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Dominant-Negative Suppression of HCN1- and HCN2-Encoded Pacemaker Currents by an Engineered HCN1 Construct: Insights Into Structure-Function Relationships and Multimerization 通过工程HCN1结构对HCN1-和hcn2编码的起搏器电流的显性负抑制:对结构-功能关系和多化的见解
Pub Date : 2002-06-28 DOI: 10.1161/01.RES.0000024390.97889.C6
Tian Xue, E. Marbán, Ronald A. Li
If, a diastolic depolarizing current activated by hyperpolarization, is a key player in cardiac pacing. Despite the fact that If has been known for over 20 years, the encoding genes, namely HCN1 to 4, have only recently been identified. Functional data imply that different HCN isoforms may coassemble to form heteromeric channel complexes, but little direct evidence is available. Subunit stoichiometry is also unknown. Although the pore region of HCN channels contains the glycine-t yrosine-glycine (GYG) signature motif found in K+-selective channels, they permeate both Na+ and K+. In the present study, we probed the functional importance of the GYG selectivity motif in pacemaker channels by replacing this triplet in HCN1 with alanines (GYG349–351AAA or HCN1-AAA). HCN1-AAA did not yield functional currents; coexpression of HCN1-AAA with wild-type (WT) HCN1 suppressed normal channel activity in a dominant-negative manner (55.2±3.2%, 68.3±4.3%, 78.7±1.6%, 91.7±0.8%, and 97.9±0.2% current reduction at −140 mV for WT:AAA cRNA ratios of 4:1, 3:1, 2:1, 1:1, and 1:2, respectively) without affecting gating (steady-state activation, activation and deactivation kinetics) or permeation (reversal potential) properties. HCN1-AAA coexpression, however, did not alter the expressed current amplitudes of Kv1.4 and Kv2.1 channels, indicating that its suppressive effect was channel-specific. Statistical analysis reveals that a single HCN channel is composed of 4 monomeric subunits. Interestingly, HCN1-AAA also inhibited HCN2 in a dominant-negative manner with the same efficacy. We conclude that the GYG motif is a critical determinant of ion permeation for HCN channels, and that HCN1 and HCN2 readily coassemble to form heterotetrameric complexes.
If是一种由超极化激活的舒张去极化电流,在心脏起搏中起着关键作用。尽管人们已经知道了20多年,但编码基因,即HCN1至4,直到最近才被发现。功能数据表明,不同的HCN异构体可能聚集形成异质通道复合物,但很少有直接证据。亚基化学计量学也是未知的。虽然HCN通道的孔区含有K+选择性通道中发现的甘氨酸-t酪氨酸-甘氨酸(GYG)特征基元,但它们同时渗透Na+和K+。在本研究中,我们通过用丙氨酸(GYG349-351AAA或HCN1- aaa)取代HCN1中的GYG选择性基序,探讨了GYG选择性基序在起搏器通道中的功能重要性。HCN1-AAA不产生功能电流;HCN1-AAA与野生型(WT) HCN1的共表达以显性负向方式抑制正常通道活性(WT:AAA cRNA比例分别为4:1、3:1、2:1、1:1和1:2时,−140 mV电流降低分别为55.2±3.2%、68.3±4.3%、78.7±1.6%、91.7±0.8%和97.9±0.2%),而不影响门控(稳态激活、激活和失活动力学)或渗透(逆转电位)特性。然而,HCN1-AAA共表达并没有改变Kv1.4和Kv2.1通道的表达电流幅度,表明其抑制作用是通道特异性的。统计分析表明,单个HCN通道由4个单体亚基组成。有趣的是,HCN1-AAA也以显性阴性方式抑制HCN2,效果相同。我们得出结论,GYG基序是HCN通道离子渗透的关键决定因素,并且HCN1和HCN2很容易聚集形成异四聚体复合物。
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引用次数: 89
Renal Myogenic Response: Kinetic Attributes and Physiological Role 肾肌原性反应:动力学特性和生理作用
Pub Date : 2002-06-28 DOI: 10.1161/01.RES.0000024262.11534.18
