α-水芹烯通过NO-sGC-cGMP通路保护低氧性肺动脉高压大鼠的右心室结构和功能
α-Phellandrene attenuates the right ventricular structure and function in HPH rats via the NO-sGC-cGMP pathway
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摘要: 右心室(right ventricular, RV) 功能障碍是肺动脉高压患者预后的关键因素。低氧刺激能够引起肺血管收缩和心肌损伤效应, 加速肺动脉高压患者RV重构的过程。前期, 本课题组利用体外血管环实验发现α-水芹烯(α-phellandrene, PE) 具有舒张血管的药效, 但其对低氧诱导的大鼠RV结构和功能影响及调控机制尚未阐明。基于此, 本研究通过构建低氧性肺动脉高压(hypoxia-induced pulmonary arterial hypertension, HPH) 大鼠模型, 利用小动物超声检测系统、组织形态学分析及Western blot等方法系统评估PE对HPH大鼠RV多尺度病理改变的干预效果, 最后利用H9C2细胞研究PE对一氧化氮(nitric oxide, NO)-可溶性鸟苷酸环化酶(soluble guanylyl cyclase, sGC)-环磷酸鸟苷(cyclic guanosine phosphate, cGMP) 信号通路的调控机制。结果显示, 与模型组相比, PE增加了HPH大鼠三尖瓣环收缩期位移、肺动脉加速时间、RV面积变化分数和RV射血分数的水平, 有效改善RV收缩功能; 同时降低舒张期RV游离壁厚度及内径, 缓解低氧诱导的RV重构。与模型组相比, PE显著降低了HPH大鼠的平均肺动脉压力和RV肥厚指数的水平。组织形态学分析显示, PE降低RV胶原沉积及纤维化标志物α-平滑肌肌动蛋白、Ⅰ型胶原蛋白和Ⅲ型胶原蛋白的水平。分子机制研究发现, PE通过上调大鼠RV组织和H9C2细胞中内皮型一氧化氮合酶表达、增加NO生物利用度, 激活sGC-cGMP信号轴, 进而减少低氧性氧化损伤并降低纤维化水平。本研究揭示了PE能通过调控NO-sGC-cGMP信号通路降低低氧导致的RV氧化损伤和纤维化水平, 改善低氧性RV重构和功能障碍, 为开发RV靶向的HPH治疗策略提供实验依据。本研究经青海大学实验动物伦理审查委员会批准(批准号: PJ-202302-01)。Abstract: Right ventricular (RV) dysfunction is a pivotal prognostic determinant in patients with pulmonary arterial hypertension (PAH). Hypoxic stimulation induces hypoxic pulmonary vasoconstriction (HPV) and exerts cardiotoxic effects, thereby accelerating RV remodeling in PAH. Previous in vitro vascular ring experiments demonstrated that α-phellandrene (PE) exhibits vasodilatory effects, but its impact on hypoxia-induced RV structural and functional alterations and underlying mechanisms remain unclear. To address this, we established a hypoxia-induced pulmonary arterial hypertension (HPH) rats model and comprehensively evaluated the therapeutic effects of PE on multi-scale RV pathological remodeling through echocardiography, histomorphometric analyses, and Western blot. Additionally, the molecular mechanisms underlying PE-mediated modulation of the nitric oxide (NO)-soluble guanylyl cyclase (sGC)-cyclic guanosine monophosphate (cGMP) signaling pathway were investigated using H9C2 cardiomyocytes. Results demonstrated that compared with the model group, PE treatment significantly improved RV systolic function in HPH rats, as evidenced by increased tricuspid annular plane systolic excursion, pulmonary artery acceleration time, fractional area change, and RV ejection fraction. Concurrently, PE reduced RV free wall thickness in diastole and RV inner diameter, effectively attenuating hypoxia-induced RV remodeling. PE administration also markedly decreased mean pulmonary artery pressure and RV hypertrophy index compared to the model group. Histomorphological analysis demonstrated that PE treatment significantly reduced collagen deposition in RV tissues and downregulated expression of fibrotic markers, including α-smooth muscle actin, collagen Ⅰ and collagen Ⅲ. Mechanistic investigations revealed that PE upregulated endothelial nitric oxide synthase expression in both rats RV tissues and H9C2 cardiomyocytes, enhanced NO bioavailability, and activated sGC- cGMP signaling axis. These molecular effects collectively ameliorated hypoxia-induced oxidative damage and attenuated fibrotic progression. This study reveals that PE ameliorates hypoxia-induced RV remodeling and dysfunction by modulating the NO-sGC-cGMP signaling pathway to reduce oxidative damage and fibrotic remodeling in hypoxic conditions. These findings provide experimental evidence for developing RV-targeted therapeutic strategies against HPH. All animal experiments were approved by the Institutional Animal Care and Use Committee of Qinghai University (approval No: PJ-202302-01).
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