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01 Hyp 19 4 326
01 Hyp 19 4 326
pressure in either rat strain. These results suggest that the production of acetylcholine-induced
endothelium-derived contracting factor, which is most likely prostaglandin H2, is closely associated with
the increase in blood pressure that occurs in young to adult rats. (Hypertension 1992;19-J26-332)
KEY WORDS • endothelium • endothelium-derived contracting factor • endothelium-derived
relaxing factor • prostaglandin H2 • spontaneously hypertensive rats
T he endothelium produces various vasoactive sub- The present study was designed to confirm the hy-
stances and controls vascular smooth muscle pothesis that increased production of the EDCF in-
tone. Since Furchgott and Zawadzki1 first re- duced by acetylcholine in rat aorta coincides with the
ported the presence of endothelium-derived relaxing increase in blood pressure. For this purpose, we sepa-
factor (EDRF) in 1980, many vessels were found to rately evaluated EDCF-induced contractile responses
produce EDRF in response to a variety of stimuli.2-3 and EDRF-induced relaxations in the rat thoracic aorta
The primary component of EDRF was thereafter shown under acetylcholine stimulation by inhibiting either
to be nitric oxide.4'5 It was also clarified that endotheli- EDRF or EDCF with a nitric oxide inhibitor or a
um-derived contracting factor (EDCF) is also produced
by stimulated vessels,6 and increased production of TXA 2 /PGH 2 receptor antagonist, respectively, and also
EDCF has been reported in anoxia,7 hypertension,8 and by examining changes in the production of these factors
aging.9 The nature of EDCF varies with the species and in rats of various age groups. Furthermore, we examined
the anatomical site of its production, but thromboxane whether blood pressure in rats in vivo was reduced by
A2 (TXA2),10 superoxide anion, 1112 endothelin,13 and inhibition of the EDCF production.
prostaglandin H2 (PGH2)14 have been suggested as
EDCF. The EDCF released from the rat thoracic aorta Methods
by acetylcholine stimulation is likely to be PGH2, as we Male spontaneously hypertensive rats (SHR) and
have previously suggested.14 Wistar-Kyoto (WKY) rats (Charles River Japan Inc.,
Atsugi, Japan) in 5-, 10-, 20-, and 30-week-old groups
From the Second Department of Internal Medicine, Nagoya were used. Each group consisted of rats aged 5-6,
University School of Medicine, Nagoya, Japan. 10-11, 20-22, and 30-32 weeks. Blood pressures were
Address for correspondence: Takayuki Ito, MD, The 2nd De- measured in conscious rats using the tail-cuff method.
partment of Internal Medicine, Nagoya University School of
Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 466, Japan. The rats were decapitated, the thoracic aorta was
Received October 2, 1990; accepted in revised form December excised, and the connective tissue was removed in
16, 1991. cooled Krebs-Henseleit solution with the following
Iwama et al Endothelium-Derived Contracting Factor 327
composition (mM): NaCl 118, KC1 4.7, CaCl2 2.55, L-NAME was added 30 minutes before acetylcholine
MgSO41.18, KH2PO41.18, NaHCOj 24.88, glucose 11.1, application.
EDTA Ca-2Na 0.026, and then cut into rings 5 mm in When the rings were precontracted, the relaxations
length. Two stainless steel wires were inserted into the were expressed as percentages of the contraction in-
vascular lumen, and one was connected to a force duced by 10"7 M norepinephrine, and when the rings
transducer (model TB-612T, Nihonkohden, Tokyo). were not precontracted, they were expressed as percent-
The rings were suspended in a chamber containing 30 ages of the contraction induced by 10"7 M norepineph-
ml Krebs-Henseleit solution that was bubbled with a rine in another adjacent ring from the same rat.