R. Loutzenhiser, A. Bidani, L. Chilton
The kinetic attributes of the afferent arteriole myogenic response were investigated using the in vitro perfused hydronephrotic rat kidney. Equations describing the time course for pressure-dependent vasoconstriction and vasodilation, and steady-state changes in diameter were combined to develop a mathematical model of autoregulation. Transfer functions were constructed by passing sinusoidal pressure waves through the model. These findings were compared with results derived using data from instrumented conscious rats. In each case, a reduction in gain and increase in phase were observed at frequencies of 0.2 to 0.3 Hz. We then examined the impact of oscillating pressure signals. The model predicted that pressure signals oscillating at frequencies above the myogenic operating range would elicit a sustained vasoconstriction the magnitude of which was dependent on peak pressure. These predictions were directly confirmed in the hydronephrotic kidney. Pressure oscillations presented at frequencies of 1 to 6 Hz elicited sustained afferent vasoconstrictions and the magnitude of the response depended exclusively on the peak pressure. Elevated systolic pressure elicited vasoconstriction even if mean pressure was reduced. These findings challenge the view that the renal myogenic response exists to maintain glomerular capillary pressure constant, but rather imply a primary role in protecting against elevated systolic pressures. Thus, the kinetic features of the afferent arteriole allow this vessel to adjust tone in response to changes in systolic pressures presented at the pulse rate. We suggest that the primary function of this mechanism is to protect the glomerulus from the blood pressure power that is normally present at the pulse frequency.
采用体外灌注肾积水大鼠肾脏,研究了传入小动脉肌生成反应的动力学特性。描述压力依赖性血管收缩和血管舒张的时间过程的方程,以及直径的稳态变化相结合,形成了一个自动调节的数学模型。传递函数是通过正弦压力波通过模型来构造的。这些发现与使用仪器的有意识大鼠的数据得出的结果进行了比较。在每种情况下,在0.2至0.3 Hz的频率下观察到增益减小和相位增加。然后,我们检查了振荡压力信号的影响。该模型预测,在高于肌源性操作范围的频率上振荡的压力信号将引起持续的血管收缩,其大小取决于峰值压力。这些预测在肾积水中得到了直接证实。频率为1 ~ 6hz的压力振荡引起持续的传入血管收缩,反应的大小完全取决于峰值压力。即使平均压力降低,收缩压升高也会引起血管收缩。这些发现挑战了肾肌原性反应的存在是为了维持肾小球毛细血管压力恒定的观点,而是暗示了在防止收缩压升高方面的主要作用。因此,传入小动脉的动力学特性允许该血管根据脉率呈现的收缩压变化来调整音调。我们认为,这种机制的主要功能是保护肾小球免受通常存在于脉频的血压功率的影响。
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引用次数: 249
Role of Akt Signaling in Vascular Homeostasis and Angiogenesis Akt信号在血管稳态和血管生成中的作用
Pub Date : 2002-06-28 DOI: 10.1161/01.RES.0000022200.71892.9F
I. Shiojima, K. Walsh
Akt is a serine/threonine protein kinase that is activated by a number of growth factors and cytokines in a phosphatidylinositol-3 kinase–dependent manner. Although antiapoptotic activity of Akt is well known, it also regulates other aspects of cellular functions, including migration, glucose metabolism, and protein synthesis. In this review, Akt signaling in endothelial cells and its critical roles in the regulation of vascular homeostasis and angiogenesis will be discussed.
