Article ; Online: l-Tryptophan-Induced Vasodilation Is Enhanced in Preeclampsia: Studies on Its Uptake and Metabolism in the Human Placenta.
Hypertension (Dallas, Tex. : 1979)
2020 Volume 76, Issue 1, Page(s) 184–194
Abstract: l-tryptophan induces IDO (indoleamine 2,3-dioxygenase) 1-dependent vasodilation. IDO1 is expressed ... to diminished placental perfusion, we studied l-tryptophan-induced vasodilation in healthy and early-onset ... this is due to enhanced l-tryptophan uptake, evidenced by increased l-tryptophan levels in preeclamptic ...
Abstract | l-tryptophan induces IDO (indoleamine 2,3-dioxygenase) 1-dependent vasodilation. IDO1 is expressed in placental endothelial cells and downregulated in preeclampsia. Hypothesizing that this may contribute to diminished placental perfusion, we studied l-tryptophan-induced vasodilation in healthy and early-onset preeclampsia placental arteries, focusing on placental kynurenine pathway alterations. Despite IDO1 downregulation, kynurenine pathway metabolite concentrations (measured with ultra-performance liquid chromatography-tandem mass spectrometry) were unaltered in preeclamptic versus healthy placentas. Most likely, this is due to enhanced l-tryptophan uptake, evidenced by increased l-tryptophan levels in preeclamptic placentas. Ex vivo perfused cotyledons from healthy and preeclamptic placentas released similar amounts of l-tryptophan and kynurenine pathway metabolites into the circulations. This release was not altered by adding l-tryptophan in the maternal circulation, suggesting that l-tryptophan metabolites act intracellularly. Maternally applied l-tryptophan did appear in the fetal circulation, confirming placental passage of this essential amino acid. After in vitro incubation of placental arteries with IDO1-upregulating cytokines interferon-γ and tumor necrosis factor-α, l-tryptophan induced vasodilation. This vasodilation was attenuated by both IDO1 and nitric oxide (NO) synthase inhibitors. Despite IDO1 downregulation, l-tryptophan-induced relaxation was enhanced in preeclamptic versus healthy placental arteries. However, cytokine stimulation additionally upregulated the LAT (l-type amino acid transporter) 1 in preeclamptic placental arteries only. Vasodilation to the lipophilic, transporter independent ethyl ester of l-tryptophan was reduced in preeclamptic versus healthy placental arteries, in agreement with reduced IDO1 expression. In conclusion, l-tryptophan induces IDO1- and NO-dependent relaxation in placental arteries, which is determined by l-tryptophan uptake rather than IDO1 expression. Increased l-tryptophan uptake might compensate for reduced IDO1 expression in preeclamptic placentas. |
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MeSH term(s) | 15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5,13-dienoic Acid/pharmacology ; Adult ; Arteries/metabolism ; Carrier Proteins/biosynthesis ; Carrier Proteins/genetics ; Cytokines/pharmacology ; Enzyme Induction/drug effects ; Female ; Humans ; Indoleamine-Pyrrole 2,3,-Dioxygenase/drug effects ; Indoleamine-Pyrrole 2,3,-Dioxygenase/genetics ; Indoleamine-Pyrrole 2,3,-Dioxygenase/metabolism ; Kynurenine/metabolism ; Maternal-Fetal Exchange ; Nitric Oxide/metabolism ; Nitric Oxide Synthase/antagonists & inhibitors ; Placenta/blood supply ; Placenta/drug effects ; Placenta/metabolism ; Pre-Eclampsia/enzymology ; Pre-Eclampsia/physiopathology ; Pregnancy ; RNA, Messenger/biosynthesis ; RNA, Messenger/genetics ; Tryptophan/analogs & derivatives ; Tryptophan/pharmacology ; Vasodilation/drug effects |
Chemical Substances | Carrier Proteins ; Cytokines ; IDO1 protein, human ; Indoleamine-Pyrrole 2,3,-Dioxygenase ; RNA, Messenger ; Nitric Oxide (31C4KY9ESH) ; Kynurenine (343-65-7) ; tryptophan ethyl ester (6519-66-0) ; 15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5,13-dienoic Acid (76898-47-0) ; Tryptophan (8DUH1N11BX) ; Nitric Oxide Synthase (EC 1.14.13.39) |
Language | English |
Publishing date | 2020-06-01 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 423736-5 |
ISSN | 1524-4563 ; 0194-911X ; 0362-4323 |
ISSN (online) | 1524-4563 |
ISSN | 0194-911X ; 0362-4323 |
DOI | 10.1161/HYPERTENSIONAHA.120.14970 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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