(Hypertension. 2000;35:1242.)
© 2000 American Heart Association, Inc.
Scientific Contributions |
From the Departments of Obstetrics/Gynecology and Physiology, Perinatal Research Centre, University of Alberta, Edmonton, Canada.
Correspondence to Sandra T. Davidge, PhD, 232 Heritage Medical Research Centre, Perinatal Research Centre, University of Alberta, Edmonton, Canada, T6G 2S2. E-mail sandra.davidge{at}ualberta.ca
| Abstract |
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Key Words: prostaglandins vasculature aging nitric oxide endothelium
| Introduction |
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The endothelium contributes to the regulation of vessel
tone by releasing vasodilators and vasoconstrictors8 that
modulate both physiological and
pathophysiological processes. The nitric oxide
synthase (NOS) and prostaglandin H synthase (PGHS) pathways
are of particular importance because they have a substantial influence
on vessel function and are affected by the processes of
aging.7 9 10 11 12 Indeed, there is an imbalance in which
PGHS-dependent vasoconstriction becomes much more prominent with age
and results in significantly greater vessel tone.7 9 10 11 12
Reactive oxidative species13 14 and
cytokines15 16 are both age-related factors
capable of increasing expression of the inducible PGHS isoform
(PGHS-2), through activation of the transcription factor nuclear
factor-
B.17 18 Similarly, conditions of elevated
oxidative stress favor the reaction between superoxide anions and NO,
thereby consuming the vasodilator NO.19 20
We have previously shown that aging increases the level of oxidative stress as well as enhances PGHS-dependent vasoconstriction.12 However, the differential modulation of vessel function by PGHS-1 versus PGHS-2 has not been determined. Given the age-associated increase in PGHS-2inducing factors such as reactive oxidative species1 2 and cytokines21 22 23 as well as predominance of PGHS-2 in conditions such as Alzheimers disease24 and arthritis,25 we hypothesized that the PGHS-2 isoform contributes to increased vessel tone in aging. Moreover, determining the effect of PGHS-2 on vascular function in aging could lead to the clinical use of newly developed, specific PGHS-2 inhibitors. Therefore, the goals of this study were to further characterize the changes in vascular function during aging; specifically, the modulation of vascular function by the NOS and PGHS pathways were determined.
| Methods |
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Experimental Design
Mesenteric arteries averaging 250 µm in diameter were
mounted in an isometric myograph system. Four separate baths were used
to study arterial segments simultaneously.
Cumulative doses of phenylephrine (1 to 50 µmol/L)
were administered to measure sensitivity and determine the dose that
would give a 50% constriction (EC50) for each
individual artery. The EC50 of
phenylephrine was used to constrict arteries to achieve a
baseline from which subsequent relaxation responses were measured.
After completion of each dose-response curve, a 30-minute recovery
period was allowed, during which the baths were changed every 10
minutes with fresh HEPES-buffered physiological
saline solution (sodium chloride 142, potassium chloride 4.7, magnesium
sulfate 1.17, calcium chloride 1.56, potassium phosphate 1.18, HEPES
10, and glucose 5.5 mmol/L, pH 7.4). The studies performed
involving the absence and presence of inhibitors were
conducted sequentially on the same artery. Vessels were preincubated
with inhibitors for 15 minutes before methacholine
dose-response curves (1 nmol/L to 1 µmol/L).
Methacholine relaxation curves were generated in the absence or presence of the NOS inhibitor NG-monomethyl-L-arginine (L-NMMA, 250 µmol/L) to determine a role for NO in the responses. To verify the pharmacological inhibition of the NOS pathway, dose-response curves to L-NMMA (3 µmol/L to 30 mmol/L) were performed in arteries preconstricted to 10% of their maximum response to phenylephrine. Sequential doses of L-NMMA were then applied to the vessels, and the level of constriction in response to each dose of inhibitor was recorded. Maximum vessel constriction was reached at concentrations of L-NMMA below that used experimentally, suggesting that NOS activity was optimally inhibited. As well, the effect of the PGHS inhibitor meclofenamate (10 µmol/L), PGHS-1 inhibitor valeryl salicylate (3 mmol/L), PGHS-2 inhibitor NS-398 (10 µmol/L), and thromboxane A2 (TXA2)/prostaglandin H2 (PGH2) receptor antagonist SQ-29548 (1 µmol/L) on methacholine-induced relaxation were measured.
