Nongenomic activation of the GC-A enzyme by resveratrol and estradiol downstream from membrane estrogen receptors in human coronary arterial cells
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Nutrition, Metabolism & Cardiovascular Diseases (2007) 17, 508e516 www.elsevier.com/locate/nmcd Nongenomic activation of the GC-A enzyme by resveratrol and estradiol downstream from membrane estrogen receptors in human coronary arterial cells A.M. El-Mowafy a,*, M. Alkhalaf b, S.M. Jaffal b a Department of Biochemistry, Faculty of Pharmacy, Mansoura University, Mansoura 35516, Egypt b Department of Biochemistry, Faculty of Medicine, HSC, Kuwait University, Kuwait Received 21 December 2005; received in revised form 6 April 2006; accepted 26 April 2006 KEYWORDS Abstract Background and aim: Resveratrol (RSVL), a polyphenolic phytoestrogen Resveratrol; in grapes, confers multifaceted cardiovascular benefits. The cellular and molecular Estradiol; basis of RSVL actions has been largely undefined until now. Human coronary Methods and results: In human coronary smooth muscle cells (HCSMCs), RSVL mark- artery; edly (3.2-fold) enhanced cGMP formation (t1/2: 6.3 min, EC50: 1.8 mM) and stimu- cGMP; lated kinase-G activity (4-fold). By contrast, RSVL had no effect on cAMP or PKA Kinase-G; activity in these cells. The RSVL-enhanced cGMP/kinase-G activity was not abro- Nitric oxide synthase; gated by the nitric oxide synthase-inhibitor (L-NMMA, 10 mM), or the soluble guany- Particulate guanylate lyl cyclase (sGC)-inhibitor (ODQ, 10 mM). In membrane preparations from HCSMCs, cyclase; RSVL activated GC in the particulate-, but not in the soluble-membrane fraction. Membrane estrogen- Similar effects were due to the specific particulate-GC-A agonist atrial natriuretic receptor peptide (ANP, 0.1e1 mM). The combined effects of RSVL and ANP were competitive. By contrast, the selective GC-B agonist (BNP) showed no response on cGMP, whereas that for GC-C (guanylin) produced only slight increases in cGMP levels. Estradiol (E2) mimicked the effects of RSVL on cGMP, but showed a 46% lower maximal response. Combining E2 with RSVL showed a competitive, rather than an additive, response. Further, cGMP formation by RSVL or E2 was significantly atten- uated by the pure estrogen receptor blocker, ICI-182,780 (10 mM). Conclusion: These findings are the first to link RSVL with pGC/kinase-G activation downstream from membrane ERs in the vasculature, thus substantiating its coro- nary protective effects, even in endothelium-disrupted coronary arteries. ª 2006 Elsevier B.V. All rights reserved. * Corresponding author. Tel./fax: þ20 50 224 7496. E-mail address: aelmowafy@yahoo.com (A.M. El-Mowafy). 0939-4753/$ - see front matter ª 2006 Elsevier B.V. All rights reserved. doi:10.1016/j.numecd.2006.04.008
Nongenomic activation of the GC-A enzyme 509 Introduction Determination of cyclic nucleotide levels The contention that natural edible components may cAMP and cGMP were determined by enzyme- protect against diseases is currently best exempli- immunoassay according to the reported proce- fied by resveratrol (trans-3,40 ,5-trihydroxystilbene, dures [16,17]. Human coronary smooth muscle RSVL), a phytoalexin in grapes, berries and red wine cells, passages 3e8, were cultured in 48-well cul- [1,2]. RSVL is believed to confer protection against ture dishes at equal densities, in an atmosphere some cardiovascular diseases, a dogma commonly of 5% CO2/air, at 37 C. Media were exchanged designated as ‘‘the French paradox of red wine’’ each 48 h. Experiments were run on 85e90% con- [3]. These observations prompted an explosion of fluent cells. Confluent cells were incubated in research that uncovered further biological effects low serum-media (0.5e1%) for 18 h. The media for RSVL such as antineoplastic, antioxidant, anti- were removed and cells were washed three times platelet, and anti-inflammatory actions [4e6]. Cor- with KRB-buffer (0.5 mL/well) containing 0.1% bo- onary heart disease remains a primary contributor vine serum albumin. Cells were then preincubated to