Feldman R D, Chorazyczewski J
Department of Medicine, University of Western Ontario, Canada.
Hypertension. 1997 Jan;29(1 Pt 2):422-7. doi: 10.1161/01.hyp.29.1.422.
A functional impairment in vasodilator tone may be important in the pathogenesis and/or maintenance of elevated peripheral vascular resistance in hypertension. Previous studies of hypertensive subjects have demonstrated impaired beta-adrenergic-mediated vasodilation paralleling a reduction in lymphocyte beta-adrenergic-stimulated adenylyl cyclase activity. We have suggested that this impairment is related to a defect in G-protein function. To determine whether this defect alters the coupling between the G-protein complex and adenylyl cyclase, we performed [3H]forskolin binding studies in lymphocytes from hypertensive subjects, older normotensive subjects, and younger normotensive control subjects. Maximal specific [3H]forskolin binding was used as an index of adenylyl cyclase binding sites. Gpp(NH)p-, NaF/AlCl3-, and isoproterenol-stimulated binding were used as indices of G-protein/adenylyl cyclase coupling. In the absence of other stimulators, maximal [3H]forskolin binding was not significantly different among groups. However, both Gpp(NH)p- and isoproterenol-stimulated [3H]forskolin binding were significantly decreased in lymphocytes from hypertensive subjects. Overall, Gpp(NH)p- and isoproterenol-stimulated [3H]forskolin binding were significantly inversely correlated with blood pressure. No differences in NaF/AlCl3-stimulated [3H]forskolin binding were detected between groups. These studies indicate that G-protein/adenylyl cyclase coupling is impaired in lymphocytes from younger hypertensive subjects and may contribute to the blood pressure-related defect in beta-adrenoceptor-stimulated adenylyl cyclase activity.
血管舒张张力的功能损害在高血压外周血管阻力升高的发病机制和/或维持过程中可能起重要作用。先前对高血压患者的研究表明,β-肾上腺素能介导的血管舒张受损,同时淋巴细胞β-肾上腺素能刺激的腺苷酸环化酶活性降低。我们认为这种损害与G蛋白功能缺陷有关。为了确定这种缺陷是否会改变G蛋白复合物与腺苷酸环化酶之间的偶联,我们对高血压患者、老年血压正常者和年轻血压正常对照者的淋巴细胞进行了[3H]佛司可林结合研究。最大特异性[3H]佛司可林结合被用作腺苷酸环化酶结合位点的指标。Gpp(NH)p-、NaF/AlCl3-和异丙肾上腺素刺激的结合被用作G蛋白/腺苷酸环化酶偶联的指标。在没有其他刺激剂的情况下,各组之间的最大[3H]佛司可林结合没有显著差异。然而,高血压患者淋巴细胞中Gpp(NH)p-和异丙肾上腺素刺激的[3H]佛司可林结合均显著降低。总体而言,Gpp(NH)p-和异丙肾上腺素刺激的[3H]佛司可林结合与血压显著负相关。各组之间未检测到NaF/AlCl3刺激的[3H]佛司可林结合有差异。这些研究表明,年轻高血压患者淋巴细胞中的G蛋白/腺苷酸环化酶偶联受损,可能导致β-肾上腺素能受体刺激的腺苷酸环化酶活性与血压相关的缺陷。