Key result
The calcimimetic R-568 induced dose-dependent vasodilation in mesenteric vascular beds from normotensive rats, but caused CaSR- and endothelium-dependent vasoconstriction at low doses in hypertensive rats.
Why the study?
Does the calcimimetic R-568 modulate vascular tone differently in mesenteric vascular beds from normotensive versus spontaneously hypertensive rats?
Does the calcimimetic R-568 modulate vascular tone differently in mesenteric vascular beds from normotensive versus spontaneously hypertensive rats?
The calcimimetic R-568 modulates vascular tone via both CaSR-dependent and independent mechanisms, but its vasorelaxant effect is impaired in hypertensive rats due to altered CaSR expression.
Answers are grounded in this paper and cite their sources.
Animal data suggest impaired R-568 vasorelaxation in hypertension; leaves open CaSR dimerization as therapeutic target in humans.
The potential role of calcimimetics as vasculotropic agents has been suggested since the discovery that calcium sensing receptors (CaSRs) are expressed in cardiovascular tissues. However, whether this effect is CaSR-dependent or -independent is still unclear. In the present study the vascular activity of calcimimetic R-568 was investigated in mesenteric vascular beds (MVBs) isolated from Spontaneously Hypertensive rats (SHR) and the relative age-matched Wistar-Kyoto (WKY) control rats. Pre-constricted MBVs were perfused with increasing concentrations of R-568 (10 nM- 30 μM) resulting in a rapid dose-dependent vasodilatation. However, in MVBs from SHR this was preceded by a small but significant vasoconstriction at lowest nanomolar concentrations used (10-300 nM). Pre-treatment with pharmacological inhibitors of nitric oxide (NO) synthase (NOS, L-NAME), KCa channels (CTX), cyclo-oxygenase (INDO) and CaSR (Calhex) or the endothelium removal suggest that NO, CaSR and the endothelium itself contribute to the R-568 vasodilatory/vasoconstrictor effects observed respectively in WKY/SHR MVBs. Conversely, the vasodilatory effects resulted by highest R-568 concentration were independent of these factors. Then, the ability of lower R-568 doses (0.1-1 μM) to activate endothelial-NOS (eNOS) pathway in MVBs homogenates was evaluated. The Akt and eNOS phosphorylation levels resulted increased in WKY homogenates and Calhex significantly blocked this effect. Notably, this did not occur in the SHR. Similarly, vascular smooth muscle cells (vSMCs) stimulation with lower R-568 doses resulted in Akt activation and increased NO production in WKY but not in SHR cells. Interestingly, in these cells this was associated with the absence of the biologically active dimeric form of the CaSR thus potentially contributing to explain the impaired vasorelaxant effect observed in response to R-568 in MVB from SHR compared to WKY. Overall, these findings provide new insight on the mechanisms of action of the calcimimetic R-568 in modulating vascular tone both in physiological and pathological conditions such as hypertension.
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Pietro et al. (2018) studied Hypertension (n=40). Calcimimetic R-568 vs. Baseline / WKY controls was evaluated on Change in perfusion pressure in mesenteric vascular beds (p=<0.01). The calcimimetic R-568 induced dose-dependent vasodilation in mesenteric vascular beds from normotensive rats, but caused CaSR- and endothelium-dependent vasoconstriction at low doses in hypertensive rats.
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