morbidity and mortality in developed countries for 15 min at 37 C in a buffer containing 0.5 mM [7]. The benefits of RSVL in such diseases have of IBMX, to inhibit phosphodiesterases. RSVL or been linked to inhibition of platelet aggregation, solvent (ethanol) was then added. Solvent concen- perturbation of prostanoid synthesis, and regula- tration was kept below 0.1%. Reactions were tion of lipoprotein metabolism [8]. In the vascula- terminated after 10 min by removing the buffer ture, RSVL also produced vasodilatory effects that and adding 0.5 mL of 0.1 N HCl for 30 min at were attributed to endothelium-dependent release room temperature. cGMP and cAMP, extracted in of nitric oxide (NO) [9]. Moreover, RSVL remarkably HCl, were measured by enzyme immunoassay using relaxed endothelium-denuded vascular prepara- assay kits (Biomol) that included all reagents, tions; however through largely unknown cellular antibodies and microtiter plates. Results were ex- events [10]. In porcine coronaries, vasorelaxation pressed as fmol nucleotide/cell number. In gen- by RSVL was attributed to its estrogen receptor eral, basal cAMP levels were 143e162 fmol/106 (ER) binding capacity [11]; however, RSVL antiproli- cells; 4e5-fold higher than those of cGMP ferative effects in this preparation were indepen- (26e30 fmol/106). dent from ERs [2]. Further, antioxidants such as vitamin C and dithiothreitol have been shown to stimulate guanylyl cyclase (GC) activity in some sys- Assay of guanylyl cyclase (GC) activity tems [12,13]. Both kinase-G and kinase-A can confer in cellular fractions protection in vascular smooth muscle through both vasodilatory and antiproliferative effects [14]. Like- The following protocol was adapted from our wise, estrogen receptor binding has been positively reported procedures [18]. Cells were washed linked with vascular protection, as demonstrated with cold phosphate-buffered saline and then with estradiol (E2) and RSVL [11,15]. Therefore, to with TriseHCl buffer 25 mM, pH 7.6, containing su- verify the possible coronary protective effects of crose (250 mM). Cells were frozen at 80 C then RSVL in humans, we investigated its effects on thawed on ice to break down the cell membranes. kinase-G/kinase-A activity, and further attempted Cell debris was first removed by low-speed centri- to delineate the molecular basis/trafficking path- fugation. The supernatant was then centrifuged at ways entailing such RSVL coronary protection in 120,000 g (4 C) for 15 min. The produced super- human coronary smooth muscle cells (HCSMCs). natant was collected as a soluble fraction and the pellet was washed by dispersion into homogenizing buffer and re-centrifugation. Pellet served as the particulate membrane fraction. Guanylyl Methods cyclase was determined in both soluble and partic- ulate fractions in a total volume of 100 mL, at Cell culture 37 C. The reaction mixture contained Tris (pH 7.6, 50 mM), IBMX (0.5 mM), GTP (1 mM), MgCl2 Human coronary artery smooth muscle cells were (4 mM), bovine serum albumin (0.1%), creatine purchased from Clonetics/Cambrex Bio Science phosphate (25 mM), creatine kinase (55 U/ml), (Walkersville, MD) and were grown in smooth membrane- or soluble-protein (5e10 mg), and the muscle growth medium (SmGM-2) supplemented indicated concentrations of RSVL. Reactions were with 5% fetal bovine serum. Passages 3e8 were terminated by immersion into boiling water utilized for subsequent experiments. and centrifugation. The generated cGMP was
