(Hypertension. 1995;25:449-452.)
© 1995 American Heart Association, Inc.
Articles |
From the Departments of Internal Medicine and Pharmacology (T.N., R.K.), Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Correspondence to Toshio Nakaki, MD, PhD, Department of Pharmacology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160 Japan.
| Abstract |
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Key Words: endothelin-1 mechanoreception Ca2+ channel stretch pressure nitric oxide
| Introduction |
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| Methods |
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Cells
Human umbilical vein endothelial cells (HUVEC) were prepared
from human umbilical cord veins according to the method described by
Jaffe et al, with some minor modifications.9 The study
protocol was previously approved by the ethics committee of the Keio
University Hospital. HUVEC were cultured on collagen-coated 24-well
plates in M199 medium supplemented with 10% FCS, 30 µg/mL
endothelial cell growth supplement, and 6 U/mL heparin at 37°C under
5% CO2 in air. Cells harvested between passages 3 and 5
were used for the experiments. At the end of each experiment, the
24-well plates were washed with Hanks' solution, and HUVEC were
detached with 1% trypsin-EDTA. An aliquot of the suspension was
counted to obtain the cell number with a Hemacytometer (Kayagaki Co).
The result presented is an average of four fields. Cells were
seeded with 2x104 cells per well, and the number of cells
did not change over the course of experiments.
Pressure-Loading Apparatus
A pressure-loading apparatus was set up as previously
reported9 10 11 with some modification. Collagen-coated
24-well plates were placed in a film panel flask by peeling off the
upper plastic film, and the flask was then tightly resealed. The flasks
were tightly clamped between two iron plates, and the top of each flask
was sealed with a rubber cap. The rubber cap was pierced by a needle
connected to tubing attached to a three-way rotary valve, a
sphygmomanometer, and a pressure valve. Compressed helium gas was
pumped in to raise the internal pressure. Cell number was calculated at
the end of each experiment, but there were no significant changes among
experiments. Cell viability determined by trypan blue exclusion test at
the end of the studies exceeded 90% in each experiment. Lactate
dehydrogenase enzymatic activity was examined in some experiments, but
no significant changes were found.
Assay of ET-1
Confluent cells were incubated for 2 to 8 hours in 1 mL
serum-free medium containing various kinds of drugs or vehicle under
various pressures. After incubation, the medium was collected in tubes
and stored at -80°C until assay. The concentration of ET-1 was
measured with a sandwich-enzyme immunoassay kit (IBL 17121, Immuno Bio
Laboratory),12 which detects only intact, active protein
of ET-1.
Assay of NO
HUVEC were incubated for 8 hours in serum-free medium at
atmospheric pressure and at 80 mm Hg. After incubation, the medium was
collected and stored at -20°C until assay. NO production was
evaluated by measurement of the stable end products of NO,
NO2-, and NO3-
with the Griess reaction, as described previously.13
Statistical Analysis
Results are expressed as mean±SEM. The statistical significance
of the results was evaluated with ANOVA, and probability values were
determined by Student's t test.
| Results |
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Role of Voltage-Dependent Ca2+ Channel and
Stretch-Activated Channel in Pressure-Induced ET-1 Increase
HUVEC were pretreated with a voltage-dependent
Ca2+ channel blocker, nifedipine, and an inhibitor
of stretch-activated channels, gadolinium, and then pressurized for 8
hours at 80 mm Hg. The level of ET-1 in the medium was determined.
Each pressure-induced ET-1 increase was defined by subtraction of
values obtained at 0 mm Hg from those with applied pressure.
Nifedipine showed no effect on the pressure-induced ET-1 increase (Fig 3). Gadolinium, in the 1 to 10 µmol/L range,
reportedly produces dose-dependent inhibition of stretch-activated
current14 15 and stretch-induced
arrythmias.16 We initially applied a 10-µmol
concentration, but this caused cell death in just over half the HUVEC
at 80 mm Hg. Therefore, we used 1 or 3 µmol/L. Neither of these
concentrations affected the pressure-induced ET-1 increase (Fig 3).
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Role of Phospholipase C and Protein Kinase C in Pressure-Induced
ET-1 Increase
To clarify the contribution of phospholipase C in the
pressure-induced ET-1 increase, HUVEC were pretreated with NCDC and
then pressurized for 8 hours at 80 mm Hg. Pretreatment with NCDC
significantly inhibited the pressure-induced ET-1 increase at 80 mm Hg
(Fig 4). Furthermore, to investigate the contribution of
protein kinase C in this pressure-induced ET-1 increase, HUVEC were
pretreated with protein kinase C inhibitor. Pretreatment with H-7
significantly inhibited the pressure-induced ET-1 increase at 80 mm Hg
compared with an equimolar amount of the nonspecific protein kinase
inhibitor HA1004. Chelerythrine chloride (0.6 µmol/L), a selective
protein kinase C inhibitor, also significantly inhibited the
pressure-induced ET-1 increase.
