目的探讨吡咯烷二硫代氨基甲酸盐(PDTC)对糖尿病大鼠血管内皮依赖性舒张功能损害的保护作用及其机制。方法雄性SD大鼠一次性ip给予链脲佐菌素60 mg·kg^-1制备糖尿病模型,通过饮水中给予PDTC 10 mg·kg^-1,连续治疗8周。检测血糖、血脂和血清内源性一氧化氮合酶(NOS)抑制物非对称性二甲基精氨酸(ADMA)浓度。用含有人二甲基精氨酸二甲胺水解酶2(h DDAH2)基因的重组腺病毒(Ad5CMV-h DDAH2)体外感染糖尿病大鼠血管环,分别检测感染前后血管环对乙酰胆碱诱导的最大舒张反应(Emax)、半数有效量(EC50)及血管组织DDAH活性。结果与正常组比较,糖尿病大鼠血糖明显升高,血清ADMA浓度从正常组的(1.14±0.26)μmol·L-1升至(2.18±0.52)μmol·L-1(P〈0.01);血管组织DDAH活性也从正常组的(0.10±0.02)U·g-1蛋白降至(0.05±0.01)U·g-1蛋白(P〈0.01);血管内皮依赖性舒张功能损伤,表现为Emax由正常组的(93.6±4.4)%降至(50.8±4.9)%(P〈0.01),EC50由正常组的(88±22)nmol·L-1升至(240±45)nmol·L-1(P〈0.01)。PDTC治疗降低血糖和血清ADMA浓度分别至(13.2±3.5)mmol·L-1和(1.40±0.25)μmol·L-1(P〈0.01),增加血管DDAH活性至(0.08±0.02)U·g-1蛋白(P〈0.01),改善内皮依赖性血管舒张功能,使Emax增至(84.6±4.5)%,EC50降至(134±27)nmol·L-1(P〈0.01)。糖尿病大鼠血管转染DDAH2基因后,血管DDAH活性及Emax和EC50的变化与PDTC治疗组相似。结论 PDTC对糖尿病大鼠血管内皮依赖性舒张功能具有明显的保护作用,其机制可能与上调血管DDAH活性,降低内源性NOS抑制物ADMA蓄积有关。
OBJECTIVE To investigate the protective effects and mechanisms of pyrrolidine dithio- carbamate (PDTC) against the impairment of endothelium-dependent vasodilation function in diabetic rats. METHODS A diabetic model was induced by a single intraperitoneal injection of streptozotocin (STZ, 60 mg· kg^-1) to male SD rats. Some of the diabetic rats were treated with PDTC ( 10 mg·kg^-1o d^-1) added to drinking water for 8 weeks after diabetes was induced. The levels of blood glucose, serum lip- id profiles and endogenous nitric oxide synthase (NOS) inhibitor asymmetric dimethylarginine dimethylarginine dimethylaminohydrolase 2 (DDAH2) gene adenovirus(Ad5CMV-hDDAH2)was ex vivo transfected to diabetic aortic rings. RESULTS The diabetic rats displayed a significant increase in blood glucose levels compared to normal control group. Serum ADMA levels were elevated from (1.14±0.26)μmol· L^-1 to (2.18±0.52)μmol· L^-1 (P〈0.01), while vascular DDAH activity was decreased from (0.10±0.02)U· g^-1 protein to (0.05±0.01)U· g^-1 protein (P〈0.01) in diabetic rats compared with normal control group, respectively. The endothelium-dependent relaxation response to acetylcholine was significantly impaired, as expressed by the decreased Emax from (93.6±4.4)% to (50.8±4.9)% and increased ECso from (88±22)nmol·L^-1 to (240±45)nmo1· L^-1(P〈0.01) in diabetic rats compared to control group. Treatment with PDTC not only decreased the blood glucose level [ (13.2±3.5)mmol· L^-1) and serum ADMA concentration (1.40±0.25μmol·L^-1, P〈0.01) but also increased vascular DDAH activity E (0.08±0.02)U ·g^-1 protein, P〈0.01 )] and endothelium-dependent relaxation, as expressed by a higher Emax (84.6±4.5)%(P〈0.01) and lower ECso (134±27)nmo1· L^-1 (P〈0.01) in diabetic rats. Similar results of Era,x, ECs0 and DDAH activity could also be observed when hDDAH2 gene was ex vivo trans- ferred to isolated aortic rings from di