95% O2-5% CO2 mixture and maintained at 37°C. The
rings were incubated for 90 minutes for equilibration at Effects of a Thromboxane A2 Synthetase Inhibitor
a resting tension of 2 g with buffer exchanges every 30 Under resting tension, 10~8 to 10~5 M acetylcholine
minutes during this period. The rings were manipulated was added cumulatively 15 minutes after the treatment
carefully so as not to produce unnecessary tension or to with both 10"3 M L-NAME and 10"5 M OKY-046,18 a
damage the endothelium. The endothelium was re- TXA 2 synthetase inhibitor, and vascular responses
moved by rubbing the vascular lumen with a thin swab. were examined.
Acetylcholine (lfr7 M)-induced relaxation less than 5%
of precontraction with norepinephrine (10~7 M) was Concentrations of 6-Ketoprostaglandin Fla
considered to indicate the absence of endothelium. Only a resting tension was applied to the aortic rings
from SHR and WKY rats in the 30-week-old group, and
Precontraction of the Arteries 10"5 M acetylcholine was added 15 minutes after treat-
Contractions in response to 10"7 M norepinephrine in ment with 10~3 M L-NAME. Before the treatment with
aortic rings with and without endothelium were esti- L-NAME, immediately before the addition of acetyl-
mated by measuring the changes in tension of rings in choline and at the peak response to 10~5 M acetylcho-
each group of WKY rats and SHR. line, 0.5 ml of the solution in the chamber was collected
Contractions to norepinephrine (10~8 to 10"5 M) in and the 6-ketoprostaglandin F l a (6-keto-PGFla) con-
the rings without endothelium reached a plateau at the centration was determined by the method of Jaffe et al19
concentration of 10"5 M. Ratios of the contraction and Powell20 using a radioimmunoassay kit prepared by
New England Nuclear, Boston, Mass.
induced by 10~7 M norepinephrine to that induced by
10"5 M norepinephrine were as follows: 92.7 ±1.8% (5
weeks), 86.0±2.9% (10 weeks), 91.6±0.7% (20 weeks), Administration of a Thromboxane A2IProstaglandin H2
and 91.7±1.1% (30 weeks) in WKY rats and 94.3±1.5% Receptor Antagonist In Vivo
Downloaded from http://ahajournals.org by on November 19, 2019
(5 weeks), 86.8±2.8% (10 weeks), 90.1 ±1.6% (20 ONO-3708 is a short-acting agent in vivo,15 and
weeks), and 89.5±3.1% (30 weeks) in SHR. Since these ONO-8809 is a long-acting prodrug, which is trans-
ratios were similar, the concentration of 10"7 M norepi- formed to ONO-NT-126 in vivo (unpublished observa-
nephrine was considered an effective dose for all tissues. tion). To evaluate the effect of inhibition of EDCF
To determine the optimal resting tension, contrac- production on blood pressure, ONO-8809 (10 or 30 fig
tions to 10"7 M norepinephrine in rings without endo- per body per day) was administered to 5-week-old WKY
thelium were estimated under resting tension of 1 g, 2 g, rats and SHR for 3 weeks. The systolic blood pressures
and 3 g. Because contractions developed under these of WKY rats and SHR were measured at 5 and 8 weeks
resting tensions were similar in each age group (data not of age by the tail-cuff method in the unanesthetized
shown), resting tension of 2 g was applied to all rings. state.
TABLE 1. Changes in Systolic Blood Pressure in Each Age Group TABLE 2. Contractions to 10 7 M Norepinephrine In Rat Aortic
Rings With and Without Endothelium
Group 5 weeks 10 weeks 20 weeks 30 weeks
WKY 97±3 109±4 134±3 141±2 Group 5 weeks 10 weeks 20 weeks 30 weeks
SHR 108+3 162±3 184±4 192±3 Endothelium(+)
WKY 0.35±0.02 0.40±0.03 0.36±0.01 0.41 ±0.04
Results (mm Hg) are expressed as mean±SEM. n=6-9. WKY,
Wistar-Kyoto rats; SHR, spontaneously hypertensive rats. SHR 0.33±0.02 037±0.02 0.32±0.01 0.34±0.01
Endothelium(-)
WKY 0.63±0.04 0.69±0.05 0.64±0.04 0.62±0.02
Statistical Analysis
SHR 0J7±0.03 0.62±0.03 0.64±0.05 0.60±0.03
Results were expressed as mean±SEM. For statistical
Results (g) are expressed as mean±SEM. n=5-6. There is no
analysis, Student's t test for paired or unpaired observa- significant difference between Wistar-Kyoto (WKY) rats and
tions and the Wilcoxon test were used. The regression spontaneously hypertensive rats (SHR) with or without endothe-
line was determined by the least-squares method. Values lium in each age. There is no age-dependent change in each strain.
