线粒体ATP敏感钾通道对大鼠肺动脉平滑肌细胞低氧诱导因子-1α表达及细胞增殖的作用

本文旨在探讨线粒体ATP敏感钾（mitochondrial ATP-sensitive K＋,MitoKATP）通道对大鼠肺动脉平滑肌细胞低氧诱导因子-1α（hypoxia inducible factor-1α,HIF-1α）表达和细胞增殖的影响。原代培养大鼠肺动脉平滑肌细胞,分为常氧对照组、常氧＋diazoxide（MitoKATP通道的选择性开放剂）组、常氧＋5-hydroxydecanoate（5-HD,MitoKATP通道的选择性阻断剂）组、低氧对照组、低氧＋diazoxide组、低氧＋5-HD组,共6组,分别应用罗丹明123荧光技术检测各组大鼠肺动脉平滑肌细胞的线粒体膜电位,免疫组化检测HIF-1α的表达及酶联免疫检测仪检测细胞增殖的变化。结果显示,常氧＋ diazoxide组与常氧对照组比较,罗丹明123荧光、HIF-1α表达及细胞增殖明显增强（P〈0．05）;低氧＋diazoxide组与低氧对照组比较,罗丹明123荧光、HIF-1α表达及细胞增殖明显增强（P〈0.05）：常氧＋5-HD组与常氧对照组比较,罗丹明123荧光、HIF-1α表达、细胞增殖没有明显变化（P〉0．05）;但低氧＋5-HD组与低氧对照组比较,罗丹明123荧光明显减弱、HIF-1α表达及细胞增殖有所减弱（P〈0．05）。结果提示：MitoKATP通道的开放能引起大鼠肺动脉平滑肌细胞线粒体膜去极化,并可以促进HIF-1α的表达及细胞增殖。     

NO和HIF-1α在大鼠低氧性肺动脉高压中的作用及相互关系

目的：探讨低氧诱导因子1α（HIF-1α）在慢性低氧高二氧化碳性大鼠肺动脉高压中的变化及其与一氧化氮（NO）的关系。方法：SD大鼠40只随机分为正常对照组（NC）、低氧高二氧化碳组（HH）、低氧高二氧化碳加L-精氨酸（L-Arg）脂质体组（HP）、低氧高二氧化碳加L-硝基-精氨酸甲酯（L-NAME）组（HM）。测定平均肺动脉压（mPAP）、右室／（左室＋室间隔）重量比[RV／（LV＋S）]、血浆和肺组织匀浆一氧化氮（NO）含量。免疫组织化学和原位杂交法检测肺细小动脉HIF-1α及HIF-1αmRNA、内皮结构型一氧化氮合酶（ecNCS）蛋白及其mRNA的表达。结果：①HH组mPAP、RV／（LV＋S）高于NC组（P〈0．05）,HP组低于HH组（P〈0．01）;HM组mPAP高于HH组（P〈0．05）,RV／（LV＋S）与HH组差异无显著性。②HH组血浆及肺组织匀浆NO含量低于NC组（P〈0．01）,HP组高于HH组（P〈0．01）;HM组血浆、肺组织匀浆NO含量与HH组差异无显著性。③HH组肺细小动脉HIF-1α蛋白及HIF-1αmRNA表达高于NC组（P〈0．01）,ecNOSmRNA的表达低于NC组（P〈0．01）;HP组肺细小动脉HIF-1α蛋白及HIF-1αmRNA表达低于HH（P〈0．01）,ecNOS蛋白和ecNOSmRNA的表达高于HH组（P〈0．01）;HM组肺细小动脉HIR-1α蛋白及mRNA表达高于HH组（P〈0．05）,ecNOS蛋白和mRNA的表达低于HH组（P〈0．05）。结论：HIF-1α参与了慢性低氧高二氧化碳性大鼠肺动脉高压的形成,NO可能部分通过影响HIF-1α的表达和／或活性而实现其肺血管保护效应。     

