Mesenteric Arteries

  • 文章类型: Journal Article
    肥胖和糖尿病是心血管疾病的主要危险因素。Zucker脂肪型糖尿病(ZFDM)大鼠是肥胖和2型糖尿病的新型动物模型。我们最近报道ZFDM-Leprfa/fa(人)大鼠血压正常,而血液肾上腺素水平和心率低于对照ZFDM-Leprfa/(Heterio)大鼠。这里,我们比较了Hetero和Homo大鼠离体肠系膜动脉的反应性。去氧肾上腺素引起的收缩增加,与异株大鼠相比,21-23周龄的人鼠中异丙肾上腺素诱导的松弛减少。人大鼠中α1A而不是β2肾上腺素受体的mRNA表达增加。一氧化氮(NO)介导的乙酰胆碱诱导的松弛减少,而内皮NO合成酶(eNOS)的mRNA表达在人鼠肠系膜动脉中相当增加。这些发现首次揭示了在血浆肾上腺素减少的人鼠中,通过增加的α1肾上腺素受体表达和减弱的β2肾上腺素受体信号增强肾上腺素诱导的血管收缩力,可以维持血压。此外,NO介导的内皮依赖性舒张功能受损,可能是由于eNOS功能障碍,这也可能有助于维持人鼠的血压。
    Obesity and diabetes are major risk factors for cardiovascular diseases. Zucker fatty diabetes mellitus (ZFDM) rats are novel animal model of obesity and type 2 diabetes. We have recently reported that blood pressure in ZFDM-Leprfa/fa (Homo) rats was normal, while blood adrenaline level and heart rate were lower than those in control ZFDM-Leprfa/+ (Hetero) rats. Here, we compared the reactivity in isolated mesenteric artery between Hetero and Homo rats. Contraction induced by phenylephrine was increased, while relaxation induced by isoprenaline was decreased in Homo rats at 21-23 weeks old compared with those in Hetero rats. The mRNA expression for α1A but not β2 adrenoreceptor in Homo rats was increased. Nitric oxide (NO)-mediated relaxation induced by acetylcholine was decreased, while the mRNA expression for endothelial NO synthase (eNOS) was rather increased in mesenteric artery from Homo rats. These findings for the first time revealed that in Homo rats with reduced plasma adrenaline, blood pressure could be maintained by enhancing vascular contractility induced by adrenaline through the increased α1 adrenoceptor expression and the attenuated β2 adrenoceptor signaling. Additionally, NO-mediated endothelium-dependent relaxation is impaired perhaps due to eNOS dysfunction, which might also contribute to maintain the blood pressure in Homo rats.
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  • 文章类型: Journal Article
    喂高盐饮食的Dahl盐敏感(SS)大鼠,但不是低盐,表现出血管功能障碍。存在几个SS大鼠的亚型,它们的血压表型和盐敏感性不同。这项研究的目的是调查约翰-拉普衍生的SS大鼠(SS/Jr)低盐饮食会表现出自发性高血压,呈现在另一个独立于饮食盐的高血压实验模型中观察到的血管功能障碍的标志,自发性高血压大鼠(SHR)。从低盐喂养的成年雄性SS/Jr大鼠和SHR中分离出内皮完整的主动脉环和肠系膜阻力动脉,或者他们各自的控制,用于等距线肌电图。血管被各种血管活性物质的累积浓度攻击,在不存在或存在一氧化氮合酶或环氧合酶抑制剂的情况下。尽管它们对各种血管活性物质的反应有一些差异,SS/Jr大鼠和SHR均表现出血管功能障碍的关键特征,包括内皮功能障碍和对血管收缩激动剂的高反应性。总之,这项研究提供了证据,支持SS/Jr大鼠品系维持在低盐饮食作为血管功能障碍的有效实验模型的效用,人类高血压的一个关键特征。
    Dahl salt-sensitive (SS) rats fed a high-salt diet, but not low-salt, exhibit vascular dysfunction. Several substrains of SS rats exist that differ in their blood pressure phenotypes and salt sensitivity. The goal of this study was to investigate whether the John-Rapp-derived SS rat (SS/Jr), which exhibits spontaneous hypertension on a low-salt diet, presents with hallmarks of vascular dysfunction observed in another experimental model of hypertension independent of dietary salt, the spontaneously hypertensive rat (SHR). Endothelium-intact aortic rings and mesenteric resistance arteries were isolated from low-salt fed adult male SS/Jr rats and SHRs, or their respective controls, for isometric wire myography. Vessels were challenged with cumulative concentrations of various vasoactive substances, in the absence or presence of nitric oxide synthase or cyclooxygenase inhibitors. Despite showing some differences in their responses to various vasoactive substances, both SS/Jr rats and SHRs exhibited key features of vascular dysfunction, including endothelial dysfunction and hyperresponsiveness to vasocontractile agonists. In conclusion, this study provides evidence to support the utility of the SS/Jr rat strain maintained on a low-salt diet as a valid experimental model for vascular dysfunction, a key feature of human hypertension.
