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Targeting the vivid facets of apolipoproteins as a cardiovascular risk factor in rheumatoid arthritis. 以类风湿关节炎心血管风险因素脂蛋白的生动面为目标。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-05-01 Epub Date: 2024-02-09 DOI: 10.1139/cjpp-2023-0259
Aditi Sharma, Chakshu Sharma, Lalit Sharma, Pranay Wal, Preeti Mishra, Nitin Sachdeva, Shivam Yadav, Celia Vargas De-La Cruz, Sandeep Arora, Vetriselvan Subramaniyan, Ravi Rawat, Tapan Behl, Mukesh Nandave

Mostly, cardiovascular diseases are blamed for casualties in rheumatoid arthritis (RA) patients. Customarily, dyslipidemia is probably the most prevalent underlying cause of untimely demise in people suffering from RA as it hastens the expansion of atherosclerosis. The engagement of inflammatory cytokines like tumor necrosis factor-α (TNF-α), interleukin-1 (IL-1), interleukin-6 (IL-6), etc., is crucial in the progression and proliferation of both RA and abnormal lipid parameters. Thus, lipid abnormalities should be monitored frequently in patients with both primary and advanced RA stages. An advanced lipid profile examination, i.e., direct role of apolipoproteins associated with various lipid molecules is a more dependable approach for better understanding of the disease and selecting suitable therapeutic targets. Therefore, studying their apolipoproteins is more relevant than assessing RA patients' altered lipid profile levels. Among the various apolipoprotein classes, Apo A1 and Apo B are primarily being focused. In addition, it also addresses how calculating Apo B:Apo A1 ratio can aid in analyzing the disease's risk. The marketed therapies available to control lipid abnormalities are associated with many other risk factors. Hence, directly targeting Apo A1 and Apo B would provide a better and safer option.

类风湿性关节炎(RA)患者的死亡主要归咎于心血管疾病。通常,血脂异常可能是导致类风湿性关节炎患者过早死亡的最普遍的根本原因,因为它会加速动脉粥样硬化的扩展。肿瘤坏死因子-α(TNF-α)、白细胞介素-1(IL-1)、白细胞介素-6(IL-6)等炎症细胞因子的参与对 RA 和血脂异常的进展和扩散至关重要。因此,应经常监测原发性和晚期 RA 患者的血脂异常。高级血脂谱检查,即与各种脂质分子相关的脂蛋白的直接作用,是更好地了解疾病和选择合适的治疗靶点的更可靠的方法。因此,研究他们的脂蛋白比评估 RA 患者血脂谱水平的改变更有意义。在各类载脂蛋白中,载脂蛋白 A1 和载脂蛋白 B 是主要研究对象。此外,该研究还探讨了载脂蛋白 B:载脂蛋白 A1 比率的计算如何有助于分析疾病风险。市场上可用于控制血脂异常的疗法与许多其他风险因素有关。因此,直接针对载脂蛋白 A1 和载脂蛋白 B 将是更好、更安全的选择。
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引用次数: 0
Formation of a border ischemic zone depends on plasma potassium concentration. 边界缺血区的形成取决于血浆钾浓度。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-05-01 Epub Date: 2023-12-20 DOI: 10.1139/cjpp-2023-0304
Olesya Bernikova, Aleksandra Durkina, Mikhail Gonotkov, Elena Minnebaeva, Natalia Arteyeva, Jan Azarov

