Gelband C H, Gelband H
Department of Physiology, University of Florida College of Medicine, Gainesville 32610, USA.
Circulation. 1997 Nov 18;96(10):3647-54. doi: 10.1161/01.cir.96.10.3647.
A reduction in oxygen tension in the lungs is believed to inhibit a voltage-dependent K+ (Kv) current, which is thought to result in membrane depolarization leading to hypoxic pulmonary vasoconstriction (HPV). However, the direct mechanism by which hypoxia inhibits Kv current is not understood.
Experiments were performed on rat pulmonary artery resistance vessels and single smooth muscle cells isolated from these vessels to examine the role of Ca2+ release from intracellular stores in initiating HPV. In contractile experiments, hypoxic challenge of endothelium-denuded rat pulmonary artery resistance vessels caused either a sustained or transient contraction in Ca2+-containing or Ca2+-free solution, respectively (n=44 vessels from 11 animals). When the ring segments were treated with either thapsigargin (5 micromol/L), ryanodine (5 micromol/L), or cyclopiazonic acid (5 micromol/L) in Ca2+-containing or Ca2+-free solution, a significant increase in pulmonary arterial tone was observed (n=44 vessels from 11 animals). Subsequent hypoxic challenge in the presence of each agent produced no further increase in tone (n=44 vessels from 11 animals). In isolated pulmonary resistance artery cells loaded with fura 2, hypoxic challenge, thapsigargin, ryanodine, and cyclopiazonic acid resulted in a significant increase in [Ca2+]i (n=18 cells from 6 animals) and depolarization of the resting membrane potential (n=22 cells from 6 animals). However, with prior application of thapsigargin, ryanodine, or cyclopiazonic acid, a hypoxic challenge produced no further change in [Ca2+]i (n=18 from 6 animals) or membrane potential (n=22 from 6 animals). Finally, application of an anti-Kv1.5 antibody increased [Ca2+]i and caused membrane depolarization. Subsequent hypoxic challenge resulted in a further increase in [Ca2+]i with no effect on membrane potential (n=16 cells from 4 animals).
In rat pulmonary artery resistance vessels, an initial event in HPV is a release of Ca2+ from intracellular stores. This rise in [Ca2+]i causes inhibition of voltage-dependent K+ channels (possibly Kv1.5), membrane depolarization, and an increase in pulmonary artery tone.
肺内氧分压降低被认为会抑制电压依赖性钾离子(Kv)电流,这被认为会导致膜去极化,进而引发缺氧性肺血管收缩(HPV)。然而,缺氧抑制Kv电流的直接机制尚不清楚。
对大鼠肺动脉阻力血管及从这些血管分离出的单个平滑肌细胞进行实验,以研究细胞内钙库释放钙离子在引发HPV中的作用。在收缩实验中,对去内皮的大鼠肺动脉阻力血管进行缺氧刺激,在含钙或无钙溶液中分别引起持续性或短暂性收缩(来自11只动物的44根血管)。当环段在含钙或无钙溶液中用毒胡萝卜素(5 μmol/L)、ryanodine(5 μmol/L)或环匹阿尼酸(5 μmol/L)处理时,观察到肺动脉张力显著增加(来自11只动物的44根血管)。随后在每种药物存在的情况下进行缺氧刺激,张力未进一步增加(来自11只动物的44根血管)。在加载fura 2的分离的肺阻力动脉细胞中,缺氧刺激、毒胡萝卜素、ryanodine和环匹阿尼酸导致细胞内钙离子浓度([Ca2+]i)显著增加(来自6只动物的18个细胞)和静息膜电位去极化(来自6只动物的22个细胞)。然而,预先应用毒胡萝卜素、ryanodine或环匹阿尼酸后,缺氧刺激不会使[Ca²⁺]i(来自6只动物的18个细胞)或膜电位(来自6只动物的22个细胞)进一步改变。最后,应用抗Kv1.5抗体增加了[Ca²⁺]i并导致膜去极化。随后的缺氧刺激导致[Ca²⁺]i进一步增加,而对膜电位无影响(来自4只动物的16个细胞)。
在大鼠肺动脉阻力血管中,HPV的初始事件是细胞内钙库释放钙离子。细胞内钙离子浓度的升高导致电压依赖性钾离子通道(可能是Kv1.5)受到抑制,并最终导致膜去极化和肺动脉张力增加。