510 A.M. El-Mowafy et al. quantitated as mentioned above. Enzyme activity Statistical analyses was expressed as pmol cGMP/min per mg tissue protein. Statistical significance between two groups was evaluated by Student’s t-test for unpaired data. Comparison among multiple groups was conducted Determination of PKG activity using the one-way analysis of variance (ANOVA) test, followed by Tukey’s post hoc test to deter- Incubation conditions were similar to those of mine significant differences among the means of cGMP determination. Cells were lysed in a buffer the data groups. A probability of P < 0.05 was containing (in mmol/L) TriseHCl (pH 7.4) 20, accepted as a significant difference. EGTA 1, EDTA 1, and PMSF 1; 10 mg/mL leupeptin; 2 mg/mL aprotonin; and 0.1% Triton X-100. Cell lysate was centrifuged at 13,000 g for 15 min at 4 C. The supernatant was used as a tissue extract Results for determination of kinase activity [18]. Protein concentrations were determined by the method Resveratrol (RSVL) appreciably (3.2-fold) enhanced of Lowry. Kinase activity was determined by mea- cGMP formation in HCSMCs. This response occurred suring 32Pi incorporation from [g-32P]ATP into the in a time- and concentration-dependent manner serine residue of the synthetic peptide ‘‘Kemp- with a t1/2 value of 6.3 min and EC50 value of 1.8 mM tide’’, containing a specifically designed sequence (Figs. 1A and 2). As can be seen in Fig. 2B, RSVL also that governs high affinity to PKG. Reactions were elicited a concentration-dependent stimulation of performed in a total volume of 50 mL that con- PKG (up to 4-fold). We also investigated the effects tained (in mmol/L) TriseHCl (pH 7.5) 50, MgCl2 of RSVL on the cAMP-dependent kinase (PKA) 20, and MnCl2 10; 20 mL of tissue extract; because: (i) this cascade can produce similar pro- 100 mmol/L Kemptide; 100 mmol/L ATP, 0.5 mCi tective effects to that of the cGMP/kinase-G, [g-32P]ATP (4 mCi/mmol); 0.1 mg/mL BSA; and (ii) RSVL was found to enhance cAMP formation in the phosphatase inhibitors (in mmol/L): b-glycero- some systems [4], and (iii) cross-activation of phosphate 50, sodium pyrophosphate 1, and sodium kinase-G by cAMP has been documented in vascular vanadate 0.1. Reactions were carried out at 30 C smooth muscle [14,18]. Fig. 2 indicates that RSVL for 10 min, and terminated by adding 20 mL of 20% had no effect on the AC/cAMP system. We also did trichloroacetic acid (TCA) and ice cooling. After not detect any activation for PKA by RSVL (data centrifugation, Kemptide-directed phosphorylation not presented). was assessed by spotting 20 mL of each supernatant cGMP accumulation usually results from either onto p-81 phosphocellulose paper discs. Discs were stimulation of GC activity, soluble or particulate washed twice, each for 10 min with 1% phosphoric enzyme isoforms, or alternatively inhibition of acid, followed by a similar washing with distilled cGMP-phosphodiesterases. Therefore, RSVL ef- water. 32Pi incorporation was determined by liquid fects on cGMP were first challenged by specific scintillation counting. Background for PKG activity inhibitors for soluble-GC (ODQ, 10 mM) and for NOS was determined from parallel incubations contain- (L-NMMA, 10 mM). Relative to control levels, both ing the selective kinase-G inhibitor KT5823 inhibitors did not alter RSVL’s capacity to enhance (300 nmol/L) and was always less than 10% of total cGMP formation by RSVL (Fig. 3). These inhibitors, Kemptide phosphorylation. Likewise, RSVL failed to however; reduced basal cGMP-, but not cAMP-, elicit significant phosphorylation for Kemptide in levels; thus controlling for the activity and speci- cultures of HCSMCs pretreated with this concentra- ficity of their actions (data not presented). tion of KT5823. Because RSVL effects on cGMP were generally determined in the presence of the broad-spectrum PDE-inhibitor, 3-isobutyl-5-methylxanthine (IBMX, Chemicals 0.5 mM), an inhibitory effect for RSVL on this en- zyme can be ruled out. Accordingly, a possibility Kits for cGMP were purchased from Biomol. Kemp- remained that RSVL could activate pGC. To clarify tide, KT-5823, ODQ, and L-NMMA were purchased this assumption, the enzymatic activity of GC was from Calbiochem. P-81 phosphocellulose paper determined in both soluble- and particulate- discs were obtained from Gibco. [g-32P]ATP was membrane fractions from HCSMCs. Fig. 4A shows purchased from Amersham. Resveratrol, ICI- that RSVL stimulated GC activity in the particu- 182,780, 17-b-estradiol, guanylin, ANP, and BNP late- but not in the soluble-fraction, indicating were purchased from Sigma. the activation of membrane-bound GC isoform.
