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Published on: July 2, 2019
Myogenic properties of brain and cardiac vessels and their relation to disease
Ashley S Izzard, Anthony M Heagerty1
1Institute of Cardiovascular Sciences, Core Technology Facility (3rd Floor), University of Manchester, Manchester M13 9NT, UK. aizzard@manchester.ac.uk.
Insights
Arterial myogenic function, crucial for blood pressure regulation, relies on calcium influx and Rho kinase pathways. Impaired myogenic responses in cerebral arteries may stem from extracellular matrix issues, affecting autoregulation.
Area of Science:
- Vascular Physiology
- Cardiovascular Research
Background:
- Intrinsic arterial myogenic function regulates vascular tone and pressure response.
- Myogenic tone development (40-60 mmHg) involves calcium (Ca2+) influx via voltage-dependent channels.
- Myogenic responses (60-140 mmHg) predominantly involve Rho kinase (ROK)-mediated Ca2+ sensitivity.
Purpose of the Study:
- To elucidate the mechanisms of myogenic tone and response in cerebral and coronary circulations.
- To investigate the role of ROK and extracellular matrix in cerebral myogenic dysfunction.
- To clarify the determinants of coronary artery myogenic tone.
Main Methods:
- Analysis of myogenic tone and response mechanisms in arterial smooth muscle.
- Investigation of calcium signaling and ROK pathways.
- Examination of extracellular matrix contributions to mechanotransduction.
Main Results:
- Cerebral myogenic responses depend on ROK-mediated Ca2+ sensitivity, with potential impairment from extracellular matrix abnormalities.
- Coronary artery myogenic tone involves both Ca2+ channels and protein kinase C (PKC).
- Impaired coronary myogenic tone is observed in disease models, though implications are unclear.
Conclusions:
- Defective mechanotransduction in cerebral arteries, possibly due to extracellular matrix issues, can impair myogenic responses and cerebral autoregulation.
- Coronary myogenic tone mechanisms differ, involving Ca2+ channels and PKC.
- Further research is needed to understand the clinical significance of impaired coronary myogenic tone.
Abstract:
Intrinsic arterial myogenic function comprises the degree of constriction (myogenic tone), the arterial constriction to an increase in intraluminal pressure and vice versa (myogenic response), and forced dilation at high intraluminal pressure. Although the development of myogenic tone at 40-60 mmHg involves the influx of calcium (Ca(2+)) through voltage- dependent Ca(2+) channels and an elevation in arterial intracellular Ca(2+) (Ca(2+) i), myogenic responses between 60-140 mmHg involves predominantly Rho kinase (ROK)-mediated changes in Ca(2+) sensitivity. In the cerebral circulation an impaired myogenic response results in impaired cerebral autoregulation and susceptibility hypertension-induced cerebral haemorrhage. An impaired cerebral artery myogenic response, due to blunted ROK mediated changes in Ca(2+) sensitivity, may be a consequence of defective mechanotransduction of the intraluminal pressure stimulus; this may be a result of abnormalities in the extracellular matrix. In the coronary circulation distinctions between the mechanisms involved in the development of myogenic tone and the myogenic response have not been clearly defined. However, coronary artery myogenic tone is dependent on both Ca(2+) entry through voltage -dependent Ca(2+) channels and protein kinase C (PKC) activity. Impaired coronary myogenic tone has been observed in animal models of disease but the implications of these findings are currently uncertain.
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