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  • 文章类型: Journal Article
    目的:使用一氧化氮(NO)供体可以极大地受益于心血管疾病(CVD)的治疗。这项研究旨在研究NONONO2P的作用机制,该机制有助于在肠系膜动脉中观察到的反应。假设NONO2P与硝普钠(SNP)和NO具有相似的药理作用。
    方法:对雄性Wistar大鼠实施安乐死以分离肠系膜上动脉以进行等距张力记录。使用DAF-FM/DA染料测量NO水平,使用cGMP-ELISA试剂盒测定环磷酸鸟苷(cGMP)水平。
    结果:NONO2P表现出与SNP相似的最大功效。NO(NO•)清除剂(PTIO;100μM和羟钴胺素;30μM)和硝酰基阴离子(NO-)清除剂(L-半胱氨酸;3mM)的自由基降低了NONO2P促进的弛豫。特异性可溶性鸟苷酸环化酶(sGC)抑制剂(ODQ;10μM)的存在几乎消除了血管舒张。cGMP依赖性蛋白激酶(PKG)抑制(KT5823;1μM)减弱NONO2P松弛作用。通过阻断内向整流K通道(Kir),血管松弛反应显着减弱,电压操作K+通道(KV),大电导Ca2+激活K+通道(BKCa)。环吡嗪酸(10μM)减弱了NONO2P诱导的弛豫,表明肌浆网Ca2-ATPase(SERCA)激活参与了这种松弛。此外,NONO2P增加内皮细胞中的NO水平和cGMP产生。
    结论:NONO2P诱导血管舒张的幅度与SNP相同,释放NO•和NO-。它的血管舒张作用涉及sGC,PKG,K+通道打开,和SERCA激活,提示其作为心血管疾病治疗选择的潜力。
    OBJECTIVE: The treatment of cardiovascular diseases (CVD) could greatly benefit from using nitric oxide (NO) donors. This study aimed to investigate the mechanisms of action of NONO2P that contribute to the observed responses in the mesenteric artery. The hypothesis was that NONO2P would have similar pharmacological actions to sodium nitroprusside (SNP) and NO.
    METHODS: Male Wistar rats were euthanized to isolate the superior mesenteric artery for isometric tension recordings. NO levels were measured using the DAF-FM/DA dye, and cyclic guanosine monophosphate (cGMP) levels were determined using a cGMP-ELISA Kit.
    RESULTS: NONO2P presented a similar maximum efficacy to SNP. The free radical of NO (NO•) scavengers (PTIO; 100 μM and hydroxocobalamin; 30 μM) and nitroxyl anion (NO-) scavenger (L-cysteine; 3 mM) decreased relaxations promoted by NONO2P. The presence of the specific soluble guanylyl cyclase (sGC) inhibitor (ODQ; 10 μM) nearly abolished the vasorelaxation. The cGMP-dependent protein kinase (PKG) inhibition (KT5823; 1 μM) attenuated the NONO2P relaxant effect. The vasorelaxant response was significantly attenuated by blocking inward rectifying K+ channels (Kir), voltage-operated K+ channels (KV), and large conductance Ca2+-activated K+ channels (BKCa). NONO2P-induced relaxation was attenuated by cyclopiazonic acid (10 μM), indicating that sarcoplasmic reticulum Ca2+-ATPase (SERCA) activation is involved in this relaxation. Moreover, NONO2P increased NO levels in endothelial cells and cGMP production.