低氧促进大鼠肺动脉平滑肌细胞Periostin表达及其信号转导机制

观察低氧对大鼠肺动脉平滑肌细胞（pulmonary artery smooth muscle cells,PASMCs）Periostin表达的影响及其相关信号转导机制。胶原酶I法原代培养PASMCs,经低氧（5％O2）分别处理PASMCs2,6,12,24h后,RT-PCR和Western blot法检测Periostin mRNA和蛋白表达。加入PI3K/Akt通路特异性抑制剂LY294002（10μmol／L）进行干预,Western blot分析比较不同条件下低氧处理24h后大鼠PASMCs中Periostin和Akt／P-Akt的蛋白表达。结果表日月,与常氧组比较,低氧处理6h组、12h组和24h纽Periostin mRNA和蛋白的表达均显著上升（P〈0．05,P〈0．01）,低氧处理后的PASMCs中Periostin mRNA和蛋白的表达逐渐升高：低氧处理2h组无显著差异（P〉0．05）。用LY294002对PASMCs处理,并低氧24h后,Periostin的表达被显著抑制（P〈0．01）,细胞P-Akt的表达下调（P〈0．05）,总Akt的蛋白表达没有明显差异（P〉0．05）。推测低氧可诱导大鼠PASMCs中Periostin mRNA和蛋白的表达上调。低氧可能通过激活P13K/Akt通路促进Akt的磷酸化,进而使Periostin在PASMCs中过表达,提示Periostin在低氧性PASMCs增殖过程中可能起着重要作用。     

RNA干扰沉默低氧诱导因子-1α对低氧下大鼠肺动脉平滑肌细胞增殖的影响

本研究应用基因克隆技术,将合成的发卡样特异性低氧诱导因子-1α（hypoxia inducible factor-1alpha,HIF-1α）干扰寡核苷酸（siRNA）序列插入真核表达载体中,构建出特异性HIF-1α基因RNA干扰（RNAi）真核表达载体。采用组织块种植法,原代培养大鼠肺动脉平滑肌细胞（pulmonary artery smooth muscle cells,PASMCs）,将构建出的特异性HIF-1αRNAi真核表达载体转染到PASMCs;分别在常氧和低氧下进行细胞培养,采用RT-PCR检测PASMCsHIF-1αmRNA表达水平,用MTT和流式细胞仪检测细胞增殖水平,探讨低氧条件下HIF-1αRNAi真核表达载体对PASMCs增殖的影响。结果表明,低氧培养48h后,正常PASMCs和转染了HIF-1αsiRNA阴性表达载体的细胞增殖显著,HIF-1αmRNA表达水平也显著升高;而转染了HIF-1αsiRNA阳性表达质粒的细胞增殖不显著,HIF-1αmRNA表达水平较低。结果提示：HIF-1αRNAi真核表达载体能显著干扰培养的PASMCsHIF-1αmRNA表达,同时抑制低氧环境下PASMCs的增殖。     

白藜芦醇通过调控HIF-1α/NOX4/ROS通路抑制低氧诱导的大鼠肺动脉平滑肌细胞氧化应激与增殖

本文旨在明确白藜芦醇对低氧诱导的肺动脉平滑肌细胞(pulmonary artery smooth muscle cells, PASMCs)氧化应激与增殖的作用及分子机制。体外分离培养原代大鼠PASMCs,采用不同浓度的白藜芦醇(10、20和40μmol/L)或NADPH氧化酶(NADPH oxidases, NOXs)抑制剂VAS2870 (10μmol/L)预处理0.5 h,然后将细胞置于常氧(21%O_2, 5%CO_2)或低氧(2%O_2, 5%CO_2)中培养24h。采用CCK-8法和增殖细胞核抗原(proliferatingcellnuclearantigen,PCNA)的表达水平检测细胞增殖,用DCFH-DA测定细胞内活性氧(reactive oxygen species, ROS)的生成,用real-time RT-PCR和Western blot检测NOX1、NOX4和低氧诱导因子-1α(hypoxia inducible factor 1α, HIF-1α)的表达水平,通过小干扰RNAs (small interference RNAs, siRNAs)特异性沉默Hif-1α和Nox4后确定相关信号通路。结果显示,白藜芦醇和VAS2870均能显著抑制低氧诱导的大鼠PASMCs细胞增殖和ROS生成,同时白藜芦醇还能有效阻止低氧诱导的HIF-1α蛋白的聚集和NOX4的表达上调,而对NOX1没有明显的影响。沉默Hif-1α或Nox4后,低氧诱导的大鼠PASMCs细胞增殖和ROS累积均显著降低,且能被白藜芦醇进一步抑制。上述结果提示,白藜芦醇可能通过阻断HIF-1α/NOX4/ROS信号通路抑制低氧诱导的大鼠PASMCs氧化应激和增殖。     

