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替米沙坦对肾性高血压大鼠心肌Calsarcin-1、主动脉AT受体及外周血管生成素2的作用
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摘要
目的:研究肾血管性高血压大鼠心肌组织Calsarcin-1、主动脉AT1受体(AT1R)、AT2受体(AT2R)及外周血管生成素-2(angiopoietin-2)、血管紧张素Ⅱ(AngⅡ)表达水平的变化及替米沙坦的干预作用。
     方法:清洁级雄性SD大鼠40只,随机分为对照组(n=8)、假手术组(n=8)、两肾一夹(two-kidney one clip,2K1C)组(n=12)和2K1C+替米沙坦组(n=12),2K1C组及2K1C+替米沙坦组采用2K1C方法制备高血压模型,其中,2K1C+替米沙坦组每天以替米沙坦(10mg/kg.d)灌胃干预,2K1C组采用等量蒸馏水灌胃。分别于术前及术后经动脉插管测血压,8周时以超声心动图检测心脏结构及功能变化,随后处死大鼠,取外周动脉血清以ELISA方法检测Ang-2及AngⅡ水平。取大鼠心脏及主动脉,用Western blotting法检测不同时期心肌组织Calsarcin-1、主动脉AT1R、AT2R蛋白表达水平。
     结果:①与对照组、假手术组相比,2K1C组血压显著升高、心肌肥厚明显(P <0.01);2K1C+替米沙坦组血压较2K1C组明显降低,心肌肥厚亦明显减轻(P <0.01);②与对照组、假手术组相比,2K1C组动脉血清Ang-2水平明显升高(P <0.01),且与血压水平、心肌肥厚程度呈正相关;2K1C+替米沙坦组Ang-2水平与2K1C组差异无统计学意义(P >0.05),2K1C组及2K1C+替米沙坦组血清AngⅡ水平均升高(分别为P <0.05及P <0.01);③与对照组及假手术组相比,2K1C术后心肌Calsarcin-1表达水平明显下降(P <0.01),替米沙坦灌胃后,心肌中Calsarcin-1表达水平较未灌胃组升高(P <0.05);④与对照组、假手术组相比,2K1C组主动脉AT1R表达增加(P <0.05),AT2R无明显变化;替米沙坦干预后,AT1R、AT2R表达水平较2K1C组增加(P <0.05),且AT2R较AT1R增加明显。
     结论:①肾血管性高血压大鼠外周动脉血清中血管生成素-2水平增加,且与心肌肥厚相关;替米沙坦可显著降低肾血管性高血压大鼠的血压、抑制心肌肥厚,对外周动脉血清血管生成素-2水平无明显影响,提示替米沙坦降压机制可能与Ang-2无关;②Calsarcin-1表达下调参与了高血压心肌肥厚的发生发展;替米沙坦可有效降压、上调Calsarcin-1表达水平,这可能是其逆转心肌肥厚的机制之一;③替米沙坦可上调主动脉AT2R表达水平,且与血压下降相关。
Objective To explore the changes of myocardial calsarcin-1 level , arterial angiotensinⅡreceptors level, plasma angiopoietin-2 and Ang-II level in different stages of cardiac hypertrophy by renovascular hypertensive (two-kidneys, oneclip, 2K1C) rat models, and the effects of telmisartan.
     Methods 24 Male Sprague-Dawly rats were randomly divided into control group (n=8), sham operation group (n=8), 2 kidney 1 clip (2K1C) group (n=12) and 2K1C+telmisartan group(n=12). 2K1C hypertensive model was established in Sprague-Dawly rats by chronic partial occlusion of left renal artery. Before and after eight weeks of the operation, blood pressure were tested by arterial catheterization, the myocardial structure and function were obtained by ultrasonography, and the serum angiopoietin-2 and Ang-II were evaluated by ELISA, calsarcin-1 expression level in myocardium and AT1R, AT2R expression level in aorta were compared by western blotting.
     Results①Eight weeks later, the blood pressure and the thickness of left ventricle in 2K1C group were significantly higher than that of control group and sham group (P<0.01). Compared with 2K1C group, the blood pressure and the the thickness of left ventricle were significantly decreased in 2K1C+ telmisartan group(P<0.01).②The serum level of angiopoietin-2 was markedly increased in 2K1C group, and was closely related to the blood pressure and the extent of myocardial hypertrophy, but was not decreased in 2K1C+telmisartan group(P>0.05). The AngⅡlevel in 2K1C group and telmisartan group were both increased (P<0.05 and P<0.01 respectively).③Compared with sham group, the calsarcin-1 level was markedly increased in 2K1C group(P<0.01), and after being treated for 8weeks, the calsarcin-1 level was higher than which of untreated group(P<0.05).④The AT1R level was markedly increased in 2K1C group(P<0.05), but AT2R was not increased(P>0.05),Compared with 2K1C group,AT1R,AT2R were both increased in telmisartan group(P>0.05).
