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Increased Vascular Contractility in Hypertension Results From Impaired Endothelial Calcium Signaling

Hypertension. 2019 Nov;74(5):1200-1214. doi: 10.1161/HYPERTENSIONAHA.119.13791. Epub 2019 Sep 23.

Abstract

Endothelial cells line all blood vessels and are critical regulators of vascular tone. In hypertension, disruption of endothelial function alters the release of endothelial-derived vasoactive factors and results in increased vascular tone. Although the release of endothelial-derived vasodilators occurs in a Ca2+-dependent manner, little is known on how Ca2+ signaling is altered in hypertension. A key element to endothelial control of vascular tone is Ca2+ signals at specialized regions (myoendothelial projections) that connect endothelial cells and smooth muscle cells. This work describes disruption in the operation of this key Ca2+ signaling pathway in hypertension. We show that vascular reactivity to phenylephrine is increased in hypertensive (spontaneously hypertensive rat) when compared with normotensive (Wistar Kyoto) rats. Basal endothelial Ca2+ activity limits vascular contraction, but that Ca2+-dependent control is impaired in hypertension. When changes in endothelial Ca2+ levels are buffered, vascular contraction to phenylephrine increased, resulting in similar responses in normotension and hypertension. Local endothelial IP3(inositol trisphosphate)-mediated Ca2+ signals are smaller in amplitude, shorter in duration, occur less frequently, and arise from fewer sites in hypertension. Spatial control of endothelial Ca2+ signaling is also disrupted in hypertension: local Ca2+ signals occur further from myoendothelial projections in hypertension. The results demonstrate that the organization of local Ca2+ signaling circuits occurring at myoendothelial projections is disrupted in hypertension, giving rise to increased contractile responses.

Keywords: blood pressure; calcium; endothelial cells; hypertension; phenylephrine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Calcium Signaling / drug effects*
  • Calcium Signaling / physiology
  • Disease Models, Animal
  • Endothelial Cells / cytology
  • Endothelial Cells / metabolism
  • Endothelium, Vascular / metabolism*
  • Endothelium, Vascular / physiopathology
  • Hypertension / metabolism
  • Hypertension / physiopathology*
  • Male
  • Membrane Potentials / drug effects
  • Muscle, Smooth, Vascular / metabolism
  • Phenylephrine / pharmacology*
  • Random Allocation
  • Rats
  • Rats, Inbred SHR
  • Rats, Inbred WKY
  • Receptors, Calcium-Sensing / metabolism*
  • Reference Values
  • Sensitivity and Specificity
  • Vasoconstriction / drug effects
  • Vasoconstriction / physiology

Substances

  • Receptors, Calcium-Sensing
  • Phenylephrine