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(Hypertension. 2001;37:609.)
© 2001 American Heart Association, Inc.
Scientific Contributions |
From the Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Correspondence to Koji Fujii, MD, PhD, Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan. E-mail fujii{at}intmed2.med.kyushu-u.ac.jp
| Abstract |
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Key Words: receptors, adrenergic membrane potentials hyperpolarization hypertension, genetic rats, spontaneously hypertensive
| Introduction |
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-adrenoceptormediated
depolarization.4 In view of
the importance of membrane potential as a determinant of smooth muscle
tone,5
ß-adrenoceptormediated hyperpolarization may
play an important role in the control of vascular tone. ß-Adrenoceptormediated relaxation is impaired in arteries from hypertensive rats,6 7 8 9 10 11 and in some models, such an abnormality has been shown to precede the development of hypertension.6 7 On the other hand, information is limited regarding ß-adrenoceptormediated hyperpolarization in hypertension. To the best of our knowledge, the only previous report on this topic, made by Stekiel et al,1 demonstrated that in situ hyperpolarization to isoproterenol is impaired in arterioles from reduced renal mass hypertensive rats. It is unclear, however, whether such an abnormality occurs merely as a result of high blood pressure or rather could play a causal role in the development of hypertension, particularly in the case of genetic hypertension.
The present study, using a conventional microelectrode technique, tested the hypothesis that ß-adrenoceptormediated arterial hyperpolarization may be defective before the development of hypertension in spontaneously hypertensive rats (SHR), a genetic model of hypertension, and subsequently attempted to elucidate the underlying mechanisms of the impairment.
| Methods |
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Recording of Membrane
Potentials
The arteries were placed in an experimental chamber
(capacity, 2 mL). Tissues were carefully pinned to a rubber bed fixed
at the bottom of the chamber, and superfused with Krebs solution
(36°C) bubbled with 95% O2/5%
CO2 (pH 7.3 to 7.4) at a rate of 3 mL/min. After
an equilibration of
60 minutes, the membrane potentials of vascular
smooth muscle cells were recorded with conventional glass capillary
microelectrodes filled with 3 mol/L KCl, with tip resistances of 50 to
80 M
.2 4
Microelectrodes were impaled into smooth muscle cells from the
adventitial side. Criteria for successful impalement included the
following: an abrupt drop in voltage on penetration of the
microelectrode into the vascular smooth muscle cell, a stable membrane
potential for
2 minutes, and a sharp return to zero potential on
withdrawal of the electrode. Electrical signals were amplified through
an amplifier (MEZ-7200, Nihon Koden), monitored on an oscilloscope
(VC-11, Nihon Koden), and recorded with a pen recorder
(RJG-4002, Nihon Koden).
Solutions and Drugs
The following drugs were used: isoproterenol
hydrochloride, forskolin, cholera toxin (all from Sigma Chemical
Co), and levcromakalim (kindly provided by Smith-Kline Beecham
Pharmaceuticals). Forskolin was dissolved in 9.95% dimethyl sulfoxide.
Levcromakalim was dissolved in ethanol. The other drugs were dissolved
in distilled water. All drugs were further diluted
1000x in the
Krebs solution to give the final chamber
concentrations.
Statistical Analysis
Data are expressed as mean±SEM; n refers to the
number of animals examined. The concentration-response curves of
hyperpolarization were analyzed by 2-way
ANOVA followed by Scheffés test for multiple comparisons. The
concentrations of agonists causing half-maximal responses
(EC50 value) were calculated with a nonlinear
regression analysis. The EC50 values
were expressed as the negative logarithm of the molar concentration
(pD2 values). Other variables were
analyzed by 2-way ANOVA followed by Scheffés test for
multiple comparisons or unpaired Students
t test. A level of
P<0.05 was considered
statistically significant.
| Results |
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Representative tracings and a summary of the data of isoproterenol-induced hyperpolarization in the mesenteric resistance arteries are shown in Figure 1. Isoproterenol hyperpolarized the membrane in a concentration-dependent manner in both strains. However, the amplitude of isoproterenol-induced hyperpolarization was significantly smaller in 5-week-old SHR than in age-matched WKY (P<0.05 by 2-way ANOVA; n=9 in each group), although pD2 values did not differ between the 2 strains (pD2 values: SHR, 7.5±0.2; WKY, 8.0±0.2; P=NS; maximal hyperpolarization: SHR, -8.2±0.5; WKY, -10.1±0.6 mV; P<0.05) (Figure 1). Hyperpolarization to cholera toxin, a direct activator of Gs protein,12 was also significantly smaller in SHR than in WKY (10-6 g/mL: -2.1±0.9 versus -4.5±0.6 mV; P<0.05; n=6 in each) (Figure 2). On the other hand, hyperpolarization to forskolin, a direct activator of adenylate cyclase,13 was comparable between the 2 groups (Figure 3). Hyperpolarization to levcromakalim, a direct activator of KATP,14 also did not differ between the 2 groups (Figure 4).
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| Discussion |
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Impaired Isoproterenol-Induced
Hyperpolarization in Prehypertensive SHR
Stekiel et
al1 showed that
isoproterenol-induced hyperpolarization in situ was
markedly reduced in cremaster muscle arterioles from reduced renal mass
hypertensive rats, suggesting that the ß-adrenoceptormediated
hyperpolarization may be impaired at the
established stage of hypertension. The present findings show that
the ß-adrenoceptormediated arterial
hyperpolarization is defective in prehypertensive
SHR, indicating that the impairment of ß-adrenergic
hyperpolarization may not merely occur as a
consequence of hypertension but could play a causal role in the
development of genetic hypertension.
