A型肉毒毒素对Methoxamine和电场刺激引发兔离体主动脉收缩的作用及机理
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摘要
研究背景:我们前期研究证明(botulinum toxin type A,BTX-A)并不仅作用于骨骼肌的胆碱能神经木梢,同时也作用于substance P(SP),vasoactive intestinal peptide(VIP),calcitonin gene-related peptide(CGRP)调控的平滑肌和腺体。根据我们前期的研究推定神经毒素(neurotoxin)—BTX-A可干预位于血管周围交感神经末梢递质的释放,抑制神经源肿瘤血管收缩从而改善肿瘤灌注量和氧供。探究神经肉毒素—BTX-A有望作为抗肿瘤治疗一种有效佐剂。
     目的:观察BTX-A对肾上腺素α受体激动剂Methoxamine(MOA)和电场刺激(electrical field stimulation,EFS)引发主动脉肌条收缩的作用。
     方法:击兔头部致昏后迅速取出主动脉并分离结缔组织后制成0.5×3.0 cm螺旋形肌条,悬挂于37℃Krebs液[(mM)120 NaCl,5.9 KCl,25 NaHCO_3,17.5 Dextrose,2.5CaCl_2,1.2 MgCl_2,1.2 NaH_2PO_4,(pH 7.4)]内持续供给95%O_2和5%CO_2的混合气体的恒温平滑肌浴槽中,肌条一端固定在肌槽底部的玻璃弯钩上,另一端固定在张力传感器上,血管条被悬于两个铂金电极之间,其长轴与电极长轴平行,电极与电刺激器相连。血管条在2 g的前负荷下1 h后分别加药并记录张力变化。(1)MOA组:MOA5μM引发收缩30 min后分别加入等量的vehicle(对照,n=10)、BTX-A50 U/ml(n=10)或100 U/ml(n=10),30 min后再加入MOA 5μM。(2)EFS组:EFS 50 Hz,80 V,1 ms,60 s引发肌条收缩30 min后分别加入等量的vehicle(n=10)或BTX-A 50 U/ml(n=10),30 min后加入MOA5μM。
     结果:(1)BTX-A 50 U/ml和100 U/ml分别导致MOA诱发肌条收缩张力下降80%(P<0.01)和95%(P<0.001),再次加入MOA引发收缩为vehicle的35%(P<0.001)和3%(P<0.001),该抑制作用呈剂量依赖关系;(2)BTX-A 50 U/ml导致EFS诱发的肌条收缩张力下降94%(P<0.001),加入MOA引发收缩为vehicle的10%(P<0.001)。
     结论:肾上腺素α受体激动剂MOA和EFS引发兔主动脉肌条收缩,BTX-A抑制MOA和EFS引发动脉平滑肌收缩作用机理与抑制NA的释放和其受体有关。
Backgrand:The inhibitive effect of botulinum toxin-A(BTX-A) is not only on cholinergic release in voluntary muscle,but also substance P(SP),vasoactive intestinal peptide (VIP),calcitonin gene-related peptide(CGRP) in smooth muscle and glands in our previous studies.Our proposals according to the previous study are that BTX-A might effect on sympathetic release in blood vessel and inhibits the contraction of blood vessel and promotes perfusion and oxygen of blood in tumor.The investigation of BTX-A as a adjuvant is a new approach to treatment of tumor.
     Objective:To investigate the inhibitory effect of BTX-A on rabbit aortic contractility-induced by methoxamine(MOA),an agonist of noradrenergicαreceptor,or electric field stimulation(EFS) in vitro,respectively.
     Methods:MOA-and EFS-treated group were carried out in this study.0.5×3.0 cm spiral-shaped strip of rabbit aorta was suspended in incubation bath containing Krebs bicarbonate buffer[composed of(in mM)120 NaCl,5.9 KCl,25 NaHCO_3,17.5 Dextrose,2.5 CaCl_2,1.2 MgCl_2,1.2 NaH_2PO4,(pH 7.4)],constant 37℃within oxygenated with 95% O_2-5%CO_2.one end of the strip was fixed to a hook on the bottom of the bath,the other end was connected to an isometric force transducer.These strips were suspended between platinum electrodes placed adjacent and parallel to the long axis of the aortic strips.Electrodes were connected to an electric stimulator.The aortic strips were prepared to 2g loading tension and equilibrate for 60minutes,and subdivided randomly into MOA group and EFS group.Strips in MOA-treated group were administrated MOA 5μM for promoting contraction for 30 min, followed the equal volume of vehicle(n=10),BTX-A 50 U(n=10) and 100 U/ml(n=10) respectively addition for 30 min recording,and subsequently treated with MOA 5μM again. Other strips in the EFS-treated group were stimulated by 50 Hz,80 V,1 ms and 60 s electricity,followed vehicle(n=10) and BTX-A 50 U/ml(n=10) respectively addition for 30 min,and subsequently treated with MOA 5μM again.The contractile graph in motility of the aortic strips were simultaneously recorded with physiological experimental system.
