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(Stroke. 2007;38:1050.)
© 2007 American Heart Association, Inc.
Original Contributions |
From the Departments of Anesthesiology, Molecular Pharmacology & Experimental Therapeutics (T.M., L.V.dU., Z.S.K.) and Pediatric & Adolescent Medicine (D.J.B., G.M., J.M.v.D.), Mayo Clinic College of Medicine, Rochester, Minn.
Correspondence to Zvonimir S. Katusic, MD, PhD, Department of Anesthesiology, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN 55905. E-mail katusic.zvonimir{at}mayo.edu, or Jan M. van Deursen, Department of Pediatrics and Adolescent Medicine, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN 55905. E-mail vandeursen.jan@mayo.edu
| Abstract |
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Methods Morphological, functional, and biochemical analyses were performed on aortas and carotid arteries of 3- to 5-month-old BubR1 mutant mice and wild-type littermates.
Results Arterial wall thickness and inner diameter were significantly reduced in BubR1 mutant mice. Arterial walls of BubR1 mutant mice had low numbers of medial smooth muscle cells. Masson trichrome staining showed profound fibrosis in arterial walls of BubR1 mutant. In agreement with these morphological changes, functional analysis of pressurized isolated carotid arteries of BubR1 mutant mice demonstrated reduced elastic properties. Endothelium-dependent relaxations to acetylcholine and endothelium-independent relaxations to the nitric oxide donor DEA-NONOate were significantly reduced in carotid arteries of BubR1 mutant mice. Furthermore, enzymatic activity of nitric oxide synthase and levels of cyclic GMP were significantly reduced in aortas of mutant mice, but production of superoxide anions was significantly increased.
Conclusions These findings demonstrate that BubR1 insufficiency in mice results in phenotypic changes reminiscent of vascular aging in humans and suggest a role for BubR1 in suppressing the vascular aging process.
Key Words: aging carotid arteries endothelium nitric oxide nitric oxide synthase
| Introduction |
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Previous studies have demonstrated that mouse mutants defective in genome maintenance mechanisms display symptoms of accelerated aging.17 Most notably, commonly described human syndromes of accelerated aging are also caused by genome maintenance defects.17 Thus, it seems that DNA maintenance and repair pathways play an important role in aging processes. Consistent with this concept, a study by Baker et al18 demonstrated that mice that express only 10% of normal levels of the mitotic spindle assembly checkpoint protein BubR1 leads to progressive aneuploidy and development of specific early aging-associated phenotypes, including short life span, cachectic dwarfism, lordokyphosis, cataracts, loss of subcutaneous fat, and impaired wound healing.18 In addition, natural aging of wild-type mice is marked by decreased BubR1 expression is multiple tissues, further suggesting that this protein may be a regulator of normal aging.18 The physiological relevance of BubR1 to the vascular system has not yet been studied. Here we present the major characteristics of vascular phenotype caused by BubR1 insufficiency.
| Materials and Methods |
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The mice were killed with a 60 mg/kg intraperitoneal injection of pentobarbital. Blood samples were obtained through puncture of the right ventricle. The blood was mixed with heparin and centrifuged at 4°C for 10 minutes at 2000 rpm. The plasma was aspirated and stored at 80°C. The aorta and carotid arteries were removed and placed immediately in ice-cold modified Krebs-Ringer solution (in mmol/L: NaCl 118.6; KCl 4.7; CaCl2 2.5; MgSO4 1.2; KH2PO4 1.2; NaHCO3 25.1; Ca2+Na+2 versenate 0.026; glucose 11.1). Arteries were dissected and connective tissue was removed under a microscope (Carl Zeiss). Because of the small size of the BubR1 arteries, we used carotid artery for analysis of vasomotor function and mechanical properties, whereas the largest conduit vessel, aorta, was used for biochemical and morphological analysis.
Morphological Analyses
Thoracic aortas were carefully dissected, fixed in 4% formalin, and embedded in paraffin. Serial sections (5-µm-thick) were cut for analysis by hematoxylin-eosin, elastica van Gieson, and Masson trichrome staining. The arterial segments were cut into 5 serial sections at 5-mm intervals. The medial area was quantified using Image-Pro PLUS (Media Cybernetics).