Akt是一种丝氨酸/苏氨酸蛋白激酶,可被多种生长因子和细胞因子激活,以磷脂酰肌醇-3激酶依赖的方式激活。虽然Akt的抗凋亡活性是众所周知的,但它也调节细胞功能的其他方面,包括迁移、葡萄糖代谢和蛋白质合成。本文将对内皮细胞中Akt信号通路及其在血管稳态和血管生成调控中的重要作用进行综述。
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引用次数: 994
Small Amounts of &agr;-Myosin Heavy Chain Isoform Expression Significantly Increase Power Output of Rat Cardiac Myocyte Fragments 少量的&agr;-肌球蛋白重链异构体表达可显著增加大鼠心肌细胞片段的能量输出
Pub Date : 2002-06-14 DOI: 10.1161/01.RES.0000022879.57270.11
T. Herron, K. McDonald
Myocardial performance is likely affected by the relative expression of the two myosin heavy chain (MyHC) isoforms, namely &agr;-MyHC and &bgr;-MyHC. The relative expression of each isoform is regulated developmentally and in pathophysiological states. Many pathophysiological states are associated with small shifts in the relative expression of each MyHC isoform, yet the functional consequence of these shifts remains unclear. The purpose of this study was to determine the functional effect of a small shift in the relative expression of &agr;-MyHC. To this end, power output was measured in rat cardiac myocyte fragments that expressed ≈12% &agr;-MyHC and in myocyte fragments that expressed ≈0% &agr;-MyHC, as determined in the same cells by SDS-PAGE analysis after mechanical experiments. Myocyte fragments expressing ≈12% &agr;-MyHC developed ≈52% greater peak normalized power output than myocyte fragments expressing ≈0% &agr;-MyHC. These results indicate that small amounts of &agr;-MyHC expression significantly augment myocyte power output.
心肌表现可能受到两种肌球蛋白重链(MyHC)亚型,即&agr;-MyHC和&bgr;-MyHC的相对表达的影响。每个亚型的相对表达在发育和病理生理状态下受到调节。许多病理生理状态与每种MyHC亚型相对表达的微小变化有关,但这些变化的功能后果尚不清楚。本研究的目的是确定&agr;-MyHC相对表达的微小变化对功能的影响。为此,我们测量了表达≈12% &agr;-MyHC的大鼠心肌细胞片段和表达≈0% &agr;-MyHC的心肌细胞片段的输出功率,在机械实验后通过SDS-PAGE分析确定了相同细胞的输出功率。表达≈12% &agr;-MyHC的肌细胞片段比表达≈0% &agr;-MyHC的肌细胞片段的峰值归一化功率输出高约52%。这些结果表明,少量的&agr;-MyHC表达显著增加了肌细胞的能量输出。
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引用次数: 218
Aging-Induced Phenotypic Changes and Oxidative Stress Impair Coronary Arteriolar Function 衰老诱导的表型改变和氧化应激损害冠状动脉功能
Pub Date : 2002-06-14 DOI: 10.1161/01.RES.0000020401.61826.EA
A. Csiszar, Z. Ungvari, J. Edwards, P. Kaminski, M. Wolin, A. Koller, G. Kaley
We aimed to elucidate the possible role of phenotypic alterations and oxidative stress in age-related endothelial dysfunction of coronary arterioles. Arterioles were isolated from the hearts of young adult (Y, 14 weeks) and aged (A, 80 weeks) male Sprague-Dawley rats. For videomicroscopy, pressure-induced tone of Y and A arterioles and their passive diameter did not differ significantly. In A, arterioles L-NAME (a NO synthase blocker)–sensitive flow-induced dilations were significantly impaired (Y: 41±8% versus A: 3±2%), which could be augmented by superoxide dismutase (SOD) or Tiron (but not l-arginine or the TXA2 receptor antagonist SQ29,548). For lucigenin chemiluminescence, O2·− generation was significantly greater in A than Y vessels and could be inhibited with SOD and diphenyliodonium. NADH-driven O2·− generation was also greater in A vessels. Both endothelial and smooth muscle cells of A vessels produced O2·− (shown with ethidium bromide fluorescence). For Western blotting, expression of eNOS and COX-1 was decreased in A compared with Y arterioles, whereas expressions of COX-2, Cu/Zn-SOD, Mn-SOD, xanthine oxidase, and the NAD(P)H oxidase subunits p47phox, p67phox, Mox-1, and p22phox did not differ. Aged arterioles showed an increased expression of iNOS, confined to the endothelium. Decreased eNOS mRNA and increased iNOS mRNA expression in A vessels was shown by quantitative RT-PCR. In vivo formation of peroxynitrite was evidenced by Western blotting, and immunohistochemistry showing increased 3-nitrotyrosine content in A vessels. Thus, aging induces changes in the phenotype of coronary arterioles that could contribute to the development of oxidative stress, which impairs NO-mediated dilations.
