ATHEROSCLEROSIS / CLINICAL RESEARCH
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Uric acid (UA) is the end product of the metabolism of purine compounds. There is overwhelming evidence linking hyperuricaemia (high levels of UA) and cerebrovascular diseases, but the effect of high levels of UA on cerebral vessels is not fully understood. The aim of this research is to clarify how UA affects the endothelin (ET) receptor in rat cerebral arteries and the related mechanism.

Material and methods:
In an in vitro setting, segments of rat cerebral arteries (n = 12) were exposed to high levels of UA, either alone or in conjunction with MAPK pathway inhibitors. ET agonists were used to induce contractions that were then measured with a myograph. ET receptor expression was measured using RT-PCR (n = 6), western blot (n = 3), or immunohistochemistry (n = 3) to quantify mRNA and protein levels.

Results:
The study revealed that high levels of UA notably increase ETA and ETB receptor-induced contractions and boosted the expression of ET receptors in cerebral arteries when compared to fresh or cultured alone, suggesting that UA enhances ETA and ETB receptors. Additionally, the up-regulation of ETB receptors induced by UA was inhibited by the p38 inhibitor SB203580, the JNK inhibitor SP600125, and the ERK1/2 inhibitor U0126. SB203580 significantly blocked the increase in ETA receptor-mediated contractions induced by UA and the upregulation of ETA receptor. Neither SP600125 nor U0126 had such an effect.

Conclusions:
High levels of UA stimulate the up-regulation of ET receptors in rat cerebral arteries in vitro through MAPK pathways. This study may offer novel perspectives on hyperuricaemia-associated cerebrovascular diseases.

 
REFERENCES (29)
1.
Yu W, Cheng JD. Uric acid and cardiovascular disease: an update from molecular mechanism to clinical perspective. Front Pharmacol 2020; 11: 582680.
 
2.
Hao Y, Li H, Cao Y, et al. Uricase and horseradish peroxidase hybrid CaHPO(4) nanoflower integrated with transcutaneous patches for treatment of hyperuricemia. J Biomed Nanotechnol 2019; 15: 951-65.
 
3.
Padda J, Khalid K, Padda S, et al. Hyperuricemia and its association with ischemic stroke. Cureus 2021; 13: e18172.
 
4.
Weir CJ, Muir SW, Walters MR, Lees KR. Serum urate as an independent predictor of poor outcome and future vascular events after acute stroke. Stroke 2003; 34: 1951-6.
 
5.
Zhu HY, Zhao SZ, Zhang ML, et al. Elevated serum uric acid increases the risk of ischemic stroke recurrence and its inflammatory mechanism in older adults. Front Aging Neurosci 2022; 14: 822350.
 
6.
Johansson S, Povlsen GK, Edvinsson L. Expressional changes in cerebrovascular receptors after experimental transient forebrain ischemia. PLoS One 2012; 7: e41852.
 
7.
Houde M, Desbiens L, D’Orleans-Juste P. Endothelin-1: biosynthesis, signaling and vasoreactivity. Adv Pharmacol 2016; 77: 143-75.
 
8.
Schneider MP, Boesen EI, Pollock DM. Contrasting actions of endothelin ET(A) and ET(B) receptors in cardiovascular disease. Annu Rev Pharmacol Toxicol 2007; 47: 731-59.
 
9.
Huang B, Zhang W, Wei L, Chen S, Wang T, Fu R. Resveratrol down-regulates endothelin type B receptors in vascular smooth muscle cells via Sirt1/ERK1/2/NF-small ka, CyrillicB signaling pathways. Eur J Pharmacol 2018; 840: 44-9.
 
10.
Shoemaker LN, Haigh KM, Kuczmarski AV, et al. ET(B) receptor-mediated vasodilation is regulated by estradiol in young women. Am J Physiol Heart Circ Physiol 2021; 321: H592-8.
 
11.
Bhalla S, Leonard MG, Briyal S, Gulati A. Distinct alteration in brain endothelin A and B receptor characteristics following focal cerebral ischemia in rats. Drug Res (Stuttg) 2016; 66: 189-95.
 
