(Hypertension. 1998;32:1098-1103.)
© 1998 American Heart Association, Inc.
Scientific Contributions |
From the Institut National de la Santé et de la Recherche Médicale (INSERM) Unit 141 and Unit 127 (C.H.), IFR Circulation-Lariboisière, Université Paris VII, Hôpital Lariboisière, Paris, France.
Correspondence to Dr Bernard Levy, INSERM U 141, 41 Blvd de la Chapelle, Hôpital Lariboisière 75475 Paris cedex 10, France. E-mail levy{at}infobiogen.fr
| Abstract |
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Key Words: endothelium cyclic GMP nitric oxide synthase mesenteric arteries
| Introduction |
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In several models of hypertension, endothelium-dependent responses are altered8; the increase in peripheral resistance would be caused at least in part by a decrease in endothelium-dependent dilation and/or to increased release of endothelium-derived constricting factors.9 Endothelial dysfunction in large conduit arteries9 10 and in resistance arteries of hypertensive rats11 12 13 has also been shown. Similar alterations occur in hypertensive patients.14 15 16 Functional alterations of the endothelial L-arginine/NO pathway may be important in cardiovascular disease, since depressed activity of this dilator mechanism would reduce local blood flow.
In most experimental and clinical studies, acetylcholine (ACh) was used to test the endothelial function. However, the main in vivo physiological stimulus of endothelial responses is the wall shear stress directly related to the blood flow rate, blood viscosity, and vessel diameter.17 Interestingly, in the coronary18 and forearm19 circulations of hypertensive subjects, flow-dependent vasodilatation was reported to remain intact, although the response to ACh was abnormal. However, we have previously reported that the arterial wall cGMP content was greater in spontaneously hypertensive rats (SHR) than in normotensive Wistar Kyoto rats (WKY).20 To test the hypothesis that response to flow may be primarily decreased in hypertension, leading to compensatory mechanisms such as an increased NO/cGMP pathway responsiveness, we measured cGMP release and vessel dilation on flow or agonist stimulation in mesenteric arteries from SHR and WKY.
| Methods |
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In a first group of experiments, the isolated mesenteric arterial beds were perfused at flow rates ranging from 0.5 to 4 mL/min with Tyrode's solution containing 0.2 mmol/L IBMX. Each flow step was maintained for 6 minutes, and 2 mL of effluent was collected. The same procedure was performed 20 minutes after addition of Nw-nitro-L-arginine methyl ester (L-NAME; 1 mmol/L), an inhibitor of NO synthase (NOS), to the perfusate. Flow rates from 0.5 to 4 mL/min are compatible with the in vivo flow shown previously.21 There is no difference in blood flow between WKY and SHR.21
In a second series of experiments, we measured mesenteric arterial diameter changes and cGMP release in response to ACh or sodium nitroprusside (SNP) stimulation. After preconstriction of the mesenteric arteries with phenylephrine (PE, 10 µmol/L), ACh (n=8 in each strain, 0.1 µmol/min) or SNP (n=10 in each strain, 0.1 mmol/L) was added to the perfusate for 10 minutes. The mesenteric arterial diameter was continuously measured. Samples of effluent were collected under control conditions or after a 10-minute perfusion with ACh (n=8 per strain, 0.1 µmol/min) or SNP (n=10 per strain, 0.1 mmol/L).
In a third group of experiments, the mesenteric vascular bed was perfused with Tyrode's solution at a constant flow (500 µL/min) and then dissected and removed from the gut for measurement of constitutive NOS (cNOS) activity (21 SHR and 21 WKY) and for determination of NOS mRNA expression (5 SHR and 5 WKY).
Mesenteric Artery Perfused and Pressurized In Vitro
A segment of mesenteric artery,
400 µm ID, was
isolated, cannulated at both ends, and mounted in a video-monitored
perfusion system as previously described.22 23
Briefly, the artery was bathed in a 5-mL organ bath containing
Tyrode's solution. Pressure in the proximal end of the artery segment
was monitored by use of a pressure transducer and controlled by a
servoperfusion system. Arterial diameter was recorded
by use of a video-monitoring system (Living System Instrumentation
Inc). Diameter changes were measured under no flow, when intraluminal
pressure was set at 25, 50, 75, 100, 125, and 150 mm Hg. Flow
rate in the artery ranged from 0 to 150 µL/min (under a pressure of
75 mm Hg). Step increases in pressure and flow were subsequently
repeated after addition of either L-NAME (10 µmol/L) or
indomethacin (3 µmol/L) to the perfusate
and superfusate. Arteries were then perfused and superfused
with Ca2+-free PSS containing EGTA (2
mmol/L) and SNP (10 µmol/L) to determine the passive diameter of
the vessel after full relaxation. Results are given in
micrometers for diameters of arteries. Myogenic tone was
expressed as active tone (passive diameter-measured diameter).