Nongenomic activation of the GC-A enzyme 511 350 350 A Cyclic nucleotide level (% of Control) cGMP 300 cAMP 300 cGMP (% of control) 250 250 200 200 150 150 100 100 50 -9 -8 -7 -6 -5 -4 0.0 2.5 5.0 7.5 10.0 12.5 15.0 Log Resveratrol (M) Time of resveratrol treatment (min) Figure 2 Time course for RSVL (10 mM)-induced cGMP 1.4 B formation. Incubations were performed in the presence * of IBMX (0.5 mM). Basal cGMP level was 29 5 fmol/106 cells. Data are means SEM of 6 experiments. PKG Activity (pmol/min/mg protein) 1.2 1.0 of this response from cytosolic signaling, at least to a large extent. To confirm these results and further identify the 0.8 * pGC-isoform(s) that signal(s) cGMP formation for 0.6 * 300 Pretreatment None 0.4 LNMMA 250 ODQ 0.2 cGMP (% of Control) 200 0.0 0 1 10 100 Resveratrol ( M) 150 Figure 1 (A) Short-term (15 min) effects of various re- sveratrol (RSVL) concentrations on cGMP and cAMP levels 100 in human coronary smooth muscle cells (HCSMCs). Data were obtained in the presence of IBMX (0.5 mM). Basal levels were 26 4 and 156 11 fmol/106 cells; respec- 50 tively. Data are means SEM of 5e7 experiments. (B) Concentration-dependent stimulation of kinase-G by RSVL in HCSMCs. Data are means SEM of 7 experi- 0 ments. *Significantly higher than untreated cells. 1 10 Resveratrol (µM) Figure 3 Effect of the NOS-inhibitor (L-NMMA, 10 mM), By contrast, the NO donor (SNAP, 10 mM) did not or the soluble-GC inhibitor (ODQ, 10 mM) on RSVL (1e alter GC activity in the particulate fraction, but 10 mM)-induced cGMP formation in HCSMCs. Incubation activated this enzyme in the soluble fraction, in with enzyme inhibitors lasted for 20 min in the presence a concentration-dependent manner (Fig. 4B). of IBMX (0.5 mM) before RSVL was added for 15 addi- These results attest to the purity of prepared tional minutes. Incubations were performed in the pres- membrane fractions, to the specificity of RSVL’s ence of IBMX (0.5 mM). Data are means SEM of 5e6 stimulatory effects on pGC, and to the dissociation experiments. *Significantly lower than untreated cells.