Extracellular potassium concentration might modify electrophysiological properties in the border zone of ischemic myocardium. We evaluated the depolarization and repolarization characteristics across the ischemic-normal border under [K+] variation. Sixty-four-lead epicardial mapping was performed in 26 rats ([K+] 2.3-6.4 mM) in a model of acute ischemia/reperfusion. The animals with [K+] < 4.7 mM (low-normal potassium) had an ischemic zone with ST-segment elevation and activation delay, a border zone with ST-segment elevation and no activation delay, and a normal zone without electrophysiological abnormalities. The animals with [K+] >4.7 mM (normal-high potassium) had only the ischemic and normal zones and no transitional area. Activation-repolarization intervals and local conduction velocities were inversely associated with [K+] in linear regression analysis with adjustment for the zone of myocardium. The reperfusion extrasystolic burden (ESB) was greater in the low-normal as compared to normal-high potassium animals. Ventricular tachycardia/fibrillation incidence did not differ between the groups. In patch-clamp experiments, hypoxia shortened action potential duration at 5.4 mM but not at 1.3 mM of [K+]. IK(ATP) current was lower at 1.3 mM than at 5.4 mM of [K+]. We conclude that the border zone formation in low-normal [K+] was associated with attenuation of IK(ATP) response to hypoxia and increased reperfusion ESB.

细胞外钾浓度可能会改变缺血心肌边界区(BZ)的电生理特性。我们评估了[K+]变化下缺血-正常边界的去极化和复极化特征。在急性缺血/再灌注模型中,对 26 只大鼠([K+] 2.3-6.4 mM)进行了 64 导联心外膜测图。K+]4.7 mM(正常高钾)的动物只有缺血区和正常区,没有过渡区。在调整心肌区的线性回归分析中,活化-复极化间期和局部传导速度与[K+]成反比。与正常高钾动物相比,正常低钾动物的再灌注收缩外负荷(ESB)更大。室性心动过速/颤动的发生率在各组之间没有差异。在贴片钳实验中,缺氧会缩短 5.4 mM [K+] 下的动作电位持续时间,但不会缩短 1.3 mM [K+] 下的动作电位持续时间。IK(ATP) 电流在 1.3 mM 时低于 5.4 mM [K+]。我们的结论是,在低正常[K+]条件下,BZ的形成与IK(ATP)对缺氧反应的减弱和再灌注ESB的增加有关。
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引用次数: 0
Butorphanol inhibits androgen biosynthesis and metabolism in rat immature Leydig cells in vitro. 布托诺啡醇可抑制体外大鼠未成熟髓质细胞中雄性激素的生物合成和代谢。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-01-23 DOI: 10.1139/cjpp-2023-0191
Changchang Li, Lei Shi, Ming Su, Xiaoheng Li, Qiqi Zhu, Ren-Shan Ge, Huitao Li

Butorphanol is a synthetic opioid analgesic medication that is primarily used for the management of pain. Butorphanol may have an inhibitory effect on androgen biosynthesis and metabolism in rat immature Leydig cells. The objective of this study was to investigate the influence of butorphanol on androgen secretion by rat Leydig cells isolated from the 35-day-old male rats. Rat Leydig cells were cultured with 0.5-50 μM butorphanol for 3 h in vitro. Butorphanol at 5 and 50 μM significantly inhibited androgen secretion in immature Leydig cells. At 50 μM, butorphanol also blocked the effects of luteinizing hormone (LH) and 8bromo-cAMP-stimulated androgen secretion and 22R-hydroxycholesterol- and pregnenolone-mediated androgen production. Further analysis of the results showed that butorphanol downregulated the expression of genes involved in androgen production, including Lhcgr (LH receptor), Cyp11a1 (cholesterol side-chain cleavage enzyme), Srd5a1 (5α-reductase 1), and Akr1c14 (3α-hydroxysteroid dehydrogenase). Additionally, butorphanol directly inhibited HSD3B1 (3β-hydroxysteroid dehydrogenase 1) and SRD5A1 activity. In conclusion, butorphanol may have side effects of inhibiting androgen biosynthesis and metabolism in Leydig cells.