Vasomotor Reactivity
Carotid arteries were studied as previously described.19,20 Briefly, both sites of the artery were sutured onto microcannulae and placed in a vessel chamber (Living Systems Instrumentation) filled with aerated (94% O2, 6% CO2) Krebs-Ringer solution (37°C). A pressure of 50 mm Hg was maintained in the artery through the microcannulae. The arteries were equilibrated 45 minutes before each of the experiments. The arteries were submaximally contracted with 9,11-dideoxy-11
,9
-epoxymethanoprostaglandin F2
(U46619; 1073x107 mol/L), a thromboxane analog, and then endothelium-dependent relaxation was obtained by cumulative addition of acetylcholine (109 to 105 mol/L). After washout, equilibration, and submaximal contraction with U46619, endothelium-independent relations were determined using diethylammonium (Z)-1-(N,N-diethylamino)diazen-1-IM1,2-diolate (DEA-NONOate; 109 to 105 mol/L). Relaxation was determined as a percent of relaxation to a high concentration of papaverine (3x104 mol/L). In a separate protocol, diameter changes were measured during stepwise increments in intraluminal pressure from 25 to 150 mm Hg. At the end of each experiment, arteries were incubated in Ca2+-free control solution containing EGTA (2x103 mol/L) and sodium nitroprusside (104 mol/L) for 45 minutes. Stepwise increase in intraluminal pressure was repeated to determine the passive diameter of the arteries.21,22
Mechanical Properties of Arterial Wall
Passive diameter is defined as the inner diameter of carotid artery measured in Ca2+-free control solution. Cross-sectional compliance (C) is defined by the change in luminal cross-sectional area (
S) for a given change in intravascular pressure (
P), ie, C=
S/
P (µm2/mm Hg). Distensibility is the compliance value normalized for the luminal cross-sectional area and defined by distensibility=(1/S)x(
S/
P) (mm Hg1x1000).23
Western Blot Analysis
We performed Western blot analysis as previously described.24 Aortas from wild-type and BubR1 hypomorphs were isolated and all surrounding material was removed. After preparing lysates, blots were probed with antibody for BubR1 as previously described.18 Equal loading was confirmed by using
-tubulin (T-9026, Sigma; 1:2000 dilution). Results are representative for 3 independent males of each genotype at each age.
Nitric Oxide Synthase Enzymatic Activity
Total enzymatic activity of nitric oxide synthase (NOS) was assayed in aorta with L-arginine to L-citrulline conversion as described previously.25 Briefly, 2 aortas (n=1 experiment) were homogenized on ice in lysis buffer (pH 7.5). Total protein was determined using the BioRad DC Protein assay kit. Equal amounts of total protein homogenates prepared as described were applied. [14C]-L-citrulline was measured in a scintillation counter (LS 5000TD; Beckman Instruments). NOS activity was expressed as fmol of [14C]-citrulline produced per mg of protein per min.
Measurement of cGMP Levels in Aorta
A radioimmunoassay technique was used to determine the levels of cGMP as reported previously.25 Briefly, aortic tissue was initially incubated in minimal essential media with 0.1% albumin and 1% penicillin-streptomycin (GIBCO) in a 5% CO2 incubator at 37°C for 30 minutes. Then, 3-isobutyl-1-methylxanthnine (104 mol/L; Sigma) was added and aortas were incubated for additional 30 minutes to inhibit the degradation of cyclic nucleotides by phosphodiesterases. The aortic tissue was then removed from the media and quickly frozen in N2. cGMP levels were measured by a radioimmunoassay kit (Amersham). The results were expressed as pmol/mg protein.
