O relaxamento vascular induzido pelo óxido nítrico (NO) está prejudicado em aorta de ratos hipertensos renais (2R-1C). A nossa hipótese é de que o menor efeito do NO na aorta de ratos 2R-1C pode estar relacionada com a maior degradação do NO e/ou modificação das cavéolas no músculo liso vascular (MLV), considerando que o NO pode ser degradado rapidamente e que as cavéolas parecem ser importantes para a redução da concentração citosólica de Ca2+ ([Ca2+]c). O presente trabalho teve por objetivo estudar as alterações nos mecanismos vasodilatadores do NO em aorta de ratos hipertensos renais 2R-1C. Inicialmente, estudamos a influência do estresse oxidativo sobre o efeito do NO liberado dos doadores [Ru(NH.NHq)(terpy)NO+]3+ (TERPY) e nitroprussiato de sódio (NPS) em aorta de ratos normotensos (2R) e 2R-1C. Verificamos que o relaxamento foi menor na aorta dos ratos 2R-1C do que de 2R para o TERPY e NPS e que nas células do MLV da aorta de 2R-1C o efeito do TERPY em reduzir a [Ca2+]c também foi menor. Porém, o tratamento das aortas de ratos 2R-1C com antioxidante normalizou o relaxamento para ambos doadores e o efeito do TERPY sobre a [Ca2+]c. A concentração basal de superóxido (O2-) nas aortas dos ratos 2R-1C é maior do que em 2R e foi reduzida pelos antioxidantes. A concentração de NO basal e liberada do TERPY é menor em aortas de ratos 2R-1C. Estudamos a influência das cavéolas sobre o efeito do TERPY e NPS, em aorta de ratos 2R e 2R-1C. Somente em aortas de ratos 2R, a desorganização das cavéolas com ciclodextrina inibiu o relaxamento dos doadores de NO utilizados e a redução da [Ca2+]c para o TERPY. O número de cavéolas é menor tanto nas células do MLV como nas células endoteliais da aorta de ratos 2R-1C. Estudamos ainda o efeito do TERPY sobre a pressão arterial de ratos 2R e 2R-1C acordados. O TERPY possui efeito hipotensor somente nos ratos 2R-1C e este efeito foi mais prolongado do que o efeito hipotensor com NPS. O NPS teve efeito hipotensor tanto em ratos 2R como 2R-1C, porém este efeito foi maior em 2R-1C. Os resultados obtidos neste estudo indicam que a elevada concentração de O2- e o menor número de cavéolas encontrados na aorta dos ratos 2R-1C, devem contribuir de forma importante para o menor relaxamento da aorta de ratos 2R-1C. / The vascular relaxation induced by nitric oxide (NO) donors is impaired in aortas from renal hypertensive rats (2K-1C). Our hypothesis was that the lower NO effect in aortas from 2K-1C rats could be related with the higher degradation of NO and/or caveolae changes in vascular smooth muscle cells (VSMCs), considering that NO can be rapidly degraded and caveolae seems to play important role in the reduction of cytosolic Ca2+ concentration [Ca2+]c. The present study aimed to investigate the alterations on aorta relaxation induced by NO in 2K-1C rat aorta. At first, we studied the influence of oxidative stress on the effect of NO released from the NO donors [Ru(NH.NHq)(terpy)NO+]3+ (TERPY) and sodium nitroprusside (SNP) in aortas from normotensive (2K) and 2K-1C rats. The relaxation induced by both NO donors was impaired in aortas from 2K-1C rats and the reduction on [Ca2+]c induced by TERPY was also impaired in 2K-1C VSMCs. However, in aortas treated with antioxidants the relaxation to both NO donors and the reduction on [Ca2+]c to TERPY were normalized. The basal concentration of superoxide (O2-) was greater in 2K-1C than in 2K, which was reduced by the antioxidants. The basal cytosolic NO concentration ([NO]c) and the NO released from TERPY were lower in aortas from 2K-1C rats. We studied the influence of caveolae on the effects of NO released from the NO donors, in aortas from 2K and 2K-1C rats. We verified that caveolae disassemble with ciclodextrin impaired the relaxation to NO donors and the reduction on [Ca2+]c to TERPY only in aortas from 2K rats. The number of caveolae is reduced in aortic VSMCs and in the endothelial cells from 2K-1C rats. We studied the effect of TERPY on arterial pressure from 2K and 2K-1C rats. TERPY reduced the arterial pressure only in 2K-1C rats, which effect was longer than that produced by SNP. The hypotensive effect of SNP was greater in 2K-1C than in 2K rats. Taken together, our results indicate that the higher concentration of O2- and the reduced number of caveolae on aortas from 2K-1C rats could contribute to impaired aorta relaxation of 2K-1C rats.

