的活性。

方法与结果

成年SHR的动脉压高于同龄的年轻SHR和WKY大鼠(P <.01)。高血压心脏中的cNOS活性比正常血压心脏高两到三倍(P =.01至P =.04)。在任何组织中均未检测到iNOS的显著活性。对右心室和左心室的研究表明,成年SHR心脏左侧的cNOS活性较高(P <.05)。在WKY大鼠的心脏中未发现差异。选择性去除SHR和WKY大鼠心脏的心内膜或冠状动脉内皮细胞可显著降低cNOS活性(P <.01)。

结论

在遗传性高血压大鼠的心脏内皮细胞中,cNOS活性上调。心脏cNOS的高活性与这些动物动脉压升高有关。我们提出,在心脏中,内皮细胞通过增加一氧化氮的产生作为针对高血压及其对该器官损害作用的一种代偿机制。

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