Detection of Vascular Superoxide Anion Production
Superoxide anion production was measured by lucigenin-enhanced chemiluminescence as previously described.25 Briefly, aortas were opened length-wise and equilibrated for 30 minutes at 37°C in the modified Krebs-HEPES buffer (pH 7.4, composition in mmol/L: NaCl 118.3, KCl 4.7, CaCl2 2.5, MgSO4 1.2, KH2PO4 1.2, Ca2+Na+2 versenate 0.026, glucose 11.1, and HEPES 20). Scintillation vials containing 2 mL Krebs-HEPES buffer with 5 µmol/L lucigenin were placed into a scintillation counter (LS 5000; Beckman Instruments, Inc.) switched to the out-of-coincidence mode. Background signals were recorded, and vascular segments were then added to each vial. The results were expressed as counts/min per mg dry weight.
Drugs
Acetylcholine hydrochloride, EGTA, and sodium nitroprusside were purchased from Sigma Chemical Co. DEA-NONOate and U46619 were from Cayman Chemical. DEA-NONOate was prepared as stock solutions in 1.5 mol/L Tris buffer pH 8.8. U46619 was dissolved in 1 part of 100% ethanol and then diluted with 9 parts of water. The remaining drugs were dissolved in distilled water. All drugs were then diluted in Krebs solution and concentrations were expressed as final molar concentration (mol/L) in the organ bath.
Statistical Analysis
Results are expresses as means±SEM for number of animals used for each experimental protocol. An unpaired Student t test was used to detect significant differences when 2 groups were compared. Factorial ANOVA followed by a Bonferroni/Dunn hoc test was used to detect significant differences in multiple comparisons. The concentration-response curves were analyzed by ANOVA for repeated measures followed by a Bonferroni/Dunn hoc test. Statistical significance was accepted at a level of P<0.05.
| Results |
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Vascular Morphology
Histological analysis of aorta sections revealed significant reductions in arterial wall thickness and diameter in BubR1H/H mice (Figure 1a and 1b, respectively). The decline in arterial wall thickness was associated with a profound reduction in smooth muscle cells (Figure 1c and d). Elastica van Gieson staining of aorta sections revealed that the elastic laminas were intact but flat in BubR1H/H mice. Intervals between elastic laminas were much smaller in BubR1H/H aortas than in BubR1+/+ aortas (Figure 1e and 1f). Aorta sections from BubR1H/H mice stained with Masson trichrome showed evidence of fibrosis (Figure 1g and 1h).
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Mechanical Properties of the Vascular Wall
The average internal diameter of common carotid arteries was significantly smaller in BubR1H/H mice than in littermates, but the wall-to-lumen ratio was not different (Table). Carotid arteries were dissected from BubR1H/H and BubR1+/+ mice and incubated in a calcium-free solution. BubR1+/+ arteries greatly expanded when the pressure in the arterial lumen was stepwise increased, but BubR1H/H arteries barely expanded under these conditions (Figure 2a). In addition, compliance and distensibility of BubR1H/H carotid arteries were significantly reduced as compared with carotid arteries of BubR1+/+ mice (Figure 2b and 2c).
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Vascular Reactivity
Absolute values of vasoconstriction to thromboxane analog U46619 were reduced in BubR1H/H mice carotid arteries (Table). However, when normalized to percent of maximal contractions to U46619, contractions were not significantly different between the 2 groups of mice (Figure 3a). During submaximal contractions to U46619 (1073x107 mol/L) endothelium-dependent relaxations to acetylcholine were significantly impaired in the carotid artery of BubR1H/H mice (Figure 3b). Endothelium-independent relaxations to DEA-NONOate were also significantly impaired in carotid arteries of BubR1H/H mice as compared with BubR1+/+ mice (Figure 3c).
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Expression of BubR1 Protein
Expression of BubR1 protein was detectable in aortas of wild type mice but not in aortas of BubR1H/H mice (Figure 4). Aging caused significant reduction in BubR1 protein expression in aortas of wild type mice (Figure 4).
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cGMP Levels
Basal cGMP levels were significantly lower in aortas of BubR1H/H mice than in those of BubR1+/+ mice (Figure 5a).
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NOS Enzyme Activity
Aortas from BubR1H/H mice had significantly lower NOS enzyme activity than aortas from BubR1+/+ mice (Figure 5b).