     Results:(1) BTX-A 50 U/ml and 100 U/ml decreased respectively 80%(P<0.01) and 95%(P<0.001) of the aortic contractile tension-induced by MOA.MOA repeated addition promoted respectively 35%(P<0.001) and 3%(P<0.001) of contractile tension of the strips-treated respectively with BTX-A 50 and 100 U/ml compared to the strips treated with Krebs solution.(2) BTX-A 50 U significantly reduced 94%(P<0.001) of the aortic contractility-induced by EFS.MOA addition promoted only 10%(P<0.001) of contractile tension of the strips treated with BTX-A 50 compared to the strips treated with Krebs solution.
     Conclusion:MOA and EFS promote rabbit aortic contraction.BTX-A inhibits respectively the contractile responses to MOA and EFS with a manner of dose-dependence through inhibiting noradrenergic release and receptor probably.
引文
[1]Lacy DB,Tepp W,Cohen AC,et al.Crystal structure of botulinum neurotoxin type A and implications for toxicity.Nat Strict Biol 1998,5(10):898-902.
    [2]Swaminathan S,,Eswaramoorthy S.Structural analysis of the catalytic and binding sites of Clostridium botulinum neurotoxin B.Nat Strict Biol,2000,7(8):693-699.
    [3]Dodick DW.Botulinum neurotoxin for treatment of mgraine and other primary headache disorders:frombenchtobedside.Headache,2003,43(Supp11):S25.
    [4]Simpson LL.Identification of the major steps in botulinum toxin action.Annu Rev Pharmacology Toxicology,2004,44:167-193.
    [5]Montecucco C,Papini E,Schiavo G..Bacterial protein toxins penetrate cells via a four-step mechanism.FEBS Lett 1994,346(1):92-98.
    [6]Schiavo G,Matteoli M,Montecucco C.Neurotoxin Affecting Neuroexoeytosis.Physiol Rev,2000,80(2):717-766.
    [7]Sollner T,Bennett MK,Whitehert SW.A protein assembly-disassembly pathway in vitro that may correspond to sequential steps of synaptic vesicle docking,activation,and fusion.Cell,1993,75(3):409.
    [8]Martinez-Arca S,Alberts P,Galli T.Clostridial neurotoxin- insensitive vesicular SNAREs in exocytosis and endocytosis.Biol Cell,2000,92(6):449.
    [9]周建营,施玉樑.肉毒神经毒素受体的研究进展.生物化学与生物物理进展,2006,33(2):116-121.
    [10]Montecucco C,Schiavo G,Pantano S.SNARE complexes and neuroexocytosis: how many,how close? Trends Biochem Sci,2005,30(7):367-372.
    [11]Hou YP,Zhang YP,Botulinum toxin type A inhibits rat pyloric myoelectrical activity and substance P release in vivo.Can J Physio Pharmaco,2007,85(2):209-214.
    [12]任银祥,廉会娟,宋焱峰.A型肉毒毒素对P物质引发的大鼠离体幽门平滑肌收缩的抑制作用.中国药理与毒理学杂志,2008,22(6):452-456.
    [13]Wen WD,Yuan F,Wang JL.Botulinum Toxin Therapy in the Ovalbumin-Sensitized Rat.Neuroimmunomodulation,2007,14(2):78-83.
    [14]袁芳,侯一平,文卫东.A型肉毒毒素对大鼠下颌下腺作用的形态学及免疫组织化学研究.临床耳鼻咽喉科杂志,2004,18(9):558-561.
    [15]张晓英,侯一平,宋焱峰,王荫椿.A型肉毒毒素对硝酸甘油引发偏头痛大鼠颈静脉血和脑干内降钙素基因相关肽水平的调节.中国临床康复,2006,10(26):80-82.