    CONCLUSIONS: NONO2P induces vasorelaxation with the same magnitude as SNP, releasing NO• and NO-. Its vasorelaxant effect involves sGC, PKG, K+ channels opening, and SERCA activation, suggesting its potential as a therapeutic option for CVD.
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  • 文章类型: Journal Article
    钙敏感受体(CaSR)的刺激调节血管收缩,但所涉及的细胞机制仍不清楚。这项研究调查了血管周围感觉神经在CaSR诱导的雄性大鼠肠系膜动脉舒张中的作用。在荧光研究中,突触素之间的共定位,突触小泡标记物,CaSR存在于动脉段的外膜层中。使用导线肌电图,增加外部Ca2+浓度([Ca2+]o)从1到10mM诱导的血管舒张,先前显示涉及CaSR,被辣椒素预处理抑制。降钙素基因相关肽(CGRP)受体阻滞剂部分减少了[Ca2]o诱导的血管舒张,CGRP8-37和BIBN4096,以及神经激肽1(NK1)受体阻断剂L733,060。CGRP8-37的抑制作用需要功能性内皮,而L733,060的抑制作用则没有。当CGRP8-37和L733,060一起应用时,发生[Ca2+]o诱导的血管舒张的完全抑制。ATP依赖性K通道(KATP)阻断剂PNU37883消除了辣椒素存在下[Ca2]o诱导的血管舒张,但不受内皮一氧化氮合酶(eNOS)抑制剂L-NAME的影响。我们建议血管周围感觉神经上的CaSR通过涉及CGRP和NK1受体激活的NO产生和KATP通道的内皮依赖性和非依赖性机制介导大鼠肠系膜动脉的舒张。分别。
    Stimulation of the calcium-sensing receptor (CaSR) regulates vascular contractility, but cellular mechanisms involved remain unclear. This study investigated the role of perivascular sensory nerves in CaSR-induced relaxations of male rat mesenteric arteries. In fluorescence studies, colocalisation between synaptophysin, a synaptic vesicle marker, and the CaSR was present in the adventitial layer of arterial segments. Using wire myography, increasing external Ca2+ concentration ([Ca2+]o) from 1 to 10 mM induced vasorelaxations, previously shown to involve the CaSR, which were inhibited by pretreatment with capsaicin. [Ca2+]o-induced vasorelaxations were partially reduced by the calcitonin gene-related peptide (CGRP) receptor blockers, CGRP 8-37 and BIBN 4096, and the neurokinin 1 (NK1) receptor blocker L733,060. The inhibitory effect of CGRP 8-37 required a functional endothelium whereas the inhibitory action of L733,060 did not. Complete inhibition of [Ca2+]o-induced vasorelaxations occurred when CGRP 8-37 and L733,060 were applied together. [Ca2+]o-induced vasorelaxations in the presence of capsaicin were abolished by the ATP-dependent K+ channel (KATP) blocker PNU 37883, but unaffected by the endothelium nitric oxide synthase (eNOS) inhibitor L-NAME. We suggest that the CaSR on perivascular sensory nerves mediate relaxations in rat mesenteric arteries via endothelium-dependent and -independent mechanisms involving CGRP and NK1 receptor-activated NO production and KATP channels, respectively.
