BIOLOGY 2F03 Lecture Notes - Lecture 6: Guanylyl Cyclase, Bradykinin Receptor, Prostacyclin

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NORMAL ENDOTHELIAL FUNCTION
1. The endothelium is an organ with a complex structure and a variety of functions
Structure of endothelium
it is a single flat layer of cells that forms the interface between tissues and blood
endothelial cells line the entire circulatory system
cells appear in a cobblestoned morphology in vitro
cells appear in an aligned morphology in vivo - and this is due to the effect of blood flow/ shear
stress; with cells aligning parallel to flow
overlaps between cells in vivo occur at junctional areas this helps them to regulate barrier
function
The endothelium has 5 main functions
regulation of vascular tone
barrier function
pro-inflammatory
anti-coagulant
angiogenesis
2. the regulation of vascular tone is achieved by balancing production of vasoconstrictive and
vasorelaxing mediators
The immediate response of the newborn is to upregulate vasorelaxing agents and downregulate
constrictive agents in small pulmonary arteries. failure to do so would result in death
Nitric Oxide has differing effects on endothelial cells and SMCs
It is produced in endothelial cells from arginine by NOS
eNOS is constitutively expressed in endothelial cells it maintains a constant production of NO
o eNOS can be induced by shear stress, O2, ACh and bradykinin
o iNOS is induced in inflammation, nNOS is only produced by neurons
NO improves endothelial barrier function, growth, motility and promotes angiogenesis (by
promoting VEGF)
NO diffuses to SMCs to bind to solugble guanylyl cyclase. this produces cGMP which in turn
produces PKG
o Hence NO causes SMC relaxation but inhibits SMC growth and motility
NO also has anti-inflammatory and anti-thrombotic (platelet adhesion inhibition) effects
Prostacyclin causes cell membrane hyperpolarization
it is produced in endothelial cells from arachidonic acid via COX
it elevates cAMP in SMCs. this activates potassium channels and inhibits calcium channels net
effect is hyperpolarization of the membrane and vasodilation
o it also inhibits SMC proliferation
Prostacyclin also inhibits platelet aggregation
Natriuretic peptides
there are 3main types, synthesized in the atria (ANP), brain (BNP) and endothelium (CNP)
they bind to particulate guanylyl cyclase (not soluble) on SMCs to induce cGMP formation and
achieve vasodilation
they are stimulated by arterial/ventricular dilation and neurohumoral factors
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