Flow-induced relaxation was expressed as increases in diameter induced
by flow.
Determination of cGMP Production in Mesenteric
Vascular Bed
Samples of effluent were treated with 6% trichloroacetic acid
and centrifuged at 2000g for 15 minutes at 4°C.
Supernatant fractions were extracted 4 times with 5 volumes of
water-saturated diethyl ether; the organic phase was discarded each
time. Residual aqueous phase was lyophilized and assayed for cGMP after
acetylation by use of an immunoenzymatic assay as
previously described.24 Levels of cGMP in the
effluents were expressed as femtomoles per milliliter, and
production of cGMP by the mesenteric bed (fmol/min) was
calculated as the product of cGMP concentration and the mesenteric
flow value.
Determination of cNOS Activity in the Mesenteric Arterial
Bed
cNOS activity was determined by measuring the conversion of
[3H]L-arginine to
[3H]L-citrulline.25
Tissues were homogenized at 4°C in 500 µL of
homogeneization buffer.26 The assay was
terminated by the addition of 1 mL of 30 mmol/L HEPES and 3
mmol/L EDTA, pH 5.5 ice-cold buffer. The terminated reaction was
applied to a Dowex AG50W-X8 (Na+ form) column,
and [3H]L-citrulline was eluted
with 2 mL of distilled water. Radioactivity was measured in a liquid
scintillation counter. Ca2+-dependent NOS
activity was evaluated by the difference in activity between samples
assayed in the presence of CaCl2 and those
assayed in the presence of EDTA.
Reverse TranscriptasePolymerase Chain Reaction of NOS
Isoforms
Total RNA was extracted according to Trizol reagent protocol
(Life Technologies Inc). Purified RNA was dissolved in water, and the
concentration was measured by absorbance at 260 nm. Reverse
transcriptasepolymerase chain reaction (RT-PCR) was performed for NOS
type I, type II, and type III (NOS I, neuronal NOS; NOS II, inducible
NOS; and NOS III, endothelial NOS, respectively) and
for GAPDH gene expression. The primers chosen for sense were
5'-CTGGCTCAACAGAATACAGG-CT-3' for NOS I, 5'-AAGACCCAGTGCCCTGCTTT-3' for
NOS II, and 5'-TTCCGGCTGCCACCTGATCCTAA-3' for NOS III. For antisense,
the primers chosen were 5'-ACAGTGTACAGCTCTCTGAAGA-3' for NOS I,
5'-CGCAAACATAGAGGTGGCC-3' for NOS II, and 5'-AACATGTGTCCTTGCTCGAGGCA-3'
for NOS III, thus amplifying a 293-bp, a 388-bp, and a 340-bp fragment,
respectively. For GAPDH, the following primers were used: sense
5'-TGAAGGTCGGTGTCAACGGATTTGGC-3' and antisense
5'-CATGTAGGCCATGAGGTCCACCAC-3', resulting in a 982-bp band.
First-strand cDNA was performed on 50 ng of total RNA. The single-strand cDNA synthesis was carried out in 20 µL of reaction buffer [20 mmol/L Tris-HCl (pH 8.3), 50 mmol/L KCl, 1.6 mmol/L MgCl2, 1 mmol/L dNTP, 10 mmol/L DTT, 0.2 µmol/L oligo-p(dT)]. The reaction mixture was incubated 10 minutes at 25°C and then 60 minutes at 37°C. The resultant cDNA was amplified using 2.5 U of Taq DNA polymerase (Boehringer, Meylan, France) and 0.5 µmol/L of the sense and antisense primers in 50 µL of 50 mmol/L KCl, 10 mmol/L Tris-HCl (pH 8.3), 3 mmol/L MgCl2, 1 mmol/L dNTP, and 0.01% gelatin. Thirty-two, 26, 25, and 25 amplification cycles for NOS I, NOS II, NOS III, and GAPDH, respectively, were carried out as follows: denaturation at 94°C for 1 minute, annealing at 62°C for NOS isoforms and at 60°C for GAPDH for 1 minute, and extension at 72°C for 1 minute. The final extension was carried out for 10 minutes.