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  • 文章类型: Journal Article
    背景:产前缺氧,常见的妊娠并发症,导致成年后代心血管结局受损。它导致成年后代的冠状动脉和肠系膜动脉的血管舒张受损,由于减少一氧化氮(NO)。血栓烷A2(TxA2)是一种在心血管疾病中增加的有效血管收缩剂,但其在产前缺氧影响中的作用尚不清楚。为了防止产前缺氧导致心血管疾病的风险,我们已经测试了使用纳米颗粒封装的线粒体抗氧化剂(nMitoQ)的母体治疗。我们假设产前缺氧会增强成年后代的血管TxA2反应,由于NO调制减少,这可以通过母体nMitoQ治疗来预防。
    方法:妊娠Sprague-Dawley大鼠在妊娠日(GD)15日接受单次静脉注射(100µL)载体(盐水)或nMitoQ(125µmol/L),并暴露于GD15至GD21的常氧(21%O2)或缺氧(11%O2)(足月=22天)。从4个月大的雌性和雄性后代中分离出冠状动脉和肠系膜动脉,和对U46619(TxA2类似物)的血管收缩反应进行了评估。在肠系膜动脉中,使用L-NAME(pan-NO合酶(NOS)抑制剂)评估NO调节。肠系膜动脉内皮(e)NOS,和TxA2受体表达,超氧化物,和3-硝基酪氨酸水平通过免疫荧光评估。
    结果:产前缺氧导致雌性后代冠状动脉和肠系膜动脉的U46619反应性增加,在雄性后代中,这是由nMitoQ阻止的。在女性中,产前缺氧盐水治疗的女性肠系膜动脉中L-NAME的影响降低,并降低3-硝基酪氨酸水平。在男性中,L-NAME在肠系膜动脉中增加U46619反应的程度相似,但TxA2受体表达因产前缺氧而增加。eNOS或超氧化物水平没有变化。
    结论:产前缺氧以性别特异性方式增加了成年后代的TxA2血管收缩能力,通过减少女性的NO调节和增加男性的TP表达。母体胎盘抗氧化剂治疗可预防产前缺氧的影响。这些发现增加了我们对复杂的怀孕如何导致成年后代心血管疾病编程中的性别差异的理解。
    产前缺氧,当胎儿得不到足够的氧气时,是怀孕期间影响胎儿发育的常见问题。它与成年后代患心血管疾病的风险增加有关。虽然机制还没有完全理解,产前缺氧可能会影响后代的血管功能。我们假设产前缺氧会增加后代血管的收缩。胎盘,胎儿发育的重要器官,为胎儿提供氧气和营养。在产前缺氧妊娠中,胎盘不能正常工作。我们一直在研究胎盘治疗(称为nMitoQ),以改善胎盘功能,从而改善后代的血管功能。我们用大鼠产前缺氧模型,在怀孕的最后三个月,怀孕的大鼠(水坝)被放置在低氧环境(缺氧)中。对照大鼠保持在正常氧条件下。大坝用nMitoQ处理,或生理盐水(对照)。接下来,我们研究了成年后代的血管。我们发现产前缺氧会增加血管的收缩,这是通过用nMitoQ处理水坝来防止的。有趣的是,与男性相比,女性的这种影响更为严重,性别差异的机制也不同。这项研究有助于了解复杂的怀孕如何损害后代的心血管健康,以及针对未来心血管疾病高危后代的靶向和性别特异性疗法的潜在发展。
    BACKGROUND: Prenatal hypoxia, a common pregnancy complication, leads to impaired cardiovascular outcomes in the adult offspring. It results in impaired vasodilation in coronary and mesenteric arteries of the adult offspring, due to reduced nitric oxide (NO). Thromboxane A2 (TxA2) is a potent vasoconstrictor increased in cardiovascular diseases, but its role in the impact of prenatal hypoxia is unknown. To prevent the risk of cardiovascular disease by prenatal hypoxia, we have tested a maternal treatment using a nanoparticle-encapsulated mitochondrial antioxidant (nMitoQ). We hypothesized that prenatal hypoxia enhances vascular TxA2 responses in the adult offspring, due to decreased NO modulation, and that this might be prevented by maternal nMitoQ treatment.