     Conclusions①Serum level of Angiopoietin-2 is increased in the renovascular hypertensive rats, and is related to myocardial hypertrophy. Telmisartan can reduce blood pressure and prevent myocardial hypertrophy, but can not decreased the angiopoietin-2 level, which indicate that telmisartan prevent myocardial hypertrophy maybe not associated with angiopoietin-2 level.②The decreased myocardiac calsarcin-1 level occurs in the early stage of cardiac hypertrophy and participates in its development, Telmisartan may increase calsarcin-1 level, which maybe one of mechanisms reversing cardiac hypertrophy by telmisartan.③Telmisartan can increase AT2R level, which is related to blood pressure.
引文
1.Bogdański P, Kujawska-?uczak M, ?acki J, et a1. Evaluation of selected interleukins,tumor necrotic factor,insulin and leptin in obese patients with hypertension[J].Pol Merkur Lekarski. 2003,15(88):347-351.
    2. Nicoleti A,Heudes D,Mandet C,et al. Inflammatory cells and myocardial fibrosis;spatial and temporal distribution in renovascularHypertensive rats[J]. Cardiovasc Res,1996,32;1096-1070.
    3 Frey N, Richardson JA, Olson EN. Calsarcins, a novel family of sarcomeric calcineurin-binding proteins[J]. PNAS.2000, 97:14632-14637.
    4 Frey N, Barrientos T',Shelton JM, et al.Mice lacking calsurcin-1 are sensitized to calcineurin signaling and show accelerated cardiomyopathy in response to pathological biomechanical stress[J].Nature Medicine.2004,10:1336-1343.
    5. Yunzeng Z ,Issei K ,Tsutomu Y ,et al .Cell type-specific angiotensinII evoked signal transduction pathways[J ].Circ Res.1998,82 :337.
    6. Brila CG. Aldosteorne and myocardial fiborsis in heart failuer [J].Herz.2000,25: 299-306.
    7. Maisonpierre PC, Suri C, Jones PF, et al.Angiopoietin-2, a natural antagonist for Tie2 that disrupts in vivo angiogenesis[J].Science. 1997,277(5322):55-60.
    8. Saito M , Hamasaki M ,Shibuya M, et al. Induction of tube formation by angiopoietin-1 in endothelial cell/fibroblast co-culture is dependent on endogenous VEGF[J].Cancer Sci. 2003,94(9):782-790.
    9. Mandriota SJ, Pepper MS. Regulation of angiopoietin-2 mRNA levels in bovine microvascular endothelial cells by cytokines and hypoxia[J].Circ Res. 1998,83(8):852-859.
    10. Suri C, Jones PF, Patan S, et al.Requisite role of angiopoietin-1, a ligand for theTIE2 receptor, during embryonic angiogenesis[J].Cell. 1996 ,87(7):1171-80.
    11. Shim WS, Lim SY, Li SQ,et a1 . Structural stability of neoangiogenic intramyocardial microvessels supports functional recovery in chronic ischcmic myocardinm[J].J Mol Cell Cardiol.2008,45(1):70-80.
    12. Benson SC, Pershadsingh HA, Ho cl, et al.Identification of telmisartan as a unique angiotensin II receptor antagonist with selective PPARgamma-modulatingactivity[J]. Hypertension,2004 ,43(5):993-1002.
    13.张必成.方加胜.彭兴华.自发性高血压大鼠的饲养管理与生长发育初探[J].中国实验动物学杂志.1995.5(2):65-68.
    14. Nystron HC, Jia J, Johansson M, et al.Neurohormonal Influence on maintenance and reversal of two-kindey one-clip renal hypertension[J]. Acta Physiol Scand.2002,175(3):245-25l.
    15.陈志君.高血压左心室肥厚研究的进展[J].同济大学学报,2001,22 (1):81- 83.
    16.刘力生,龚兰生.中国高血压防治指南[J].中国医药导刊,2000,2(1):3-25.
