Calcium Channels, T-Type

钙通道,T 型
  • 文章类型: Journal Article
    目的:结直肠癌(CRC)起源于结肠中预先存在的息肉。CRC的不同亚型的发展受到各种遗传和表观遗传特征的影响。CpG岛甲基化物表型(CIMP)在约15-20%的散发性CRC中发现,并与某些基因启动子的超甲基化有关。这项研究旨在寻找预后基因,并比较它们的表达和甲基化状态作为锯齿状无蒂腺瘤/息肉(SSAP)和CRC患者的潜在生物标志物。为了评估哪一个,一个是更好的疾病预测指标。
    方法:本研究采用多阶段方法研究与CRC和SSAP相关的基因。最初,使用R和Limma软件包分析了两个基因表达数据集以鉴定差异表达基因(DEGs)。维恩图分析进一步细化了选择,从Weissenberg面板中揭示了四个具有显著变化的基因。这些基因,进行了彻底的计算机评估。一旦确认,他们进行了湿实验室实验,关注表达和甲基化状态。这种全面的方法确保了对涉及CRC和SSAP的基因的可靠检查。
    结果:这项研究确定了癌症特异性基因,在SSAP和CRC组织中有8,351和1,769个基因特异性下调,分别。下调的基因与细胞粘附有关,负调节细胞增殖,和药物反应。Weissenberg小组中四个高度下调的基因,包括CACNA1G,IGF2、MLH1和SOCS1。体外分析表明,它们在SSAP和CRC样品中均高度甲基化,而它们的表达仅在CRC样品中降低。
    结论:这表明基因表达的减少可能有助于确定息肉是否会癌变。在预后测试中使用Weissenberg小组中基因的甲基化状态和基因表达状态可能会为患者带来更好的预后。
    OBJECTIVE: Colorectal cancer (CRC) originates from pre-existing polyps in the colon. The development of different subtypes of CRC is influenced by various genetic and epigenetic characteristics. CpG island methylator phenotype (CIMP) is found in about 15-20% of sporadic CRCs and is associated with hypermethylation of certain gene promoters. This study aims to find prognostic genes and compare their expression and methylation status as potential biomarkers in patients with serrated sessile adenomas/polyps (SSAP) and CRC, in order to evaluate which, one is a better predictor of disease.
    METHODS: This study employed a multi-phase approach to investigate genes associated with CRC and SSAP. Initially, two gene expression datasets were analyzed using R and Limma package to identify differentially expressed genes (DEGs). Venn diagram analysis further refined the selection, revealing four genes from the Weissenberg panel with significant changes. These genes, underwent thorough in silico evaluations. Once confirmed, they proceeded to wet lab experimentation, focusing on expression and methylation status. This comprehensive methodology ensured a robust examination of the genes involved in CRC and SSAP.
    RESULTS: This study identified cancer-specific genes, with 8,351 and 1,769 genes specifically down-regulated in SSAP and CRC tissues, respectively. The down-regulated genes were associated with cell adhesion, negative regulation of cell proliferation, and drug response. Four highly downregulated genes in the Weissenberg panel, including CACNA1G, IGF2, MLH1, and SOCS1. In vitro analysis showed that they are hypermethylated in both SSAP and CRC samples while their expressions decreased only in CRC samples.
    CONCLUSIONS: This suggests that the decrease in gene expression could help determine whether a polyp will become cancerous. Using both methylation status and gene expression status of genes in the Weissenberg panel in prognostic tests may lead to better prognoses for patients.
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  • 文章类型: Journal Article
    背景:白细胞介素24(IL-24)与伤害性信号有关。然而,IL-24在外周伤害性感受中作用的直接证据和确切分子机制尚不清楚。
    方法:使用膜片钳记录,分子生物学分析,免疫荧光标记,siRNA介导的敲减方法和行为测试,我们阐明了IL-24对T型Ca2+通道(T型通道)介导的感觉神经元兴奋性和外周疼痛敏感性的影响.