    METHODS: Pregnant Sprague-Dawley rats received a single intravenous injection (100 µL) of vehicle (saline) or nMitoQ (125 µmol/L) on gestational day (GD)15 and were exposed to normoxia (21% O2) or hypoxia (11% O2) from GD15 to GD21 (term = 22 days). Coronary and mesenteric arteries were isolated from the 4-month-old female and male offspring, and vasoconstriction responses to U46619 (TxA2 analog) were evaluated using wire myography. In mesenteric arteries, L-NAME (pan-NO synthase (NOS) inhibitor) was used to assess NO modulation. Mesenteric artery endothelial (e)NOS, and TxA2 receptor expression, superoxide, and 3-nitrotyrosine levels were assessed by immunofluorescence.
    RESULTS: Prenatal hypoxia resulted in increased U46619 responsiveness in coronary and mesenteric arteries of the female offspring, and to a lesser extent in the male offspring, which was prevented by nMitoQ. In females, there was a reduced impact of L-NAME in mesenteric arteries of the prenatal hypoxia saline-treated females, and reduced 3-nitrotyrosine levels. In males, L-NAME increased U46619 responses in mesenteric artery to a similar extent, but TxA2 receptor expression was increased by prenatal hypoxia. There were no changes in eNOS or superoxide levels.
    CONCLUSIONS: Prenatal hypoxia increased TxA2 vasoconstrictor capacity in the adult offspring in a sex-specific manner, via reduced NO modulation in females and increased TP expression in males. Maternal placental antioxidant treatment prevented the impact of prenatal hypoxia. These findings increase our understanding of how complicated pregnancies can lead to a sex difference in the programming of cardiovascular disease in the adult offspring.
    Prenatal hypoxia, when the fetus does not receive enough oxygen, is a common problem during pregnancy that impacts the developing fetus. It is associated with an increased risk of cardiovascular disease in the offspring in adulthood. While the mechanisms are not fully understood, the blood vessel function in the offspring may be impacted by prenatal hypoxia. We hypothesize that prenatal hypoxia increases the constriction of the blood vessels in the offspring. The placenta, an essential organ for fetal development, supplies oxygen and nutrients to the fetus. In prenatal hypoxia pregnancies, the placenta does not work properly. We have been studying a placental treatment (called nMitoQ) to improve placenta function and thereby the blood vessel function of the offspring. We used a rat model of prenatal hypoxia, where pregnant rats (dams) were placed in a low oxygen environment (hypoxia) during the last trimester of pregnancy. Control rats were kept in normal oxygen conditions. The dams were treated with nMitoQ, or with saline (control). Next, we studied the blood vessels of the offspring in adulthood. We found that prenatal hypoxia increases the constriction of the blood vessels, which was prevented by treating the dams with nMitoQ. Interestingly, this impact was more severe in females compared to males, and the mechanisms were different between the sexes. This study helps in the understanding of how complicated pregnancies can impair cardiovascular health in the offspring, and in a potential development of targeted and sex-specific therapies for those offspring at high risk for future cardiovascular disease.
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    文章类型: Journal Article
    UNASSIGNED: Strongylus vulgaris is one of the most pathogenic nematodes affecting equids. Larval migration through the cranial mesenteric artery (CMA) with attendant arteritis and thromboembolism can result in fatal non-strangulating intestinal infarction. Once considered a historical disease, recent studies have described the reemergence of this pathogen in several European countries; however, little is known of the current prevalence of S. vulgaris in the Canadian horse population.
    UNASSIGNED: To determine the prevalence of active S. vulgaris cranial mesenteric arteritis in horses submitted for postmortem examination to the Diagnostic Services Unit (DSU) at the University of Calgary Faculty of Veterinary Medicine.
    UNASSIGNED: We conducted a retrospective review of all equine postmortem cases submitted to the DSU between July 1, 2010 and June 30, 2022. Over 12 y, 510 horses > 2 mo of age from Alberta were submitted to the DSU for necropsy. Active cases were defined as those with endarteritis and thrombosis in the CMA or its branches. Those cases with only intimal scarring of the CMA were classified as historical.