The linear phase of the amplification was determined for each primer set to allow semiquantitative PCR analysis. To quantify NOS isoforms and GAPDH mRNA levels, a trace amount of [32P]dCTP was included in the PCR reaction. The PCR products were then electrophoresed on a 5% polyacrylamide gel, and radioactive signals were analyzed by use of a computer-based imaging system (Fuji Bas 1000, Fuji Medical Systems). To normalize signals for NOS I, NOS II, and NOS III, the value was divided by the signal for GAPDH, a widely invariant and highly expressed gene.
Drugs
[3H]L-arginine (44.2
Ci/mmol) was purchased from Amersham, and Dowex AG50-X8 cation exchange
resin and protein assay reagent were obtained from Bio-Rad
Laboratories. All other reagents were obtained from Sigma Chemical
Co.
Statistical Analysis
Results are expressed as mean±SEM. The experimental design
allowed us to perform 2-way ANOVA with factorial and repeated
measurement to provide evidence of differences related to strains and
experimental conditions (flow, agonist application). Differences were
considered significant when P<0.05.
| Results |
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Flow-Induced cGMP Release
Figure 1
shows the relation between
flow rate and cGMP release in mesenteric vascular beds from SHR (n=7)
and WKY (n=11). Under control conditions, a significant linear
flow-dependent release of cGMP was observed in SHR (from 232±42
fmol/min at 0.5 mL/min to 969±271 fmol/min at 4 mL/min;
P<0.001) and in WKY (from 123±17 fmol/min at 0.5 mL/min to
627±95 fmol/min at 4 mL/min; P<0.001). Flow-dependent
release of cGMP was significantly greater in SHR than in WKY
(P<0.01). L-NAME significantly inhibited the release of
cGMP at all flow rates in both strains.
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Flow-Induced Dilation and Myogenic Tone
In isolated mesenteric arteries, step increases in intraluminal
pressure induced development of myogenic tone that was greater in SHR
than in WKY (Figure 2
). Passive
arterial diameter in the absence of tone ranged from 257±6
to 395±16 µm in WKY and from 252±2 to 368±2 µm in SHR
(P<0.01 versus WKY, n=6 per group) for pressure steps from
25 to 150 mm Hg. Step increases in flow, under a pressure of
100 mm Hg, induced significant dilation in WKY (Figure 3
). In SHR, flow-induced dilation was
significantly attenuated compared with WKY (P<0.001).
L-NAME (100 µmol/L) significantly attenuated flow-induced
dilation in WKY but not in SHR (Figure 3
).
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Agonist- or Exogenous NitrovasodilatorInduced Relaxation and cGMP
Release From Perfused Mesenteric Vascular Bed
Under control conditions (2 mL/min flow rate), cGMP release by the
mesenteric vascular bed was significantly greater in SHR than in WKY
(792±76 versus 394±44 fmol/min; P<0.001) (Figure 4
). Under stimulation by ACh, cGMP
release reached similar levels in SHR (916±126 fmol/min) and in WKY
(1062±273 fmol/min). However, the increase in cGMP release induced by
ACh was significantly less (P<0.05) in SHR (292±80
fmol/min) than in WKY (798±218 fmol/min). In parallel, relaxation to
ACh was significantly less in SHR than in WKY (43±9% versus 87±3%;
P<0.01). After SNP stimulation, cGMP release was
significantly greater in SHR than in WKY (3593±304 versus 2467±302
fmol/min; P<0.02), whereas the relaxation obtained was
similar in both strains (126±19% in SHR versus 114±3% in WKY).
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cNOS Activity in Mesenteric Arterial Bed
cNOS activity was significantly greater in SHR (85±3.5 fmol/min)
than in WKY (66±3.5 fmol/min; P<0.05), and inducible NOS
activity of the mesenteric arterial bed (citrulline
produced in absence of calcium) was not detectable in either
strain.