低氧诱导因子-1α在低氧促成肌细胞增殖中的作用

目的:探讨低氧对大鼠骨骼肌成肌细胞(SkMs)增殖的影响及低氧诱导因子(HIF-1α)在低氧促成肌细胞增殖中的相关机制。方法:采用流式细胞仪观察了3、10%O2对SkMs细胞数量和增殖指数的影响;用RT-PCR方法检测了HIF-1αmRNA的表达,用Western blot方法检测了SkMs胞浆、胞核及总HIF-1α蛋白的水平。结果:低氧组较常氧组细胞数量和增殖指数增加(P0.05);HIF-1αmRNA、总蛋白水平在常氧组和低氧组中没有明显差异,常氧下胞浆中HIF-1α蛋白水平高于胞核内,低氧下HIF-1α蛋白水平在胞核内高于胞浆。结论:低氧能够促进SkMs增殖,HIF-1α可能是通过氧浓度调控的核转位的方式参与了低氧促SkMs的增殖。     

5-HD对慢性低氧肺动脉高压大鼠肺动脉平滑肌PKC-α表达的作用

目的：研究线粒体ATP敏感钾通道（mitoKATP）抑制剂5-羟基癸酸盐（5-HD）对慢性低氧肺动脉高压大鼠的影响及其潜在机制。方法：雄性sD大鼠48只,随机分成4组（n=12）：①正常对照组;②慢性低氧组;③慢性低氧＋5-HD组;④慢性低氧＋Diazoxide（mitoKATP开放剂）组;除正常对照组外,其余3组置于氧舱内（氧浓度10％±0．3％）,每天低氧8h,并接受不同的干预,共4周。干预结束后右心导管法测各大鼠肺动脉压,RT-PCR和Western blot检测各组大鼠肺动脉PKC—α蛋白和mRNA的表达。结果：①慢性低氧组肺动脉压显著高于正常组（P〈0．01）,同时慢性低氧＋Diazoxide组与慢性低氧＋5．HD组肺动脉压较慢性低氧组显著减低（P〈0．01）。②慢性低氧组PKC—α蛋白及mRNA的相对表达显著高于正常组（P〈0．05）。结论：5-HD对慢性低氧肺动脉高压起保护作用,其机制可能是抑制线粒体ATP敏感钾通道。     

阿米洛利抑制NHE-1减轻低氧性肺动脉平滑肌细胞增殖

目的：研究Na^＋／H^＋交换抑制剂阿米洛利对低氧刺激的大鼠肺动脉平滑肌细胞（PASMCs）增殖的影响,以及Na^＋／H^＋交挟体-l（NHE-1）活性和表达的变化.方法：常氧（21％O2）或低氧（2％O2）条件下培养PASMCs,并分别给予浓度为1．653、3．125、6．25、12．5、25和50μmol／L．等不同浓度的阿米洛利,培养24h,采用MTT比色实验和免疫组化检测PCNA阳性细胞率的方法反映细胞增殖情况,同时采用激光共聚焦检测细胞内pH以反映Na^＋／H^＋交换体-1活性,RT—PCR法检测Na^＋／H^＋交换体-1mRNA的表达量.结果：低氧培养的PASMCs细胞内pH升高,NHE—1mRNA的表达增多,而阿米洛利可以降低细胞内pH,减少NHE—1mRNA的表达量。同时低氧较常氧培养MTT光吸收值较常氧培养明显升高。PCNA阳性细胞率明显增高,而给予阿米洛利时上述两个指标随药物浓度增加而逐渐下降。结论：低氧可以激活PASMCs细胞膜上的E—1,增加其mRNA水平表达量,使细胞内碱化,促进细胞增殖,而Na^＋／H^＋交换抑制剂阿米洛利可以抑制其活性,减少mRNA水平的表达,导致细胞内酸化,从而抑制细胞增殖,并且此抑制作用在3．125～50μmol／L．浓度范围内呈现明显的浓度依赖性。     

