12 - Vascular Endothelial Cell Physiology Flashcards

1
Q

The endothelium fulfills a variety of different functions involved in __________, the _______, and the __________

A

The endothelium fulfills a variety of different functions involved in maintenance of the vascular wall, the circulating blood, and the hemodynamic balance of the entire body

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2
Q

Which layer of the vasculature contains endothelium?

A

Tunica intima

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3
Q

six functions of endothelial cells

A
  1. Physical lining
  2. Permeability barrier for exchange of nutrients
  3. Mediates angiogenesis
  4. Regulates platelet function
  5. Influences smooth muscle proliferation in disease such as atherosclerosis
  6. Secrete paracrine agents to modify smooth muscle function (vasodilators and constrictors)
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4
Q

What are the three primary vasodilators produced by the endothelium?

A
  • Nitric oxide
  • Prostaglandins such as prostacyclin (PG12)
  • Endothelium-derived hyperpolarizing factors (EDHF’s)
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5
Q

Three roles of NO in the cardiovascular system?

A
  • Platelet aggregation (inhibitor)
  • Cell proliferation (inhibitor)
  • Vascular smooth muscle tone
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6
Q

What is the half life of nitric oxide (NO)?

A

5 seconds

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7
Q

NO is _______ and thus can cross membranes

A

NO is lipophilic and thus can cross membranes

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8
Q

What are the three forms of NO synthase (NOS)?

A
  • Neuronal NOS (nNOS; Type I)
  • Inducible NOS (iNOS; Type II)
  • Endothelial NOS (eNOS; Type III)
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9
Q

Which NO synthases (NOSs) are Ca++ dependent?

A

eNOS and nNOS (Neuronal NOS and endothelial NOS)

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10
Q

Which NO synthase (NOS) is Ca++ Independent?

A

i-NOS (inducible NOS)

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11
Q

How is eNOS activated?

A
  • activated by ACh, bradykinin / shear stress opening Ca++ channel
    • Ca++ influx → CaM → eNOS
    • L-argenine is converted to NO by eNOS (using BH4, FAD, FMN, NADPH) and side product L-citrulline
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12
Q

Explain the image of shear stress and receptor-stimulated NO formation:

  • Endothelial (e)-NOS isoform converts ________ to NO. eNOS activity is determined by ________ and/or _______ state at different sites
  • eNOS activity is positively modulated by ___________
  • eNOS activity is negatively modulated by _______________
  • eNOS activity is inhibited by its interaction with _______ and by ________ modification
    • eNOS association with _________ favors activation
A
  • Endothelial (e)-NOS isoform converts L-arginine to NO. eNOS activity is determined by intracellular calcium concentration and/or phosphorylation state at different sites
  • eNOS activity is positively modulated by phosphorylation of serine 1177 (S1177)
  • eNOS activity is negatively modulated by phosphorylation of threonine 494 (T494)
  • eNOS activity is inhibited by its interaction with caveolin-1 and by O-GlcNAc modification
    • eNOS association with heat shock protein 90 (hsp90) favors activation
      *
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13
Q

Explain the image:

Aging impacts of NO

  • In endothelial aging, NO synthesis is compromised because ___________\_, reduced expression and association iwth ____________, ____________ and ___________\_
  • Reduced availability of ___________\_and ___________\_ induces ____________ generation
  • In aged endothelial cells, up-regulated ___________\_which may be associated with ____________, produces high levels of ___________\_
  • NO reacts with ___________\_residues of proteins (arginase for example), forming S-nitrosothiol (-SNO)-arginase generating the harmful reactive nitrogen species ____________, which contributes to ___________\_
  • The aging-associated NOS alterations are depicted in red
A
  • In endothelial aging, NO synthesis is compromised because eNOS activity is decreased due to increased expression and interaction with caveolin, reduced expression and association iwth hsp90, reduced phosphorylation of S<u>1177</u> and increased phosphorylation of T<u>494</u>
  • Reduced availability of L-arginine and tetrahydrobiopterin (BH<u>4</u>) induces eNOS uncoupling or changes the enzyme to a state that favours superoxide anion generation
  • In aged endothelial cells, up-regulated iNOS which may be associated with NF-kB-induced vascular inflammation, produces high levels of NO
  • NO reacts with cysteine residues of proteins (arginase for example), forming S-nitrosothiol (-SNO)-arginase generating the harmful reactive nitrogen species peroxynitrite (ONOO-), which contributes to vascular dysfunction
  • The aging-associated NOS alterations are depicted in red
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14
Q

Describe Endothelial-Dependent Relaxation

What activates NOS and what is the effect:

A
  • NOS is activated by Ach/Metacholine/shear stress
  • NOS converts L-arginine to NO and L-citrulline in the Endothelial cell
  • NO diffuses out of the EC and into the VSMC where it activates guanylate cyclase to convert GTP to cGMP → ↓Ca++ → Relaxation (dilation)
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15
Q

Describe Endothelium independent Vasodilation

A
  • Sodium nitroprusside/ nitroglycerin → NO→Gunylate Cyclase catalyses GTP→cGMP→↓Ca→Relaxation
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16
Q

Inappropriate overproduction of NO is mostly attributed to ______

A

Inappropriate overproduction of NO is mostly attributed to iNOS

17
Q

What does inappropriate overproduction of NO cause?