NOS mRNA in Mesenteric Arterial Bed
RT-PCR of NOS isoforms revealed the presence of NOS I, NOS II, and
NOS III in mesenteric arteries from SHR and WKY (Figure 5
). Expression of all 3 isoforms of NOS
was significantly greater (P<0.01) in SHR than in WKY.
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| Discussion |
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An increase in peripheral vascular resistance, thought to result from increased vasoconstrictor and/or decreased vasodilator tone, is one of the hallmarks of hypertension. Functional alterations of the endothelial L-arginine/NO pathway could contribute to regulation of peripheral resistance and, in turn, of blood pressure. Earlier experimental and clinical studies have reported endothelium dysfunctions in large arteries9 10 27 28 and in resistance arteries of hypertensive animals11 12 13 29 and patients.14 15 16
In the present study, cGMP released by the mesenteric circulation was proportional to flow rate and was completely blocked by L-NAME in both WKY and SHR. These findings support the concept that flow induces a shear stressdependent stimulation of the vascular L-arginine/NO/cGMP pathway in both strains. Flow-induced cNOS activity and cGMP release were significantly greater in SHR than in WKY despite markedly decreased flow-induced dilation in SHR. Increased cNOS activity in SHR was confirmed by increased mRNA expression of endothelial NOS. Beside endothelial NOS mRNA, neuronal NOS mRNA and inducible NOS mRNA were also increased in SHR. Together, these results are consistent with a marked increase in cGMP production in SHR after stimulation of the L-arginine/NO pathway by flow. A possible explanation could be that shear stress is greater in resistance arteries of SHR than in those of WKY because, in the present study, flow rate was set at the same value in both strains. Arterial rarefaction and narrowing have been reported in genetic hypertension30 31 and could be responsible for greater shear stress in the resistance arteries of SHR. Another possible explanation for increased cGMP production in SHR could be related to increased cNOS activity. The greater flow-induced cGMP release in SHR could be the consequence of an upregulation of the NO/cGMP pathway to compensate for an increase in vascular tone and arterial resistance observed with the development of hypertension, as shown in the present work and in previous studies.32 Another possible explanation for the increase in flow-induced cGMP production and the decrease in flow-induced dilation could be that cGMP is less efficient in SHR in inducing a smooth muscle relaxation; thus, a full relaxation may be obtained but more cGMP is required. In fact, flow may trigger not only a NO/cGMP-dependent dilation but also a release of contractile substances such as vasoconstrictor cyclooxygenase products32 and/or endothelin-1.33 Moreover, because of the presence of a phosphodiesterase inhibitor (IBMX) in the perfusate, we can conclude that the observed greater cGMP release by the mesenteric bed from SHR under stimulation by flow was the result of greater production of cGMP and not of decreased degradation of cGMP by phosphodiesterases. Our results are in agreement with our previous study reporting higher baseline (unstimulated) cGMP content in carotid arteries from SHR than from WKY.20 In the same way, overproduction of NO in vascular smooth muscle cells or coronary circulation has been previously reported in SHR.34 35
Finally, it is generally accepted that endothelium-dependent relaxation is impaired in hypertension on the basis of ACh-induced dilation as a test.9 10 15 16 In SHR, vasorelaxation and cGMP production induced by ACh were found to be reduced compared with in WKY.36 37 In the present study, ACh-induced increase in cGMP release was significantly less in SHR than in WKY. This alteration may be specific for ACh-induced stimulation, as SNP- and flow-induced cGMP release were greater in SHR than in WKY. These results are in agreement with previous studies of the mesenteric vascular bed38 and of cultured smooth muscle cells and aortic rings.39 Thus, decreased ACh-induced dilation in hypertension may reflect an alteration in affinity for muscarinic receptors.40
In conclusion, in genetically hypertensive rats, the mesenteric arterial network exhibited an overactivated endothelium-dependent L-arginine/NO/cGMP pathway associated with decreased flow-induced dilation. Although we may hypothesize that an increase in NO/cGMP activity occurred to compensate for an elevated constrictor tone, we cannot exclude that increased vascular tone and upregulation of the NO/cGMP pathway could be unrelated phenotypes of the SHR strain.
Received November 20, 1997; first decision December 11, 1997; accepted July 16, 1998.
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