    17 Dahlof B. Left ventricular hypertrophy and angiotesin II antagonists[J]. AJH. 2001,14(2):172-182.
    18. Diamond JA,Phillips RA. Hypertensive heart disease[J]. Hypertens Res,2005,28(3):191 - 202.
    19钟海兰,卢新政.血管内皮功能障碍与高血压[J].心血管病学进展.2009,1(30):62-65.
    20 Kim I, Kim HG, So JN, et al. Angiopoietin-1 regulates endothelial cell survival through the phosphatidylinositol 3-kinase/Ak signal transduction pathway[J].Circ Res.2000,86(1):24–29.
    21 Fiedler U, Augustin HG. Angiopoietins: a link between angiogenesis and inflammation. Trends Immunol[J]. 2006,27(12):552–558.
    22 Fiedler U, Reiss Y, Scharpfenecker M, et al. Angiopoietin-2 sensitizes endothelial cells to TNF-alpha and has a crucial role in the induction of inflammation[J]. Nat Med. 2006,12(2):235–239.
    23 Patel JV, Lim HS, Varughese GI,et al. Angiopoietin-2 levels as a biomarker of cardiovascular risk in patients with hypertension[J].Ann Med.2008, 40(3):215–222.
    24 David S, Kümpers P, Lukasz A,et al.Circulating angiopoietin-2 in essential hypertension: relation to atherosclerosis, vascular inflammation, and treatment with olmesartan/ pravastatin[J]. J Hypertens. 2009,27(8):1641-1647.
    25 Nadar SK, Blann A, Beevers DG, et al. Abnormal angiopoietins 1&2,angiopoietin receptor Tie-2 and vascular endothelial growth factor levels in hypertension: relationship to target organ damage [a sub-study of the Anglo-Scandinavian Cardiac Outcomes Trial (ASCOT)][J]. J Intern Med 2005;,258(4):336–343.
    26 Patel JV, Lim HS, Nadar S, et al. Abnormal soluble CD40 ligand and C-reactive protein concentrations in hypertension: relationship to indices of angiogenesis[J]. J Hypertens 2006,24:117–121.
    27 Eduard S,Gregory YH. Angiopoietins in arterial hypertension: a mechanism of adaptation or a target for treatment?[J] J Hypertens.2009,27:1524-1526.
    28 Waltenberger J. Stress testing at the cellular and molecular level to unravelcellular dysfunction and growth factor signal transduction defects: what Molecular Cell Biology can learn from Cardiology[J]. Thromb Haemost.2007,98:975–979.
    29 Banday AA, Lokhandwala MF. Oxidative stress-induced renal angiotensin AT1 receptor upregulation causes increased stimulation of solium transporters and hypertension[J].Am J Physiol Renal Physiol.2008,295:F698-706.
    30 Yayama K, Horii M, Hiyoshi H, et al.Up-regulation of angiotensinⅡtype 2receptor in rat thoraviv aorta by pressure-overload[J]. J Pharmacol Exp Ther.2004,308:736-743.
    31 Ognibene DT, Oliveria PRB, Marins de Carvalho LC,et al.Angiotension II-mediated vasodilation is reduced in adult spontaneously hypertensive rats despite enhanced expression of AT2 receptors[J]. Clin Exp Pharmacol Physiol.2009, 36:12–19
    32 Hiyoshi H, Yayama K, Takano M,et al.Angiotensin type-2 receptor-mediated phosphorylation of eNOs in the aortas of mice of 2-kindey one-clip hypertension[J].Hypertens. 2005,45:967-973.
    33 Pasquie JL,Biousse N, Mimran A,et al. Infuence of angiotensin on angiogenesis in vitro in the rat[J]. Arch Mal Coeur Vaiss.2003,96:800-803.
    34 Akishita M, Iwai M, Wu L, et al. Inhibitory effect of angiotensinⅡtype 2 receptor on cornary arterial remodeling after aortic banding in mice[J].Circulation. 2000,102:1684-1689.
    35 Knoll R, Hoshijima M, Hoffman HM, et al. The cardiac mechanical stretch sensor machinery involves a Z disc complex that is defective in a subset of human dilated cardiomyopathy[J]. Cell.2002,111:943–955.
    36 Junhong W ,Jing Y, Jinzheng M, et al. Proteomic analysis of left ventricular diastolic dysfunction hearts in renovascular hypertensive rats[J]. Int J Cardiol.2008,127:198-207.
    37 Gallego-Delgado J, Lazaro A, Osende JI, et al. Proteomic analysis of early left ventricular hypertrophy secondary to hypertension modulation by antihypertensive therapies[J]. J Am Soc Nephrol 2006,17:S159–64.
