Role of pertussis toxin-sensitive G protein in metabolic vasodilation of coronary microcirculation

Pinacidil ameliorates cardiac microvascular ischemia-reperfusion injury by inhibiting chaperone-mediated autophagy of calreticulin

Calcium overload is the key trigger in cardiac microvascular ischemia-reperfusion (I/R) injury, and calreticulin (CRT) is a calcium buffering protein located in the endoplasmic reticulum (ER). Additionally, the role of pinacidil, an antihypertensive drug, in protecting cardiac microcirculation against I/R injury has not been investigated. Hence, this study aimed to explore the benefits of pinacidil on cardiac microvascular I/R injury with a focus on endothelial calcium homeostasis and CRT signaling. Cardiac vascular perfusion and no-reflow area were assessed using FITC-lectin perfusion assay and Thioflavin-S staining. Endothelial calcium homeostasis, CRT-IP3Rs-MCU signaling expression, and apoptosis were assessed by real-time calcium signal reporter GCaMP8, western blotting, and fluorescence staining. Drug affinity-responsive target stability (DARTS) assay was adopted to detect proteins that directly bind to pinacidil. The present study found pinacidil treatment improved capillary density and perfusion, reduced no-reflow and infraction areas, and improved cardiac function and hemodynamics after I/R injury. These benefits were attributed to the ability of pinacidil to alleviate calcium overload and mitochondria-dependent apoptosis in cardiac microvascular endothelial cells (CMECs). Moreover, the DARTS assay showed that pinacidil directly binds to HSP90, through which it inhibits chaperone-mediated autophagy (CMA) degradation of CRT. CRT overexpression inhibited IP3Rs and MCU expression, reduced mitochondrial calcium inflow and mitochondrial injury, and suppressed endothelial apoptosis. Importantly, endothelial-specific overexpression of CRT shared similar benefits with pinacidil on cardiovascular protection against I/R injury. In conclusion, our data indicate that pinacidil attenuated microvascular I/R injury potentially through improving CRT degradation and endothelial calcium overload.

Physiological Consequences of Coronary Arteriolar Dysfunction and Its Influence on Cardiovascular Disease

To date, the major focus of diagnostic modalities and interventions to treat coronary artery disease has been the large epicardial vessels. Despite substantial data showing that microcirculatory dysfunction is a strong predictor of future adverse cardiovascular events, very little research has gone into developing techniques for in vivo diagnosis and therapeutic interventions to improve microcirculatory function. In this review, we will discuss the pathophysiology of coronary arteriolar dysfunction, define its prognostic implications, evaluate the diagnostic modalities available, and provide speculation on current and potential therapeutic opportunities.

Potential Interactions Among Vascular and Muscular Functional Compartments During Active Hyperemia

The increase in blood flow that accompanies the start of contractions (active hyperemia) is a complex phenomenon involving a fast phase in which blood flow increases quickly and then slows or decreases (seek phase) before stabilizing at a flow corresponding to the metabolic rate (matched phase). This pattern of blood flow change involves contributions from a flow-induced increase in flow, a response to short periods of occlusion or partial occlusion due to force generated by the muscle contraction, and metabolism. Even denervated, the vascular bed, which consists of endothelial cells, vascular smooth muscle cells, and an adventitial layer that has significant secretory potential, is able to coordinate the response pattern. Within the vascular wall, communication is possible bidirectionally across the wall and also along the wall in a retrograde or upstream direction. The signals involved, which range from endothelial cell products such as nitric oxide and endothelin to adenosine, a skeletal muscle metabolite, appear to be situation- and time-dependent. In addition to the communication potential within and along the vascular wall, signals from the vascular system are able to exert inotropic effects on mammalian skeletal muscle. Key words: bidirectional signaling, postcontraction hyperemia, flow-induced flow changes, signal plasticity