我们的目的是阐明表型改变和氧化应激在冠状动脉年龄相关性内皮功能障碍中的可能作用。从年轻成年(Y, 14周)和老年雄性(A, 80周)Sprague-Dawley大鼠的心脏中分离小动脉。在视频显微镜下,Y小动脉和A小动脉的压力致张力及其被动直径无显著差异。在A中,小动脉L-NAME(一种NO合酶阻滞剂)敏感的血流诱导扩张明显受损(Y: 41±8%,A: 3±2%),超氧化物歧化酶(SOD)或铁(但不包括l-精氨酸或TXA2受体拮抗剂SQ29,548)可以增强这种功能。对于lucigenin化学发光,A血管中O2·−的生成明显大于Y血管,并且可以被SOD和二苯硫酮抑制。nadh驱动的O2·−生成在A血管中也更大。血管内皮细胞和平滑肌细胞均产生O2·−(溴化乙锭荧光显示)。Western blotting结果显示,与Y微动脉相比,A微动脉中eNOS和COX-1的表达减少,而COX-2、Cu/Zn-SOD、Mn-SOD、黄嘌呤氧化酶和NAD(P)H氧化酶亚基p47phox、p67phox、Mox-1和p22phox的表达没有差异。衰老小动脉中iNOS表达增加,且仅限于内皮细胞。定量RT-PCR结果显示A血管eNOS mRNA表达降低,iNOS mRNA表达升高。Western blotting和免疫组化显示A血管中3-硝基酪氨酸含量增加,证实过氧亚硝酸盐在体内形成。因此,衰老诱导冠状动脉表型的变化,这可能有助于氧化应激的发展,从而损害no介导的扩张。
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引用次数: 555
Myosin Light Chain Phosphorylation in Neutrophil-Stimulated Coronary Microvascular Leakage 中性粒细胞刺激的冠状动脉微血管渗漏中肌球蛋白轻链磷酸化
Pub Date : 2002-06-14 DOI: 10.1161/01.RES.0000020402.73609.F1
S. Yuan, Mack H. Wu, E. Ustinova, M. Guo, J. Tinsley, P. de Lanerolle, Wenjuan Xu
Neutrophil-induced coronary microvascular leakage represents an important pathophysiological consequence of ischemic and inflammatory heart diseases. The precise mechanism by which neutrophils regulate endothelial barrier function remains to be established. The aim of this study was to examine the microvascular endothelial response to neutrophil activation with a focus on myosin light chain kinase (MLCK)-mediated myosin light chain (MLC) phosphorylation, a regulatory process that controls cell contraction. The apparent permeability coefficient of albumin (Pa) was measured in intact isolated porcine coronary venules. Incubation of the vessels with C5a-activated neutrophils induced a time- and concentration-dependent increase in Pa. The hyperpermeability response was significantly attenuated during inhibition of endothelial MLC phosphorylation with the selective MLCK inhibitor ML-7 and transfection of a specific MLCK-inhibiting peptide. In contrast, transfection of constitutively active MLCK elevated Pa, which was abolished by ML-7. In addition to the vessel study, albumin transendothelial flux was measured in cultured bovine coronary venular endothelial monolayers, which displayed a hyperpermeability response to neutrophils and MLCK in a pattern similar to that in venules. Importantly, neutrophil stimulation caused MLC phosphorylation in endothelial cells in a time course closely correlated with that of the hyperpermeability response. Consistently, the MLCK inhibitors abolished neutrophil-induced MLC phosphorylation. Furthermore, immunohistochemical observation of neutrophil-stimulated endothelial cells revealed an increased staining for phosphorylated MLC in association with contractile stress fiber formation and intercellular gap development. Taken together, the results suggest that endothelial MLCK activation and MLC phosphorylation play an important role in mediating endothelial barrier dysfunction during neutrophil activation.
