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Cyclooxygenase-2 derived thromboxane A(2) and reactive oxygen species mediate flow-induced constrictions of venules
Anita Racz1, Zoltan Veresh, Gabor Lotz
1Department of Pathophysiology, Semmelweis University, Budapest, Hungary.
Insights
Hyperhomocysteinemia impairs venule function, causing flow-induced constrictions by increasing thromboxane A(2) and reactive oxygen species. This constricts blood vessels, potentially increasing vascular resistance and promoting thrombus formation.
Area of Science:
- Vascular Biology
- Cardiovascular Physiology
- Endocrinology
Background:
- Hyperhomocysteinemia (HHcy) is linked to arterial endothelial dysfunction and thrombosis.
- The impact of HHcy on venular vasomotor function remains unstudied.
Purpose of the Study:
- To investigate the effects of HHcy on the flow/shear stress-dependent vasomotor responses of venules.
- To determine the underlying mechanisms of HHcy-induced changes in venular function.
Main Methods:
- Isolated gracilis muscle venules from control and HHcy rats (methionine diet) were subjected to increased intraluminal flow.
- Vessel diameter changes were measured, and the roles of thromboxane A(2) (TxA(2)) receptor, nitric oxide (NO) synthase, cyclooxygenase (COX) enzymes, and reactive oxygen species (ROS) were assessed using specific inhibitors and scavengers.
Main Results:
- Increased flow caused dilation in control venules but constriction in HHcy venules.
- Flow-induced constrictions in HHcy venules were reversed by a TxA(2) receptor antagonist and abolished by NO synthase and COX inhibitors.
- COX-2 derived TxA(2) and ROS contributed to flow-induced constrictions, while COX-1 derived prostaglandins and NO had dilatory effects.
Conclusions:
- HHcy induces flow-dependent venular constriction by increasing COX-2-derived TxA(2) and ROS production.
- These mediators overcome NO and prostaglandin dilatory effects, increasing vascular resistance and promoting venular thrombus formation.
Objective:
Hyperhomocysteinemia (HHcy) has been shown to impair the endothelial function of arterial vessels and promote thrombosis. There are no studies, however, assessing the effects of HHcy on the vasomotor function of venules. We hypothesized that HHcy activates pathophysiological mechanisms impairing flow/shear stress-dependent responses of venules.
Methods And Results:
Changes in diameter of isolated gracilis muscle venules (diameter: approximately 250 microm at 10 mmHg) of control and HHcy rats (induced by methionine diet for 5 weeks) to increases in intraluminal flow were measured. Increases in flow elicited dilations in control (at max.: 14+/-1%), but induced constrictions in HHcy venules (at max.: -24+/-4%). Flow-induced constrictions in HHcy venules were converted to dilations in the presence of the thromboxane A(2) (TxA(2)) receptor (TP) antagonist SQ 29,548, which were then abolished by the simultaneous administration of nitric oxide (NO) synthase inhibitor, L-NAME and non-selective cyclooxygenase (COX) blocker, indomethacin. In addition, the selective COX-2 inhibitor NS 398 reversed flow-induced constrictions to dilations, which were significantly decreased by additional COX-1 inhibitor, SC 560. Also, as compared to controls, a SOD/CAT sensitive increased ethidium bromide fluorescence was detected in HHcy small veins, indicating substantial production of reactive oxygen species (ROS) in HHcy. Correspondingly, SOD/CAT diminished flow-induced constrictions in venules of HHcy rats.
Conclusions:
In hyperhomocysteinemia increases in flow/shear stress increases the production of COX-2-derived TxA(2), and reactive oxygen species--that overcome the dilator effects of NO and prostaglandins--eliciting constrictions in skeletal muscle venules; changes which can increase vascular resistance and favor thrombus formation in the venular circulation.
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