Bradykinin B2 receptor knockout mice are protected from thrombosis by increased nitric oxide and prostacyclin

Bradykinin B2 receptor knockout mice are protected from thrombosis by increased nitric oxide and prostacyclin
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DOI:
10.1182/blood-2006-01-0094
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发表时间:
2006-07-01
期刊:
影响因子:
20.3
通讯作者:
Schmaier, Alvin H.
Schmaier, Alvin H.
中科院分区:
医学1区
文献类型:
--
作者:
Shariat-Madar, Zia;Mahdi, Fakhri;Schmaier, Alvin H.

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缓激肽(BK)从内皮细胞释放一氧化氮、前列环素和组织纤溶酶原激活物。我们假设BK B2受体敲除(KO)小鼠(BKB 2 R(-/-))具有增加的血栓形成风险。奇怪的是,BKB 2 R(-/-)小鼠的出血时间较长,颈动脉血栓形成延迟,为78 +/- 6.7分钟,而对照组为31 +/- 2.7分钟。探索血栓形成保护机制。在BKB 2 R(-/-)血浆凝血,纤溶和抗凝蛋白是正常的,除了增加前激肽释放酶和减少因子XI。BKB 2 R(-/-)小鼠具有升高的BK 1-5(160 +/- 75 fmol/mL,对照组中为44 +/- 29 fmol/mL)和血管紧张素11(182 +/- 41 pg/mL,对照组中为49 +/- 7 pg/mL)。雷米普利治疗可缩短血管闭塞时间。BKB 2 R(-/-)小鼠的血浆6-酮-PGF(1 α)(666 +/- 232 ng/mL,对照组为23 +/- 5.3 ng/mL)和血清硝酸盐(61 +/- 5.3 μ M,对照组为24 +/- 1.8 μ M)升高。用L-NAME(W-单甲基-L-精氨酸酯)或尼美舒利治疗可缩短血栓形成时间。BKB 2 R-/-小鼠血管紧张素受体2(AT(2)R)mRNA和蛋白表达增加。用AT(2)R拮抗剂PD 123 319治疗,使血栓形成时间和硝酸盐和6-酮-PGF 1 α正常化。BKB 2 R(-/-)小鼠的长出血时间也可以用L-NAME和尼美舒利治疗来纠正。在BKB 2 R(-/-)小鼠中,血管紧张素11与过度表达的AT(2)R结合,通过升高一氧化氮和前列环素促进血栓保护作用。这些研究表明通过血浆激肽释放酶/激肽和肾素血管紧张素系统降低血栓形成风险的途径。
Bradykinin (BK) liberates nitric oxide, prostacyclin, and tissue plasminogen activator from endothelial cells. We hypothesized that BK B2 receptor knockout (KO) mice (BKB2R(-/-)) have increased thrombosis risk. Paradoxically, the BKB2R(-/-) mice have long bleeding times and delayed carotid artery thrombosis, 78 +/- 6.7 minutes, versus 31 +/- 2.7 minutes in controls. The mechanism(s) for thrombosis protection was sought. In BKB2R(-/-) plasma coagulation, fibrinolysis and anticoagulant proteins are normal except for an increased prekallikrein and decreased factor XI. BKB2R(-/-) mice have elevated BK 1-5 (160 +/- 75 fmol/mL, vs 44 +/- 29 fmol/mL in controls) and angiotensin 11 (182 +/- 41 pg/mL, vs 49 +/- 7 pg/mL in controls). Ramipril treatment shortens vessel occlusion time. BKB2R(-/-) mice have elevated plasma 6-keto-PGF(1 alpha) (666 +/- 232 ng/mL, vs 23 +/- 5.3 ng/mL in controls) and serum nitrate (61 +/- 5.3 mu M, vs 24 +/- 1.8 mu M in controls). Treatment with L-NAME (W-monomethyl-L-arginine ester) or nimesulide shortens the thrombosis time. BKB2R-/- mice have increased angiotensin receptor 2 (AT(2)R) mRNA and protein expression. Treatment with an AT(2)R antagonist, PD123 319, normalizes the thrombosis time and nitrate and 6-keto-PGF1 alpha. The long bleeding times in BKB2R(-/-) mice also correct with L-NAME and nimesulide therapy. In BKB2R(-/-) mice, angiotensin 11 binding to an overexpressed AT(2)R promotes thromboprotection by elevating nitric oxide and prostacyclin. These investigations indicate a pathway for thrombosis risk reduction via the plasma kallikrein/ kinin and renin angiotensin systems.