Vascular smooth muscle sensitivity to the exogenous NO donor sodium nitroprusside (SNP) (1 nmol/L to 1 µmol/L), TXA2 mimetic U-46619 (1 nmol/L to 0.1 µmol/L), and phenylephrine were also measured. For these dose-response curves, arteries from the same rats were denuded of endothelium. Endothelium removal was done mechanically by threading a human hair through the lumen of the artery. Confirmation of complete endothelium removal was assessed pharmacologically with a single dose of 1 µmol/L methacholine.
The reproducibility of repeating curves for these experiments was determined in a preliminary set of experiments designed to test for tachyphylaxis. As previously described,26 Western immunoblotting was performed for PGHS-1 and PGHS-2 with primary monoclonal antibodies (mouse antiPGHS-1 and antiPGHS-2; Cayman Chemical Co).
Data Analysis
The data from the dose-response curves were fitted to the Hill
equation, from which a straight line was generated by linear
least-squares regression analysis. The
EC50 was determined from this line and expressed
as the geometric mean±SE. Comparison between groups was done by a
2-way ANOVA. Post hoc analysis for comparison between groups
was performed with the use of a Tukey test. Differences among means
were considered significant at P<0.05.
Western immunoblot bands from young and aged vessels were analyzed with t tests. Differences among means were considered significant at P<0.05.
| Results |
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PGHS inhibitors were used to determine the role of the prostaglandin pathway with respect to the altered vascular responses in the aged group. The PGHS inhibitor meclofenamate significantly enhanced relaxation of intact vessels in the aged group but had no effect on the young (Figure 2A). In the presence of meclofenamate, there was no difference between the 2 groups. To determine which isoform was predominantly responsible for the augmented vasoconstriction in the aged group, specific PGHS-1 and PGHS-2 inhibitors were used. Valeryl salicylate, a PGHS-1 inhibitor, did not affect vessel relaxation in either group (Figure 2B). Conversely, the PGHS-2 inhibitor NS-398 greatly enhanced relaxation in the aged group and restored vessel function to that of the young group, which was not influenced by the inhibitor (Figure 2C). To elucidate the identity of the vasoconstrictive eicosanoid(s) in the aged group, the TXA2/PGH2 receptor antagonist SQ-29548 was applied to the baths. Similar to PGHS inhibition, the receptor blocker did not affect relaxation in the young group (Figure 2D). However, inhibiting the receptor in the aged group enhanced relaxation in a manner similar to PGHS-2 inhibition (Figure 2D).
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The role of NO in methacholine-induced relaxation in intact vessels was determined by inhibiting the NOS pathway with L-NMMA. Inhibiting NO production in the young group significantly blunted the relaxation response but did not prevent vessels from reaching maximal relaxation (Figure 3). In contrast, NOS inhibition did not affect relaxation to methacholine in the aged group (Figure 3), suggesting that NO was not mediating this relaxation response.
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Smooth muscle sensitivity was assessed in endothelium-denuded vessels. Complete removal of the endothelium was confirmed by the absence of vessel response to methacholine. A TXA2 receptor agonist and exogenous NO donor were applied to endothelium-denuded vessels to determine whether or not smooth muscle sensitivity was partially responsible for the differential responses of vessels in the 2 groups. There was no difference in sensitivity or maximum responses between the young and aged vessels when a dose-response curve to the thromboxane mimetic U-46619 was measured (Figure 4A). As well, endothelium-denuded vessels in the 2 groups responded similarly to SNP (Figure 4B).