孕酮对新生大鼠低氧缺血性脑损伤中MMP-3表达的影响

目的：研究孕酮（PROG）对新生大鼠低氧缺血后脑内基质金属蛋白酶3（MMP-3）表达的影响。方法：建立新生大鼠低氧缺血性脑损伤动物模型,伊文思兰（EB）染色和电镜观察新生鼠低氧缺血性脑损伤血一脑屏障的通透性改变;免疫印迹（Western blot）方法检测大脑皮层MMP-3表达。结果：电镜显示低氧缺血组血-脑屏障完整性明显破坏：EB染色结果表明低氧缺血组血-脑屏障通透性明显高于假手术组,差异极显著（P〈0．01）,孕酮组血-脑屏障通透性明显低于低氧缺血组,有显著性差异（P〈0．05）;Western blot结果显示低氧缺血组MMP-3蛋白表达显著高于假手术组（P〈0．01）;孕酮组MMP-3蛋白表达显著低于低氧缺血组（P〈0．05）。结论：孕酮通过减少MMP-3的表达,降低血一脑屏障的损伤,这可能是其发挥脑保护作用的机制之一。     

低氧运动后不同恢复环境腓肠肌热休克蛋白70表达变化

目的：实验旨在观察急性间歇低氧（氧含量12．7％）跑台运动后不同恢复环境下大鼠腓肠肌热休克蛋白HSP70表达的时程变化。方法：雄性sD大鼠进行低氧环境下的急性间歇跑台运动,用Western blot方法检测低氧运动后即刻、低氧运动后低氧恢复及常氧氧恢复1d,2d,7d的大鼠腓肠肌HSP70蛋白表达水平。结果：急性间歇低氧运动后即刻HSP70蛋白表达水平开始升高。常氧恢复第1dHSP70蛋白表达水平显著高于常氧对照组,P〈0．05。第2d、第7d呈现先降低后升高的趋势;低氧恢复中HSP70蛋白表达水平均显著高于常氧对照组,P〈0．05。结论：急性间歇低氧运动后能诱导HSP70蛋白表达水平升高;低氧恢复过程中HSP70蛋白高水平表达维持的时间要比常氧恢复长。     

缺氧诱导因子-1α在缺氧预处理预防心肌细胞损伤中的作用

本工作旨在研究缺氧预处理(hypoxic preconditioning,HPC)对于心肌细胞外信号调节激酶(extracellular signal-regulated proteinkinases,ERK)活性、缺氧诱导因子-1α(hypoxia-inducible factor-1α,HIF-1α)表达的影响,及其在缺氧复氧诱导心肌细胞损伤中的作用。通过在培养的SD乳鼠心肌细胞缺氧／复氧(H／R)模型上,观察HPC对于24h后H／R诱导心肌细胞损伤的影响,以台盼蓝排斥实验检测心肌细胞存活率、以TUNEL法检测细胞凋亡、并用荧光素染料Hoechst33258测定心肌细胞凋亡率：制备心肌细胞蛋白提取物,以磷酸化的ERK1／2抗体测定ERK1／2活性,以抗HIF-1α抗体检测HIF-1α的表达,并观察ERKs的上游激酶(MEK1／2)抑制剂PD98059对于HPC诱导的ERKs磷酸化、HIF-1α表达以及心肌细胞保护作用的影响,并分析细胞损伤与ERK1／2活性、HIF-1α表达量之间的相互关系。结果 显示缺氧复氧造成心肌细胞损伤,HPC可以增加心肌细胞H／R后存活率,降低凋亡率,并激活ERKll2,诱导HIF-1α表达：细胞凋亡与ERKs活性、HIF-1α表达量之间存在负相关,即ERKs活化、HIF-1α表达与预防细胞损伤有关：而ERKs活性与HIF-1α表达量之间存在正相关,ERKs的上游激酶MEK抑制剂PD98059可以消除HPC诱导的ERKs磷酸化、HIF-1α表达和心肌细胞保护作用。由此得出的结论是HPC可以提高乳鼠心肌细胞对于H／R的耐受性,其机制涉及ERKs介导的HIF-1α表达。     