No description available.

INTRODUÇÃO: O polimorfismo dentro do gene TCF7L2, rs7903146, é, até o momento, o marcador genético mais significantemente associado ao risco de diabetes mellitus tipo 2, sendo também associado à doença arterial coronariana. Contudo, pouco ainda se conhece sobre o papel funcional desse polimorfismo na patologia dessas doenças. O objetivo desse projeto foi investigar esse papel funcional, no fenótipo de células vasculares de músculo liso de 92 indivíduos, usando abordagens de comparação de níveis de expressão gênica e de comparação de correlações de expressão gênica, de modo que tais comparações fossem representadas visualmente como redes de interação gênica. MÉTODOS: Inicialmente, foram comparados os níveis de expressão de 41 genes (genes que possuem ou estão perto de variantes genéticas associadas ao diabetes mellitus tipo 2 e outros genes relacionados às vias de sinalização de diabetes mellitus tipo 2 ou às vias de proliferação celular) entre indivíduos com o alelo associado ao risco de diabetes mellitus tipo 2 (CT e TT) e indivíduos sem o alelo de risco (CC) do rs7903146. Com a finalidade de se observar se os genes estavam se relacionando de modo diferente entre os grupos genotípicos, foram comparados os padrões de correlação de expressão dos 41 genes. RESULTADOS: Quanto às comparações de níveis de expressão entre os grupos, cinco formas de splicing do gene TCF7L2 e os genes CDKAL1, IGF2BP2, JAZF1, CDKN2B, CAMK1D, JUN, CDK4, ATP2A2, e FKBP1A apresentaram níveis de expressão significativamente diferentes. Quanto às comparações de correlação de expressão entre os grupos, os genes RXR?, CALM1, CALR e IGF2BP2 foram os que mostraram os mais diferentes padrões de correlação com os outros genes. CONCLUSÃO: Deste modo, o alelo de risco analisado é apontado como tendo influência em cis na regulação da expressão de determinadas formas de splicing do gene TCF7L2 em células vasculares de músculo liso; além de parecer influenciar nas expressões e nas interações de genes relacionados à homeostase glicolítica e/ou proliferação celular. Sendo assim, através de nossas análises identificaram-se possíveis candidatos-alvos no tratamento de redução do risco em indivíduos com alto risco de desenvolvimento de diabetes mellitus tipo 2 e de doença arterial coronariana, especialmente os indivíduos que possuem os genótipos de risco analisados do gene TCF7L2 / INTRODUCTION: The SNP within the TCF7L2 gene, rs7903146, is, to date, the most significant genetic marker associated with type 2 diabetes mellitus risk, well as being associated with coronary artery disease. Nonetheless, its functional role in these diseases pathology is poorly understood. The aim of the present study was to investigate this role, in vascular smooth muscle cells from 92 patients undergoing aortocoronary bypass surgery, using expression levels and expression correlation comparison approaches, which were visually represented as gene interaction networks. METHODS: Initially, the expression levels of 41 genes (seven TCF7L2 splice forms and other 40 relevant genes) were compared between rs7903146 wild-type (CC) and type 2 diabetes mellitus risk (CT + TT) genotype groups. Next, the expression correlation patterns of the 41 genes were compared between genotypic groups in order to observe if the relationships between genes were different. RESULTS: Five TCF7L2 splice forms and CDKAL1, IGF2BP2, JAZF1, CDKN2B, CAMK1D, JUN, CDK4, ATP2A2 and FKBP1A genes showed significant expression differences between groups. RXR?, CALM1, CALR and IGF2BP2 genes were pinpointed as showing the most different expression correlation pattern with other genes. CONCLUSION: Therefore, type 2 diabetes mellitus risk alleles appear to be influencing TCF7L2 splice form\'s expression in vascular smooth muscle cells; besides it can be influencing expression and interactions of genes related to glucose homeostasis and/or cellular proliferation. Thereby, through our analysis were identified possible treatment target candidates for risk reduction in individuals with high-risk of developing type 2 diabetes mellitus and coronary artery disease, especially individuals harboring TCF7L2 risk genotypes