A
  • inflammation
  • Rhematic disease
  • Septic shock
18
Q

What does insufficient bioavailability of NO cause?

A

Heart Disease

  • Hypertension
  • Atherosclerosis
  • Restenosis
19
Q

How are prostaglandins (eicosanoids) produced?

A

Arachidonic acid (AA) – cyclooxygenase -→ PGG2 – endoperoxidase→ PGH2

PGH2 – TxA2 synthase→ Thromboxane

PGH2 – PGI2 synthase → Prostacyclin

20
Q

Action of thromboxane?

A

Acts on receptor to increase Ca++ → constriction

21
Q

Action of prostacyclin

A

Acts on Receptor to increase cAMP → dilation

22
Q

What are the rate limiting enzymes in prostaglandin synthesis?

A

Prostaglandin H Synthase (PGHS)-1 and PGHS-2

aka COX-1 and COX-2

23
Q

Prostaglandins

Normal physiology - primary vasodilation via _____

Pathophysiology - vasoconstriction via ______

A

Prostaglandins

Normal physiology - primary vasodilation via prostacyclin

Pathophysiology - vasoconstriction via thromboxane receptor

24
Q

Aspirin inhibits ______

A

Aspirin inhibits PGHS

Inhibits production of thromboxane (therefore prevents vasoconstriction)

25
Q

While the specific identity of Endothelial-derived hyperpolarizing factors is not known, what are the likely factors?

A

EETs, cannabinoids, K+ ions, hydrogen peroxide

26
Q

What is the mechanism of Endothelial-derived hyperpolarization

  • ↑endothelial [Ca++] → activation of endothelial ___ and ____ channels → influx of low levels of ions from the cell and _____ of the ______ membrane
  • Efflux of K+ ions can have an additional effect by activating an ________ and ________ channels on the smooth muscle cells causing hyperpolarization of the smooth muscle
  • Hyperpolarization of the endothelial cell membrane may then be transferred to the smooth muscle cells via __________
A
  • ↑endothelial [Ca++] → activation of endothelial SKCa and IKCa channels → influx of low levels of K+ ions from the cell and hyperpolarization of the endothelial membrane
  • Efflux of K+ ions can have an additional effect by activating an inward rectifying K+ channel (KIR) and Na+/K+ ATPase channels on the smooth muscle cells causing hyperpolarization of the smooth muscle
  • Hyperpolarization of the endothelial cell membrane may then be transferred to the smooth muscle cells via myoendothelial gap junctions (MEGJ)
27
Q

Endothelial derived vasoconstrictor

There are ___ types of endothelin. Which one is most important?

A

There are 3 types of endothelin. Which one is most important? Endothelin-1

28
Q

Endothelin-1 is released by:

A

Other vasoconstrictors: (epinephrine, angiotensin, hypoxia, lipoproteins, thrombin, shear stress)

29
Q

There are ___ receptors for endothelin (vasoconstrictor). These receptors are ____ and _____

A

There are 2 receptors for endothelin (vasoconstrictor). These receptors are ETA and ETB

30
Q

Endothelin Receptors

ETA is located primarily on _________ cells to cause ________

A

Endothelin Receptors

ETA is located primarily on vascular smooth muscle cells to cause vasoconstriction

31
Q

Endothelin Receptors

ETB is located primarily on __________ cells to release ________ resulting in _______

A

Endothelin Receptors

ETB is located primarily on endothelial cells to release Nitric oxide (NO) resulting in dilation

32
Q

Elevated levels of ET-1 (endothelin type 1) in blood have been reported for a variety of disease conditions: (8)

A
  1. Myocardial infarction
  2. Hypertension
  3. Pulmonary arterial hypertension (PAH)
  4. Heart failure
  5. Ischemia-reperfusion injury
  6. Atherosclerosis
  7. Restenosis
  8. Diabetes mellitus
33
Q

A number of conditions and diseases of the vasculature is associated with ______ such as hypertension, atherosclerosis, diabetes, preeclampsia

A

A number of conditions and diseases of the vasculature is associated with oxidative stress such as hypertension, atherosclerosis, diabetes, preeclampsia

34
Q

How is peroxynitrite produced?

A

Binding of NO to superoxide (O2-) leads to the formation of peroxynitrite (ONOO-)

35
Q

ONOO- is a strong ______ and can affect the function of _______

A

ONOO- is a strong oxidant and can affect the function of various proteins