NDUFA4L2 in smooth muscle promotes vascular remodeling in hypoxic pulmonary arterial hypertension

Pulmonary arterial hypertension (PAH) is characterized by a progressive increase in pulmonary vascular resistance and obliterative pulmonary vascular remodelling (PVR). The imbalance between the proliferation and apoptosis of pulmonary artery smooth muscle cells (PASMCs) is an important cause of PVR leading to PAH. Mitochondria play a key role in the production of hypoxia-induced pulmonary hypertension (HPH). However, there are still many issues worth studying in depth. In this study, we demonstrated that NADH dehydrogenase (ubiquinone) 1 alpha subcomplex 4 like 2 (NDUFA4L2) was a proliferation factor and increased in vivo and in vitro through various molecular biology experiments. HIF-1α was an upstream target of NDUFA4L2. The plasma levels of 4-hydroxynonene (4-HNE) were increased both in PAH patients and hypoxic PAH model rats. Knockdown of NDUFA4L2 decreased the levels of malondialdehyde (MDA) and 4-HNE in human PASMCs in hypoxia. Elevated MDA and 4-HNE levels might be associated with excessive ROS generation and increased expression of 5-lipoxygenase (5-LO) in hypoxia, but this effect was blocked by siNDUFA4L2. Further research found that p38-5-LO was a downstream signalling pathway of PASMCs proliferation induced by NDUFA4L2. Up-regulated NDUFA4L2 plays a critical role in the development of HPH, which mediates ROS production and proliferation of PASMCs, suggesting NDUFA4L2 as a potential new therapeutic target for PAH.     

Partial HIF-1alpha deficiency impairs pulmonary arterial myocyte electrophysiological responses to hypoxia

Chronic hypoxia depolarizes and reduces K+ current in pulmonary arterial smooth muscle cells (PASMCs). Our laboratory previously demonstrated that hypoxia-inducible factor-1 (HIF-1) contributed to the development of hypoxic pulmonary hypertension. In this study, electrophysiological parameters were measured in PASMCs isolated from intrapulmonary arteries of mice with one null allele at the Hif1a locus encoding HIF-1alpha [Hif1a(+/-)] and from their wild-type [Hif1a(+/+)] littermates after 3 wk in air or 10% O2. Hematocrit and right ventricular wall and left ventricle plus septum weights were measured. Capacitance, K+ current, and membrane potential were measured with whole cell patch clamp. Similar to our laboratory's previous results, hypoxia-induced right ventricular hypertrophy and polycythemia were blunted in Hif1a(+/-) mice. Hypoxia increased PASMC capacitance in Hif1a(+/+) mice but not in Hif1a(+/-) mice. Chronic hypoxia depolarized and reduced K+ current density in PASMCs from Hif1a(+/+) mice. In PASMCs from hypoxic Hif1a(+/-) mice, no reduction in K+ current density was observed, and depolarization was significantly blunted. Thus partial deficiency of HIF-1alpha is sufficient to impair hypoxia-induced depolarization, reduction of K+ current density, and PASMC hypertrophy.     

红细胞生成素3‘端增强子在肺动脉平滑肌细胞代氧性增殖调控中的作用

用噻唑蓝比色法（ＭＴＴ法）、Ｈ＾３－胸腺嘧啶核苷（Ｈ＾３－ＴｄＲ）掺入法和流式细胞术,观察红细胞生成素（ＥＰＯ）３’端增强子片段对培养的猪肺动脉平滑肌细胞（ＰＡＳＭＣｓ）的内皮依赖性和非内皮依赖性低氧性增殖的影响。结果为：（１）低氧２４ｈ后ＰＡＳＭＣｓ明显增殖,转入野生型ＥＰＯ３’端增强子片段可被抑制,而转入突变型片段无此作用;（２）肺动脉内皮细胞（ＰＡＥＣｓ）低氧２４ｈ,其条件培养液有明显的促Ｐ     

Hypoxia inducible factor-1 alpha correlates the expression of heme oxygenase 1 gene in pulmonary arteries of rat with hypoxia-induced pulmonary hypertension