Cardiovascular disease secondary to atherosclerosis is the most common cause of human morbidity and mortality. An early and fundamental event in the development of atherosclerosis is abnormal vascular endothelial and smooth muscle function. This can be measured by flow mediated dilatation and glyceryl trinitrate mediated dilatation in children at risk of atherosclerosis. Folic acid improves endothelial function (flow mediated dilatation) in adults with coronary artery disease. No studies have previously investigated the effects of folic acid on vascular function in at risk children with diabetes or obesity. In a cross sectional study an evaluation of vascular endothelial and smooth muscle function and their determinants was performed in 159 children with type 1 diabetes, 58 children with obesity, and 53 healthy children. Children with type 1 diabetes and children with mild to moderate obesity had comparable and severe vascular dysfunction but different determinants. Vascular function in healthy and obese children related to both body mass index and weight (adjusted for age and sex), and blood glucose. Children with obesity had lower folate levels and higher homocysteine levels than children with type 1 diabetes, an abnormal lipid profile and raised inflammatory markers. A randomised double blind placebo controlled cross over trial of 8 weeks of folic acid supplementation was performed in 38 children with type 1 diabetes. In these children, folic acid improved endothelial function with a sustained increase in folate levels but independent of homocysteine levels. Folic acid did not improve smooth muscle function. A randomised double blind placebo controlled parallel trial of 8 weeks folic acid supplementation was performed including 53 obese children. Folic acid did not improve vascular function in obese children in spite of sustained increase in folate levels, and a decrease in homocysteine levels. It was concluded that children with type 1 diabetes and obesity have comparable and severe endothelial and smooth muscle function. Determinants of vascular function in children, including weight and glucose, represent a continuum effect. Folic acid supplementation improved endothelial function in children with type 1 diabetes but not in children with obesity, whose metabolic changes causing endothelial dysfunction differ from children with diabetes. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1317003 / Thesis (Ph.D.) -- University of Adelaide, School of Paediatrics and Reproductive Health, 2008

An injured vascular system has a substantial impact on an individuals overall health, and an understanding of the mechanisms that underlie blood vessel pathophysiology is required for the development of rational and effective treatment strategies. The phenotypic modulation of smooth muscle cells (SMC) during vascular injury, characterized by altered adhesion, migration and synthetic behavior, plays an important role in the eventual outcome. Specifically, the ability of SMCs to adhere to and remodel their extracellular environment via regulation of the syndecan class of cell adhesion molecules dictates the response of the vascular wall to local injury. The effect of in vitro syndecan-4 regulation on SMC adhesion was investigated through the use of a glass microsphere centrifugation assay, and an antisense-mediated reduction in gene expression was found to correlate with decreased adhesive strength. Regulation of syndecan-1, syndecan-2, and syndecan-4 gene expression was observed experimentally by mechanical strain of SMCs. Using real-time polymerase chain reaction (PCR), the kinetics of both static and cyclic mechanical strain were found to modify the gene expression in a time and strain magnitude-dependent manner unique to each syndecan. In particular, the responses of syndecan-4 were acute, but transient, while the evolution of syndecan-1 and syndecan-2 regulation was delayed by comparison. Mechanical strain also modulated syndecan-4 protein expression and ectodomain shedding, as measured by Western immunoblotting, and this effect was found, through selective inhibition, to be at least in part dependent on mitogen-activated protein (MAP) kinase signaling. In particular, intact extracellular signal-regulated MAP kinase (ERK) 1/2 and c-Jun NH2-terminal kinase / stress-activated protein kinase (JNK/SAPK) signaling pathways were found to be required for the observed strain-induced shedding. These findings offer a better understanding of syndecan function in response to mechanical strain and suggest potential new mechanisms by which physical forces may modulate vascular SMC behavior and regulation during normal physiology, pathologic conditions, and engineered arterial substitute development.