12.
Pernow J, Bohm F, Johansson BL, Hedin U, Ryden L. Enhanced vasoconstrictor response to endothelin-B-receptor stimulation in patients with atherosclerosis. J Cardiovasc Pharmacol 2000; 36: S418-20.
 
13.
Bohm F, Ahlborg G, Johansson BL, Hansson LO, Pernow J. Combined endothelin receptor blockade evokes enhanced vasodilatation in patients with atherosclerosis. Arterioscler Thromb Vasc Biol 2002; 22: 674-9.
 
14.
Nilsson D, Wackenfors A, Gustafsson L, et al. Increased ET(A) and ET(B) receptor contraction in the left internal mammary artery from patients with hypertension. J Hum Hypertens 2008; 22: 226-9.
 
15.
Povlsen GK, Johansson SE, Larsen CC, Samraj AK, Edvinsson L. Early events triggering delayed vasoconstrictor receptor upregulation and cerebral ischemia after subarachnoid hemorrhage. BMC Neurosci 2013; 14: 34.
 
16.
Touzani O, Galbraith S, Siegl P, McCulloch J. Endothelin-B receptors in cerebral resistance arterioles and their functional significance after focal cerebral ischemia in cats. J Cereb Blood Flow Metab 1997; 17: 1157-65.
 
17.
Stenman E, Malmsjo M, Uddman E, Gido G, Wieloch T, Edvinsson L. Cerebral ischemia upregulates vascular endothelin ET(B) receptors in rat. Stroke 2002; 33: 2311-6.
 
18.
Henriksson M, Stenman E, Vikman P, Edvinsson L. Protein kinase C inhibition attenuates vascular ETB receptor upregulation and decreases brain damage after cerebral ischemia in rat. BMC Neurosci 2007; 8: 7.
 
19.
Brakch N, Abdel-Sayed S, Allemandou F, et al. Renal endothelin receptor type B upregulation in rats with low or high renin hypertension. J Hypertens 2004; 22: 1797-803.
 
20.
Dai X, Galligan JJ, Watts SW, Fink GD, Kreulen DL. Increased O2*- production and upregulation of ETB receptors by sympathetic neurons in DOCA-salt hypertensive rats. Hypertension 2004; 43: 1048-54.
 
21.
Mirabito Colafella KM, Neves KB, Montezano AC, et al. Selective ETA vs. dual ETA/B receptor blockade for the prevention of sunitinib-induced hypertension and albuminuria in WKY rats. Cardiovasc Res 2020; 116: 1779-90.
 
22.
Ndrepepa G. Uric acid and cardiovascular disease. Clin Chim Acta 2018; 484: 150-63.
 
23.
Albu A, Para I, Porojan M. Uric acid and arterial stiffness. Ther Clin Risk Manag 2020; 16: 39-54.
 
24.
Kuwabara M, Kanbay M, Hisatome I. Uric acid and hypertension because of arterial stiffness. Hypertension 2018; 72: 582-4.
 
25.
Mishima M, Hamada T, Maharani N, et al. Effects of uric acid on the NO production of HUVECs and its restoration by urate lowering agents. Drug Res (Stuttg) 2016; 66: 270-4.
 
26.
Gicquel T, Robert S, Loyer P, et al. IL-1beta production is dependent on the activation of purinergic receptors and NLRP3 pathway in human macrophages. FASEB J 2015; 29: 4162-73.
 
27.
Rao GN, Corson MA, Berk BC. Uric acid stimulates vascular smooth muscle cell proliferation by increasing platelet-derived growth factor A-chain expression. J Biol Chem 1991; 266: 8604-8.
 
28.
Baretella O, Chung SK, Xu A, Vanhoutte PM. Endothelial overexpression of endothelin-1 modulates aortic, carotid, iliac and renal arterial responses in obese mice. Acta Pharmacol Sin 2017; 38: 498-512.
 
29.
Zhang Y, Edvinsson L, Xu CB. Up-regulation of endothelin receptors induced by cigarette smoke--involvement of MAPK in vascular and airway hyper-reactivity. ScientificWorldJournal 2010; 10: 2157-66.
 
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ISSN:1734-1922
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