布托啡诺是一种合成阿片类镇痛药,主要用于治疗疼痛。布托诺啡醇可能对大鼠未成熟莱德细胞中雄激素的生物合成和代谢有抑制作用。本研究的目的是调查丁吗啡醇对从 35 天大的雄性大鼠体内分离出的大鼠莱德细胞分泌雄激素的影响。在体外用 0.5-50 μM 的丁吗啡醇培养大鼠 Leydig 细胞 3 小时。5 μM和50 μM的丁吗啡醇能明显抑制未成熟的Leydig细胞分泌雄激素。在 50 μM 的浓度下,丁吗啡醇还能阻止黄体生成素(LH)和 8 溴-CAMP 刺激的雄激素分泌以及 22R- 羟基胆固醇和孕烯醇酮介导的雄激素生成。对结果的进一步分析表明,丁吗啡醇下调了参与雄激素分泌的基因的表达,包括Lhcgr(LH受体)、Cyp11a1(胆固醇侧链裂解酶)、Srd5a1(5α-还原酶1)和Akr1c14(3α-羟类固醇脱氢酶)。此外,丁吗啡醇还能直接抑制 HSD3B1(3β-羟基类固醇脱氢酶 1)和 SRD5A1 的活性。总之,丁吗啡醇可能具有抑制雄性激素在莱狄格细胞中的生物合成和代谢的副作用。
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引用次数: 0
Existence and importance of Na+K+-ATPase in the plasma membrane of boar spermatozoa. Na+K+- atp酶在猪精子质膜中的存在及其重要性。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2023-11-29 DOI: 10.1139/cjpp-2023-0116
Basim J Awda, Ian V Mahoney, Murray Pettitt, Muhammad Imran, George S Katselis, Mary M Buhr

Sodium-potassium-ATPase (Na+K+-ATPase), a target to treat congestive heart failure, is the only known receptor for cardiac glycosides implicated in intracellular signaling and additionally functions enzymatically in ion transport. Spermatozoa need transmembrane ion transport and signaling to fertilize, and Na+K+-ATPase is identified here for the first time in boar spermatozoa. Head plasma membrane (HPM) isolated from boar spermatozoa was confirmed pure by marker enzymes acid and alkaline phosphatase (218 ± 23% and 245 ± 38% enrichment, respectively, versus whole spermatozoa). Western immunoblotting detected α and β subunits (isoforms α1, α3, β1, β2, and β3) in different concentrations in whole spermatozoa and HPM. Immunofluorescence of intact sperm only detected α3 on the post-equatorial exterior membrane; methanol-permeabilized sperm also had α3 post-equatorially and other isoforms on the acrosomal ridge and cap. Mass spectrometry confirmed the presence of all isoforms in HPM. Incubating boar sperm in capacitating media to induce the physiological changes preceding fertilization significantly increased the percentage of capacitated sperm compared to 0 h control (33.0 ± 2.6% vs. 19.2 ± 2.6% capacitated sperm, respectively; p = 0.014) and altered the β2 immunofluorescence pattern. These results demonstrate the presence of Na+K+-ATPase in boar sperm HPM and that it changes during capacitation.

钠钾atp酶(Na+K+- atp酶)是治疗充血性心力衰竭的靶标,是唯一已知的与细胞内信号传导有关的心脏苷受体,并且在离子运输中起酶促作用。精子需要跨膜离子转运和信号传导才能受精,本文首次在猪精子中发现Na+K+- atp酶。用标记酶酸性磷酸酶和碱性磷酸酶鉴定了猪精子头质膜(HPM)的纯度(分别比全精子富集218±23和245±38%)。Western免疫印迹法在全精子和HPM中检测到不同浓度的α和β亚基(α1、α3、β1、β2和β3亚型)。在完整精子中,只有α3在赤道后外膜上免疫荧光;甲醇渗透精子在顶体脊和顶盖上同样具有α3后赤道和所有其他同种异构体。质谱法证实了HPM中所有同种异构体的存在。受精前将猪精子置于能化培养基中诱导生理变化,使能化精子的百分比显著高于对照组(33.0±2.6比19.2±2.6);P = 0.014),并改变了β2免疫荧光模式。这些结果表明,Na+K+- atp酶在猪精子HPM中存在,并在获能过程中发生变化。
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引用次数: 0
Tribute-Dr. Pawan K. Singal. 致敬--Pawan K. Singal 博士。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-02-28 DOI: 10.1139/cjpp-2024-0046
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引用次数: 0
Efficacy and safety of fenofibrate in combination with phototherapy for the treatment of neonatal hyperbilirubinemia: a systematic review and meta-analyses. 非诺贝特联合光疗治疗新生儿高胆红素血症的疗效和安全性:一项系统综述和荟萃分析。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2023-11-27 DOI: 10.1139/cjpp-2023-0213
Mohammed Abdellatif, Ali Ahmed Fouad Abozaid, Prakesh S Shah, Nacir Dhouibi, Thuan Nguyen-Khac, Rafeef Khleif, Mai Ngoc Luu, Dinh Kim Quyen, Anton Mohareb, Gladson Vaghela, Zeeshan Ali Khan, Hoang Nhat Pham, Abdelrahman M Makram, Nguyen Tien Huy

