Depletion of circulating blood NOS3 increases severity of myocardial infarction and left ventricular dysfunction.

Depletion of circulating blood NOS3 increases severity of myocardial infarction and left ventricular dysfunction.
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循环血液NOS3的耗竭会增加心肌梗塞的严重程度和左心室功能障碍。

DOI:
10.1007/s00395-013-0398-1
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发表时间:
2014-01
影响因子:
9.5
通讯作者:
Kelm M
Kelm M
中科院分区:
医学1区
文献类型:
--
作者:
Merx MW;Gorressen S;van de Sandt AM;Cortese-Krott MM;Ohlig J;Stern M;Rassaf T;Gödecke A;Gladwin MT;Kelm M

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内皮型一氧化氮合酶3(endothelial NO synthase,NOS 3)的一氧化氮(Nitric oxide,NO)在心肌缺血/再灌注损伤中起重要作用。循环血细胞的亚群,包括红细胞(RBC),携带NOS 3,有助于血压调节和RBC亚硝酸盐/硝酸盐形成。我们假设循环血液中的NOS 3也调节疾病模型中心肌梗死的严重程度。我们将野生型和NOS 3 −/−小鼠的骨髓与野生型小鼠交叉移植,产生仅在血管内皮(BC−/EC+)或血细胞和血管内皮(BC+/EC+)中表达NOS 3的嵌合体。在60分钟的闭胸冠状动脉闭塞24小时再灌注后,心脏功能,梗死面积(IS),NOx水平,红细胞NO形成,红细胞变形性和血管反应性进行了评估。在基线时,BC−/EC+嵌合体的血浆中亚硝酸盐水平较低(BC−/EC+:2.13 ± 0.27 μM vs. BC+/EC+ 3.17 ± 0.29 μM; *p < 0.05),降低RBC内的IFN-γ相关荧光(BC−/EC+:538.4 ± 12.8平均荧光强度(MFI)vs. BC+/EC+:619.6 ± 6.9 MFI; *p < 0.001)和受损的红细胞变形能力(BC-/EC+:0.33 ± 0.01伸长指数(EI)vs. BC+/EC+:0.36 ± 0.06 EI; *p < 0.05),而血管反应性未受影响。风险区域没有差异,但BC−/EC+组的梗死面积更大(BC−/EC+:26 ± 3%; BC+/EC+:14 ± 2%; **p < 0.01),导致射血分数降低(BC−/EC+ 46 ± 2% vs. BC+/EC+:52 ± 2%; *p < 0.05)和收缩末期容积增加。NOS抑制剂S-乙基异硫脲氢溴酸盐的应用与BC+/EC+小鼠的较大梗死面积相关,而BC−/EC+小鼠的梗死面积未受影响。减少梗死面积,保存心脏功能,红细胞中的NO水平和红细胞变形性表明循环NOS 3在嵌合小鼠心肌I/R急性模型中的调节作用。本文的在线版本(doi:10.1007/s 00395 -013-0398-1)包含补充材料,可供授权用户使用。
Nitric oxide (NO) derived from endothelial NO synthase (NOS3) plays a central role in myocardial ischemia/reperfusion (I/R)-injury. Subsets of circulating blood cells, including red blood cells (RBCs), carry a NOS3 and contribute to blood pressure regulation and RBC nitrite/nitrate formation. We hypothesized that the circulating blood born NOS3 also modulates the severity of myocardial infarction in disease models. We cross-transplanted bone marrow in wild-type and NOS3−/− mice with wild-type mice, producing chimeras expressing NOS3 only in vascular endothelium (BC−/EC+) or in both blood cells and vascular endothelium (BC+/EC+). After 60-min closed-chest coronary occlusion followed by 24 h reperfusion, cardiac function, infarct size (IS), NOx levels, RBCs NO formation, RBC deformability, and vascular reactivity were assessed. At baseline, BC−/EC+ chimera had lower nitrite levels in blood plasma (BC−/EC+: 2.13 ± 0.27 μM vs. BC+/EC+ 3.17 ± 0.29 μM; *p < 0.05), reduced DAF FM associated fluorescence within RBCs (BC−/EC+: 538.4 ± 12.8 mean fluorescence intensity (MFI) vs. BC+/EC+: 619.6 ± 6.9 MFI; ***p < 0.001) and impaired erythrocyte deformability (BC−/EC+: 0.33 ± 0.01 elongation index (EI) vs. BC+/EC+: 0.36 ± 0.06 EI; *p < 0.05), while vascular reactivity remained unaffected. Area at risk did not differ, but infarct size was higher in BC−/EC+ (BC−/EC+: 26 ± 3 %; BC+/EC+: 14 ± 2 %; **p < 0.01), resulting in decreased ejection fraction (BC−/EC+ 46 ± 2 % vs. BC+/EC+: 52 ± 2 %; *p < 0.05) and increased end-systolic volume. Application of the NOS inhibitor S-ethylisothiourea hydrobromide was associated with larger infarct size in BC+/EC+, whereas infarct size in BC−/EC+ mice remained unaffected. Reduced infarct size, preserved cardiac function, NO levels in RBC and RBC deformability suggest a modulating role of circulating NOS3 in an acute model of myocardial I/R in chimeric mice. The online version of this article (doi:10.1007/s00395-013-0398-1) contains supplementary material, which is available to authorized users.
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影响因子: 9.5
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期刊: NATURE MEDICINE
影响因子: 82.9
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