Key result
In human internal mammary arteries, acetylcholine-induced relaxation involves H2S release via the 3-MPST/CAT pathway, which increases eNOS phosphorylation and down-regulates PDE5A.
Why the study?
The role of hydrogen sulfide in human internal mammary arteries and its interaction with eNOS and PDE5A activity was not well understood.
Human internal mammary artery endothelium releases H2S, which mediates vasorelaxation via eNOS phosphorylation, PDE5A down-regulation, and potassium channel activation, offering potential therapeutic targets for CABG graft vasospasm.
Endothelial H2S release via 3-MPST/CAT in IMA may guide vasospasm targets in CABG; leaves open clinical translation of these ex vivo findings.
Objective To investigate the role of hydrogen sulfide (H 2 S) in human internal mammary arteries (IMA) and its interaction with endothelial nitric oxide synthase (eNOS) and phosphodiesterase (PDE)5A activity. Methods Human IMA segments from patients undergoing coronary artery bypass grafting (CABG) were studied by myography for acetylcholine and sodium hydrosulfide (NaHS)-induced relaxation. Locations of 3-mercaptopyruvate sulfurtransferase (3-MPST) and cysteine aminotransferase (CAT) were examined immunohistochemically. Levels of H 2 S, eNOS, phosphorylated-eNOS ser1177 , and PDE5A were measured. Results In IMA segments from 47 patients, acetylcholine-induced relaxation (resistant to N G -nitro-L-arginine and indomethacin) was significantly attenuated by aminooxyacetic acid or L-aspartate (CAT inhibitors), iberiotoxin (large-conductance calcium-activated K + channel blocker), TRAM-34 plus apamin (intermediate- and small-conductance Ca 2+ -activated K + channel blockers) or glibenclamide (ATP-sensitive K + channel blocker). 3-MPST and mitochondrial CAT were found in endothelial and smooth muscle cells while cytosolic CAT was located only in endothelial cells. Acetylcholine significantly increased the H 2 S levels. The H 2 S donor, NaHS, increased eNOS phosphorylation and down-regulated PDE5A. Conclusions Human conduit artery endothelium releases H 2 S under basal and stimulated conditions, involving the 3-MPST/CAT pathway, eNOS phosphorylation, PDE5A activity, and potassium channels. These findings may provide new therapeutic targets for treating vasospasm in CABG grafts and facilitate the development of new vasodilator drugs.
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Yuan et al. (2019) studied Coronary artery disease requiring CABG (n=47). Acetylcholine and sodium hydrosulfide (NaHS) was evaluated on Acetylcholine-induced relaxation and H2S levels. In human internal mammary arteries, acetylcholine-induced relaxation involves H2S release via the 3-MPST/CAT pathway, which increases eNOS phosphorylation and down-regulates PDE5A.
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