Omeprazole suppresses endothelial calcium response and eNOS Ser1177 phosphorylation in porcine aortic endothelial

Chiaki Kamiya1, Keiichi Odagiri2, Akio Hakamata1

  • 1Department of Clinical Pharmacology and Therapeutics, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Japan.

Abstract

Insights

High-dose omeprazole impairs vascular endothelial function by suppressing calcium signaling and reducing endothelium-derived relaxing factor (EDRF) production. This impacts nitric oxide and prostaglandin synthesis, potentially affecting vascular health.

Area of Science:

  • Cardiovascular Biology
  • Endothelial Cell Function
  • Pharmacology

Background:

  • Proton pump inhibitors (PPIs) show anticancer potential but may negatively impact vascular biology.
  • The effects of high-dose PPIs on endothelial calcium (Ca2+) signaling and endothelium-derived relaxing factor (EDRF) production remain largely unknown.

Purpose of the Study:

  • To investigate the impact of high-dose omeprazole on endothelial Ca2+ responses.
  • To determine omeprazole's effect on EDRF production in cultured porcine aortic endothelial cells.

Main Methods:

  • Primary cultured porcine aortic endothelial cells were treated with varying concentrations of omeprazole (10-1000 μM).
  • Bradykinin (BK) and thapsigargin were used to induce Ca2+ responses.
  • Endothelial Ca2+ signaling, eNOS phosphorylation, nitric oxide production, and prostaglandin I2 metabolite levels were assessed.

Main Results:

  • Omeprazole dose-dependently suppressed both BK- and thapsigargin-induced endothelial Ca2+ responses.
  • Omeprazole slightly reduced Ca2+ mobilization from the endoplasmic reticulum but did not affect the ER Ca2+-ATPase.
  • Omeprazole decreased BK-induced eNOS phosphorylation at Ser1177 and tended to reduce nitric oxide and prostaglandin I2 production.

Conclusions:

  • High-dose omeprazole suppresses store-operated Ca2+ channels and partially inhibits the G protein-coupled receptor/phospholipase C/inositol 1,4,5-triphosphate pathway.
  • Omeprazole attenuates Ca2+-dependent eNOS phosphorylation and impairs EDRF production.
  • These findings suggest high-dose omeprazole negatively affects vascular endothelial function through intracellular Ca2+ signaling pathways.

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