    38. Wienen W, Schierok HJ. Effects of telmisartan, hydrochlorothiazide and their combination on blood pressure and renal excretory parameters in spontaneously hypertensive rats[J]. J Renin Angiotensin Aldosterone Syst. 2001,2(2):123-128.
    39. Lacourciere Y, Krzesinski JM, White WB, et al. Sustained antihypertensive activity of telmisartan compared with valsartan[J]. Blood Press Monit. 2004,9(4):203-210.
    40. Gosse P. Left ventricular hypertrophy as a predictor of cardiovascular risk[J].J Hypertens Suppl. 2005,23(1):S27-33.
    41. Ferrario CM,Strawn WB.Role of the renuin—angiotensinaldosterone system and proinflammatory mediators in cardiovascular disease[J].Am J Cardiol. 2006, 98(1):121-128.
    42. Hsueh WA, Bruemmer D.Peroxisome Proliferator-Activated Receptor gamma Implications forcardiovascular Disease[J]Hypertension,2004,43(2):297-305.
    43 Dandona P, Kumar V, Aljada A, et al. Angiotensin II receptor blocker valsartan suppresses reactive oxygen species generation in leukocytes, nuclear factor-kappa B, in mononuclear cells of normal subjects: evidence of an antiinflammatory action[J]. J ClinEndocrinol Metab. 2003, 88(9):4496–4501.
    44 Cosentino F, Savoia C, De Paolis P et al. Angiotensin II type 2 receptors contribute to vascular responses in spontaneously hypertensive rats treated with angiotensin II type 1 receptor antagonists[J]. Am. J. Hypertens.2005,18: 493–499.
    45中华高血压杂志编辑部.沙坦类药物的降压外作用[J].中华高血压杂志. 2007,15:177-179.
    46 Nagata K, Somura F, Obata K,et al. AT1 receptor blockade reduce cardiac calcineurin activity in hypertensive rats[J]. Hypertens. 2002,40:168-174.
    47张召才,杨英珍,陈灏珠.心肌纤维化的研究进展[J].临床心血管病杂志.2004,20:58-60.
    48 Kawai M, Hongo K, Komukai K,et al. Telmisartan predominantly suppresses cardiac fibrosis,rather than hypertrophy, in renovascular hypertensiverats[J].Hypertens res.2009,32:604-610.
    49 Benson SC, Pershadsingh HA, Ho CI, et a1. Identification of Telmisartan as a Unique AngiotensinII Receptor Antagonist With Selective PPAR[gamma]-Modulating Activity[J].Hypertension.2004,43:993-1002.
    50 Imayama I, Ichiki T, Inanaga K, et al. Telmisartan downregulates angiotensin II type 1 receptor through activation of peroxisome proliferator-activated receptor gamma[J]. Cardiovasc Res .2006,72:184–190.
    51 Sharabi Y, Oron-Herman M, Kamari Y,et al. Effect of PPAR-γagonist on adiponectin levels n the metabolic syndrome: lessons from the high fructose fed rat model[J]. Am J Hypertens. 2007,20:206–210.
    52 Felmeden DC, Blann AD, Lip GYH. Angiogenesis: basic pathophysiology and implications for disease. Eur Heart J 2003; 24:586–603.
    53 Daly C, Pasnikowski E, Burova E, et al. Angiopoietin-2 functions as an autocrine protective factor in stressed endothelial cells. Proc Natl Acad Sci U S A 2006; 103:15491–15496.
    54 Yuan HT, Khankin EV, Karumanchi SA, Parikh SM. Angiopoietin 2 is a partial agonist/antagonist of Tie2 signaling in the endothelium. Mol Cell Biol 2009;29:2011–2022.
    55 Ahmed A, Fujisawa T, Niu XL, et al. Angiopoietin-2 confers atheroprotection in apoE-/- mice by inhibiting LDL oxidation via nitric oxide. Circ Res 2009;104:1333–1336.
    56 HarfoucheR ,Hassessian HM,GuoY ,et al.Mechanism swhich mediate the antiapoptotis effects of angiopoietin-1 on endothelial cells[J ]. Micro vasc Res,2002,64 (1):135-147.
    57 Krikun G ,Schatz F, Finlay T,et al.Expression of angiopoietin-2 by human endome trial endothelial cells:regulation by hypoxia and inflammation[J] .BiochemBiophy Res Commum,2000,275(1):159-163.