中性粒细胞诱导的冠状动脉微血管渗漏是缺血性和炎症性心脏病的重要病理生理后果。中性粒细胞调节内皮屏障功能的确切机制仍有待确定。本研究的目的是研究微血管内皮对中性粒细胞活化的反应,重点关注肌球蛋白轻链激酶(MLCK)介导的肌球蛋白轻链(MLC)磷酸化,这是一个控制细胞收缩的调节过程。在完整的离体猪冠状静脉中测定了白蛋白(Pa)的表观通透系数。用c5a活化的中性粒细胞孵育血管可诱导Pa随时间和浓度的增加。选择性MLCK抑制剂ML-7和转染特异性MLCK抑制肽抑制内皮细胞MLC磷酸化时,高通透性反应显著减弱。相反,转染构成活性的MLCK会升高Pa,而ML-7会消除Pa。除了血管研究外,在培养的牛冠状静脉内皮单层中测量了白蛋白跨内皮通量,该单层对中性粒细胞和MLCK表现出与小静脉相似的高渗透性反应。重要的是,中性粒细胞刺激引起内皮细胞MLC磷酸化的时间过程与高通透性反应密切相关。一致地,MLCK抑制剂消除中性粒细胞诱导的MLC磷酸化。此外,中性粒细胞刺激的内皮细胞的免疫组织化学观察显示,磷酸化的MLC染色增加,与收缩应力纤维形成和细胞间隙发育有关。综上所述,结果表明内皮细胞MLCK激活和MLC磷酸化在中性粒细胞激活过程中介导内皮屏障功能障碍中起重要作用。
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引用次数: 102
Tyrosine Kinase Activity of Discoidin Domain Receptor 1 Is Necessary for Smooth Muscle Cell Migration and Matrix Metalloproteinase Expression 盘状蛋白结构域受体1酪氨酸激酶活性是平滑肌细胞迁移和基质金属蛋白酶表达的必要条件
Pub Date : 2002-06-14 DOI: 10.1161/01.RES.0000022166.74073.F8
G. Hou, W. Vogel, M. Bendeck
Smooth muscle cell (SMC) interactions with collagen mediate cell migration during the pathogenesis of atherosclerosis and restenosis. Discoidin domain receptors (DDRs) have been identified as novel collagen receptors. We used aortic SMCs from wild-type and DDR1−/− mice to evaluate the function of the DDR1 in regulating migration. DDR1−/− SMCs exhibited impaired attachment to and migration toward a type I collagen substrate. Matrix metalloproteinase-2 (MMP-2) and MMP-9 activities were concomitantly reduced in these cells. Transfection of a full-length cDNA for DDR1b rescued these deficits, whereas kinase-dead mutants of DDR1 restored attachment but not migration and MMP production. These results suggest that active DDR1 kinase is a central mediator of SMC migration.
平滑肌细胞(SMC)与胶原蛋白的相互作用介导了动脉粥样硬化和再狭窄发病过程中的细胞迁移。盘状蛋白结构域受体(disidin domain receptor, DDRs)是一种新的胶原受体。我们使用野生型和DDR1 - / -小鼠的主动脉SMCs来评估DDR1在调节迁移中的功能。DDR1−/−SMCs对I型胶原底物的附着和迁移受损。基质金属蛋白酶-2 (MMP-2)和MMP-9活性同时降低。转染DDR1b全长cDNA修复了这些缺陷,而DDR1的激酶死亡突变体恢复了附着,但没有迁移和MMP的产生。这些结果表明,活性DDR1激酶是SMC迁移的中心介质。
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引用次数: 149
Frequency-Dependent Breakdown of Wave Propagation Into Fibrillatory Conduction Across the Pectinate Muscle Network in the Isolated Sheep Right Atrium 在离体绵羊右心房中,波传播进入纤维性传导的频率依赖性击穿
Pub Date : 2002-06-14 DOI: 10.1161/01.RES.0000022854.95998.5C
O. Berenfeld, A. Zaitsev, S. Mironov, A. Pertsov, J. Jalife
Atrial fibrillation (AF) may result from stationary reentry in the left atrium (LA), with fibrillatory conduction toward the right atrium (RA). We hypothesize that periodic input to the RA at an exceedingly high frequency results in disorganized wave propagation, compatible with fibrillatory conduction. Simultaneous endocardial and epicardial optical mapping (di-4-ANEPPS) was performed in isolated, coronary-perfused sheep RA. Rhythmic pacing of Bachmann’s bundle allowed well-controlled and realistic conditions for LA-driven RA. Pacing at increasingly higher frequencies (2.0 to 6.0 Hz) led to increasing delays