Vascular Superoxide Anion Production
Formation of superoxide anion was increased
5-fold in BubR1H/H aortas (199 653±33 637 counts/min per mg versus BubR1+/+ mice: 41 928±17 504 counts/min per mg; P<0.05; n=3 to 7).
| Discussion |
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10% of normal levels of BubR1.18 As anticipated, reduced expression of BubR1 caused chromosome number instability but no other genome maintenance defects.18 The results of our morphological, biochemical, and functional analyses described here demonstrate that BubR1 insufficiency in mice results in phenotypic changes reminiscent of vascular aging in humans and rodents, and suggest a role for BubR1 in suppressing vascular aging. Reduced expression of BubR1 did not affect circulating levels of cholesterol or glucose, ruling out the possibility that hypercholesterolemia or hyperglycemia contributes to alterations of vascular phenotype in BubR1H/H mice. Morphological analyses of arteries from BubR1H/H mice demonstrated reduced numbers of smooth muscle cells and diffuse medial fibrosis. This observation is consistent with reported age-related decline in proliferative capacity of vascular smooth muscle cells derived from humans and mice.2730 As the number of smooth muscle cells in arterial media decreases, major changes may occur in extracellular matrix, including increased content of collagen and decreased levels of elastin leading to fibrosis of vascular wall, a phenomenon observed in aged arteries of humans and rats.1,31,32 Most notably, changes in vascular structure of BubR1H/H mice were in agreement with alterations in mechanical properties of arterial wall. Aortas of BubR1H/H mice exhibited impaired elasticity and compliance, a typical characteristic of aged arteries.1 The molecular mechanism underlying loss of smooth muscle cells and increased rigidity of vascular wall in BubR1H/H mice is unknown and remains to be determined.
A large number of published studies demonstrated that endothelial dysfunction in aged arteries is caused by the loss of NO biological activity.28 In a recent mouse study, we have shown that aging impairs NO-mediated endothelium-dependent relaxations in carotid artery.8 This phenomenon was explained by an age-induced increase in production of superoxide anion and subsequent chemical inactivation of NO.8 Consistent with these reports, endothelium-dependent relaxations to acetylcholine were impaired in carotid arteries of BubR1H/H mice. Furthermore, we detected increased formation of superoxide anion in arteries of genetically altered mice suggesting that consumption of NO by superoxide anion plays a role in the impairment of endothelial function. In agreement with elevated superoxide anion production, relaxations of BubR1H/H mice carotid arteries to exogenous NO were also reduced.
Biochemical analysis of BubR1H/H mice aortas demonstrated significantly reduced levels of cyclic GMP, a second messenger for NO. Decrease in arterial cGMP content is most likely caused by reduced availability of NO. In addition to chemical inactivation of NO by superoxide anion, measurements of NOS enzymatic activity indicated that reduced production of NO contributes to loss of NO in BubR1H/H mice. Previous studies detected decreased enzymatic activity of eNOS in aged rats,9,33 rabbits,34 and humans,35 further supporting our conclusion that reduced expression of BubR1 causes phenotypic alterations resembling vascular aging. The molecular mechanisms responsible for downregulation of NO production and its biological activity in BubR1H/H mice arteries are unknown and remain to be studied.
In summary, we demonstrated that mice with low levels of the mitotic checkpoint protein BubR1 develop, early in life, phenotypic changes reminiscent of vascular aging in humans, suggesting that BubR1 acts to prevent onset of vascular aging. We speculate that impairment of BubR1 function may enhance development of carotid artery disease, thereby increasing risk of stroke. In the future studies it will be important to determine whether mouse strains in which DNA damage repair or telomere maintenance defects cause premature aging also exhibit early vascular aging or whether this phenotype is specific for deficiency of BubR1.
| Acknowledgments |
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Sources of Funding
This work was supported in part by National Institute of Health Grants to J.M.v.D. (CA96985) and Z.S.K. (HL-53524, HL-58080, HL-66958), and the Mayo Foundation.
Disclosures
None.
Received September 21, 2006; revision received October 12, 2006; accepted October 13, 2006.
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