Dual effect of amitriptyline in the control of vascular tone: Direct blockade of calcium channel in smooth muscle cells and reduction of TLR4-dependent NO production in endothelial cells

Autor: Juliana Maria Navia-Pelaez, Melissa Tainan Silva Dias, Laura Alejandra Ariza Orellano, Gianne Paul Campos, Jacqueline Alvarez-Leite, Paula Peixoto Campos, Luciano Santos Aggum Capettini
Rok vydání: 2022
Předmět:
Zdroj: European Journal of Pharmacology. 934:175255
ISSN: 0014-2999
DOI: 10.1016/j.ejphar.2022.175255
Popis: Amitriptyline (AM) is a classical and typical tricyclic antidepressant drug. Despite its well-known effects on the nervous system, it has been described to work as a TLR4 antagonist and several clinical works suggested some unexpected cardiovascular effects. The role of amitriptyline on vascular tone is not clear, thus we hypothesized that amitriptyline has a double effect on vascular tone by both endothelial TLR4-dependent nitric oxide down-regulation and calcium channel blockade in smooth muscle cells.Changes in isometric tension were recorded on a wire myograph. NO production was evaluated by fluorescence microscopy and flow cytometry in the mouse aorta and EAhy926 cells using DAF fluorescence intensity. Calcium influx was evaluated in A7r5 cells by flow cytometry. Western blot was used to analyze eNOS and nNOS phosphorylation.AM reduced PE-induced contraction by calcium influx diminution in smooth muscle cells (F/FOur data show that amitriptyline impaired vascular function through two different mechanisms: blockade of TLR4 in endothelial cells and consequent decrease in NO production and calcium influx reduction in smooth muscle and endothelial cells. We also suggest, for the first time, nNOS activity reduction by AM in non-neuronal cells.
Databáze: OpenAIRE