Matrix metalloproteinase enhances big-endothelin-1 constriction in mesenteric vessels of pregnant rats with reduced uterine blood flow

Hypertension. 2013 Feb;61(2):488-93. doi: 10.1161/HYPERTENSIONAHA.111.00055. Epub 2013 Jan 7.

Abstract

Preeclampsia is a leading cause of maternal and fetal morbidity/mortality; however, the pathophysiological mechanisms are unclear. Vascular endothelial dysfunction in preeclampsia has been partially attributed to changes in endothelin-1 (ET-1). Several enzymes, including matrix metalloproteinases (MMPs; particularly MMP-2), cleave the inactive precursor big ET-1 (bET-1) to active ET-1. Notably, expression levels of MMP-2 have been shown to be on the increase in women who subsequently develop preeclampsia. We hypothesized that the increased MMP-2 expression leads to increased bET-1 conversion, thereby increasing vasoconstriction in preeclampsia. A reduced uteroplacental perfusion pressure (RUPP) model of preeclampsia in the rat was used to assess mesenteric artery vascular function. Responses to bET-1 (3-310 nmol/L) and ET-1 (1-200 nmol/L) were studied in the presence or absence of inhibitors of enzymes known to cleave bET-1. Vascular contractility in response to bET-1 was greater in RUPP than Sham (P<0.001), whereas neither responses to ET-1 nor maximal contractility to high potassium salt solution (123.70 mmol/L) were different. MMP inhibition with GM6001 (30 μmol/L) significantly decreased responses to bET-1 in RUPP (P<0.001) but not Sham-operated rats. Interestingly, combined treatment with GM6001 and L-NG-nitroarginine methyl ester (100 μmol/L) revealed a NO modulation of MMPs that was reduced in RUPP. In summary, we found increased vascular contractility to bET-1 in the RUPP model of preeclampsia that was likely attributable to upstream enzymatic pathways. These data are consistent with a greater contribution of MMP to cleavage of bET-1 to ET-1 ex vivo in RUPP, suggesting that this enzyme may be partially responsible for increased bET-1-induced contractility.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Dipeptides / pharmacology
  • Endothelin-1 / pharmacology*
  • Female
  • Hemodynamics / drug effects
  • Matrix Metalloproteinase 2 / metabolism*
  • Mesenteric Arteries / drug effects
  • Mesenteric Arteries / metabolism*
  • Mesenteric Arteries / physiopathology
  • Mesentery / blood supply
  • Mesentery / metabolism
  • Mesentery / physiopathology
  • Nitric Oxide / metabolism
  • Pre-Eclampsia / metabolism*
  • Pregnancy
  • Protease Inhibitors / pharmacology
  • Rats
  • Rats, Sprague-Dawley
  • Uterus / blood supply*
  • Uterus / drug effects
  • Uterus / physiopathology
  • Vasoconstriction / drug effects
  • Vasoconstriction / physiology*

Substances

  • Dipeptides
  • Endothelin-1
  • N-(2(R)-2-(hydroxamidocarbonylmethyl)-4-methylpentanoyl)-L-tryptophan methylamide
  • Protease Inhibitors
  • Nitric Oxide
  • Matrix Metalloproteinase 2