Vascular tissue engineering (VTE) with the use of polymeric scaffolds offers the potential to generate small-diameter (<6 mm) arteries. In this thesis, a degradable polar hydrophobic ionic (D-PHI) polyurethane porous scaffold was synthesized with the objective of demonstrating its potential application for VTE. D-PHI scaffold synthesis was optimized, maximizing isocyanate and methacrylate monomer conversion. Through the incorporation of a lysine-based crosslinker, scaffold mechanical properties and swelling were manipulated. Furthermore, D-PHI scaffolds demonstrated the ability to support the growth and adhesion of A10 vascular smooth muscle cells (VSMCs) during two weeks of culture. This study also investigated the effect of a double porogen approach on D-PHI scaffold properties, demonstrating an increase in the total scaffold porosity and pore interconnectivity. Specifically, it was found that the use of 10 wt% polyethylene glycol and 65 wt% sodium bicarbonate porogens resulted in a porous (79±3%) D-PHI scaffold with the mechanical properties (elastic modulus=0.16±0.03 MPa, elongation-at-yield=31±5%, and tensile strength=0.04±0.01 MPa) required to withstand the physiologically-relevant cyclic mechanical strain (CMS) that is experienced by VSMCs in vivo. Furthermore, the effects of uniaxial CMS (10% strain, 1 Hz, 4 weeks) on human coronary artery smooth muscle cells (hCASMCs), which were cultured in a porous D-PHI scaffold, were studied using a customized bioreactor. Four weeks of CMS was shown to yield greater DNA mass, more cell area coverage, a better distribution of cells within the scaffold, the maintenance of contractile protein expression and the improvement of tensile mechanical properties. The in vitro and in vivo degradation as well as the in vivo biocompatibility of D-PHI scaffolds were also investigated. Following their subcutaneous implantation in rats (100 days), porous D-PHI scaffolds demonstrated more cell/tissue infiltration within their pores and degraded in a controlled manner and at a faster rate when compared to in vitro studies (120 days), retaining the mechanical integrity required during neo-tissue formation. This thesis provides significant insight into the role of the D-PHI scaffold in combination with physiologically-relevant CMS in modulating VSMC proliferation and phenotype. The findings of this work can be used to tailor vascular tissue regeneration by regulating VSMC function in a directed manner.

Vascular tissue engineering (VTE) with the use of polymeric scaffolds offers the potential to generate small-diameter (<6 mm) arteries. In this thesis, a degradable polar hydrophobic ionic (D-PHI) polyurethane porous scaffold was synthesized with the objective of demonstrating its potential application for VTE. D-PHI scaffold synthesis was optimized, maximizing isocyanate and methacrylate monomer conversion. Through the incorporation of a lysine-based crosslinker, scaffold mechanical properties and swelling were manipulated. Furthermore, D-PHI scaffolds demonstrated the ability to support the growth and adhesion of A10 vascular smooth muscle cells (VSMCs) during two weeks of culture. This study also investigated the effect of a double porogen approach on D-PHI scaffold properties, demonstrating an increase in the total scaffold porosity and pore interconnectivity. Specifically, it was found that the use of 10 wt% polyethylene glycol and 65 wt% sodium bicarbonate porogens resulted in a porous (79±3%) D-PHI scaffold with the mechanical properties (elastic modulus=0.16±0.03 MPa, elongation-at-yield=31±5%, and tensile strength=0.04±0.01 MPa) required to withstand the physiologically-relevant cyclic mechanical strain (CMS) that is experienced by VSMCs in vivo. Furthermore, the effects of uniaxial CMS (10% strain, 1 Hz, 4 weeks) on human coronary artery smooth muscle cells (hCASMCs), which were cultured in a porous D-PHI scaffold, were studied using a customized bioreactor. Four weeks of CMS was shown to yield greater DNA mass, more cell area coverage, a better distribution of cells within the scaffold, the maintenance of contractile protein expression and the improvement of tensile mechanical properties. The in vitro and in vivo degradation as well as the in vivo biocompatibility of D-PHI scaffolds were also investigated. Following their subcutaneous implantation in rats (100 days), porous D-PHI scaffolds demonstrated more cell/tissue infiltration within their pores and degraded in a controlled manner and at a faster rate when compared to in vitro studies (120 days), retaining the mechanical integrity required during neo-tissue formation. This thesis provides significant insight into the role of the D-PHI scaffold in combination with physiologically-relevant CMS in modulating VSMC proliferation and phenotype. The findings of this work can be used to tailor vascular tissue regeneration by regulating VSMC function in a directed manner.