Phototherapy is the standard treatment for neonatal jaundice. We aimed to review the efficacy and safety of fenofibrate as an adjunct therapy. Twelve databases were searched and a systematic review and meta-analysis were conducted. Mean change (MC), mean difference (MD), and risk ratios (RR) with a 95% confidence interval (CI) were calculated using a random effects model. The GRADE approach was used to evaluate the evidence's certainty. Nine randomized trials were included. The MC of total serum bilirubin (mg/dL) was significant at 12, 24, 36, 48, and 72 h with respective MC (95% CI) values of -0.46 (-0.61, -0.310), -1.10 (-1.68, -0.52), -2.06 (-2.20, -1.91), -2.15 (-2.74, -1.56), and -1.13 (-1.71, -0.55). The FEN + PT group had a shorter duration of phototherapy (MD: -14.36 h; 95% CI: -23.67, -5.06) and a shorter hospital stay (MD: -1.40 days; 95% CI: -2.14, -0.66). There was no significant difference in the risk of complications (RR: 0.89; 95% CI: 0.54, 1.46) or the need for exchange transfusion (RR: 0.58; 95% CI: 0.12, 2.81). The certainty of the evidence was very low for all outcomes. In conclusion, fenofibrate might be a safe adjunct to neonatal phototherapy. Larger randomized controlled trials are needed for the confirmation of these results.

光疗是新生儿黄疸的标准治疗方法。我们的目的是回顾非诺贝特作为辅助治疗的有效性和安全性。对12个数据库进行了检索,并进行了系统回顾和荟萃分析。采用随机效应模型计算95%置信区间(CI)的平均变化(MC)、平均差(MD)和风险比(RR)。GRADE方法用于评估证据的确定性。纳入了9项随机试验。血清总胆红素(mg/dl) (TSB)的MC在12、24、36、48和72小时具有显著性,MC (95% CI)值分别为-0.46(-0.61,-0.310)、-1.10(-1.68,-0.52)、-2.06(-2.20,-1.91)、-2.15(-2.74,-1.56)和-1.13(-1.71,-0.55)。FEN+PT组光疗时间较短(MD -14.36小时;95% CI -23.67, -5.06)和较短的住院时间(MD: -1.40天;95% ci: -2.14, -0.66)。两组并发症发生风险无显著差异(RR: 0.89;95% CI: 0.54, 1.46)或需要换血(RR: 0.58;95% ci: 0.12, 2.81)。所有结果的证据的确定性都很低。总之,非诺贝特可能是一种安全的新生儿光疗辅助药物。需要更大规模的随机对照试验来证实这些结果。
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引用次数: 0
Uncovering the link between diabetes and cardiovascular diseases: insights from adipose-derived stem cells. 揭示糖尿病与心血管疾病之间的联系:脂肪干细胞的启示。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-01-10 DOI: 10.1139/cjpp-2023-0282
Megan B Meechem, Anshul S Jadli, Vaibhav B Patel