of /?<0.05 were considered to be significant.
Results
the presence of ONO-3708 and OKY-046, but in rings
Blood Pressure with endothelium, the contractions increased in the
The changes in systolic blood pressure of SHR and presence of L-NAME.
WKY rats in each age group are shown in Table 1.
Responses to Acetylcholine
Contractions to Norepinephrine Figure 1A shows typical responses. When acetylcho-
Contractions to 10"7 M norepinephrine in aortic rings line was added cumulatively after contraction induced
with and without endothelium are shown in Table 2. by norepinephrine, aortic rings of 30-week-old SHR
There were no age-dependent or hypertension-depen- were relaxed at acetylcholine concentrations of 10~8 to
dent changes in contractions to 10 M norepinephrine 10~7 M, but relaxations were weaker at acetylcholine
in either strain. These contractions were not affected by concentrations of 10~6 to 10~5 M. In the rings without
eiidulhelium, nu relaxations to acetylcholine were ob-
served in either SHR or WKY rats at all ages (data not
HE 10 ACh -logM shown).
In the 5-week-old group, both SHR and WKY rats
showed dose-dependent relaxations to acetylcholine,
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0N0-3708 HE 10
10"'M
8 76 5
0H0-370B 10-6H
1
IDOL
T t 10 mln
I 5 7 6 5
J 7
NNM 10" M NE 10~ H FIGURE 2. Line graphs show acetylcholine (ACh)-induced
FIGURE 1. Typical records of acetylcholine (ACh)-induced endothelium-dependent responses and the effect of ONO-3708
responses in 30-week-old spontaneously hypertensive rat aor- (10~6 M) in spontaneously hypertensive rat (SHR) and
tic rings. Panel A: Rings were contracted with 10~7 M Wistar-Kyoto (WKY) rat aortic rings (n=6 rats). ACh was
norepinephrine (NE), and ACh was cumulatively added. added cumulatively after contraction induced by 10'7 M
Panel B: W6 M ONO-3708 was added 15 minutes before norepinephrine. Relaxation was expressed as percent contrac-
contraction by NE. Panel C: 10'3 M NG-nitro~L-arginine tion induced by 10~7 M norepinephrine. Results are shown as
methyl ester (NNM, L-NAME in text) and 10~* M ONO-3708 mean±SEM. **p<0.01 between presence and absence of
were added 30 and 15 minutes, respectively, before contraction ONO-3708. t p < 0 0 5 , tfp<0.01 between SHR and WKY
byNE. rats.
Iwama et al Endothelium-Derived Contracting Factor 329
o—o i n ui-i7ii
• — • i n en-i7ii
FIGURE 3. Line graphs show effects of
A—am u t - m i + i n
A—*HT MB-I7II+III
ONO-3708 and tF-nitro-L-arginine methyl
•lUil.E ester (NNM, L-NAME in text) on acetylcho-
10W 201 301 line (ACh)-induced cndothelium-dependent
relaxation in spontaneously hypertensive rat
(SHR) and Wistar-Kyoto (WKY) rat aortic
rings (n=6). ACh was added cumulatively
after contraction induced by 10'7 M norepi-
nephrine. Relaxation was expressed as per-
cent response to contraction induced by 10~7
8 7 6 5 7 6 5 7 85 8 7 8 5 M norepincphrine. Results are shown as
ACb-logU mean±SEM.