    结果:IL-24以可逆和剂量依赖性方式增强三叉神经节(TG)神经元中的T型通道电流(T电流),主要通过激活白介素-22受体1(IL-22R1)。此外,我们发现IL-24诱导的T型通道反应是通过酪氨酸蛋白激酶Lyn介导的,但不是其共同的下游目标JAK1。IL-24的应用显着激活了蛋白激酶A;这种作用与cAMP无关,并被Lyn拮抗作用阻止。抑制PKA可阻止IL-24诱导的T电流反应,而抑制蛋白激酶C或MAPK激酶没有效果。功能上,IL-24增加小鼠TG神经元兴奋性,增强对机械刺激的疼痛敏感性,两者都被阻断T型通道所抑制。在由眶下神经慢性收缩性损伤引起的三叉神经性疼痛模型中,抑制IL-22R1信号缓解机械性异常疼痛,通过阻塞T型通道或击倒Cav3.2来逆转。
    结论:我们的研究结果表明,IL-24通过刺激与Lyn依赖性PKA信号偶联的IL-22R1增强T电流,导致TG神经元过度兴奋和疼痛过敏。了解感觉神经元中IL-24/IL-22R1信号传导的机制可能为疼痛管理的创新治疗策略铺平道路。
    BACKGROUND: Interleukin 24 (IL-24) has been implicated in the nociceptive signaling. However, direct evidence and the precise molecular mechanism underlying IL-24\'s role in peripheral nociception remain unclear.
    METHODS: Using patch clamp recording, molecular biological analysis, immunofluorescence labeling, siRNA-mediated knockdown approach and behavior tests, we elucidated the effects of IL-24 on sensory neuronal excitability and peripheral pain sensitivity mediated by T-type Ca2+ channels (T-type channels).
    RESULTS: IL-24 enhances T-type channel currents (T-currents) in trigeminal ganglion (TG) neurons in a reversible and dose-dependent manner, primarily by activating the interleukin-22 receptor 1 (IL-22R1). Furthermore, we found that the IL-24-induced T-type channel response is mediated through tyrosine-protein kinase Lyn, but not its common downstream target JAK1. IL-24 application significantly activated protein kinase A; this effect was independent of cAMP and prevented by Lyn antagonism. Inhibition of PKA prevented the IL-24-induced T-current response, whereas inhibition of protein kinase C or MAPK kinases had no effect. Functionally, IL-24 increased TG neuronal excitability and enhanced pain sensitivity to mechanical stimuli in mice, both of which were suppressed by blocking T-type channels. In a trigeminal neuropathic pain model induced by chronic constriction injury of the infraorbital nerve, inhibiting IL-22R1 signaling alleviated mechanical allodynia, which was reversed by blocking T-type channels or knocking down Cav3.2.
    CONCLUSIONS: Our findings reveal that IL-24 enhances T-currents by stimulating IL-22R1 coupled to Lyn-dependent PKA signaling, leading to TG neuronal hyperexcitability and pain hypersensitivity. Understanding the mechanism of IL-24/IL-22R1 signaling in sensory neurons may pave the way for innovative therapeutic strategies in pain management.
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  • 文章类型: Journal Article
    反应性硫物质,包括硫化物,多硫化物和半胱氨酸氢过硫化物在健康和疾病中起着广泛的作用,涉及通过与结合到蛋白质上的金属的相互作用来修饰蛋白质功能,半胱氨酸二硫化物(S-S)键的裂解和半胱氨酸残基的S-过硫化。在很宽的微摩尔浓度范围内的硫化物通过消除与通道结合的Zn2来增强Cav3.2T型Ca2通道的活性,从而促进躯体和内脏疼痛。Cav3.2在生理条件下受到Zn2+的抑制,因此,硫化物可以从Zn2抑制作用中重新启动Cav3.2,并增加伤害感受器的兴奋性。另一方面,由硫化物产生的多硫化物通过半胱氨酸S-过硫化激活TRPA1通道,从而促进体细胞,但不是内脏,疼痛。因此,硫化物增强Cav3.2功能和多硫化物激活TRPA1,协同加速躯体疼痛信号。硫化物/Cav3.2系统的活性增加,特别是,似乎对病理性疼痛有很大的影响,并且因此可以用作治疗神经性和炎性疼痛(包括内脏疼痛)的治疗靶标。
    Reactive sulfur species including sulfides, polysulfides and cysteine hydropersulfide play extensive roles in health and disease, which involve modification of protein functions through the interaction with metals bound to the proteins, cleavage of cysteine disulfide (S-S) bonds and S-persulfidation of cysteine residues. Sulfides over a wide micromolar concentration range enhance the activity of Cav3.2 T-type Ca2+ channels by eliminating Zn2+ bound to the channels, thereby promoting somatic and visceral pain. Cav3.2 is under inhibition by Zn2+ in physiological conditions, so that sulfides function to reboot Cav3.2 from Zn2+ inhibition and increase the excitability of nociceptors. On the other hand, polysulfides generated from sulfides activate TRPA1 channels via cysteine S-persulfidation, thereby facilitating somatic, but not visceral, pain. Thus, Cav3.2 function enhancement by sulfides and TRPA1 activation by polysulfides, synergistically accelerate somatic pain signals. The increased activity of the sulfide/Cav3.2 system, in particular, appears to have a great impact on pathological pain, and may thus serve as a therapeutic target for treatment of neuropathic and inflammatory pain including visceral pain.
