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      Role of Phosphatidylinositol 3-Kinase (PI3K), Mitogen-Activated Protein Kinase (MAPK), and Protein Kinase C (PKC) in Calcium Signaling Pathways Linked to the α 1-Adrenoceptor in Resistance Arteries

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          Abstract

          Insulin resistance plays a key role in the pathogenesis of type 2 diabetes and is also related to other health problems like obesity, hypertension, and metabolic syndrome. Imbalance between insulin vascular actions via the phosphatidylinositol 3-Kinase (PI3K) and the mitogen activated protein kinase (MAPK) signaling pathways during insulin resistant states results in impaired endothelial PI3K/eNOS- and augmented MAPK/endothelin 1 pathways leading to endothelial dysfunction and abnormal vasoconstriction. The role of PI3K, MAPK, and protein kinase C (PKC) in Ca 2+ handling of resistance arteries involved in blood pressure regulation is poorly understood. Therefore, we assessed here whether PI3K, MAPK, and PKC play a role in the Ca 2+ signaling pathways linked to adrenergic vasoconstriction in resistance arteries. Simultaneous measurements of intracellular calcium concentration ([Ca 2+] i) in vascular smooth muscle (VSM) and tension were performed in endothelium-denuded branches of mesenteric arteries from Wistar rats mounted in a microvascular myographs. Responses to CaCl 2 were assessed in arteries activated with phenylephrine (PE) and kept in Ca 2+-free solution, in the absence and presence of the selective antagonist of L-type Ca 2+ channels nifedipine, cyclopiazonic acid (CPA) to block sarcoplasmic reticulum (SR) intracellular Ca 2+ release or specific inhibitors of PI3K, ERK-MAPK, or PKC. Activation of α 1-adrenoceptors with PE stimulated both intracellular Ca 2+ mobilization and Ca 2+ entry along with contraction in resistance arteries. Both [Ca 2+] i and contractile responses were inhibited by nifedipine while CPA abolished intracellular Ca 2+ mobilization and modestly reduced Ca 2+ entry suggesting that α 1-adrenergic vasoconstriction is largely dependent Ca 2+ influx through L-type Ca 2+ channel and to a lesser extent through store-operated Ca 2+ channels. Inhibition of ERK-MAPK did not alter intracellular Ca 2+ mobilization but largely reduced L-type Ca 2+ entry elicited by PE without altering vasoconstriction. The PI3K blocker LY-294002 moderately reduced intracellular Ca 2+ release, Ca 2+ entry and contraction induced by the α 1-adrenoceptor agonist, while PKC inhibition decreased PE-elicited Ca 2+ entry and to a lesser extent contraction without affecting intracellular Ca 2+ mobilization. Under conditions of ryanodine receptor (RyR) blockade to inhibit Ca 2+-induced Ca 2+-release (CICR), inhibitors of PI3K, ERK-MAPK, or PKC significantly reduced [Ca 2+] i increases but not contraction elicited by high K + depolarization suggesting an activation of L-type Ca 2+ entry in VSM independent of RyR. In summary, our results demonstrate that PI3K, ERK-MAPK, and PKC regulate Ca 2+ handling coupled to the α 1-adrenoceptor in VSM of resistance arteries and related to both contractile and non-contractile functions. These kinases represent potential pharmacological targets in pathologies associated to vascular dysfunction and abnormal Ca 2+ handling such as obesity, hypertension and diabetes mellitus, in which these signaling pathways are profoundly impaired.

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          Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome: a summary of the evidence.

          E. Ford (2005)
          In recent years, several major organizations have endorsed the concept of the metabolic syndrome and developed working definitions for it. How well these definitions predict the risk for adverse events in people with the metabolic syndrome is only now being learned. The purpose of this study was to summarize the estimates of relative risk for all-cause mortality, cardiovascular disease, and diabetes reported from prospective studies in samples from the general population using definitions of the metabolic syndrome developed by the National Cholesterol Education Program (NCEP) and World Health Organization (WHO). The author reviewed prospective studies from July 1998 through August 2004. For studies that used the exact NCEP definition of the metabolic syndrome, random-effects estimates of combined relative risk were 1.27 (95% CI 0.90-1.78) for all-cause mortality, 1.65 (1.38-1.99) for cardiovascular disease, and 2.99 (1.96-4.57) for diabetes. For studies that used the most exact WHO definition of the metabolic syndrome, the fixed-effects estimates of relative risk were 1.37 (1.09-1.74) for all-cause mortality and 1.93 (1.39-2.67) for cardiovascular disease; the fixed-effects estimate was 2.60 (1.55-4.38) for coronary heart disease. These estimates suggest that the population-attributable fraction for the metabolic syndrome, as it is currently conceived, is approximately 6-7% for all-cause mortality, 12-17% for cardiovascular disease, and 30-52% for diabetes. Further research is needed to establish the use of the metabolic syndrome in predicting risk for death, cardiovascular disease, and diabetes in various population subgroups.
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            Ca2+ sensitivity of smooth muscle and nonmuscle myosin II: modulated by G proteins, kinases, and myosin phosphatase.

