A small molecule inhibitor of the chloride channel TMEM16A blocks vascular smooth muscle contraction and lowers blood pressure in spontaneously hypertensive rats.

A small molecule inhibitor of the chloride channel TMEM16A blocks vascular smooth muscle contraction and lowers blood pressure in spontaneously hypertensive rats.
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DOI:
10.1016/j.kint.2021.03.025
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发表时间:
2021-08
影响因子:
19.6
通讯作者:
Verkman AS
Verkman AS
中科院分区:
医学1区
文献类型:
--
作者:
Cil O;Chen X;Askew Page HR;Baldwin SN;Jordan MC;Myat Thwe P;Anderson MO;Haggie PM;Greenwood IA;Roos KP;Verkman AS

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高血压是心血管疾病发病率和死亡率的主要原因,尽管抗高血压药物具有不同的靶点和作用机制。在这里,我们提供的证据表明,药理学抑制TMEM 16 A(ANO 1),在血管平滑肌细胞中表达的钙激活氯离子通道,阻断钙激活氯离子电流和收缩血管平滑肌在体外,并降低血压在自发性高血压大鼠。在表达TMEM 16 A的Fischer大鼠甲状腺细胞和大鼠血管平滑肌细胞的原代培养物中,酰基氨基环烷基噻吩TMh-23以纳摩尔效力完全抑制钙激活的TMEM 16 A氯电流。TMh-23降低了野生型和自发性高血压大鼠肠系膜阻力动脉中血栓烷模拟物U46619引起的血管收缩,在自发性高血压大鼠中具有更大的抑制作用。通过尾袖和遥测测量的血压显示,在自发性高血压大鼠中,在单剂量的TMh-23后,收缩压降低高达45-mmHg,持续4 - 6小时。在用TMh-23处理的野生型大鼠或小鼠中观察到对血压的最小影响。用TMh-23每天两次治疗自发性高血压大鼠5天,使每日平均收缩压和舒张压持续降低20-25 mmHg。TMh-23的作用是可逆的,在治疗停止后三天,自发性高血压大鼠的血压恢复到基线水平。因此,我们的研究提供了TMEM 16 A作为抗高血压治疗靶点的验证,并证明了TMh-23作为具有新作用机制的抗高血压药的功效。
Hypertension is a major cause of cardiovascular morbidity and mortality, despite the availability of antihypertensive drugs with different targets and mechanisms of action. Here, we provide evidence that pharmacological inhibition of TMEM16A (ANO1), a calcium-activated chloride channel expressed in vascular smooth muscle cells, blocks calcium-activated chloride currents and contraction in vascular smooth muscle in vitro and decreases blood pressure in spontaneously hypertensive rats. The acylaminocycloalkylthiophene TMinh-23 fully inhibited calcium-activated TMEM16A chloride current with nanomolar potency in Fischer rat thyroid cells expressing TMEM16A, and in primary cultures of rat vascular smooth muscle cells. TMinh-23 reduced vasoconstriction caused by the thromboxane mimetic U46619 in mesenteric resistance arteries of wild-type and spontaneously hypertensive rats, with a greater inhibition in spontaneously hypertensive rats. Blood pressure measurements by tail-cuff and telemetry showed up to a 45-mmHg reduction in systolic blood pressure lasting for four-six hours in spontaneously hypertensive rats after a single dose of TMinh-23. A minimal effect on blood pressure was seen in wild-type rats or mice treated with TMinh-23. Five-day twice daily treatment of spontaneously hypertensive rats with TMinh-23 produced sustained reductions of 20–25 mmHg in daily mean systolic and diastolic blood pressure. TMinh-23 action was reversible, with blood pressure returning to baseline in spontaneously hypertensive rats by three days after treatment discontinuation. Thus, our studies provide validation for TMEM16A as a target for antihypertensive therapy and demonstrate the efficacy of TMinh-23 as an antihypertensive with a novel mechanism of action.
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