Levobupivacaine-induced vasoconstriction involves caldesmon phosphorylation mediated by tyrosine kinase-induced ERK

Soo Hee Lee1, Seong-Chun Kwon2, Seong-Ho Ok3

  • 1Department of Anesthesiology and Pain Medicine, Gyeongsang National University College of Medicine, Gyeongsang National University Hospital, 15 Jinju-daero 816 beon-gil, Jinju-si, Gyeongsangnam-do 52727, Republic of Korea.

Insights

Levobupivacaine causes aortic contraction via caldesmon, CPI-17, and MLC20 phosphorylation. Inhibitors like genistein and PD98059 block these pathways, suggesting therapeutic potential for levobupivacaine-induced vasoconstriction.

Area of Science:

  • Pharmacology
  • Cellular Biology
  • Physiology

Background:

  • Levobupivacaine, a local anesthetic, can induce vasoconstriction.
  • Understanding the cellular mechanisms of levobupivacaine-induced contraction is crucial for managing its side effects.

Purpose of the Study:

  • To investigate the cellular signaling pathways involved in levobupivacaine-induced phosphorylation of caldesmon, CPI-17, and MLC20 in rat aortas.
  • To assess the effects of various inhibitors on levobupivacaine-induced contraction and related signaling events.

Main Methods:

  • Isolated rat aortas were used to study levobupivacaine-induced contraction.
  • Western blotting and siRNA were employed to investigate protein phosphorylation and signaling pathways.
  • The effects of inhibitors targeting tyrosine kinase, PKC, ERK, Rho-kinase, and MLCK were examined.

Main Results:

  • Levobupivacaine induced contraction and phosphorylation of caldesmon, CPI-17, and MLC20.
  • Genistein, PD98059, GF109203X, Y-27632, ML-7 HCl, and 1-butanol attenuated levobupivacaine-induced contraction.
  • Genistein inhibited tyrosine phosphorylation, ERK phosphorylation, and caldesmon phosphorylation.
  • PD98059, ERK siRNA, and GF109203X inhibited caldesmon phosphorylation.
  • GF109203X, PD98059, Y-27632, SP600125, and ML-7 HCl inhibited CPI-17 and MLC20 phosphorylation.

Conclusions:

  • Levobupivacaine-induced contraction is mediated by caldesmon phosphorylation via ERK, activated by tyrosine kinase or PKC.
  • CPI-17 and MLC20 phosphorylation involve PKC, Rho-kinase, and JNK/ERK/MLCK pathways.
  • These findings elucidate the signaling mechanisms of levobupivacaine-induced vasoconstriction.

Related Concept Videos

Phosphorylation01:02

Phosphorylation

The addition or removal of phosphate groups from proteins is the most common chemical modification that regulates cellular processes. These modifications can affect the structure, activity, stability, and localization of proteins within cells as well as their interactions with other proteins.
During phosphorylation, protein kinases transfer the terminal phosphate group of ATP to specific amino acid side chains of substrate proteins. Serine, threonine, and tyrosine are the most commonly...
53.9K
Protein Kinases and Phosphatases02:54

Protein Kinases and Phosphatases

Proteins undergo chemical modifications that trigger changes in the charge, structure, and conformation of the proteins. Phosphorylation, acetylation, glycosylation, nitrosylation, ubiquitination, lipidation, methylation, and proteolysis are various protein modifications that regulate protein activity. Such modifications are usually enzyme-driven.
Protein kinases
Many proteins in the cell are regulated by phosphorylation, the addition of a phosphate group. A family of enzymes called kinases...
15.1K
Receptor Tyrosine Kinases01:26

Receptor Tyrosine Kinases

Receptor tyrosine kinases or RTKs are membrane-bound receptors that phosphorylate specific tyrosine on protein substrates. RTKs regulate cellular growth, differentiation, survival, and migration. They contain an extracellular ligand binding domain, a transmembrane domain, and a cytosolic tail with intrinsic kinase activity. Several extracellular signaling molecules activate RTKs in one or more ways and relay the signal downstream. Ligands such as platelet-derived growth factor (PDGF) or...
18.6K
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers01:26

Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers

Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
534
Induced-fit Model01:13

Induced-fit Model

Most chemical reactions in cells require enzymes—biological catalysts that speed up the reaction without being consumed or permanently changed. They reduce the activation energy needed to convert the reactants into products. Enzymes are proteins, that usually work by binding to a substrate—a reactant molecule that they act upon.
Enzymes exhibit substrate specificity, meaning that they can only bind to certain substrates. This is mainly determined by the shape and chemical...
89.2K
Enzyme-linked Receptors01:00

Enzyme-linked Receptors

Enzyme-linked receptors are proteins that act as both receptor and enzyme, activating multiple intracellular signals. This is a large group of receptors that include the receptor tyrosine kinase (RTK) family. Many growth factors and hormones bind to and activate the RTKs.
Neurotrophin (NT) receptors are a family of RTKs, including trkA, trkB, and trkC (tropomyosin-related kinase) receptors. TrkA is specific for nerve growth factor (NGF), neurotrophin-6, and neurotrophin-7. TrkB binds...
86.6K