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To provide insight into the cellular mechanisms determining vessel function, protein expression was measured in mesenteric arteries. As expected on the basis of the functional data, there was no significant difference in PGHS-1 protein expression in the young and aged group (arbitrary units=339±74 versus 429±14). In agreement with the functional results, PGHS-2 protein expression in the mesenteric arteries was significantly higher in the aged group compared with the young group (Figure 5).
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| Discussion |
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It is also interesting to note that in the mesenteric vascular bed, the PGHS pathway does not appear to have a vasodilatory role when stimulated with methacholine. If significant amounts of prostacyclin were present in mesenteric arteries of young rats, relaxation would have been suppressed when PGHS was inhibited. However, inhibiting PGHS activity in young rats had no effect on relaxation. Konishi et al27 also observed a lack of PGHS-dependent vasorelaxation in rat mesenteric arteries.
Functional differences between young and aged vessels could be a consequence of both endothelial cell product formation and vascular smooth muscle sensitivity. However, our data suggest that the functional changes were the result of altered endothelial metabolism rather than changes in smooth muscle responsiveness. There was no difference in smooth muscle sensitivity to exogenous NO, because SNP induced similar relaxation in both groups. Hence, the smooth muscle in vessels from young and aged rats is equally sensitive to NO-induced relaxation. Moreover, the thromboxane mimetic U-46619 induced vessel constriction to a similar degree in young and aged vessels. Therefore, the enhanced vessel tone associated with the aged group is not due to increased PGH2/TXA2 receptor responsiveness.
The present study clearly demonstrates a
vasoconstrictive influence of PGHS-2 products on
vascular function during aging. Similar to the data of Dewitt et
al,28 who found that the concentration of PGHS is
20
times greater in the aortic endothelium than in the
smooth muscle, our data suggest that the endothelium is
the primary source of PGHS-2. Young and aged vessels responded
similarly to the smooth muscle agonist phenylephrine. As
well, methacholine did not affect vessel tone in
endothelium-denuded vessels. Thus, it appears that
stimulation of the endothelium is necessary to induce
the age-associated increase in vessel tone. In agreement with the
functional work, our preliminary immunohistochemistry data on aortic
rings from the same animals indicated that PGHS-2 protein expression,
localized in the endothelium, significantly increased
with age.
Western immunoblot data suggest that increased PGHS-2 protein mass in mesenteric arteries contributes to the enhanced vasoconstriction in aging, whereas PGHS-1 protein mass did not change with age. There is a variety of potential mechanisms for the augmented role of PGHS-2dependent vasoconstriction. For instance, both cytokines and oxidative stress become more prominent with age21 22 23 and are capable of increasing PGHS-2 expression.15 16 29 Therefore, further studies delineating these factors are necessary.
As well, we found that the role of NO in methacholine-induced relaxation decreases with age. When the NOS inhibitor L-NMMA was added to the vessel baths, relaxation was significantly blunted in the young group; suggesting that NO plays a dominant role in relaxing these vessels. Conversely, NOS inhibition did not affect relaxation to methacholine in the aged group. Thus, other factors appear to be responsible for relaxing small arteries in aging. Endothelium-derived hyperpolarizing factor has been shown to be a dominant regulator of relaxation in microvessels.30 31 However, past studies have reported that endothelium-derived hyperpolarizing factor is more prominent in young than in aged rats.32 Nonetheless, our observation of decreased NO-mediated relaxation in mesenteric arteries during aging is in agreement with Cernadas et al,10 who suggest that eNOS-mediated relaxation decreases with age in the aorta.
In summary, NO-dependent modulation of vessel function decreased with age, PGHS-1 did not significantly affect vessel tone in either the young or aged group, and PGHS-2 greatly increased vasoconstriction in aging. Thus, we have identified enhanced PGHS-2mediated vasoconstriction in aging and therefore suggest that inhibition of this isoform is potentially a new target for therapeutic intervention to improve vascular function.
| Acknowledgments |
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Received October 20, 1999; first decision November 16, 1999; accepted January 13, 2000.
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