IZZISHR
60
Pi/ml
500 50- y . 0.694 x - 60.5 r -0.976
pxO.05
400 40
TABLE 3. Contractions to 10"' M Thrombozant A] Analogue in Rat Aortic Rings Without Endothetinm in Each Age Group
Group 5 weeks 10 weeks 20 weeks 30 weeks
WKY 0.78±0.04 -i 0.90±0.04 -i 0.80±0.04 -] 0.80±0.01 -1
NS • NS NS
SHR 0.72±0.03 -1 0.72±0.03 - 1 0.73 ± 0 . 0 3 - ' 0.78±0.07 -•
Results (g) are expressed as mean±SEM. n=5. There is no age-dependent change in each strain. NS, statistically
nonsignificant.
•p<0.05 between Wistar-Kyoto (WKY) rats and spontaneously hypertensive rats (SHR) at 10 weeks.
Iwama et al Endothelium-Derived Contracting Factor 331
TABLE 4. Changes in Systolic Blood Pressure of Rats After Oral SHR is more likely to be a result than a cause of
Administration of ONO-8809 hypertension. In considering the close relation between
Dose of agent n 5 weeks 8 weeks the endothelium-dependent contraction and blood pres-
SHR
sure, it is speculated that some genetic factor may
promote the increase of both EDCF and blood pressure
ONO-8809 simultaneously. In any case, increased production of
(10 /tg/body/day) 7 110±13 149±3.7
EDCF may be a deteriorating factor in increasing blood
ONO-8809 pressure.
(30 /tg/body/day) 5 107±3.3 143 ±3.8
Recently, endothelium-dependent relaxations to ace-
Control 6 107±2.5 144±2.8
tylcholine were reported to be reduced in the arteries of
WKY patients with essential hypertension.31-32 Also, the reduc-
ONO-8809 tion in the endothelium-dependent relaxations in resist-
(10 /tg/body/day) 6 97±1.6 109±2.2 ant arteries was suggested to act as a deteriorating factor
ONO-8809 in hypertension by producing injuries in various organs.
(30 /ig/body/day) 6 98+4.0 118±8.0 The possible involvement of increased EDCF in condi-
Control 6 98±2.6 106±4.2 tions characterized by a reduction of such endothelium-
dependent relaxations needs further clarification.
Five-week-old spontaneously hypertensive rats (SHR) and In conclusion, the degree of acetylcholine-induced en-
Wistar-Kyoto (WKY) rats were orally administered ONO-8809
(once a day) for 3 weeks. Results (mm Hg) are expressed as dothelium-dependent relaxations in aortic rings was simi-
mean±SEM. n, Number of rats. lar in SHR and WKY rats at 5-30 weeks of age, but the
production of acetylcholine-induced EDCF, which is most
likely PGH2, was consistently more enhanced at younger
When EDRF was inhibited by treatment with ages in SHR than in WKY rats. These findings suggest a
L-NAME, endothelium-dependent contractile re- close relation between increased EDCF production and
sponses were observed in 10-week-old or older rats. the increase in blood pressure in young to adult rats.
Since these contractile responses were completely sup-
pressed by ONO-3708 but were not affected by a TXA2 Acknowledgment
synthetase inhibitor, OKY-046, they are most likely We thank Keiko Sakai for her secretarial assistance.
mediated by endothelium-derived PGH 2 . U These con-
tractile responses increased markedly from 5 to 10 References
weeks of age but more gradually thereafter in SHR. In 1. Furchgott RF, Zawadzki JV: The obligatory role of endothelial
WKY rats, however, they increased gradually from 5 to cells in the relaxation of arterial smooth muscle by acetylcholine.
