局所性ペロキシニトリートは,内皮の臨時受容体潜在バニロイド4チャンネルを損ない,肥満における血圧を上昇させる
Matteo Ottolini1,2, Kwangseok Hong1, Eric L Cope1
1Robert M. Berne Cardiovascular Research Center (M.O., K.H., E.L.C., Z.D., L.J.D., C.M., N.Y.N., S.R.J., B.E.I., S.K.S.).
Circulation
|February 4, 2020
まとめ
肥満は内皮のTRPV4チャネル活性を低下させることで血圧の調節を阻害し,これはペロキシニートによるAKAP150の損傷に関連している. ペロキシニトリトを抑制すると,肥満患者の正常な血圧と血管拡張が回復します.
科学分野:
- 心血管の生理学
- 内皮細胞生物学
- 高血圧 研究
背景:
- 内皮に依存する血管拡張は血圧の調節に不可欠であり,肥満による高血圧では低下する.
- トランジエント・レセプター・ポテンシャル・バニロイド4 (TRPV4) チャンネルは,内皮カルシウムシグナル伝達と血管拡張の鍵です.
- AKAP150タンパク質はTRPV4チャネル活性を増強しますが,肥満に関連する高血圧におけるその役割は不明です.
研究 の 目的:
- 肥満における血圧調節における内皮AKAP150-TRPV4信号伝達の役割を調査する.
- 肥満患者でこの信号伝達経路が 損なわれるかどうかを判断するためです
- ペロキシニート抑制の 治療的可能性を評価する
主な方法:
- 内皮特異的なノックアウトと高脂肪食による肥満マウスモデルを使用した.
- AKAP150- TRPV4のシグナル伝達と血管拡張に対するペロキシニトリートの影響を評価した.
- 臨床的関連性を評価するために,ヒトの動脈を検査した.
主要な成果:
- 肥満はTRPV4チャネルの血圧低下効果を低下させた.
- 肥満マウスのTRPV4活性と血管拡張を逆説的に弱めた.
- ペロキシニトリートは,AKAP150をCys36で酸化し,AKAP150-TRPV4のシグナル伝達と血管拡張を阻害した.
- ペロキシニート濃度を下げることで 信号伝達,血管拡張,肥満における血圧を回復させました
- 肥満患者の動脈にも同様のペロキシニート依存性障害が認められた.
結論:
- 肥満に起因する高血圧に寄与する.
- ペロキシニートによるAKAP150の損傷は重要なメカニズムです.
- ペロキシニトリトを抑制すると,内皮機能が回復し,肥満では血圧が正常化します.
さらに関連する動画
関連する概念動画
Antihypertensive Drugs: Vasodilators
1.9K
Vasodilators, primarily affecting the smooth muscles within arterial and venous walls, are commonly used for hypertension treatment. Medications such as minoxidil and hydralazine primarily target arteries and arterioles, while sodium nitroprusside acts on arterioles and venules. Minoxidil, functioning as a prodrug, is metabolized by hepatic sulfotransferase into its active form, minoxidil sulfate, after oral administration. This metabolite binds to the sulfonylurea receptor (SUR) component of...
1.9K
Hypertension II: Pathophysiology
637
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
637
Nitric Oxide Signaling Pathway
6.0K
Nitric oxide (NO), an inorganic gas, acts as a potent second messenger in most animal and plant tissues. NO diffuses out of the cells that produce it and enters the neighboring cells to generate a downstream response. NO synthase (NOS) catalyzes NO production by the deamination of the amino acid arginine. There are three isoforms of NOS. Endothelial cells have endothelial NOS (eNOS), nerve and muscle cells have neuronal NOS (nNOS), and macrophages produce inducible NOS (iNOS) upon exposure...
6.0K
Hormonal Regulation of Blood Pressure
5.7K
Endocrinal or hormonal intervention in the cardiovascular system is predominantly exerted by the catecholamines - epinephrine and norepinephrine, as well as a slew of hormones that interact with renal function to modulate blood volume.
Epinephrine and Norepinephrine
The adrenal medulla releases epinephrine and norepinephrine, catecholamines that enhance and extend the sympathetic or "fight or flight" physiological response. These hormones escalate heart rate and the force of contraction...
Epinephrine and Norepinephrine
The adrenal medulla releases epinephrine and norepinephrine, catecholamines that enhance and extend the sympathetic or "fight or flight" physiological response. These hormones escalate heart rate and the force of contraction...
5.7K
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors
2.2K
Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
2.2K
Hypertension and Regulation of Blood Pressure
3.6K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.6K