            Ca2+ sensitivity of smooth muscle and nonmuscle myosin II reflects the ratio of activities of myosin light-chain kinase (MLCK) to myosin light-chain phosphatase (MLCP) and is a major, regulated determinant of numerous cellular processes. We conclude that the majority of phenotypes attributed to the monomeric G protein RhoA and mediated by its effector, Rho-kinase (ROK), reflect Ca2+ sensitization: inhibition of myosin II dephosphorylation in the presence of basal (Ca2+ dependent or independent) or increased MLCK activity. We outline the pathway from receptors through trimeric G proteins (Galphaq, Galpha12, Galpha13) to activation, by guanine nucleotide exchange factors (GEFs), from GDP. RhoA. GDI to GTP. RhoA and hence to ROK through a mechanism involving association of GEF, RhoA, and ROK in multimolecular complexes at the lipid cell membrane. Specific domains of GEFs interact with trimeric G proteins, and some GEFs are activated by Tyr kinases whose inhibition can inhibit Rho signaling. Inhibition of MLCP, directly by ROK or by phosphorylation of the phosphatase inhibitor CPI-17, increases phosphorylation of the myosin II regulatory light chain and thus the activity of smooth muscle and nonmuscle actomyosin ATPase and motility. We summarize relevant effects of p21-activated kinase, LIM-kinase, and focal adhesion kinase. Mechanisms of Ca2+ desensitization are outlined with emphasis on the antagonism between cGMP-activated kinase and the RhoA/ROK pathway. We suggest that the RhoA/ROK pathway is constitutively active in a number of organs under physiological conditions; its aberrations play major roles in several disease states, particularly impacting on Ca2+ sensitization of smooth muscle in hypertension and possibly asthma and on cancer neoangiogenesis and cancer progression. It is a potentially important therapeutic target and a subject for translational research.
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              The structural basis of ryanodine receptor ion channel function

              Meissner reviews progress toward our understanding of ryanodine receptor structure and function.
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                Author and article information

                Contributors
                Journal
                Front Physiol
                Front Physiol
                Front. Physiol.
                Frontiers in Physiology
                Frontiers Media S.A.
                1664-042X
                06 February 2019
                2019
                : 10
                : 55
                Affiliations
                Departamento de Fisiología, Facultad de Farmacia, Universidad Complutense de Madrid , Madrid, Spain
                Author notes

                Edited by: Maria Fernandez-Velasco, Hospital Universitario La Paz, Spain

                Reviewed by: Peter S. Reinach, Wenzhou Medical University, China; Marta Gil-Ortega, CEU San Pablo University, Spain

                *Correspondence: Dolores Prieto, dprieto@ 123456ucm.es

                This article was submitted to Membrane Physiology and Membrane Biophysics, a section of the journal Frontiers in Physiology

                Article
                10.3389/fphys.2019.00055
                6372516
                30787881
                c20086a7-521a-4dca-b058-77a6551b321c
                Copyright © 2019 Gutiérrez, Contreras, Sánchez and Prieto.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 17 September 2018
                : 17 January 2019
                Page count
                Figures: 7, Tables: 1, Equations: 0, References: 51, Pages: 14, Words: 0
                Funding
                Funded by: Ministerio de Economía y Competitividad 10.13039/501100003329
                Categories
                Physiology
                Original Research

                Anatomy & Physiology
                erk-mapk,pi3k,pkc,l-type ca2+ channel,ryr,intracellular ca2+ mobilization,α1-adrenergic vasoconstriction,resistance arteries

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