This parallels the case of ß-adrenoceptormediated arterial relaxation in SHR, which has been shown to be impaired not only at the established stage of hypertension9 10 11 but also at the prehypertensive stage. Fujimoto et al6 7 and Cheng et al8 showed that ß-agonistinduced relaxation is impaired in conduit arteries, such as femoral arteries, superior mesenteric arteries, and aortae, from prehypertensive SHR. Our study, however, is distinct from these previous studies in that we compared electrical responses, (ie, isoproterenol-induced hyperpolarization) and that we focused on mesenteric resistance arteries, which are thought to play a pivotal role in determining total peripheral resistance in rats.
Underlying Mechanisms of the Impaired
ß-AdrenoceptorMediated Hyperpolarization in
Prehypertensive SHR
As mentioned previously, isoproterenol-induced
hyperpolarization in the rat mesenteric arteries is
likely to be achieved through the following signaling cascade:
ß-adrenoceptors/Gs/adenylate
cyclase/KATP.1 2 3
Although endothelium-derived nitric oxide has been
suggested to account in part for ß-adrenoceptormediated relaxation
in certain blood vessels,15
isoproterenol appears to act directly on smooth muscle cells to elicit
hyperpolarization in the rat mesenteric
arteries.2 4 In the
present study, hyperpolarization to forskolin,
a direct activator of adenylate
cyclase,13 and to
levcromakalim, a direct opener of
KATP,14 did not differ
between prehypertensive SHR and age-matched WKY, suggesting that the
main defect responsible for the impaired ß-adrenoceptormediated
hyperpolarization in prehypertensive SHR may lie
upstream of adenylate cyclase.
Recently, increased activity of G-proteincoupled receptor kinase, which phosphorylates and downregulates G-proteinlinked receptors, has been documented in lymphocytes from hypertensive subjects.16 However, the present findings that hyperpolarization to cholera toxin, a direct activator of Gs, as well as ß-agonistinduced responses, was reduced in prehypertensive SHR may favor the defect at the Gs protein site rather than the alteration of ß-adrenoceptors per se. The ß-adrenoceptor density has also been reported to be unchanged in the mesenteric vascular bed of SHR.11
Stekiel et al1 suggested that the impaired isoproterenol-induced hyperpolarization in arterioles from reduced renal mass hypertensive rats may be due to a defect at the Gs proteinadenylate cyclase coupling step, because hyperpolarization to cholera toxin was markedly impaired whereas that to forskolin was preserved. It has also been suggested that the reduced function of Gs protein may be responsible mainly for the impaired ß-agonistinduced relaxation in femoral, superior mesenteric, renal, and carotid arteries from 13-week-old SHR compared with age-matched WKY,9 10 because relaxation to norepinephrine and cholera toxin, but not to forskolin, was attenuated. The present findings are largely in agreement with the findings in these studies1 9 10 and demonstrates for the first time the possibility that function of Gs protein, involved in ß-adrenergic hyperpolarization, may be defective in resistance arteries before the development of hypertension in genetically hypertensive rats.
Gs protein levels of vascular smooth muscle cells of SHR have been reported to be unchanged both before17 18 and after the development of hypertension.19 20 Tissue levels of inhibitory guanine nucleotide binding protein, which inhibits the Gs protein function, have been reported to be either increased17 18 or unchanged21 in SHR. The precise mechanism of impaired function of Gs protein in prehypertensive SHR is unclear from the present findings alone and remains to be determined by further investigation.
Pathophysiological
Implications
ß-Adrenergic hyperpolarization
may contribute to the sympathetic control of membrane potential by
opposing
-adrenergic depolarization in the rat mesenteric resistance
arteries.2 4 The
resting membrane potentials in this study are rather negative, and the
magnitude of the hyperpolarizations that occur in
response to ß-agonists is relatively small. However, if the membrane
potentials were measured in situ, the resting membrane potentials would
be much less negative because of neuronal and hormonal
influences1 and possibly the
influence of a higher pressure in the vessel. As a result, the
hyperpolarizations that occur in vivo should have a
much greater effect on vessel tone, because the less negative membrane
potential occurring in vivo should be in the range at which
voltage-gated Ca2+ channels are
activated. Therefore, any hyperpolarization
that occurs should have a substantial effect on vessel tone, presumably
a greater relaxation in the normotensive animals and less relaxation in
the SHR.
Notably, several recent studies have demonstrated that activation of KATP is involved in ß-agonistinduced vasodilatation.22 23 24 Defective ß-adrenoceptormediated hyperpolarization might therefore permit enhanced contractile responses to sympathetic nerve stimulation in vascular smooth muscle, possibly leading to an increase in total peripheral resistance.
Impairment of ß-adrenergic responses has been documented not only in patients with hypertension25 but also in certain population with higher prevalence of essential hypertension.26 Gs protein function may also be reduced in hypertensive subjects.27 Furthermore, genetic variants of the ß2-adrenoceptor gene have been suggested to be associated with high blood pressure.28 29 These findings imply possible involvement of the altered ß-adrenergic system in the pathogenesis of essential hypertension.
In conclusion, ß-adrenoceptormediated hyperpolarization is impaired in the mesenteric resistance arteries from prehypertensive SHR presumably as a result of a defect at the level of Gs protein. It remains to be determined whether the reduced ß-adrenergic hyperpolarization leads to an increase in peripheral resistance, thereby contributing to the development of hypertension.
| Acknowledgments |
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Received October 25, 2000; first decision December 8, 2000; accepted December 8, 2000.
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