    58 Y. Xue, R. Cao and D. Nilsson et al., FOXC2 controls Ang-2 expression and modulates angiogenesis, vascular patterning, remodeling, and functions in adipose tissue, Proc Natl Acad Sci U S A ,2008,105 : pp10167–10172
    59 Sfiligoi C, de Luca A, Cascone I,et al. Angiopoietin-2 expression in breast cancer correlates with lymph node invasion and short survival[J].Int J Cancer. 2003,103(4):466-74.
    60 Ye F,Florian M, Maqder SA, et al. Regulation of angiopoietin and Tie-2 receptor expression in non-reproductive tissues by estrogen[J].Steroids AND 2002,67(3-4):305-310.
    61 Pichiule P,Chavez JC, Lamanna JC.Hypoxic regulation of angiopoietin-2 expression in endothelial cells[J]. J Biol Chem. 2004,279(13):12171-12180.
    62 Wang RG,Zhu XZ. Expression of Angiopoietin- 2 and Vascular Ednothelial Growth Factor in Mice Cerebral Cortex After Permanent F ocal Crebral Ischemial[J ].Acts Pharmacol Sinc,2002,23 ( 5):405-411.
    63 Benedetta Donati M, Gozdzikiewicz J. Angiogenesis and the progress of vascular and tumor biology: a tribute to Judah Folkman[J]. Thromb Haemost,2008; 99:647–650.
    64 Jaumdally RJ, Varma C, Blann AD, et al. Systemic and intracardiac vascular endothelial growth factor and angiopoietin-1 and -2 levels in coronary artery disease: effects of angioplasty[J]. Ann Med 2007;39:298–305.
    65 Lim HS, Blann AD, Chong AY, Freestone B, Lip GY. Plasma vascular endothelial growth factor, angiopoietin-1, and angiopoietin-2 in diabetes: implications for cardiovascular risk and effects of multifactorial intervention[J]. Diabetes Care 2004; 27:2918–24.
    66 Lee KW, Lip GY, Blann AD. Plasma angiopoietin-1, angiopoietin-2, angiopoietinreceptor tie-2, and vascular endothelial growth factor levels in acute coronary syndromes. Circulation 2004; 110: 2355–60.
    67 Shiojima I, Sato K, Izumiya Y, et al. Disruption of coordinated cardiac hypertrophy and angiogenesis contributes to the transition to heart failure. J Clin Invest 2005; 115:2108–2118
    68 Lip GY, Blann AD. Thrombogenesis, atherogenesis and angiogenesis in vascular disease: a new‘vascular triad’[J]. Ann Med 2004; 36: 119–25.
    69 Ramsauer M, D’Amore PA. Getting Tie (2) d up in angiogenesis[J]. J Clin Invest 2002; 110:1615–1617.
    70 Chong AY, Caine GJ, Lip GY. Angiopoietin/tie-2 as mediators of angiogenesis: a role in congestive heart failure?[J] Eur J Clin Invest 2004;34:9–13.
    71 Calvi C, Dentelli P, Pagano M, et al.Angiopoietin 2 induces cell cycle arrest in endothelial cells: a possiblemechanism involved in advanced plaque neovascularization[J]. Arterioscler Thromb Vasc Biol 2004; 24:511–518.
    72 Korff T, Kimmina S, Martiny-Baron G, et a;. Blood vessel maturation in a 3-dimensional spheroidal coculture model: direct contact with smooth muscle cells regulates endothelial cell quiescence and abrogates VEGF responsiveness[J]. FASEB J 2001; 15:447–457.
    73 Mitsuma W, Kodama M, Hirono S, et al. Angiopoietin-1, angiopoietin-2 and tie-2 in the coronary circulation of patients with and without coronary collateral vessels[J]. Circ J 2007;71:343–347.
    74 Chong AY, Caine GJ, Freestone B,et al. Plasma angiopoietin-1, angiopoietin-2, and angiopoietin receptor tie-2 levels in congestive heart failure[J]. J Am Coll Cardiol 2004; 43:423–428.
    75 Patel JV, Abraheem A, Chackathayil J,et al. Circulating biomarkers of angiogenesis as indicators of left ventricular systolic dysfunction amongst patientswith coronary artery disease[J] J Intern Med 2009; 265:562–567.
    76 Ku¨mpers P, Lukasz A, David S, et al.Excess circulating angiopoietin-2 is a strong predictor of mortality in critically ill medical patients[J]. Crit Care 2008; 12:R147.

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