L’athérosclérose est étroitement liée au diabète de type 2. De fortes concentrations plasmatiques en acides gras libres (AGL) et en insuline sont des caractéristiques retrouvées chez les patients souffrant de ces deux pathologies. Les AGL, présents dans notre alimentation, font partie de l’environnement auquel les cellules sont exposées. Leurs effets dépendent de leur nature, les acides gras saturés (AGS) étant néfastes et les acides gras monoinsaturés (AGMI) plus protecteurs. Ils ont donc des effets variés sur les cellules musculaires lisses vasculaires (CMLV) impliquées dans la pathogénèse de l’athérosclérose. Ainsi, l’objectif principal de ce projet de maîtrise était d’évaluer l’impact de deux combinaisons d’AGL sur la viabilité des CMLV, en condition hyperinsulinémique ou non. Les deux combinaisons renfermaient les mêmes AGL mais en proportions différentes, l’une étant plus riche en AGS et l’autre en AGMI. Nos résultats ont montré que les combinaisons d’AGL ont un effet pro-apoptotique principalement dû aux AGS. L’acide oléique présent dans les combinaisons atténue cependant cet effet. Il diminue même plus fortement l’apoptose des CMLV lorsqu’associé à un AGS que lorsqu’utilisé seul. Cet impact est significatif uniquement dans certaines proportions de ces AGL et est plus efficace en présence d’insuline. Ces résultats mettent en lumière la présence d’une compétition entre mécanismes anti- et pro-apoptotiques en fonction des proportions d’AGS versus AGMI et de l’insulinémie chez les CMLV. Ils soulignent également l’importance de la présence des AGMI dans les diètes riches en AGS et pourraient être utiles pour l’élaboration de nouvelles diètes adaptées aux patients athérosclérotiques et diabétiques. / Atherosclerosis is closely linked to type 2 diabetes. High plasmatic concentrations of free fatty acids (FFA) and insulin are common features in patients suffering from both diseases. FFA, present in our diet, are part of the environment to which body cells are exposed. Their effects are dependent of their nature, being harmful for saturated fatty acids (SFA) and more protective for monounsaturated fatty acids (MUFA). They can have therefore various effects on vascular smooth muscle cells (VSMC) implicated throughout the development of atherosclerosis. Thus, this study aimed to assess the impact of two FFA combinations on VSMC viability, whether or not in a hyperinsulinemic condition. Both combinations contained the same FFA but in different proportions, one being richer in SFA and the other in MUFA. Our results showed that FFA combinations have a pro-apoptotic impact, mainly due to SFA. However, the presence of oleic acid in the combinations attenuated this effect. Furthermore, oleic acid had the capacity to reduce more strongly VSMC apoptosis when combined with a SFA than when used alone, although only under specific FFA ratios. This impact is even more effective in presence of insulin. These results highlight the presence of a competition between anti- and pro-apoptotic mechanisms dependent of FFA ratios (SFA vs. MUFA) and insulinemia to which are exposed VSMC. They also underline the importance of the presence of MUFA such as oleic acid in diets rich in SFA and could be useful for the development of new diets adapted to atherosclerotic and diabetic patients.

Cardiovascular disease secondary to atherosclerosis is the most common cause of human morbidity and mortality. An early and fundamental event in the development of atherosclerosis is abnormal vascular endothelial and smooth muscle function. This can be measured by flow mediated dilatation and glyceryl trinitrate mediated dilatation in children at risk of atherosclerosis. Folic acid improves endothelial function (flow mediated dilatation) in adults with coronary artery disease. No studies have previously investigated the effects of folic acid on vascular function in at risk children with diabetes or obesity. In a cross sectional study an evaluation of vascular endothelial and smooth muscle function and their determinants was performed in 159 children with type 1 diabetes, 58 children with obesity, and 53 healthy children. Children with type 1 diabetes and children with mild to moderate obesity had comparable and severe vascular dysfunction but different determinants. Vascular function in healthy and obese children related to both body mass index and weight (adjusted for age and sex), and blood glucose. Children with obesity had lower folate levels and higher homocysteine levels than children with type 1 diabetes, an abnormal lipid profile and raised inflammatory markers. A randomised double blind placebo controlled cross over trial of 8 weeks of folic acid supplementation was performed in 38 children with type 1 diabetes. In these children, folic acid improved endothelial function with a sustained increase in folate levels but independent of homocysteine levels. Folic acid did not improve smooth muscle function. A randomised double blind placebo controlled parallel trial of 8 weeks folic acid supplementation was performed including 53 obese children. Folic acid did not improve vascular function in obese children in spite of sustained increase in folate levels, and a decrease in homocysteine levels. It was concluded that children with type 1 diabetes and obesity have comparable and severe endothelial and smooth muscle function. Determinants of vascular function in children, including weight and glucose, represent a continuum effect. Folic acid supplementation improved endothelial function in children with type 1 diabetes but not in children with obesity, whose metabolic changes causing endothelial dysfunction differ from children with diabetes. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1317003 / Thesis (Ph.D.) -- University of Adelaide, School of Paediatrics and Reproductive Health, 2008

Thesis (Ph. D.)--University of Missouri--Columbia, 2001. / "May 2001." Typescript. Vita. Includes bibliographical references (leaves 176-195). Also available on the Internet.