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  • 文章类型: Journal Article
    背景:T型钙通道,以低电压激活(LVA)钙通道为特征,在广泛的组织中发挥着重要的生理作用,包括神经元和非神经元系统。使用原位杂交和RNA干扰(RNAi)技术在体外,我们先前确定了植物寄生线虫Ditylenchus破坏因子中T型钙通道α1亚基(DdCα1G)的组织分布和生理功能。
    结果:为了进一步表征DdCα1G的功能作用,我们采用免疫组织化学和真菌介导的RNAi的组合,发现DdCα1G明显分布在探针相关组织中,食管腺相关组织,分泌-排泄管相关组织和男性针状组织。沉默DdCα1G导致运动受损,喂养,线虫的生殖能力和蛋白质分泌。为了确认行为上的缺陷,我们使用连环蛋白染色检查DdCα1G-RNAi线虫的肌肉变化。我们的观察表明,有缺陷的行为与相关的肌肉萎缩有关。
    结论:我们的发现为植物寄生线虫中T型钙通道的生理功能提供了更深入的了解。T型钙通道可以被认为是可持续线虫管理实践的有希望的目标。
    BACKGROUND: T-type calcium channels, characterized as low-voltage activated (LVA) calcium channels, play crucial physiological roles across a wide range of tissues, including both the neuronal and nonneuronal systems. Using in situ hybridization and RNA interference (RNAi) techniques in vitro, we previously identified the tissue distribution and physiological function of the T-type calcium channel α1 subunit (DdCα1G) in the plant-parasitic nematode Ditylenchus destructor.
    RESULTS: To further characterize the functional role of DdCα1G, we employed a combination of immunohistochemistry and fungus-mediated RNAi and found that DdCα1G was clearly distributed in stylet-related tissue, oesophageal gland-related tissue, secretory-excretory duct-related tissue and male spicule-related tissue. Silencing DdCα1G led to impairments in the locomotion, feeding, reproductive ability and protein secretion of nematodes. To confirm the defects in behavior, we used phalloidin staining to examine muscle changes in DdCα1G-RNAi nematodes. Our observations demonstrated that defective behaviors are associated with related muscular atrophy.
    CONCLUSIONS: Our findings provide a deeper understanding of the physiological functions of T-type calcium channels in plant-parasitic nematodes. The T-type calcium channel can be considered a promising target for sustainable nematode management practices.
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  • 文章类型: Journal Article
    通过Cav3.3T型通道的Ca2流入在神经元兴奋性中起着至关重要的作用,并且受到各种信号分子的调节。然而,我们对Cav3.3合作伙伴和相关监管途径的了解在很大程度上仍然有限.为了解决这个问题,我们在cDNA文库的酵母双杂交筛选中使用大鼠Cav3.3C末端作为诱饵,确定大鼠Gβ2为相互作用伙伴。随后的测定显示Gβ2亚基的相互作用对Cav3.3C末端具有特异性。通过对C末端的系统解剖,我们确定了22个氨基酸序列(氨基酸1789-1810)作为Gβ2相互作用位点。在HEK-293细胞中进行大鼠Cav3.3与各种Gβγ组合物的共表达研究。膜片钳记录显示,Gβ2γ2的共表达降低了Cav3.3的电流密度并加速了失活动力学。有趣的是,这些效应不是Gβ2γ2独有的,而是单独模拟Gβ2以及其他Gβγ二聚体,具有类似的效力。Gβ2相互作用位点的缺失消除了Gβ2γ2的作用。重要的是,这些Gβ2效应在人类Cav3.3中再现。总的来说,我们的发现提供了证据,证明Gβ(γ)复合物可以通过Gβ与Cav3.3C末端的相互作用来抑制Cav3.3通道活性并加速失活动力学。
    Ca2+ influx through Cav3.3 T-type channel plays crucial roles in neuronal excitability and is subject to regulation by various signaling molecules. However, our understanding of the partners of Cav3.3 and the related regulatory pathways remains largely limited. To address this quest, we employed the rat Cav3.3 C-terminus as bait in yeast-two-hybrid screenings of a cDNA library, identifying rat Gβ2 as an interaction partner. Subsequent assays revealed that the interaction of Gβ2 subunit was specific to the Cav3.3 C-terminus. Through systematic dissection of the C-terminus, we pinpointed a 22 amino acid sequence (amino acids 1789-1810) as the Gβ2 interaction site. Coexpression studies of rat Cav3.3 with various Gβγ compositions were conducted in HEK-293 cells. Patch clamp recordings revealed that coexpression of Gβ2γ2 reduced Cav3.3 current density and accelerated inactivation kinetics. Interestingly, the effects were not unique to Gβ2γ2, but were mimicked by Gβ2 alone as well as other Gβγ dimers, with similar potencies. Deletion of the Gβ2 interaction site abolished the effects of Gβ2γ2. Importantly, these Gβ2 effects were reproduced in human Cav3.3. Overall, our findings provide evidence that Gβ(γ) complexes inhibit Cav3.3 channel activity and accelerate the inactivation kinetics through the Gβ interaction with the Cav3.3 C-terminus.