Nature 1980;288J73-376
Downloaded from http://ahajournals.org by on November 19, 2019
20 weeks of age and were consistently smaller than in 2. Furchgott RF, Vanhoutte PM: Endothelium-derived relaxing and
SHR. The increase in the contractile responses in SHR contracting factors. FASEB J 19893:2007-2018
and WKY rats paralleled the increase in the blood 3. Peach MJ, Loeb AL, Singer HA, Saye JA: Endotheliura-derived
pressure, suggesting a relation between the increased vascular relaxing factor. Hypertension 1985;7(suppl I):I-94-I-100
production of EDCF and the increase in blood pressure. 4. Palmer RMJ, Ferrige AG, Moncada S: Nitric oxide release
accounts for the biological activity of endothelium-derived relaxing
The greater contractile responses to EDCF in SHR factor. Nature 1987^27^24-526
than in WKY aortic rings may be due to higher PGH2 5. Radomski MW, Palmer RMJ, Moncada S: Comparative pharma-
production or more marked enhancement of the re- cology of endothelium-derived relaxing factor, nitric oxide and
sponsiveness of vascular smooth muscles to PGH2 in prostacyclin in platelets. Br J Pharmacol 1987;92:181-187
6. Vanhoutte PM: Endothelium-dependent contractions in arteries
SHR. We found that there was no age-dependent change and veins. Blood Vessels 1987^4:141-144
in contractions of rings without endothelium to STA2. 7. Rubanyi GM, Vanhoutte PM: Hypoxia releases a vasoconstrictor
But in the 10-week-old group, contraction to STA2 was substance from the canine vascular endothelium. / Physiol 1985;
greater in WKY rats than in SHR, indicating that pro- 364:45-56
8. Luscher TF, Vanhoutte PM: Endothelium-dependent contractions
duction of the EDCF in 10-week-old WKY rats might be to acetylcholine in the aorta of the spontaneously hypertensive rat.
overestimated. We also found that the 6-keto-PG F l a Hypertension 1986;8:344-348
production, which is considered to be correlated with 9. Koga T, Takata Y, Kobayashi K, Takishita S, Yamashita Y,
PGH2 production,14-21 was significantly greater in SHR Fujishima M: Age and hypertension promote endothelium-
dependent contractions to acetylcholine in the aorta of the rat
than in WKY rats. It has been reported that PGI2 Hypertension 1989:14:542-548
synthetase activity was the same in vessels from SHR and 10. Shirahase H, Usui H, Kurahashi K, Fujiwara M, Fukui K: Possible
WKY rats.22 Therefore, the EDCF (PGH2) production role of endothelial thromboxane A2 in the resting tone and
may also be higher in SHR than in WKY rats. contractile responses to acetylcholine and arachidonic acid in
canine cerebral arteries. J Cardiovasc Pharmacol 1987; 1 Oil7-522
Whether the increase in EDCF is a cause or a result of
11. Vanhoutte PM, Katusic ZS: Endothelium-derived contracting fac-
hypertension is of interest, but this cannot be determined tor Endothelin and/or superoxide anion? Trends Pharmacol Sd
from our present finding alone. In hypertension, endo- 1988;9:229-230
thelial function is reported to be altered and endotheli- 12. Auch-Schwelk W, Katusic ZS, Vanhoutte PM: Thromboxane A2
um-dependent relaxations to be decreased.23"28 In addi- receptor antagonists inhibit endothelium-dependent contractions.