Cardiovascular diseases (CVDs) are the leading causes of morbidity and mortality worldwide. The escalating global occurrence of obesity and diabetes mellitus (DM) has led to a significant upsurge in individuals afflicted with CVDs. As the prevalence of CVDs continues to rise, it is becoming increasingly important to identify the underlying cellular and molecular mechanisms that contribute to their development and progression, which will help discover novel therapeutic avenues. Adipose tissue (AT) is a connective tissue that plays a crucial role in maintaining lipid and glucose homeostasis. However, when AT is exposed to diseased conditions, such as DM, this tissue will alter its phenotype to become dysfunctional. AT is now recognized as a critical contributor to CVDs, especially in patients with DM. AT is comprised of a heterogeneous cellular population, which includes adipose-derived stem cells (ADSCs). ADSCs resident in AT are believed to regulate physiological cardiac function and have potential cardioprotective roles. However, recent studies have also shown that ADSCs from various adipose tissue depots become pro-apoptotic, pro-inflammatory, less angiogenic, and lose their ability to differentiate into various cell lineages upon exposure to diabetic conditions. This review aims to summarize the current understanding of the physiological roles of ADSCs, the impact of DM on ADSC phenotypic changes, and how these alterations may contribute to the pathogenesis of CVDs.

心血管疾病(CVDs)是全球发病和死亡的主要原因。肥胖症和糖尿病(DM)在全球范围内的发病率不断攀升,导致心血管疾病患者大幅增加。随着心血管疾病发病率的持续上升,确定导致心血管疾病发生和发展的潜在细胞和分子机制变得越来越重要,这将有助于发现新的治疗途径。脂肪组织(AT)是一种结缔组织,在维持脂质和葡萄糖平衡方面发挥着至关重要的作用。然而,当脂肪组织受到疾病(如糖尿病)的影响时,该组织就会改变其表型,出现功能障碍。现在,人们已认识到血管内皮生长因子是心血管疾病(CVDs)的重要诱因,尤其是在糖尿病患者中。动脉粥样硬化由异质细胞群组成,其中包括脂肪源性干细胞(ADSCs)。驻留在血管内皮细胞中的 ADSCs 被认为能调节心脏的生理功能,具有潜在的心脏保护作用。然而,最近的研究也表明,来自不同脂肪组织储库的 ADSCs 在暴露于糖尿病条件下会变得促凋亡、促炎症、血管生成能力降低,并失去分化成各种细胞系的能力。本综述旨在总结目前对 ADSC 生理作用的理解、糖尿病对 ADSC 表型变化的影响以及这些变化如何导致心血管疾病的发病机制。
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引用次数: 0
Picroside Ⅱ attenuates neuropathic pain by regulating inflammation and spinal excitatory synaptic transmission. PicrosideⅡ通过调节炎症和脊髓兴奋性突触传递减轻神经性疼痛。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2023-11-17 DOI: 10.1139/cjpp-2023-0171
Dongxia Duan, Lian Wang, Yueyang Feng, Daiyu Hu, Donghong Cui

Nerve injury induced microglia activation, which released inflammatory mediators and developed neuropathic pain. Picroside Ⅱ (PⅡ) attenuated neuropathic pain by inhibiting the neuroinflammation of the spinal dorsal horn; however, how it engaged in the cross talk between microglia and neurons remained ambiguous. This study aimed to investigate PⅡ in the modulation of spinal synaptic transmission mechanisms on pain hypersensitivity in neuropathic rats. We investigated the analgesia of PⅡ in mechanical and thermal hyperalgesia using the spinal nerve ligation (SNL)-induced neuropathic pain model and formalin-induced tonic pain model, respectively. RNA sequencing and network pharmacology were employed to screen core targets and signaling pathways. Immunofluorescence staining and qPCR were performed to explore the expression level of microglia and inflammatory mediator mRNA. The whole-cell patch-clamp recordings were utilized to record miniature excitatory postsynaptic currents in excitatory synaptic transmission. Our results demonstrated that the analgesic of PⅡ was significant in both pain models, and the underlying mechanism may involve inflammatory signaling pathways. PⅡ reversed the SNL-induced overexpression of microglia and inflammatory factors. Moreover, PⅡ dose dependently inhibited excessive glutamate transmission. Thus, this study suggested that PⅡ attenuated neuropathic pain by inhibiting excitatory glutamate transmission of spinal synapses, induced by an inflammatory response on microglia.