AbstractTo test the hypothesis that hypoxia inducible factor-1 alpha (HIF-1α）up-regulated theexpression of heme oxygenase-1 (HO-1) gene in pulmonary arteries of rats with hypoxia-induced pulmonaryhypertension, 8 male Wistar rats in each of 5 groups were exposed to hypoxia for 0, 3, 7, 14 or 21 d, respectively.Mean pulmonary arterial pressure (mPAP), vessel morphometry and right ventricle hypertrophy index weremeasured. Lungs were inflation fixed for immunohistochemistry, in situ hybridization; frozen for latermeasurement of HO-1 enzyme activity, mPAP increased significantly after 7 d of hypoxia [(18.4 ± 0.4)mmHg, P<0.05], reaching its peak after 14 d of hypoxia, then remained stable. Pulmonary artery remodeling became to develop significantly after 14 d of hypoxia. HIF-1αprotein in control was poorly positive (0.05 ±0.01), but was up-regulated in pulmonary arterial tunica intima of all hypoxic rats. In pulmonary arterialtunica media, the levels of HIF-la protein were markedly up-regulated after 3 d and 7 d of hypoxia(0.20±0.02; 0.22 ± 0.02, P<0.05), then declined after 14 d and 21 d of hypoxia. HIF-mRNA stainingwas poorly positive in control, hypoxia for 3 and 7 d, but enhanced significantly after 14 d of hypoxia(0.20±0.02, P<0.05), then remained stable. HO-1 protein increased after 7 d of hypoxia (0.10±0.01,P<0.05), reaching its peak after 14 d of hypoxia (0.21 0.02, P<0.05), then remained stable. HO-1 mRNA increased after 3 d of hypoxia, reaching its peak after 7 d of hypoxia (0.17 ± 0.01, P<0.05), then declined.Linear correlation analysis showed that HIF-lα mRNA, HO-1 protein and mPAP were associatedwith pulmonary remodeling. HIF-1 α protein (tunica intima) was conversely correlated with HIF-1α mRNA(r=0.921, P<0.01), HO-1 protein was conversely correlated with HIF-1α protein (tunica intima)(r=0.821, P<0.01 ). HIF-1αand HO-1 were both involved in the pathogenesis of hypoxia-induced pulmonaryhypertension in rat. Hypoxia inducible factor-1 alpha correlated the expression of heme oxygenase 1 genein pulmonary arteries of rat with hypoxia-induced pulmonary hypertension.     

Regulation of S100A4 expression via the JAK2-STAT3 pathway in rhomboid-phenotype pulmonary arterial smooth muscle cells exposure to hypoxia

To investigate the effect of JAKs-STATs signal pathway on expression of S100A4 in pulmonary arterial smooth muscle cells (PASMCs), the action of S100A4 and hypoxia induced factor 1 (HIF-1) on the proliferation of hypoxic PASMCs. The results showed that S100A4 immunostaining was localized in the cytoplasm and nuclei of PASMCs exposure to hypoxia and it was predominantly expressed in rhomboid cells (R-SMCs). The mRNA and protein levels of S100A4 expression increased in PASMCs after hypoxic stimulus for 4, 8, 16 h. The immunofluorescence intensity and protein levels of S100A4 were suppressed, and the number of R-SMCs was reduced, when pretreatment with HIF-1α siRNA, STAT3 siRNA, S100A4 siRNA, and S100A4 inhibitor NSC 95397. Pretreatment with HIF-1α siRNA and anti-IL-6 antibodies, the levels of phospho-JAK2, -STAT3, and S100A4 were decreased, while HIF-1α kept stable in hypoxic cells. Importantly, pretreatment with HIF-1α siRNA, anti-IL-6 antibodies, STAT3 siRNA, and S100A4 siRNA, significantly attenuated the proliferation of PASMCs exposure to hypoxia. These data demonstrate that S100A4 is predominantly expressed in hypoxic R-SMCs, and regulated by the activation of JAK2-STAT3 signal pathway, which is dependent on hypoxia-induced HIF-1α expression. These results suggest that JAK2-STAT3 and HIF-1α could serve as targets for the regulation of phenotype modulation of PASMCs during the process of pulmonary vessel lesions.