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  • 文章类型: Journal Article
    毒液肽已经进化到通过不同的作用机制和结构靶向广泛的膜蛋白,为疾病提供有希望的治疗线索,包括疼痛,癫痫,和癌症,以及离子通道结构功能的独特探针。在这项工作中,对T型CaV3.2进行的高通量FLIPR窗口电流筛选分析指导了从蝎子Hottentottafranzwerneri粗毒液中分离出一种名为ω-Buthitoxin-Hf1a的新型肽。只有10个氨基酸残基有一个二硫键,它不仅是已知的针对T型CaV的最小毒液肽,而且是尚未发现的最小结构的蝎毒肽。用C-末端酰胺化(Hf1a-NH2)或游离C-末端(Hf1a-OH)制备合成的Hf1a肽。电生理学表征显示Hf1a-NH2是CaV3.2(IC50=1.18μM)和CaV3.3(IC50=0.49μM)去极化电流的浓度依赖性部分抑制剂,但在CaV3.1时无效。Hf1a-OH对三种T型亚型中的任何一种均未显示出活性。此外,两种形式均未显示针对N型CaV2.2或L型钙通道的活性。使用NMR光谱法确定Hf1a-NH2的三维结构,并用于对接研究以预测其在CaV3.2和CaV3.3上的结合位点。由于CaV3.2和CaV3.3都与外周疼痛信号有关,在切口诱发急性术后疼痛小鼠模型中,对Hf1a-NH2的镇痛潜力进行了体内研究.与这个角色一致,Hf1a-NH2在机械和热痛中均产生抗异常性疼痛。
    Venom peptides have evolved to target a wide range of membrane proteins through diverse mechanisms of action and structures, providing promising therapeutic leads for diseases, including pain, epilepsy, and cancer, as well as unique probes of ion channel structure-function. In this work, a high-throughput FLIPR window current screening assay on T-type CaV3.2 guided the isolation of a novel peptide named ω-Buthitoxin-Hf1a from scorpion Hottentotta franzwerneri crude venom. At only 10 amino acid residues with one disulfide bond, it is not only the smallest venom peptide known to target T-type CaVs but also the smallest structured scorpion venom peptide yet discovered. Synthetic Hf1a peptides were prepared with C-terminal amidation (Hf1a-NH2) or a free C-terminus (Hf1a-OH). Electrophysiological characterization revealed Hf1a-NH2 to be a concentration-dependent partial inhibitor of CaV3.2 (IC50 = 1.18 μM) and CaV3.3 (IC50 = 0.49 μM) depolarized currents but was ineffective at CaV3.1. Hf1a-OH did not show activity against any of the three T-type subtypes. Additionally, neither form showed activity against N-type CaV2.2 or L-type calcium channels. The three-dimensional structure of Hf1a-NH2 was determined using NMR spectroscopy and used in docking studies to predict its binding site at CaV3.2 and CaV3.3. As both CaV3.2 and CaV3.3 have been implicated in peripheral pain signaling, the analgesic potential of Hf1a-NH2 was explored in vivo in a mouse model of incision-induced acute post-surgical pain. Consistent with this role, Hf1a-NH2 produced antiallodynia in both mechanical and thermal pain.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    背景:NeuromedinB(Nmb)在神经炎症的传播中起关键作用,特别是在脊髓缺血再灌注损伤(SCII)期间。然而,这个过程背后的详细分子机制仍然难以捉摸。
    方法:雄性SD大鼠腹主动脉钳夹60min建立SCII模型。Nmb的蛋白表达水平,Cav3.2和IL-1β通过蛋白质印迹检测,而miR-214-3p表达通过qRT-PCR定量。使用双荧光素酶报告基因测定研究miR-214-3p和Nmb之间的靶向调节。通过免疫荧光染色观察具有细胞特异性标志物的Nmb和Cav3.2的细胞定位。通过鞘内注射Cav3.2-siRNA探讨miR-214-3p对SCII损伤大鼠Nmb/Cav3.2相互作用的具体作用,PD168368(特异性NmbR抑制剂)和合成的miR-214-3pagomir和antagomir在单独的实验中。此外,使用改良的Tarlov评分评估后肢运动功能。
