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Métodos Terapêuticos e Terapias MTCI
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1.
Sci China Life Sci ; 63(11): 1665-1677, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32303962

RESUMO

High salt intake is a known risk factor of cardiovascular diseases. Our recent study demonstrated that long-term high salt intake impairs transient receptor potential channel M5 (TRPM5)-mediated aversion to high salt concentrations, consequently promoting high salt intake and hypertension; however, it remains unknown whether TRPM5 activation ameliorates cardiovascular dysfunction. Herein we found that bitter melon extract (BME) and cucurbitacin E (CuE), a major compound in BME, lowered high salt-induced hypertension. Long-term BME intake significantly enhanced the aversion to high salt concentrations by upregulating TRPM5 expression and function, eventually decreasing excessive salt consumption in mice. Moreover, dietary BME ameliorated high salt-induced cardiovascular dysfunction and angiotensin II-induced hypertension in vivo. The mechanistic evidence demonstrated that dietary BME inhibited high salt-induced RhoA/Rho kinase pathway overactivation, leading to reduced phosphorylation levels of myosin light chain kinase and myosin phosphatase targeting subunit 1. Furthermore, CuE inhibited vasoconstriction by attenuating L-type Ca2+ channel-induced Ca2+ influx in vascular smooth muscle cells. To summarize, our findings indicate that dietary BME has a beneficial role in antagonizing excessive salt consumption and thus appears promising for the prevention of high salt-induced cardiovascular dysfunction.


Assuntos
Doenças Cardiovasculares/prevenção & controle , Cloreto de Sódio na Dieta/efeitos adversos , Canais de Cátion TRPM/metabolismo , Animais , Cálcio/metabolismo , Canais de Cálcio Tipo L/metabolismo , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/metabolismo , Doenças Cardiovasculares/fisiopatologia , Cucurbitacinas/administração & dosagem , Cucurbitacinas/farmacologia , Suplementos Nutricionais , Camundongos , Momordica charantia/química , Músculo Liso Vascular/metabolismo , Músculo Liso Vascular/fisiopatologia , Transdução de Sinais/efeitos dos fármacos , Canais de Cátion TRPM/genética , Percepção Gustatória/efeitos dos fármacos , Percepção Gustatória/fisiologia , Vasoconstrição , Quinases Associadas a rho/metabolismo , Proteína rhoA de Ligação ao GTP/metabolismo
2.
Hypertension ; 70(6): 1291-1299, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29089370

RESUMO

High salt intake is a major risk factor for hypertension and is associated with cardiovascular events. Most countries exhibit a traditionally high salt intake; thus, identification of an optimal strategy for salt reduction at the population level may have a major impact on public health. In this multicenter, random-order, double-blind observational and interventional study, subjects with a high spice preference had a lower salt intake and blood pressure than subjects who disliked spicy food. The enjoyment of spicy flavor enhanced salt sensitivity and reduced salt preference. Salt intake and salt preference were related to the regional metabolic activity in the insula and orbitofrontal cortex (OFC) of participants. Administration of capsaicin-the major spicy component of chili pepper-enhanced the insula and OFC metabolic activity in response to high-salt stimuli, which reversed the salt intensity-dependent differences in the metabolism of the insula and OFC. In animal study, OFC activity was closely associated with salt preference, and salty-taste information processed in the OFC was affected in the presence of capsaicin. Thus, interventions related to this region may alter the salt preference in mice through fiber fluorometry and optogenetic techniques. In conclusion, enjoyment of spicy foods may significantly reduce individual salt preference, daily salt intake, and blood pressure by modifying the neural processing of salty taste in the brain. Application of spicy flavor may be a promising behavioral intervention for reducing high salt intake and blood pressure.


Assuntos
Pressão Sanguínea/efeitos dos fármacos , Capsaicina/administração & dosagem , Hipertensão/tratamento farmacológico , Fitoterapia/métodos , Cloreto de Sódio na Dieta/administração & dosagem , Especiarias , Percepção Gustatória/efeitos dos fármacos , Adulto , Animais , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Método Duplo-Cego , Feminino , Humanos , Hipertensão/fisiopatologia , Masculino , Camundongos
3.
J Am Heart Assoc ; 6(8)2017 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-28768647

