Abstract | BACKGROUND: Post-induction hypotension, a common complication after propofol-based induction regimen, is a life-threatening challenge for anesthesiologists especially when unexpected pre-induction hypertension characterized by angiotensin release and increased vascular tone was presented by the same patient. Gap junctions (GJs) composed of connexin 43 ( Cx43) have been considered a key factor in regulating vascular contraction and dilation. We aimed to explore the role of Cx43-GJs during peri-induction blood pressure fluctuation and elucidate the underlying mechanisms. METHODS: Human umbilical arterial smooth muscle cells (HUASMCs) were pretreated by short-term Angiotensin Ⅱ (Ang Ⅱ) with or without subsequent propofol treatment to simulate transient contraction and dilation of vascular smooth muscle cells during anesthesia induction. F-actin polymerization, a classic indicator of HUASMCs constriction, was determined by F-actin staining assay. Both the function and expression of Cx43-GJs during transient contraction and dilation of HUASMCs, and their potential regulation of downstream Ca2+/RhoA/LIMK2/ Cofilin signaling pathway were explored via different targeting inhibitors and siRNAs. RESULTS: Ang Ⅱ pretreatment significantly induced F-actin polymerization that indicate cell contraction, accompanied by enhanced GJs function on HUASMCs. With the inhibition of Cx43 GJs by the specific inhibitor, Gap26, and Cx43-siRNA, Ang Ⅱ-induced F-actin polymerization was reversed accompanied with the decrease of intracellular Ca2+ mobility and the RhoA/LIMK2/ Cofilin signaling pathway activity. We also noticed that propofol application could inhibit GJs function, the same as Gap26. Simultaneously, intracellular Ca2+ mobility and RhoA/LIMK2/ Cofilin signaling pathway activity on HUASMCs were both downregulated, finally resulting in downstream reduction of F-actin polymerization. CONCLUSION: The function of Cx43-GJs lies in the center of Ang Ⅱ-induced contraction of HUASMCs, which potentially regulates intracellular Ca2+ mobility as well as RhoA/LIMK2/ Cofilin signaling pathway activity. Propofol can reverse this effect induced by Ang Ⅱ through suppressing the function of Cx43-GJs.
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Authors | Zhizhao Deng, Yanling Zhang, Qian Zhang, Xianlong Li, Weiqi Zeng, Cai Jun, Dongdong Yuan |
Journal | The international journal of biochemistry & cell biology
(Int J Biochem Cell Biol)
Vol. 153
Pg. 106326
(12 2022)
ISSN: 1878-5875 [Electronic] Netherlands |
PMID | 36330887
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2022 Elsevier Ltd. All rights reserved. |
Chemical References |
- Connexin 43
- Actin Depolymerizing Factors
- Actins
- Propofol
- Angiotensin II
- RHOA protein, human
- rhoA GTP-Binding Protein
- LIMK2 protein, human
- Lim Kinases
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Topics |
- Humans
- Connexin 43
(genetics, metabolism)
- Actin Depolymerizing Factors
(metabolism)
- Actins
(metabolism)
- Propofol
(metabolism, pharmacology)
- Dilatation
- Myocytes, Smooth Muscle
(metabolism)
- Signal Transduction
- Angiotensin II
(pharmacology, metabolism)
- rhoA GTP-Binding Protein
(metabolism)
- Lim Kinases
(metabolism)
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