    结果:与Sham组相比,NMB的蛋白质表达水平,Cav3.2和促炎因子白细胞介素(IL)-1β在SCII后24h显着升高。与SCII组相比,鞘内注射PD168368和Cav3.2-siRNA显著抑制Cav3.2和IL-1β的表达。miRDB数据库和双荧光素酶报告基因测定将Nmb鉴定为miR-214-3p的直接靶标。不出所料,通过agomir-214-3p预处理体内过表达miR-214-3p显著抑制Nmb的增加,Cav3.2和IL-1β表达与改善SCII损伤大鼠下肢运动功能,而antagomiR-214-3p预处理逆转了这些作用。
    结论:Nmb蛋白水平与SCII大鼠Cav3.2表达呈正相关。上调miR-214-3p通过抑制异常的Nmb/Cav3.2相互作用和下游IL-1β释放改善后肢运动功能并防止神经炎症。这些发现为SCII的临床预防和治疗提供了新的治疗靶标。
    BACKGROUND: Neuromedin B (Nmb) plays a pivotal role in the transmission of neuroinflammation, particularly during spinal cord ischemia-reperfusion injury (SCII). However, the detailed molecular mechanisms underlying this process remain elusive.
    METHODS: The SCII model was established by clamping the abdominal aorta of male Sprague-Dawley (SD) rats for 60 min. The protein expression levels of Nmb, Cav3.2, and IL-1β were detected by Western blotting, while miR-214-3p expression was quantified by qRT-PCR. The targeted regulation between miR-214-3p and Nmb was investigated using a dual-luciferase reporter gene assay. The cellular localization of Nmb and Cav3.2 with cell-specific markers was visualized by immunofluorescence staining. The specific roles of miR-214-3p on the Nmb/Cav3.2 interactions in SCII-injured rats were explored by intrathecal injection of Cav3.2-siRNA, PD168368 (a specific NmbR inhibitor) and synthetic miR-214-3p agomir and antagomir in separate experiments. Additionally, hind-limb motor function was evaluated using the modified Tarlov scores.
    RESULTS: Compared to the Sham group, the protein expression levels of Nmb, Cav3.2, and the proinflammatory factor Interleukin(IL)-1β were significantly elevated at 24 h post-SCII. Intrathecal injection of PD168368 and Cav3.2-siRNA significantly suppressed the expression of Cav3.2 and IL-1β compared to the SCII group. The miRDB database and dual-luciferase reporter gene assay identified Nmb as a direct target of miR-214-3p. As expected, in vivo overexpression of miR-214-3p by agomir-214-3p pretreatment significantly inhibited the increases in Nmb, Cav3.2 and IL-1β expression and improved lower limb motor function in SCII-injured rats, while antagomiR-214-3p pretreatment reversed these effects.
    CONCLUSIONS: Nmb protein levels positively correlated with Cav3.2 expression in SCII rats. Upregulating miR-214-3p ameliorated hind-limb motor function and protected against neuroinflammation via inhibiting the aberrant Nmb/Cav3.2 interactions and downstream IL-1β release. These findings provide novel therapeutic targets for clinical prevention and treatment of SCII.