in activation distal to major branching sites of the crista terminalis and pectinate bundles, culminating in spatially distributed intermittent blockade at or above ≈6.5 Hz. At this “breakdown frequency,” the direction of RA propagation became completely variable from beat to beat and thus transformed into fibrillatory conduction. Such frequency-dependent changes were independent of action potential duration. Rather, the spatial boundaries between proximal and distal frequencies correlated well with branch sites of the pectinate musculature. Thus, there exists a breakdown frequency in the sheep RA below which activity is periodic throughout the atrium and above which it is fibrillation-like. The data are consistent with the ideas that during AF, high-frequency activation initiated in the LA undergoes fibrillatory conduction toward the RA, and that sink-to-source effect at branch points of the crista terminalis and pectinate muscles is important in determining the complexity of the arrhythmia.
心房颤动(AF)可能是由左心房静止再入(LA)引起的,心房颤动向右心房传导(RA)。我们假设,以极高的频率周期性输入RA导致无组织波传播,与纤颤传导兼容。在离体、冠状动脉灌注的绵羊RA中同时进行心内膜和心外膜光学测图(di-4-ANEPPS)。巴赫曼的束有节奏的起搏允许很好地控制和现实的条件为la驱动的RA。频率越来越高(2.0 ~ 6.0 Hz)的起搏导致终端嵴和果突束远端主要分支部位的激活延迟增加,最终在≈6.5 Hz或更高频率时出现空间分布的间歇性阻断。在这个“击穿频率”下,RA的传播方向在每一次搏动之间变得完全可变,从而转化为纤颤传导。这种频率依赖性变化与动作电位持续时间无关。相反,近端和远端频率之间的空间边界与果突肌肉组织的分支位置密切相关。因此,绵羊类风湿性关节炎存在一个击穿频率,低于该频率,整个心房的活动是周期性的,高于该频率,则呈纤颤样。这些数据与以下观点一致:在房颤期间,LA启动的高频激活向RA进行纤颤传导,终端嵴和突起肌分支点的汇源效应是决定心律失常复杂性的重要因素。
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引用次数: 204
Protein Kinase A Phosphorylates Titin’s Cardiac-Specific N2B Domain and Reduces Passive Tension in Rat Cardiac Myocytes 蛋白激酶A磷酸化Titin的心脏特异性N2B结构域并降低大鼠心肌细胞的被动张力
Pub Date : 2002-06-14 DOI: 10.1161/01.RES.0000021115.24712.99
R. Yamasaki, Yiming Wu, M. Mcnabb, M. Greaser, S. Labeit, H. Granzier
&bgr;-Adrenergic stimulation of cardiac muscle activates protein kinase A (PKA), which is known to phosphorylate proteins on the thin and thick filaments of the sarcomere. Cardiac muscle sarcomeres contain a third filament system composed of titin, and here we demonstrate that titin is also phosphorylated by the &bgr;-adrenergic pathway. Titin phosphorylation was observed after &bgr;-receptor stimulation of intact cardiac myocytes and incubation of skinned cardiac myocytes with PKA. Mechanical experiments with isolated myocytes revealed that PKA significantly reduces passive tension. In vitro phosphorylation of recombinant titin fragments and immunoelectron microscopy suggest that PKA targets a subdomain of the elastic segment of titin, referred to as the N2B spring element. The N2B spring element is expressed only in cardiac titins, in which it plays an important role in determining the level of passive tension. Because titin-based passive tension is a determinant of diastolic function, these results suggest that titin phosphorylation may modulate cardiac function in vivo.