神经损伤诱导小胶质细胞激活,释放炎症介质,发生神经性疼痛。PicrosideⅡ(PⅡ)通过抑制脊髓背角的神经炎症来减轻神经性疼痛,然而,它如何参与小胶质细胞和神经元之间的交叉对话仍然不清楚。本研究旨在探讨PⅡ在神经性病变大鼠疼痛超敏反应中对脊髓突触传递机制的调节作用。我们分别采用脊髓神经结扎(SNL)致神经性疼痛模型和福尔马林致强直性疼痛模型,研究PⅡ对机械痛觉和热痛觉过敏的镇痛作用。采用RNA测序和网络药理学技术筛选核心靶点和信号通路。采用免疫荧光染色和qPCR检测小胶质细胞和炎症介质mRNA的表达水平。利用全细胞膜片钳记录兴奋性突触传递中的微型兴奋性突触后电流(mEPSCs)。我们的研究结果表明,PⅡ的镇痛作用在两种疼痛模型中都是显著的,其潜在机制可能涉及炎症信号通路。PⅡ逆转了snl诱导的小胶质细胞和炎症因子的过表达。此外,PⅡ具有剂量依赖性,可抑制谷氨酸的过度传递。因此,本研究提示PⅡ通过抑制小胶质细胞炎症反应诱导的脊髓突触的兴奋性谷氨酸传递来减轻神经性疼痛。
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引用次数: 0
Effects of sclerostin injection on soleus and extensor digitorum longus muscle tissue in male mice. 硬化剂注射对雄性小鼠比目鱼肌和指长伸肌组织的影响。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2023-11-17 DOI: 10.1139/cjpp-2023-0268
Joshua Stoikos, Nigel Kurgan, Steven Kottaras, Val A Fajardo, William Gittings, Panagiota Klentrou

Sclerostin, a potent inhibitor of the Wnt signaling pathway, plays a critical role in bone homeostasis. Evidence suggests that sclerostin may also be involved in crosstalk between other tissues, including muscle. This pilot study attempted to examine the effects of sclerostin on soleus and extensor digitorum longus (EDL) muscle tissue from male mice that were given continuous recombinant sclerostin injections for 4 weeks. A total of 48 10-week-old male C57BL/6J mice were assigned to be sedentary or perform 1 h treadmill running per day for 4 weeks and administered subcutaneous injections of either saline or recombinant sclerostin 5 days/week. Sclerostin injection led to a reduction in the soleus myosin heavy chain (MHC) I, MHC I/IIA, MHC IIA/X, and MHC IIB cross-sectional area (p < 0.05) with no exercise effects on these reductions. In contrast, there were no effects of sclerostin injections or exercise on the fast-twitch EDL muscle in terms of size, MHC protein, or markers of Wnt signaling. These findings provide preliminary evidence of sclerostin's endocrine role in muscle via decreases in myofiber cross-sectional area, which seems to be independent of fiber type but muscle type-specific. More studies, however, are needed to confirm these preliminary results.

