Role of Store-Operated Ca2+ Entry in the Pulmonary Vascular Remodeling Occurring in Pulmonary Arterial Hypertension

Pulmonary arterial hypertension (PAH) is a severe and multifactorial disease. PAH pathogenesis mostly involves pulmonary arterial endothelial and pulmonary arterial smooth muscle cell (PASMC) dysfunction, leading to alterations in pulmonary arterial tone and distal pulmonary vessel obstruction and remodeling. Unfortunately, current PAH therapies are not curative, and therapeutic approaches mostly target endothelial dysfunction, while PASMC dysfunction is under investigation. In PAH, modifications in intracellular Ca2+ homoeostasis could partly explain PASMC dysfunction. One of the most crucial actors regulating Ca2+ homeostasis is store-operated Ca2+ channels, which mediate store-operated Ca2+ entry (SOCE). This review focuses on the main actors of SOCE in human and experimental PASMC, their contribution to PAH pathogenesis, and their therapeutic potential in PAH.

Abstract P171: Comparison Of Modulation Of Renal Arterial Tone By Perivascular Adipose Tissue Between Two Animal Models Of Metabolic Syndrome

Sex differences have recently been noticed in the regulation of arterial tone by perivascular adipose tissue (PVAT). In SHRSP.Z- Lepr fa /IzmDmcr (SHRSP.ZF) rats, an animal model of metabolic syndrome (MetS), we demonstrated that mesenteric and renal PVAT in female rats consistently have an enhancing effect on vasodilation at 23 weeks, an age by which the effect of PVAT is impaired in the male rats. This could explain the sex differences in the prevalence of cardiovascular complications in patients with MetS. Therefore, we determined whether the sex difference in PVAT response also occurs in another animal model of MetS, SHR/NDmcr-cp (SHR-cp) rats.Renal arteries were isolated from male and female 23-week-old SHR-cp rats, and ring preparations with and without PVAT were made. After a stable contraction was obtained by phenylephrine administration, vasodilation in response to acetylcholine was examined using organ bath methods.Vasodilation in arteries without PVAT from female rats was smaller than that in arteries without PVAT from male rats, and presence of PVAT in arteries from female rats increased vasodilation to the same level as that observed in arteries without PVAT from male rats. Furthermore, renal PVAT in male rats was shown to have an enhancing effect on vasodilation.The present study did not identify sex differences in renal PVAT-mediated modulation in SHR-cp rats because the enhancing effects of PVAT did not disappear in male SHR-cp rats, in contrast to that observed in male SHRSP.ZF rats at the same age. The difference in PVAT response in male rats between two MetS models may be due to differences in the severity of MetS symptoms, especially blood pressure, between the models.

Multiple roles of cardiac macrophages in heart homeostasis and failure

Macrophages are essential components of the immune system and play a role in the normal functioning of the cardiovascular system. Depending on their origin and phenotype, cardiac macrophages perform various functions. In a steady-state, these cells play a beneficial role in maintaining cardiac homeostasis by defending the body from pathogens and eliminating apoptotic cells, participating in electrical conduction, vessel patrolling, and arterial tone regulation. However, macrophages also take part in adverse cardiac remodeling that could lead to the development and progression of heart failure (HF) in such HF comorbidities as hypertension, obesity, diabetes, and myocardial infarction. Nevertheless, studies on detailed mechanisms of cardiac macrophage function are still in progress, and could enable potential therapeutic applications of these cells. This review aims to present the latest reports on the origin, heterogeneity, and functions of cardiac macrophages in the healthy heart and in cardiovascular diseases leading to HF. The potential therapeutic use of macrophages is also briefly discussed.

Sexual dimorphism in prostacyclin-mimetic responses of rat mesenteric and coronary arteries.

Background and purpose- Prostacyclin mimetics are widely used clinically. As such it is pertinent to understand the mechanisms underlying the vasoactive response to such agents, yet to date, no study has considered sex as a factor. The aim of this study was to characterise the effect of prostacyclin mimetics, Iloprost and MRE-269, on precontracted arterial tone from male and female Wistar arteries. As a secondary consideration, we investigated Kcnq-encoded KV7 channels as potential downstream targets of prostacyclin-IP-receptor mediated signalling. Experimental approach- Relative mRNA transcript and protein abundance were determined by RT-qPCR and immunocytochemistry respectively. The effect of Iloprost and MRE-269 was determined on pre-contracted arterial tone in the presence of pharmacological modulators of potassium channels and molecular interreference of KV7.1 within 2nd order mesenteric and left anterior descending arteries from male and female Wistar rats. Key results- Iloprost evoked a bi-phasic response in male mesenteric arteries, at low concentrations relaxing, then contracting the vessel at high concentration in a process attributed to IP and EP3 receptors respectively. Secondary contraction was absent in the females, potentially underpinned by a reduction in Ptger3. Pharmacological inhibition and molecular interference of KV7.1 significantly attenuated MRE-269 mediated relaxation in male and female Wistar in Diestrus / Metoestrous, but not Pro-oestrus / Oestrus. Conclusions and implications- Stark sexual dimorphisms in Iloprost mediated vasoactive responses are present within mesenteric arteries. KV7.1 is implicated in IP-receptor mediated vasorelaxation and is impaired by the Oestrus cycle.

Measuring arterial pulsatility with Dynamic Inflow MAgnitude Contrast (DIMAC)

Poor arterial health is increasingly recognised as an independent risk factor for cerebrovascular disease, however there remain relatively few reliable methods for assessing the function and health of cerebral arteries. In this study, we outline a new MRI approach to measuring pulsatile flow in cerebral arteries that is based on the inflow phenomenon associated with fast gradient-recalled-echo acquisitions. Unlike traditional phase-contrast techniques, this new method, which we dub Dynamic Inflow MAgnitude Contrast (DIMAC), does not require velocity-encoding gradients as sensitivity to flow velocity results purely from the inflow effect. We achieved this desired effect using a highly accelerated single slice EPI acquisition with very short TR (15 ms) and a 90 degree flip angle, thus maximising inflow contrast. Simulating the spoiled GRE signal in the presence of large arteries and perform a sensitivity analysis to demonstrate that in the regime of high inflow contrast it shows much greater sensitivity to flow velocity over blood volume changes. We support this theoretical prediction with in-vivo data collected in two separate experiments designed to demonstrate the utility of the DIMAC signal contrast. We perform a hypercapnia challenge experiment in order to experimentally modulate arterial tone within subjects, and thus modulate the arterial pulsatile flow waveform. We also perform a thigh-cuff release challenge, designed to induce a transient drop in blood pressure, and demonstrate that the continuous DIMAC signal captures the complex transient change in the pulsatile and non-pulsatile components of flow. In summary, this study proposes a new role for a well established source of MR image contrast, and demonstrate its potential for measuring both steady-state and dynamic changes in arterial tone.