Cahill P A, Wu Y, Sitzmann J V
Johns Hopkins Medical Institutions, Department of Surgery, Baltimore, Maryland 21287-4665.
J Clin Invest. 1994 Jun;93(6):2691-700. doi: 10.1172/JCI117283.
Portal hypertension (PHT) is characterized by splanchnic hyperemia due to a reduction in mesenteric vascular resistance. We hypothesized that alterations in the activity of a guanine-nucleotide regulatory protein (G-protein) might be partially responsible for the marked circulatory disturbances observed in PHT. We, therefore, determined alterations in adenylyl cyclase/cAMP system in prehepatic portal hypertensive rabbits and correlated these changes to the activity of a G-protein. Basal and G-protein-stimulated adenylyl cyclase activities were lower in the PHT superior mesenteric artery (22-26%) and thoracic aorta (31-46%) membranes, but higher (178-321%) in portal vein. The functional activity of Gi alpha proteins (pertussis toxin-catalyzed ADP-dependent ribosylation) increased in the PHT superior mesenteric artery and thoracic aorta, but decreased in portal vein. Immunodetection revealed an increase in the Gi alpha protein subunits (Gi alpha 1/Gi alpha 2 and Gi alpha 3/Go alpha) in PHT thoracic aorta, without any change in Gs alpha proteins; and a decrease in the amount of Gi alpha proteins in PHT portal vein. There was no change in the amount of Gs alpha/Gi alpha in the PHT superior mesenteric artery. We conclude the hemodynamic alterations of PHT are associated with intrinsic alterations in G-protein-enzyme effector systems. These alterations are vessels specific and suggest a possible unique global derangement underlying the vasculopathy of PHT.
门静脉高压症(PHT)的特征是由于肠系膜血管阻力降低导致内脏充血。我们假设鸟嘌呤核苷酸调节蛋白(G蛋白)活性的改变可能部分导致了PHT中观察到的明显循环紊乱。因此,我们测定了肝前门静脉高压兔腺苷酸环化酶/cAMP系统的变化,并将这些变化与G蛋白的活性相关联。在PHT肠系膜上动脉(22%-26%)和胸主动脉(31%-46%)膜中,基础和G蛋白刺激的腺苷酸环化酶活性较低,但在门静脉中较高(178%-321%)。PHT肠系膜上动脉和胸主动脉中Giα蛋白的功能活性(百日咳毒素催化的ADP依赖性核糖基化)增加,但门静脉中降低。免疫检测显示PHT胸主动脉中Giα蛋白亚基(Giα1/Giα2和Giα3/Goα)增加,Gsα蛋白无变化;PHT门静脉中Giα蛋白量减少。PHT肠系膜上动脉中Gsα/Giα量无变化。我们得出结论,PHT的血流动力学改变与G蛋白-酶效应系统的内在改变有关。这些改变具有血管特异性,提示PHT血管病变可能存在独特的整体紊乱。