硬化蛋白(Sclerostin)是Wnt信号通路的有效抑制剂,在骨稳态中起关键作用。有证据表明,硬化蛋白也可能参与其他组织(包括肌肉)之间的相互作用。本初步研究试图检查硬化蛋白对连续注射重组硬化蛋白4周的雄性小鼠比目鱼肌和指长伸肌(EDL)肌肉组织的影响。48只10周龄雄性C57BL/6J小鼠被安排每天静坐或在跑步机上跑步1小时,持续4周,每周5天皮下注射生理盐水或重组硬化蛋白。硬化素注射导致比目鱼肌球蛋白重链(MHC) I、MHC I/IIA、MHC IIA/X和MHC IIB横截面积减少(p < 0.05),运动对这些减少没有影响。相比之下,硬蛋白注射或运动对快速收缩EDL肌的大小、MHC蛋白或Wnt信号标记没有影响。这些发现提供了硬化蛋白在肌肉内分泌中的作用的初步证据,通过减少肌纤维横截面积,这似乎是独立于纤维类型,但肌肉类型特异性。然而,需要更多的研究来证实这些初步结果。
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引用次数: 0
Vascular effects of midazolam, flumazenil, and a novel imidazobenzodiazepine MP-III-058 on isolated rat aorta. 咪达唑仑、氟马西尼和新型咪唑并苯二氮唑平MP-III-058对离体大鼠主动脉的血管作用。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-03-01 Epub Date: 2023-11-01 DOI: 10.1139/cjpp-2023-0285
Milica Gajić Bojić, Marco Treven, Kamal P Pandey, V V N Phani Babu Tiruveedhula, Anja Santrač, Đorđe Đukanović, Nataša Vojinović, Ljiljana Amidžić, Ranko Škrbić, Petra Scholze, Margot Ernst, James M Cook, Miroslav M Savić

Hypotensive influences of benzodiazepines and other GABAA receptor ligands, recognized in clinical practice, seem to stem from the existence of "vascular" GABAA receptors in peripheral blood vessels, besides any mechanisms in the central and peripheral nervous systems. We aimed to further elucidate the vasodilatatory effects of ligands acting through GABAA receptors. Using immunohistochemistry, the rat aortic smooth muscle layer was found to express GABAA γ2 and α1-5 subunit proteins. To confirm the role of "vascular" GABAA receptors, we investigated the vascular effects of standard benzodiazepines, midazolam, and flumazenil, as well as the novel compound MP-III-058. Using two-electrode voltage clamp electrophysiology and radioligand binding assays, MP-III-058 was found to have modest binding but substantial functional selectivity for α5β3γ2 over other αxβ3γ2 GABAA receptors. Tissue bath assays revealed comparable vasodilatory effects of MP-III-058 and midazolam, both of which at 100 µmol/L concentrations had efficacy similar to prazosin. Flumazenil exhibited weak vasoactivity per se, but significantly prevented the relaxant effects of midazolam and MP-III-058. These studies indicate the existence of functional GABAA receptors in the rat aorta, where ligands exert vasodilatory effects by positive modulation of the benzodiazepine binding site, suggesting the potential for further quest for leads with optimized pharmacokinetic properties as prospective adjuvant vasodilators.

临床实践中公认的苯二氮卓类药物和其他GABAA受体配体的降压作用似乎源于外周血管中“血管”GABAA受体的存在,以及中枢和外周神经系统中的任何机制。我们旨在进一步阐明通过GABAA受体作用的配体的血管舒张作用。应用免疫组织化学方法,发现大鼠主动脉平滑肌层表达GABAAγ2和α1-5亚基蛋白。为了证实“血管”GABAA受体的作用,我们研究了标准苯二氮卓类药物、咪达唑仑和氟马西尼以及新化合物MP-III-058的血管作用。使用双电极电压钳电生理学和放射性配体结合分析,发现MP-III-058对α5β3γ2具有适度的结合,但对其他αxβ3γ2-GABAA受体具有显著的功能选择性。组织浴分析显示,MP-III-058和咪唑安定的血管舒张作用相当,两者在100µmol/L浓度下的疗效与哌唑嗪相似。氟马西尼本身表现出较弱的血管活性,但显著阻止了咪达唑仑和MP-III-058的舒张作用。这些研究表明,大鼠主动脉中存在功能性GABAA受体,其中配体通过对苯二氮卓类结合位点的正向调节发挥血管舒张作用,这表明有可能进一步寻找具有最佳药代动力学特性的先导物作为潜在的辅助血管舒张剂。
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Canadian journal of physiology and pharmacology
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