    UNASSIGNED: The prevalence of all CMA lesions (both historical and active) over the study period was 17.3% (88/510). Active S. vulgaris cranial mesenteric arteritis was documented in 6.1% (31/510) of equine postmortems and the sequelae of verminous arteritis were the cause of euthanasia or death in 1.5% (8/510) of the cases submitted.
    UNASSIGNED: Even after historically intense efforts to eradicate this parasite, the continued effects of S. vulgaris are demonstrated by the results of this study. Strongylus vulgaris should not be regarded as a parasite of the past and verminous arteritis remains an important differential diagnosis for horses in western Canada presenting with mild colic or dull demeanor and anorexia of duration > 24 h. Furthermore, S. vulgaris should be taken into careful consideration when implementing antiparasitic control strategies. Practitioners should remain current on prevention, diagnosis, and treatment of this potentially reemerging and fatal equine disease.
    Étude rétrospective de la prévalence lors d’autopsies équines de l’artérite mésentérique crâniale causée par Strongylus vulgaris en Alberta (2010 à 2022).
    UNASSIGNED: Strongylus vulgaris est l’un des nématodes les plus pathogènes affectant les équidés. La migration des larves à travers l’artère mésentérique crâniale (CMA), accompagnée d’artérite et de thromboembolie, peut entraîner un infarctus intestinal non étranglant mortel. Autrefois considérée comme une maladie historique, des études récentes ont décrit la réémergence de cet agent pathogène dans plusieurs pays européens; cependant, on sait peu de choses sur la prévalence actuelle de S. vulgaris dans la population équine canadienne.
    UNASSIGNED: Déterminer la prévalence de l’artérite mésentérique crâniale active à S. vulgaris chez les chevaux soumis pour examen post mortem au Diagnostic Service Unit (DSU), College of Veterinary Medicine, University of Calgary.
    UNASSIGNED: Nous avons effectué un examen rétrospectif de tous les cas post-mortem d’équidés soumis au DSU entre le 1er juillet 2010 et le 30 juin 2022. Sur 12 ans, 510 chevaux âgés de plus de 2 mois de l’Alberta ont été soumis au DSU pour autopsie. Les cas actifs ont été définis comme ceux présentant une endartérite et une thrombose dans la CMA ou ses branches. Les cas présentant uniquement des cicatrices à l’intima de la CMA ont été classés comme anciens.
    UNASSIGNED: La prévalence de toutes les lésions de CMA (anciennes et actives) au cours de la période d’étude était de 17,3 % (88/510). Une artérite mésentérique crâniale active à S. vulgaris a été documentée dans 6,1 % (31/510) des autopsies équines et les séquelles de l’artérite vermineuse ont été la cause de l’euthanasie ou du décès dans 1,5 % (8/510) des cas soumis.
    UNASSIGNED: Malgré des efforts historiquement intenses pour éradiquer ce parasite, les effets continus de S. vulgaris sont démontrés par les résultats de cette étude. Strongylus vulgaris ne doit pas être considéré comme un parasite du passé et l’artérite vermineuse demeure un diagnostic différentiel important pour les chevaux de l’ouest du Canada présentant des coliques légères ou un comportement abattu et une anorexie de durée > 24 h. De plus, S. vulgaris doit être attentivement pris en compte lors de la mise en œuvre de stratégies de contrôle antiparasitaire. Les praticiens doivent rester informés de la prévention, du diagnostic et du traitement de cette maladie équine potentiellement ré-émergente et mortelle.(Traduit par Dr Serge Messier).
