Jeremy J Y, Mikhailidis D P, Karatapanis S, Harry D, Burroughs A K, McIntyre N, Stansby G, Jacobs M, McCormick A
University Department of Chemical Pathology and Human Metabolism, Royal Free Hospital and School of Medicine, University of London, UK.
J Hepatol. 1994 Dec;21(6):1017-22. doi: 10.1016/s0168-8278(05)80611-7.
To investigate the mechanisms causing reduced systemic vascular reactivity to vasoconstrictor agents in portal hypertension, we studied receptor- and signal-transduction-linked PGI2 (a vasodilator) synthesis (measured as 6-oxo-PGF1 alpha by radioimmunoassay) in the aorta (ex vivo) of portal vein-constricted rats. PGI2 synthesis was stimulated by adrenaline (via heterogeneous alpha-adrenoceptors), phorbol ester dibutyrate (a protein kinase C activator), arachidonic acid (the substrate for PGI2 synthesis) and the Ca2+ ionophore A23187 (A23187) and thapsigargin (both of which elevate intracellular Ca2+, which in turn elicits the release of arachidonic acid). The release of PGI2 by the aortae of rats with portal hypertension in comparison to sham-operated controls was: 1) enhanced in response to adrenaline, 2) reduced in response to phorbol ester dibutyrate, A23187 and thapsigargin and 3) unchanged in response to arichidonic acid. These data indicate that in aortae from rats with experimental portal hypertension: i) there are no changes in the enzymes involved in PGI2 synthesis (cyclooxygenase, PGI2 synthase), ii) there is a specific increase in adrenoceptor-linked PGI2 synthesis in aortae which may contribute to arterial vasodilation in this experimental model and 3) the diminished response of PGI2 synthesis to A23187, phorbol ester dibutyrate and thapsigargin indicates that there is a generalised attenuation of protein kinase C activator activity and of Ca2+. Since Ca2+ is a key component of excitation-contraction coupling and protein kinase C activator has been implicated in mediating this event, attenuation of these systems may also explain, at least in part, the known reduced vasoactivity of aortae from rats with portal hypertension.(ABSTRACT TRUNCATED AT 250 WORDS)
为研究门静脉高压时导致全身血管对血管收缩剂反应性降低的机制,我们研究了门静脉缩窄大鼠主动脉(离体)中与受体和信号转导相关的前列环素(一种血管舒张剂)合成(通过放射免疫分析法测定为6-氧代-前列腺素F1α)。肾上腺素(通过异质性α-肾上腺素能受体)、佛波酯二丁酸盐(一种蛋白激酶C激活剂)、花生四烯酸(前列环素合成的底物)、钙离子载体A23187(A23187)和毒胡萝卜素(二者均可升高细胞内钙离子,进而引发花生四烯酸释放)可刺激前列环素合成。与假手术对照组相比,门静脉高压大鼠主动脉释放的前列环素情况如下:1)对肾上腺素反应增强;2)对佛波酯二丁酸盐、A23187和毒胡萝卜素反应降低;3)对花生四烯酸反应无变化。这些数据表明,在实验性门静脉高压大鼠的主动脉中:i)参与前列环素合成的酶(环氧化酶、前列环素合成酶)无变化;ii)主动脉中与肾上腺素能受体相关的前列环素合成有特异性增加,这可能有助于该实验模型中的动脉血管舒张;3)前列环素合成对A23187、佛波酯二丁酸盐和毒胡萝卜素的反应减弱表明蛋白激酶C激活剂活性和钙离子普遍减弱。由于钙离子是兴奋-收缩偶联的关键成分,且蛋白激酶C激活剂参与介导此过程,这些系统的减弱至少部分也可解释已知的门静脉高压大鼠主动脉血管活性降低的现象。(摘要截断于250词)