    [16]张晓英,侯一平,宋焱峰,王荫椿.A型肉毒毒素降低偏头痛大鼠颈静脉血、脑干和三叉神经节的P物质含量.中国临床药理与治疗学,2006,11(8):921-924.
    [17]张毅,阎文军,侯一平,朱旭红.穴位注射A型肉毒素治疗偏头痛的临床研究.中国神经免疫学和神经病学杂志,2007,14(3):164-166.
    [18]Morris JL,Jobling P,Gibbins IL.Botulinum neurotoxin A attenuates release of norepinephrine but not NPY from vasoconstrictor neurons.Am J Physiol Heart Circ Physiol,2002,283(6):2627-2635.
    [19]J(a|¨)nig W.Pre-and postganglionic vasoconstrictor neurons:differentiation,types and discharge properties. Annu Rev Physiol, 1988, 50: 525-539.
    [20] Johnson CD, Gilbey MR. On the dominant rhythm in the discharge of single postganglionic sympathetic neurones innervating the rat tall atery. J Physiol,1996, 497(1): 241-259.
    [21] Wallin BG, Fagius J. Peripheral sympathetic neural activity in conscious humans. Annu Rev Physiol, 1988, 50: 565-576.
    [22] Morris MJ, Elliott JM, Cain MD, ,Kapoor V, etal.Plasma neuropeptide Y levels rise in patients under going exereise tests for the investigation of chest pain. Clin Exp Pharmacol Physiol, 1986, 13(5): 437-440.
    [23] Morris MJ, Kapoor V, Chalmers JP. Plasma neuropeptide Y concentration is increased after hemorrhage in conscious rats:relative contributions of sympathetic nerves and the adrenal medulla. Cardiovasc Pharmacol. 1987, 9(5): 541-546.
    [24] Pernow J, Lundberg JM, Kaijser L. Plasma neuropeptide Y-like immunoreactivity and catecholamines during various degrees of sympathetic activation in man. Clin physiol. 1986, 6(6): 561-578.
    [25] Morris JL. Co-transmission from sympathetic vasoconstrictor neurons to small cutaneous arteries in vivo. Am J Physiol Heart Circ Physiol. 1999, 277: 58-64.
    [26] Kennedy C, Saville VL, Burnstock G. The contributions of noradrenaline and ATP to the responses of the rabbit central ear artery to sympathetic nerve stimulation depend on the parameters of stimulation. Eur J pharmacol, 1986,122(3): 291-300.
    [27] Sneddon P, Burmstock G. ATP as a co-transmitter in rat tail artery. Eur J Pharmacol, 1985, 106(1): 149-152.
    [28] Johnson CD, Coney AM, Marshall JM. Roles of norepinephrine and ATP in sympathetically evoked vasoconstriction in rat tail and hindlimb in vivo [J]. Am J Physiol Heart Circ Physiol, 2001, 281(6): 2432-2440.
    [29] Morris JL, Gibbins IL. Co-transmission and neuromodulation. In: Automomic Neuroeffeetor Mechanisms. Switzerland: Harwood, 1992: 33-119.
    [30] Lundberg JM, Hokfelt T. Multiple coexistence of peptides and classical transmitters in peripheral autonomic and sensory neurons-fu nctional and pharmacological implications. Prog Brain Res, 1986, 68: 241-262.
    [31] Brock JA, Cunnane TC. Electrophysiology of neuroeffeetor transmission in smooth muscle. In: Autonomic Neuroeffector Mechanisms. Switzerland:Harwood, 1992: 121-213.
    [32] Stj(?)me L. Basic mechanisms and local modulation of nerve impulse mediated secretion of neurotransmitters from individual sympathetic nerve varicosities. Rev Physiol Biochem pharmacol, 1989, 112(1): 1-137.
    [33] De Potter WP, Portoens P, Schoups A. Noradrenergic neurons release both noradrenaline and neuropeptide Y from a single pool:the large dense cored vesicles[J]. Synapse, 1997, 25(1): 44-55.
    [34] Morris JL, Jobling P, Gibbins IL. Differential inhibition by botulinum neurotoxin A of co-transmitters released from autonomic vasodilator neurons. Am J Physiol Heart Circ Physiol, 2001, 281(5): 2124-2132.
    [35] Ansiaux R, Baudelet C, Cron GO, et al. Botulinum toxin potentiates cancer radiotherapy and chemotherapy.Clin Cancer Res,2006,12(4):1276-1283.
    [36]Jain RK.Normalization of tumor vasculature:an emerging concept in antiangiogenic therapy[J].Science,2005,307(5706):58-62.