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  • 文章类型: Journal Article
    TMEM16A钙激活的氯离子通道是各种疾病的有希望的治疗靶标。氯硝柳胺,一种驱虫药,已被认为是治疗哮喘和慢性阻塞性肺疾病(COPD)的TMEM16A抑制剂,但最近发现具有广谱脱靶作用。这里,我们证明,在生理Ca2+(200-500nM)和电压下,氯硝柳胺急剧增强TMEM16A。我们的计算和功能表征在TMEM16A的胞外侧确定了推定的氯硝柳胺结合位点。该位点中的突变减弱了增强作用。此外,氯硝柳胺增强血管平滑肌细胞中的内源性TMEM16A,引发细胞内钙增加,并收缩小鼠肠系膜动脉.我们的发现建议在考虑氯硝柳胺作为TMEM16A抑制剂的临床应用时要谨慎。推定的氯硝柳胺结合位点的鉴定提供了对TMEM16A药理学调节的机制的见解,并且提供了对开发用于治疗人类疾病的特定TMEM16A调节剂的见解。
    The TMEM16A calcium-activated chloride channel is a promising therapeutic target for various diseases. Niclosamide, an anthelmintic medication, has been considered a TMEM16A inhibitor for treating asthma and chronic obstructive pulmonary disease (COPD) but was recently found to possess broad-spectrum off-target effects. Here, we show that, under physiological Ca2+ (200-500 nM) and voltages, niclosamide acutely potentiates TMEM16A. Our computational and functional characterizations pinpoint a putative niclosamide binding site on the extracellular side of TMEM16A. Mutations in this site attenuate the potentiation. Moreover, niclosamide potentiates endogenous TMEM16A in vascular smooth muscle cells, triggers intracellular calcium increase, and constricts the murine mesenteric artery. Our findings advise caution when considering clinical applications of niclosamide as a TMEM16A inhibitor. The identification of the putative niclosamide binding site provides insights into the mechanism of TMEM16A pharmacological modulation and provides insights into developing specific TMEM16A modulators to treat human diseases.
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  • 文章类型: Journal Article
    目的:本研究旨在报告在接受开窗式和分枝式主动脉内修复术(F/BEVAR)的患者中,采用新型双向双袖内分支设计纳入肾和肠系膜动脉的初步经验。
    方法:对2022年3月至2023年6月期间在三个三级主动脉中心植入的F/BEVAR移植物的经验进行了回顾性回顾。包括所有连续患者。基线特征,收集手术和随访数据。除非另有说明,否则结果以数字或中位数(四分位数)表示。
    结果:13例患者(10例男性;中位年龄72[68,77]岁)使用总共15个双向双袖口内支(30个袖口)进行F/BEVAR。双向双袖口内支的适应症包括四名患者的头颅血管定向或双肾动脉,三名患者的普通腹腔肠系膜干,早期肾动脉分叉,肾动脉起源于假腔,需要灵活的导管插入途径,每个病人都有多余的配置。使用了30个袖口中的23个,而其余的七个袖带被血管塞故意闭塞。在所有双向分支中都成功地掺入了靶血管。有一项技术故障与通过单向尾内分支靶向的左肾动脉导管插入失败有关。在7个月的中位随访中,没有目标血管不稳定或重新干预的情况,两名患者死于与双向分支无关的原因。
    结论:使用双向双袖内支的结果是有希望的,具有较高的技术成功率和无短期分支相关并发症的初步经验。这可能会扩大分支内移植在复杂血管内主动脉修复中的适用性。但是长期结果仍然缺失。
    OBJECTIVE: This study aimed to report the initial experience with a novel bidirectional double cuff inner branch design for incorporation of renal and mesenteric arteries in patients undergoing fenestrated and branched endovascular aortic repair (F/BEVAR).
    METHODS: A retrospective review was undertaken of the experience of F/BEVAR with grafts integrating at least one bidirectional double cuffed inner branch implanted at three tertiary aortic centres between March 2022 and June 2023. All consecutive patients were included. Baseline characteristics, operative data, and follow up data were collected. Results were presented as number or median (interquartile range) unless otherwise stated.