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Role of NO in Pressure-Induced ET-1 Increase
To investigate the contribution of NO in pressure-induced NO
release, NO and ET-1 release were measured simultaneously both under
atmospheric conditions and after 80 mm Hg for 8 hours. Basal NO
release was significantly inhibited by pressurization at 80 mm Hg (Fig 5A). Although pretreatment with NMMA virtually abolished
NO release under atmospheric conditions and at 80 mm Hg, it had no
effect on ET-1 release under either condition (Fig 5B).
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| Discussion |
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Although confluent HUVEC attached to a solid plate can be subjected to pure pressure with minimal participation of pressure-induced stretch, we cannot completely exclude the possibility that pressure-induced stretch occurred. To clarify the contribution of stretch in pressure-induced ET-1 release, HUVEC were pretreated with gadolinium, a putative blocker of stretch-activated channels that has a calcium channel blocking effect. Gadolinium (1 to 3 µmol/L) had no effect at either dose used. Agonist-mediated stimulation of ET-1 release has been shown to be mediated by increased intracellular calcium and activation of protein kinase C pathways.20 21 To test the possibility that pressure-induced ET-1 release is mediated by Ca2+ channel modulation, HUVEC were also pretreated with a calcium channel blocker before being pressurized. We were unable to demonstrate any inhibition of pressure-induced ET-1 release with nifedipine. These results clearly show that the pressure-induced ET-1 increase is mediated by neither stretch-activated channels nor voltage-dependent Ca2+ channels and that the pressure produced with our method is different from stretch.
We recently demonstrated that pressure causes phosphoinositide turnover in vascular smooth muscle cells.10 11 In addition, shear stressinduced ET-1 release has been reported to be regulated by protein kinase C.8 We have hypothesized that pressure-induced ET-1 release is regulated by a pressure-induced phosphoinositide turnover and activation of protein kinase C. NCDC, a serine esterase inhibitor, has a well-defined specificity for the active site of phospholipase C and inhibits phosphoinositide-specific phospholipase C.22 NCDC significantly inhibited pressure-induced ET-1 release. The Ki of H-7 for protein kinase G, A, and C are 5.8, 3.0, and 6.0 µmol/L, respectively. The Ki of HA1004 for protein kinase G, A, and C are 1.3, 2.3, and 40 µmol/L, respectively. The pressure-induced ET-1 increase was significantly inhibited by 30 µmol/L of H-7 but not by HA1004. Chelerythrine chloride, a selective protein kinase C inhibitor, significantly inhibited pressure-induced ET-1 release at 80 mm Hg but could not completely inhibit pressure-induced ET-1 release. These results show that the pressure-induced ET-1 increase may be mediated partially by the activation of phospholipase C and protein kinase C. The possibility of mediation by another pathway, however, such as activation of tyrosine kinase11 cannot be ruled out.
NO released during stimulation with thrombin has been reported not only to antagonize the effect of ET-1 but also to inhibit the agonist-stimulated production of ET-1 in endothelial cells.23 To investigate the role of NO in pressure-induced ET-1 release, HUVEC were pressurized at 80 mm Hg for 8 hours, and NO and ET-1 release was measured simultaneously. Basal NO production was significantly inhibited by pressure, as in the case of histamine-stimulated NO release.9 Pretreatment with NMMA, an NO synthase inhibitor, virtually abolished NO release both under atmospheric conditions and at 80 mm Hg but had no effect on ET-1 release under either condition. These results indicate that the pressure-induced ET-1 increase is not secondarily enhanced by reduced production of basal NO. The basal level of NO may be too low to inhibit ET-1 release, possibly accounting for the fact that NO inhibition has no effect on ET-1 release. Recently, Marsden et al24 reported that an AP-2like element25 exists in human endothelial NO synthase gene. Taken together, these results suggest that a pressure-induced ET-1 increase may be attributable partially to activation of protein kinase C and that basal NO release declines after inactivation of NO synthase owing to protein kinase C activation.
In the hypertensive state, the endothelial layer is exposed to mechanical stresses such as shear stress, stretch, and pressure. Pressure has been reported to cause cell proliferation17 18 and to modulate prostacyclin synthesis17 in endothelial cells. The pressure-mediated pathway, however, has been poorly understood. Although the contribution of a protease,26 which inactivates ET-1, to the pressure-induced ET-1 increase cannot be ruled out, our results show for the first time that pressure enhances ET-1 release by partially activating phospholipase C and protein kinase C rather than by activating calcium- and stretch-activated channels. These results support the concept that not only shear stress and stretch but also pressure, as a mechanical stress, play an important role in regulating endothelial function.
| Acknowledgments |
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Received May 24, 1994; first decision July 22, 1994; accepted November 29, 1994.
| References |
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