Hypertension 1990;15:699-703
tion, the endothelium-dependent relaxations are 13. Yanagisawa M, Kurihara H, Kimura S, Tomobe Y, Kobayashi M,
reported to be normalized by antihypertensive treat- Mitsui Y, Yazaki Y, Goto K, Masaki T: A novel potent vasocon-
ments.29-30 Moreover, the blood pressure of SHR was not strictor peptide produced by vascular endothelial cells. Nature
reduced by oral administration of ONO-8809, a novel 1988^32:411-415
14. Kato T, Iwama Y, Okumura K, Hashimoto H, Ito T, Satake T:
TXA 2 /PGH 2 receptor antagonist, which inhibits the con- Prostaglandin H2 may be the endothelium-derived contracting
traction to the EDCF (PGH2) as well as ONO-3708. factor released by acetylcholine in the aorta of the rat Hyperten-
These observations suggest that the increase in EDCF in sion 1990;15:475-481
332 Hypertension Vol 19, No 4 April 1992
15. Katsura M, Miyamoto T, Hamanaka N, Kondo K, Terada T, 24. Miller MJS, Pinto A, Mullane KM: Impaired endothelium-
Ohgald Y, Kawasaki A, Tsuboshima M: In vitro and in vivo effects dependent relaxations in rabbits subjected to aortic coarctation
of new powerful thromboxane antagonists (3-alkylamino pinane hypertension. Hypertension 1987;10:164-170
derivatives). Adv Prostaglandin Thromboxane Leukotriene Res 25. Konishi M, Su C: Role of endothelium in dilator responses of
1983;ll:351-357 spontaneously hypertensive rat arteries. Hypertension 1983;5:
16. Nakahata N, Sato K, Abe MT, Nakanishi H: ONO-NT-126 is a 881-886
potent and selective thromboxane A2 antagonist in human astro- 26. Cordellini S, Carvalho MHC, Scivoletto R, Fortes ZB, Nigro D:
cytoma ceUs. Eur J Pharmacol 1990;184:233-238 Indirect evidence for an endothelium-derived contracting factor
17. Griffith T, Randall M: Nitric oxide comes of age. Lancet 1989;2: release in aorta of deoxycorticosterone acetate-salt hypertensive
875-876 rats. J Hypertens 1990",8:53-60
18. Iizuka K, Akahane K, Momose D, Nakazawa M: Highly selective 27. Luscher TF, Vanhoutte PM: Endothelium-dependent responses to
inhibitors of thromboxane synthetase: I. Imidazole derivatives. platelets and serotonin in spontaneously hypertensive rats. Hyper-
J Med Chem 1981;24:1139-1148 tension 1986;8(suppl II):II-55-II-60
19. Jaffe BM, Behrman HR, Parker CW: Radioimmunoassay measure- 28. Tesfamariam B, HaJpern W: Endothelium-dependent and endo-
ment of prostaglandins E, A, and F in human plasma. J Clin Invest thelium-independent vasodilation in resistance arteries from
1973;52:398-405 hypertensive rats. Hypertension 1988;ll:440-444
20. Powell WS: Rapid extraction of oxygenated metabolites of arachi- 29. Lockette W, Otsuka Y, Carretero O: The loss of endothelium-
donic acid from biological samples using octadecylsilyl silica. dependent vascular relaxation in hypertension. Hypertension 1986;
Prostaglandins 1980;20:947-957 8(suppl iI):II-61-II-66
21. Ito T, Kato T, Iwama Y, Muramatsu M, Shimizu K, Asano H, 30. Luscher TF, Vanhoutte PM, Raij L: Antihypertensive treatment
Okumura K, Hashimoto H, Satake T: Prostaglandin H2 as an normalizes decreased endothelium-dependent relaxations in rats
endothelium-derived contracting factor and its interaction with with salt-induced hypertension. Hypertension 1987;9(suppl III):III-
endothelium-derived nitric oxide. J Hypcrtens 1991;9:729-736 193-III-197
22. Skidgel RA, Printz MP: Vascular PG synthesis in hypertensive and 31. Panza JA, Quyyumi AA, Brush JE, Epstein SE: Abnormal endo-
normotenstve rats, in Samuelsson B, Ramwell PW, Paoletti R thelium-dependent vascular relaxation in patients with essential
(eds): Advances in Prostaglandin and Thromboxane Research. New hypertension. N EnglJ Med 1990^323:22-27
York, Raven Press Publishers, 1980, vol 7, pp 803-805 32. Under L, Kiowski W, Buhler FR, Luscher TF: Indirect evidence
23. Luscher TF, Raij L, Vanhoutte PM: Endothelium-dependent for release of endothelium-derived relaxing factor in human fore-
vascular responses in normotensive and hypertensive Dahl rats. arm circulation in vivo: Blunted response in essential hypertension.
Hypertension 1987;9:157-163 Circulation 199O;81:1762-1767
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