    RESULTS: Thirteen patients (10 male; median age 72 [68, 77] years) had F/BEVAR using a total of 15 bidirectional double cuffed inner branches (30 cuffs). Indications for bidirectional doubled cuffed inner branches included cranial vessel orientation or double renal arteries in four patients each, common coeliomesenteric trunk in three patients, and early renal artery bifurcation, renal artery origin from a false lumen requiring a flexible route for catheterisation, and surplus configuration in one patient each. Twenty three of the 30 cuffs were used, whereas the remaining seven cuffs were intentionally occluded with vascular plugs. Target vessel incorporation was successful in all bidirectional branches. There was one technical failure related to unsuccessful catheterisation of a left renal artery targeted through a unidirectional caudal inner branch. During a median follow up of seven months there were no instances of target vessel instability or re-interventions and two patients died of causes unrelated to the bidirectional branches.
    CONCLUSIONS: The results of the use of bidirectional double cuff inner branches are promising, with high technical success and no short term branch related complications in this preliminary experience. This could potentially expand the applicability of branch endografting of complex endovascular aortic repairs, but long term results are still missing.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    GPCRs(G蛋白偶联受体)在平滑肌细胞(SMC)收缩性的调节中起着核心作用,但是SMC表达的孤儿GPCRC类5组成员C(GPRC5C)的功能尚不清楚。
    该项目的目的目的是在体外和体内定义GPRC5C在SMC中的作用。
    我们在体外研究了GPRC5C在人和鼠SMC收缩性和分化调节中的作用,以及他莫昔芬诱导型,在基础条件下和体内血管疾病中的SMC特异性GPRC5C敲除小鼠。他莫昔芬诱导的肠系膜动脉,SMC特异性GPRC5C敲除小鼠离体显示显著降低血管紧张素II(AngII)依赖性钙动员和收缩,而对其他松弛或收缩因子的反应是正常的。体外,人主动脉SMC中GPRC5C的敲低导致AngII依赖性肌醇磷酸产生减少和肌球蛋白轻链磷酸化降低.与此相符,他莫昔芬诱导型,SMC特异性GPRC5C敲除小鼠显示AngII诱导的动脉高血压减少,GPRC5C的急性失活能够改善已建立的动脉高血压。机械上,我们显示GPRC5C和AngII受体AT1二聚化,和敲除GPRC5C导致AngII与HEK293细胞中AT1受体的结合减少,人类和鼠类SMC,和他莫昔芬诱导的动脉,SMC特异性GPRC5C敲除小鼠。
    我们的数据表明,GPRC5C通过促进AT1受体-配体结合和信号传导来调节AngII依赖性血管收缩。
    UNASSIGNED: GPCRs (G-protein-coupled receptors) play a central role in the regulation of smooth muscle cell (SMC) contractility, but the function of SMC-expressed orphan GPCR class C group 5 member C (GPRC5C) is unclear. The aim of this project is to define the role of GPRC5C in SMC in vitro and in vivo.
    UNASSIGNED: We studied the role of GPRC5C in the regulation of SMC contractility and differentiation in human and murine SMC in vitro, as well as in tamoxifen-inducible, SMC-specific GPRC5C knockout mice under basal conditions and in vascular disease in vivo.
    UNASSIGNED: Mesenteric arteries from tamoxifen-inducible, SMC-specific GPRC5C knockout mice showed ex vivo significantly reduced angiotensin II (Ang II)-dependent calcium mobilization and contraction, whereas responses to other relaxant or contractile factors were normal. In vitro, the knockdown of GPRC5C in human aortic SMC resulted in diminished Ang II-dependent inositol phosphate production and lower myosin light chain phosphorylation. In line with this, tamoxifen-inducible, SMC-specific GPRC5C knockout mice showed reduced Ang II-induced arterial hypertension, and acute inactivation of GPRC5C was able to ameliorate established arterial hypertension. Mechanistically, we show that GPRC5C and the Ang II receptor AT1 dimerize, and knockdown of GPRC5C resulted in reduced binding of Ang II to AT1 receptors in HEK293 cells, human and murine SMC, and arteries from tamoxifen-inducible, SMC-specific GPRC5C knockout mice.
    UNASSIGNED: Our data show that GPRC5C regulates Ang II-dependent vascular contraction by facilitating AT1 receptor-ligand binding and signaling.
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