RESUMO

BACKGROUND: Environmental cold-induced hypertension is common, but how to treat cold-induced hypertension remains an obstacle. Transient receptor potential melastatin subtype 8 (TRPM8) is a mild cold-sensing nonselective cation channel that is activated by menthol. Little is known about the effect of TRPM8 activation by menthol on mitochondrial Ca2+ homeostasis and the vascular function in cold-induced hypertension. METHODS AND RESULTS: Primary vascular smooth muscle cells from wild-type or Trpm8-/- mice were cultured. In vitro, we confirmed that sarcoplasmic reticulum-resident TRPM8 participated in the regulation of cellular and mitochondrial Ca2+ homeostasis in the vascular smooth muscle cells. TRPM8 activation by menthol antagonized angiotensin II induced mitochondrial respiratory dysfunction and excess reactive oxygen species generation by preserving pyruvate dehydrogenase activity, which hindered reactive oxygen species-triggered Ca2+ influx and the activation of RhoA/Rho kinase pathway. In vivo, long-term noxious cold stimulation dramatically increased vasoconstriction and blood pressure. The activation of TRPM8 by dietary menthol inhibited vascular reactive oxygen species generation, vasoconstriction, and lowered blood pressure through attenuating excessive mitochondrial reactive oxygen species mediated the activation of RhoA/Rho kinase in a TRPM8-dependent manner. These effects of menthol were further validated in angiotensin II-induced hypertensive mice. CONCLUSIONS: Long-term dietary menthol treatment targeting and preserving mitochondrial function may represent a nonpharmaceutical measure for environmental noxious cold-induced hypertension.


Assuntos
Temperatura Baixa/efeitos adversos , Hipertensão/tratamento farmacológico , Doenças Mitocondriais/tratamento farmacológico , Canais de Cátion TRPM/fisiologia , Angiotensina II/farmacologia , Animais , Anti-Hipertensivos/farmacologia , Cálcio/metabolismo , Respiração Celular/fisiologia , Células Cultivadas , Suplementos Nutricionais , Homeostase/efeitos dos fármacos , Masculino , Mentol/farmacologia , Camundongos Endogâmicos C57BL , Camundongos Knockout , Mitocôndrias Musculares/metabolismo , Músculo Liso Vascular/efeitos dos fármacos , Espécies Reativas de Oxigênio/metabolismo , Vasoconstrição/efeitos dos fármacos , Quinases Associadas a rho/metabolismo
4.
Clin Sci (Lond) ; 131(7): 567-581, 2017 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-28143892

RESUMO

Hypertension-induced renal fibrosis contributes to the progression of chronic kidney disease, and apigenin, an anti-hypertensive flavone that is abundant in celery, acts as an agonist of transient receptor potential vanilloid 4 (TRPV4). However, whether apigenin reduces hypertension-induced renal fibrosis, as well as the underlying mechanism, remains elusive. In the present study, the deoxycorticosterone acetate (DOCA)-salt hypertension model was established in male Sprague-Dawley rats that were treated with apigenin or vehicle for 4 weeks. Apigenin significantly attenuated the DOCA-salt-induced structural and functional damage to the kidney, which was accompanied by reduced expression of transforming growth factor-ß1 (TGF-ß1)/Smad2/3 signaling pathway and extracellular matrix proteins. Immunochemistry, cell-attached patch clamp and fluorescent Ca2+ imaging results indicated that TRPV4 was expressed and activated by apigenin in both the kidney and renal cells. Importantly, knockout of TRPV4 in mice abolished the beneficial effects of apigenin that were observed in the DOCA-salt hypertensive rats. Additionally, apigenin directly inhibited activation of the TGF-ß1/Smad2/3 signaling pathway in different renal tissues through activation of TRPV4 regardless of the type of pro-fibrotic stimulus. Moreover, the TRPV4-mediated intracellular Ca2+ influx activated the AMP-activated protein kinase (AMPK)/sirtuin 1 (SIRT1) pathway, which inhibited the TGF-ß1/Smad2/3 signaling pathway. In summary, dietary apigenin has beneficial effects on hypertension-induced renal fibrosis through the TRPV4-mediated activation of AMPK/SIRT1 and inhibition of the TGF-ß1/Smad2/3 signaling pathway. This work suggests that dietary apigenin may represent a promising lifestyle modification for the prevention of hypertension-induced renal damage in populations that consume a high-sodium diet.


Assuntos
Apigenina/uso terapêutico , Suplementos Nutricionais , Hipertensão Renal/dietoterapia , Rim/patologia , Canais de Cátion TRPV/fisiologia , Proteínas Quinases Ativadas por AMP/fisiologia , Animais , Anti-Hipertensivos/farmacologia , Anti-Hipertensivos/uso terapêutico , Apigenina/farmacologia , Pressão Sanguínea/efeitos dos fármacos , Cálcio/metabolismo , Acetato de Desoxicorticosterona , Modelos Animais de Doenças , Avaliação Pré-Clínica de Medicamentos/métodos , Fibrose , Hipertensão Renal/induzido quimicamente , Hipertensão Renal/metabolismo , Hipertensão Renal/fisiopatologia , Rim/metabolismo , Rim/fisiopatologia , Masculino , Ratos Sprague-Dawley , Sirtuína 1/fisiologia , Cloreto de Sódio na Dieta , Canais de Cátion TRPV/metabolismo
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