    [37]Takenaga M,Kawasaki H.Neuronal control of mesenteric circulation.Nippon Yakurigaku Zasshi,1999,113(4):249-259.
    [38]Hatanaka Y,Hobara N,Honghua J,et al.Neuronal nitric-oxide synthase inhibition facilitates adrenergic neurotransmission in rat mesenteric resistance arteries.J Pharmacol Exp Ther,2006,316(2):490-497.
    [39]James AN,Ryan JP,Parkman HP.Inhibitory effects of botulinum toxin on pyloric and antral smooth muscle.Am J Physiol Gastrointest Liver Physiol.2003,285(2):G291-G297.
    [40]Morris JL,Murphy R.Evidence that neuropeptide Y released from noradrenergic axons causes prolonged contraction of the guinea-pig uterine artery.J Auton Nerv Syst,1988,24(3):241-249.
    [41]MacKenzie A,Burnstock G,Dolly J.The effects of purified botulinum neurotoxin type A on cholinergic,adrenergic and non-adrenergic,atropine-resistant autonomic neuromuscular transmission.Neuroscience,1982,7(4):997-1006.
    [42]刘治军,陈乃宏.蛋白磷酸化去磷酸化与突触囊泡循环.生理科学进展,2007,38(4):343-346.
    [43]蔡倩,陆佩华,盛祖杭.神经末梢突触囊泡释放神经递质过程的调控蛋白.生理科学进展,2003,34(1):6-10.
    [1] Scott AB, Botulinum toxin injection into extraocular muscles as an alternative to strabismus surgery. Ophthalmology, 1980, 87: 1044-1049.
    [2] Swaminathan S, Eswaramoorthy S. Structural analysis of the catalytic and binding sites of Clostridium botulinum neurotoxin B. Nat Strict Biol , 2000,7(8): 693-699.
    [3] Dodick DW. Botulinum neurotoxin for treatment of mgraine and other primary headache disorders: frombenchtobedside. Headache, 2003, 43(Suppl1): S25.
    [4] Dodick DW. Botulinum neurotoxin for treatment of mgraine and other primary headache disorders: frombenchtobedside. Headache, 2003, 43(Suppl1): S25.
    [5] Simpson LL. Identification of the major steps in botulinum toxin action. Annu Rev Pharmacol Toxicol, 2004, 44: 167-193.
    [6] Montecucco C, Papini E, Schiavo G. Bacterial protein toxins penetrate cells via a four-step mechanism. FEBS Letters, 1994, 346(1): 92-98.
    [7] Schiavo G, Matteoli M, Monteeucco C. Neurotoxins effecting neuroexocytosis. Physiol Rev, 2000, 80(2): 717-766.
    [8] Montecucco C, Schiavo G, Pantano S. SNARE complexes and neuroexocytosis: how many, how close?. Trends Biochem Sci. 2005, 30(7): 367-372.
    [9] Dodick DW. Botulinum neurotoxin for treatment of migraine and other primary headache disorders: from bench to bedside. Headache, 2003, 43(suppl 1):S25-33.
    [10]Thant ZS, Tan EK. Emerging therapeutic applieation of botulinum toxin. Med Sci Monit,2003,9(2):RA40.
    [11]Cordivari C,Misra VP,Catania S,et al.New therapeutic indications for botulinum toxins.Mov Disord,2004,19(Suppl 8):S157.
    [12]Jain RK.Normalization of tumor vasculature:an emerging concept in antiangiogenic therapy.Science,2005,307:58-62.
    [13]Ansiaux R,Baudelet C,Jordan BF,et al.Thalidomide radiosensitizes tumors through early changes in the tumor microenvironment.Clin Cancer Res,2005,11:743-50.
    [14]陈达民.肉毒杆菌毒素的胃肠应用.国外医学消化系疾病分册,1998:18:169-171.
    [15]Pasricha PJ,Ravich WJ,Kalloo AN.Injection of botulinum toxin into the distal esophageal sphincter in piglets-a unique investigative technique with potential therapeutic uses.Am J Gastroenterol,1992,87:1255.
    [16]Pasricha PJ,Ravich WJ,Kalloo AN.Botulinum toxin for achalasia,Lancet,1993,341:244-245.
    [17]Pasricha PJ,Rai R,Ravich WJ,et al.Botulinum toxin for achalasia:longterm outcome and predicotors of response.Gastroenterology,1996,110(5):1410-1415.
