scholarly journals Aldosterone Impairs Vascular Smooth Muscle Function: From Clinical to Bench Research

2015 ◽  
Vol 100 (11) ◽  
pp. 4339-4347 ◽  
Author(s):  
Chia-Hung Chou ◽  
Ying-Hsien Chen ◽  
Chi-Sheng Hung ◽  
Yi-Yao Chang ◽  
Yu-Lin Tzeng ◽  
...  
2019 ◽  
Vol 141 (3) ◽  
Author(s):  
Alexander W. Caulk ◽  
Jay D. Humphrey ◽  
Sae-Il Murtada

Vascular smooth muscle cells (VSMCs) can regulate arterial mechanics via contractile activity in response to changing mechanical and chemical signals. Contractility is traditionally evaluated via uniaxial isometric testing of isolated rings despite the in vivo environment being very different. Most blood vessels maintain a locally preferred value of in vivo axial stretch while subjected to changes in distending pressure, but both of these phenomena are obscured in uniaxial isometric testing. Few studies have rigorously analyzed the role of in vivo loading conditions in smooth muscle function. Thus, we evaluated effects of uniaxial versus biaxial deformations on smooth muscle contractility by stimulating two regions of the mouse aorta with different vasoconstrictors using one of three testing protocols: (i) uniaxial isometric testing, (ii) biaxial isometric testing, and (iii) axially isometric plus isobaric testing. Comparison of methods (i) and (ii) revealed increased sensitivity and contractile capacity to potassium chloride and phenylephrine (PE) with biaxial isometric testing, and comparison of methods (ii) and (iii) revealed a further increase in contractile capacity with isometric plus isobaric testing. Importantly, regional differences in estimated in vivo axial stretch suggest locally distinct optimal biaxial configurations for achieving maximal smooth muscle contraction, which can only be revealed with biaxial testing. Such differences highlight the importance of considering in vivo loading and geometric configurations when evaluating smooth muscle function. Given the physiologic relevance of axial extension and luminal pressurization, we submit that, when possible, axially isometric plus isobaric testing should be employed to evaluate vascular smooth muscle contractile function.


Diabetologia ◽  
2013 ◽  
Vol 56 (10) ◽  
pp. 2122-2133 ◽  
Author(s):  
David Montero ◽  
Guillaume Walther ◽  
Antonia Pérez-Martin ◽  
Nestor Vicente-Salar ◽  
Enrique Roche ◽  
...  

Life Sciences ◽  
1996 ◽  
Vol 60 (3) ◽  
pp. 207-214 ◽  
Author(s):  
Andrew S. Brem ◽  
Robert B. Bina ◽  
Nicholas Hill ◽  
Chris Alia ◽  
David J. Morris

2012 ◽  
Vol 16 (4) ◽  
pp. 462-472 ◽  
Author(s):  
Christopher J. Pelham ◽  
Pimonrat Ketsawatsomkron ◽  
Séverine Groh ◽  
Justin L. Grobe ◽  
Willem J. de Lange ◽  
...  

2006 ◽  
Vol 43 (3) ◽  
pp. 238-250 ◽  
Author(s):  
Ichiro Wakabayashi ◽  
Michael Poteser ◽  
Klaus Groschner

2021 ◽  
Vol 10 (24) ◽  
pp. 5980
Author(s):  
Shinji Kishimoto ◽  
Tatsuya Maruhashi ◽  
Masato Kajikawa ◽  
Takahiro Harada ◽  
Takayuki Yamaji ◽  
...  

The purpose of this study was to evaluate whether heart failure with mildly reduced ejection fraction (HFmrEF) is associated with vascular dysfunction and whether vascular function predicts future deterioration of LVEF in patients with HFmrEF. We evaluated endothelial function assessed by flow-mediated vasodilation (FMD) and vascular smooth muscle function assessed by nitroglycerine-induced vasodilation (NID) in 69 patients with HFmrEF and 426 patients without HF and evaluated the future deterioration of LVEF, defined as a decrease in LVEF to <40%, in 39 patients with HFmrEF for up to 3 years. Both FMD and NID were significantly lower in patients with HFmrEF than in patients without HF. We categorized patients into two groups based on low tertiles of NID: a low group (NID of <7.0%) and an intermediate and high group (NID of ≥7.0%). There were significant differences between the Kaplan–Meier curves for the deterioration of LVEF in the two groups (p < 0.01). Multivariate Cox proportional hazard analysis revealed that NID of <7.0% was an independent predictor of future deterioration of LVEF in patients with HFmrEF. Both endothelial function and vascular smooth muscle function are impaired in patients with HFmrEF compared with those in patients without HF. In addition, low NID of <7.0% predicts future deterioration of LVEF.


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