Abstract

BackgroundUp-regulation of vascular endothelin type B (ETB) receptors is implicated in the pathogenesis of cardiovascular disease. Culture of intact arteries has been shown to induce similar receptor alterations and has therefore been suggested as a suitable method for, ex vivo, in detail delineation of the regulation of endothelin receptors. We hypothesize that mitogen-activated kinases (MAPK) and protein kinase C (PKC) are involved in the regulation of endothelin ETB receptors in human internal mammary arteries.MethodsHuman internal mammary arteries were obtained during coronary artery bypass graft surgery and were studied before and after 24 hours of organ culture, using in vitro pharmacology, real time PCR and Western blot techniques. Sarafotoxin 6c and endothelin-1 were used to examine the endothelin ETA and ETB receptor effects, respectively. The involvement of PKC and MAPK in the endothelin receptor regulation was examined by culture in the presence of antagonists.ResultsThe endohtelin-1-induced contraction (after endothelin ETB receptor desensitization) and the endothelin ETA receptor mRNA expression levels were not altered by culture. The sarafotoxin 6c contraction, endothelin ETB receptor protein and mRNA expression levels were increased after organ culture. This increase was antagonized by; (1) PKC inhibitors (10 μM bisindolylmaleimide I and 10 μM Ro-32-0432), and (2) inhibitors of the p38, extracellular signal related kinases 1 and 2 (ERK1/2) and C-jun terminal kinase (JNK) MAPK pathways (10 μM SB203580, 10 μM PD98059 and 10 μM SP600125, respectively).ConclusionIn conclusion, PKC and MAPK seem to be involved in the up-regulation of endothelin ETB receptor expression in human internal mammary arteries. Inhibiting these intracellular signal transduction pathways may provide a future therapeutic target for hindering the development of vascular endothelin ETB receptor changes in cardiovascular disease.

Highlights

  • Up-regulation of vascular endothelin type B (ETB) receptors is implicated in the pathogenesis of cardiovascular disease

  • The endothelin-1-induced vasoconstriction was studied after desensitizing the endothelin ETB receptors with sarafotoxin 6c prior to adding endothelin-1, leaving only endothelin endothelin type A (ETA) receptors to respond

  • This study demonstrates that the protein kinase C (PKC) and mitogen activated protein kinases (MAPKs) intracellular signal transduction pathways may play a role in the regulation of endothelin ETB receptors in the human internal mammary artery

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Summary

Introduction

Up-regulation of vascular endothelin type B (ETB) receptors is implicated in the pathogenesis of cardiovascular disease. We hypothesize that mitogen-activated kinases (MAPK) and protein kinase C (PKC) are involved in the regulation of endothelin ETB receptors in human internal mammary arteries. The endothelin ETA receptors are expressed in vascular smooth muscle cells and mediate vasoconstriction. Endothelin ETB receptors on vascular smooth muscle cells have been observed to be upregulated during pathological conditions such as atherosclerosis [7], congestive heart failure [8], ischemic heart disease [9] and hypertension [10]. Endothelin receptors on vascular smooth muscle cells are both mitogenic, leading to atherosclerosis, and mediate strong vasoconstriction which may lead to elevated vascular tone frequently observed in cardiovascular disease

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