    [18]Sigala S,Missale G,Missale C,et al.Different neurotransmitter systerms are Involved in the development of esophageal achalasia.Life Sci,1995,56(16):1311-1320.
    [19]刘庆森,蔡逢春,郭荣斌等.超声内镜下注射A型BTX-A治疗贲门失弛 症的临床研究.解放军医学杂志,1999,24(2):115-116.
    [20]Neubrand M,Seheurlen C,Schepke M.Long-term result and progrostic factors in the treatment of achalasia with botulinum toxin.Endoscopy,2002,34(7):519-523.
    [21]Bhatia KP.Botulinum toxin is a useful treatment in excessive drooling in saliva.Neurol Neurosurg Psychiatry,1999,67:697-699.
    [22]郑婵娟,廖维靖,谭维溢.超声介导下唾液腺内注射A型肉毒毒素治疗流涎,国外医学(物理医学与康复学分册),2004,24(4):159-160.
    [23]Yuan F,Hou YP,Wen WD.Immunohistochemical and morphological investigations of the influence of botulinum toxin type A on the submandibular gland of the rats.Journal Of Clinical Otorhinolaryngology.2004,18(9):558-560.
    [24]Riemann R,Pfennigsdorf S,Riemann E.Successful treatment of crocodile tears by injection of botulinum toxin into the lacrimal gland:a case report.Ophthalmology,1999,106:2322-2324.
    [25]Laskawi R,Ellies M,Drobik C.Botulinum toxin treatment in patients with hemifacial spasm.Eur Arch Otorhinolaryngol,1994,251:271-274.
    [26]Guyer BM.Some unresolved issues with botulinum toxin.J Neurol,2001,248(Suppl 1):11-13.
    [27]Aoki KR.Evidence for antinociceptive activity of botulinum toxin type A in pain management.Headache,2003,43(Suppl 1):S9-15.
    [28]Gobel H,Heinze A,Heinze-Kuhn K,Austermann K.Botulinum toxin A in the treatment of headache syndromes and pericranial pain syndromes.Pain,2001, 91(3):195-199.
    [29]Carruthers A,Carruthers J,Update on the botulinum neurotoxins.Skin Therapy Lett,2001,6(13):1-2.
    [30]Tannenbaum GS,Goltzmann D.Calcitomin gene related peptide mimics calcitonin action in brain on growth hormone release and feeding.Endocrinology,1985,116(6):2685-2687.
    [31]Lenz HJ,Mortrud MT,Rivier JE.Central nervous system actions of calcitonin gene-related peptide on gastric acid secretion in the rat.Gastroenterology,1985,88(2):539-544.
    [32]Waugh DJ,Bockman CS,Smtith DD.Limitations in Using peptide Drugs to Characterize Calcitonin Gene-Related Peptide Receptors.J Pharmacol Exp Ther,1999,289(3):1419-1426.
    [33]万新华,汤晓芙.肉毒毒素及其在神经科疾病的治疗应用.中华神经科杂志,1996,29(2):11.
    [34]程秀兰,程秀梅.A型肉毒毒素治疗发作期偏头痛50例.郑州大学学报(医学版),2006,41(5):1004-1005.
    [35]Blumenfeld AM,Bidder W,Silberstein SD.Procedures foradministering botulinum toxin type A for migraine and tension-type headache.Headache,2003,43(8):884.
    [36]窦祖林.痉挛-评估与治疗.北京人民卫生出版社,2004,276.
    [37]马爱梅,赵永波.偏头疼的新药治疗.临床神经病学杂志,2005,18(2):159.
    [38]聂梅,查天文.A型肉毒毒素治疗偏头痛疗效观察.中国康复理论与实践, 2006,12(6):54.
    [39]周君芳,陆新,注射用A型肉毒毒素治疗痤疮28例疗效观察.医学信息,2009,22(2):259.
    [40]Jankovie J,Sehwartz KS.Longitudinal experience with botulinum toxin injections for treatment of blepharospasm and cervieal dystonia.Neurology,1993,43:834.
    [41]Zuber M,Sebald M,Bathien N.Botulinum antibodies in dystonic patients treated with type A botulinum toxin:freguency and significance.Neurology,1993,43:1715.
    [42]Matarasso SL.Update on the aesthetic uses of botulinum A neurotoxin infacial rejuvenatoin.Curr Probl Dermatol,2001,13:46-53.

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