-心肌的肾上腺素能刺激激活蛋白激酶A (PKA),已知其磷酸化肌节细丝和粗丝上的蛋白。心肌肌节含有由titin组成的第三个纤维系统,在这里我们证明了titin也可以通过肾上腺素能途径磷酸化。完整心肌细胞&bgr;-受体刺激和PKA皮肤心肌细胞孵育后,观察到Titin磷酸化。对分离的肌细胞进行力学实验,发现PKA能显著降低被动张力。重组titin片段的体外磷酸化和免疫电镜显示,PKA靶向titin弹性片段的一个亚结构域,称为N2B弹簧元件。N2B弹簧元件仅在心脏titin中表达,它在决定被动张力水平方面起重要作用。由于基于titin的被动张力是舒张功能的决定因素,这些结果表明titin磷酸化可能在体内调节心功能。
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引用次数: 307
Importance of Monocyte Chemoattractant Protein-1 Pathway in Neointimal Hyperplasia After Periarterial Injury in Mice and Monkeys 单核细胞趋化蛋白-1通路在小鼠和猴子动脉周围损伤后新生内膜增生中的重要性
Pub Date : 2002-06-14 DOI: 10.1161/01.RES.0000020561.03244.7E
K. Egashira, Qingwei Zhao, C. Kataoka, Kisho Ohtani, M. Usui, I. Charo, K. Nishida, S. Inoue, M. Katoh, T. Ichiki, A. Takeshita
Neointimal hyperplasia is a major cause of restenosis after coronary intervention. Because vascular injury is now recognized to involve an inflammatory response, monocyte chemoattractant protein-1 (MCP-1) might be involved in underlying mechanisms of restenosis. In the present study, we demonstrate the important role of MCP-1 in neointimal hyperplasia after cuff-induced arterial injury. In the first set of experiments, placement of a nonconstricting cuff around the femoral artery of intact mice and monkeys resulted in inflammation in the early stages and subsequent neointimal hyperplasia at the late stages. We transfected with an N-terminal deletion mutant of the human MCP-1 gene into skeletal muscles to block MCP-1 activity in vivo. This mutant MCP-1 works as a dominant-negative inhibitor of MCP-1. This strategy inhibited early vascular inflammation (monocyte infiltration, increased expression of MCP-1, and inflammatory cytokines) and late neointimal hyperplasia. In the second set of experiments, the cuff-induced neointimal hyperplasia was found to be less in CCR2-deficient mice than in control CCR2+/+ mice. The MCP-1/CCR2 pathway plays a central role in the pathogenesis of neointimal hyperplasia in cuffed femoral artery of mice and monkeys. Therefore, the MCP-1/CCR2 pathway can be a therapeutic target for human restenosis after coronary intervention.
新生内膜增生是冠状动脉介入治疗后再狭窄的主要原因。由于血管损伤现在被认为与炎症反应有关,单核细胞趋化蛋白-1 (MCP-1)可能参与了再狭窄的潜在机制。在本研究中,我们证明了MCP-1在袖带性动脉损伤后新生内膜增生中的重要作用。在第一组实验中,在完整小鼠和猴子的股动脉周围放置一个非收缩袖带,导致早期的炎症和后期的新生内膜增生。我们将人MCP-1基因的n端缺失突变体转染到骨骼肌中,以阻断MCP-1在体内的活性。该突变体MCP-1作为MCP-1的显性阴性抑制剂起作用。这种策略抑制了早期血管炎症(单核细胞浸润、MCP-1和炎症细胞因子表达增加)和晚期内膜增生。在第二组实验中,发现袖带诱导的新生内膜增生在CCR2缺陷小鼠中少于CCR2+/+对照小鼠。MCP-1/CCR2通路在小鼠和猴子断股动脉内膜增生的发病机制中起核心作用。因此,MCP-1/CCR2通路可以作为人类冠状动脉介入治疗后再狭窄的治疗靶点。
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引用次数: 181
期刊
Circulation Research: Journal of the American Heart Association
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