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  • 文章类型: Journal Article
    T型钙通道的Cav3.2亚型因其在疼痛和癫痫中的作用而被靶向用于开发镇痛药和抗癫痫药。在这里,我们单独介绍了Cav3.2的低温EM结构,并与四种T型钙通道选择性拮抗剂复合,总体分辨率为2.8µ至3.2µ。这四种化合物显示出两种结合姿态。ACT-709478和TTA-A2均将其含环丙基苯基的末端放置在中心腔中,以直接阻碍离子流,同时将它们的极尾延伸到IV-I开窗中。TTA-P2和ML218将其3,5-二氯苯甲酰胺基团投射到II-III开窗中,并将其疏水尾部置于空腔中以阻止离子渗透。开窗穿透模式立即为这些拮抗剂的状态依赖性活性提供了解释。结构指导的突变分析鉴定了确定这些药物的T型偏好的几个关键残基。该结构还表明内源性脂质在稳定中央腔中的药物结合中的作用。
    The Cav3.2 subtype of T-type calcium channels has been targeted for developing analgesics and anti-epileptics for its role in pain and epilepsy. Here we present the cryo-EM structures of Cav3.2 alone and in complex with four T-type calcium channel selective antagonists with overall resolutions ranging from 2.8 Å to 3.2 Å. The four compounds display two binding poses. ACT-709478 and TTA-A2 both place their cyclopropylphenyl-containing ends in the central cavity to directly obstruct ion flow, meanwhile extending their polar tails into the IV-I fenestration. TTA-P2 and ML218 project their 3,5-dichlorobenzamide groups into the II-III fenestration and place their hydrophobic tails in the cavity to impede ion permeation. The fenestration-penetrating mode immediately affords an explanation for the state-dependent activities of these antagonists. Structure-guided mutational analysis identifies several key residues that determine the T-type preference of these drugs. The structures also suggest the role of an endogenous lipid in stabilizing drug binding in the central cavity.
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  • 文章类型: Journal Article
    内皮功能障碍随着年龄的增长而发展,并可能先于心血管疾病。动物数据表明,T型钙通道在内皮功能中起重要作用,但是缺乏来自人类的数据。这项研究包括15个健康,久坐,老年男性双盲,随机对照试验。八个星期,他们给予40mg/天的氟尼地平(L型和T型钙通道阻滞剂(CCB))或硝苯地平(L型CCB).通过在有或没有共同输注N-乙酰半胱氨酸(NAC;抗氧化剂)的情况下分级股动脉输注乙酰胆碱(ACh;内皮依赖性血管扩张剂)和硝普钠(内皮依赖性血管扩张剂)来评估血管功能。我们测量了腿部血流量和平均动脉压,并计算了腿部血管电导率以评估腿部血管反应。尽管两组中的血压均无明显变化,我们观察到较高的腿部血流反应(Δ0.43±0.45l/min,P=0.006)和腿部血管电导(Δ5.38±5.67ml/min/mmHg,P=0.005)对依诺地平后动脉内ACh,而硝苯地平组没有变化,组间没有差异。我们在组内或组间的股外侧肌活检中没有发现内皮型一氧化氮合酶的上调。依福尼地平或硝苯地平不会改变平滑肌细胞的反应性。在任一CCB组中,静脉共输注NAC均不影响内皮依赖性血管舒张。这些结果表明,对T型和L型钙通道的8周抑制可增强健康老年男性的内皮依赖性血管舒张功能。需要进一步的研究来阐明T型钙通道抑制是否可以抵消内皮功能障碍。
    Endothelial dysfunction develops with age and may precede cardiovascular disease. Animal data suggest that T-type calcium channels play an important role in endothelial function, but data from humans are lacking. This study included 15 healthy, sedentary, elderly males for a double blinded, randomized controlled trial. For 8 weeks, they were given 40 mg/day of either efonidipine (L- and T-type calcium channel blocker (CCB)) or nifedipine (L-type CCB). Vascular function was evaluated by graded femoral arterial infusions of acetylcholine (ACh; endothelium-dependent vasodilator) and sodium nitroprusside (endothelium-independent vasodilator) both with and without co-infusion of N-acetylcysteine (NAC; antioxidant). We measured leg blood flow and mean arterial pressure and calculated leg vascular conductance to evaluate the leg vascular responses. Despite no significant change in blood pressure in either group, we observed higher leg blood flow responses (Δ 0.43 ± 0.45 l/min, P = 0.006) and leg vascular conductance (Δ 5.38 ± 5.67 ml/min/mmHg, P = 0.005) to intra-arterial ACh after efonidipine, whereas there was no change in the nifedipine group, and no differences between groups. We found no upregulation of endothelial nitric oxide synthase in vastus lateralis muscle biopsies within or between groups. Smooth muscle cell responsiveness was unaltered by efonidipine or nifedipine. Intravenous co-infusion of NAC did not affect endothelium-dependent vasodilatation in either of the CCB groups. These results suggest that 8 weeks\' inhibition of T- and L-type calcium channels augments endothelium-dependent vasodilatory function in healthy elderly males. Further studies are required to elucidate if T-type calcium channel inhibition can counteract endothelial dysfunction.
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