512 A.M. El-Mowafy et al. 600 A Particulate fraction * 550 0.6 Guanylyl cyclase (pmol/min/mg) Soluble fraction 500 cGMP (% of control) 450 * * 400 0.4 350 * * 300 250 200 0.2 150 100 0 -9 -8 -7 -6 -5 0.0 Log Resveratrol (M) 0 1 10 Resveratrol (µM) Figure 5 Effect of pretreatment with RSVL (1 nMe 10 mM) on ANP (0.1 mM)-induced cGMP formation in * HCSMCs. Incubation with RSVL continued for 15 min in 1.0 the presence of IBMX (0.5 mM) before ANP was added. B Data are means SEM of 4e6 experiments. *Significantly Particulate fraction lower than ANP-treated cells. Soluble fraction Guanylyl cyclase (pmol/min/mg) 0.8 predominant pGC-isoform in HCSMCs, that is also * targeted by RSVL to enhance cGMP formation in 0.6 these cells. Furthermore, RSVL is known as a phytoestrogen that can bind to and modulate the estrogen ma- 0.4 chinery [6,15]. Hence, we first checked whether 0.2 400 RSVL Guanylin + RSVL 350 0.0 0 1 10 SNAP (µM) 300 cGMP (% of control) Figure 4 Differential short-term (15 min) effects of RSVL (A), and SNAP (B), on guanylyl cyclase activity in 250 soluble- and particulate-membrane fractions from HCSMCs. Data are means SEM of 6e7 experiments. 200 *Significantly higher than basal enzyme activity. 150 RSVL, competition studies were performed using RSVL and selective agonists for the three main pGC-isoforms. The selective GC-A activator, ANP, 100 elicited a 5.5-fold increase in cGMP levels, a re- sponse that was attenuated by RSVL in a concen- Control -9 -8 -7 -6 -5 -4 -3 tration-dependent manner (Fig. 5). Conversely, Resveratrol (log M) the selective GC-B agonist, CNP had no significant Figure 6 The combined effects of RSVL (1 nM-10 mM) effect on cGMP levels in HCSMCs (data not shown). and guanylin (0.1 mM) on cGMP formation in HCSMCs. In- Meanwhile, the selective GC-C agonist, guanylin, cubation with RSVL continued for 15 min in the presence elicited only a slight (40e45%) increase in cGMP of IBMX (0.5 mM) before guanylin was added. Basal cGMP levels that was virtually additive with RSVL effects level was 31 5 fmol/106 cells. Data are means SEM of (Fig. 6). These observations imply that GC-A is the 4e6 experiments.
Nongenomic activation of the GC-A enzyme 513 estradiol (E2) has similar stimulatory effects on Pretreatment pGC. Fig. 7 demonstrates that E2 produced rapid, 300 None concentration-dependent increases in cGMP with (1µM ICI-182,780) (10µM ICI-182,780) an EC50 value of 1 mM; a comparable value to that 250 of RSVL (1.8 mM). These effects for E2 were, like- wise, insensitive to the s-GC inhibitor (ODQ 10 mM; cGMP (% of Control) data not shown), but were blunted by the ER- 200 blocker ICI-182,780 (Fig. 7). The maximal response * to E2, however; was remarkably lower than that of RSVL (230% vs. 335%). Further, competition studies 150 * between E2 and RSVL (Fig. 7) suggest that the ef- fects of these ligands are not additive, but rather 100 competitive; thus indicating that they compete for the same effector(s). In this same vein, the effects of RSVL on cGMP were partially, but significantly, 50 inhibited by the estrogen-receptor blocker, ICI-182,780 (10 mM) (Fig. 8). 0 1 10 Resveratrol (µM) Discussion Figure 8 Effect of ICI-180,780 (1, 10 mM) on RSVL (1, Resveratrol (RSVL) confers a plethora of beneficial 10 mM)-induced cGMP formation in HCSMCs. Incubation biological responses against cancer and cardiovas- with ICI-182,780 continued for 20 min in the presence cular disease; thereby becoming a main target in of IBMX (0.5 mM) before RSVL was added for 15 min. Data are means SEM of 4e5 experiments. recent experimental and clinical research [20]. Cardiovascular disease is the leading cause of death in many societies all over the world [21]. some protective actions [23]. However, the molec- The cardiovascular benefits of RSVL include inhibi- ular underpinnings of such vascular effects remain tion of LDL-oxidation and protection against ische- largely elusive [3,22]. In particular, the mecha- mia/reperfusion-induced myocardial damage [22]. nisms whereby RSVL can dilate endothelium- At the vascular level, RSVL appears to also exert denuded vessels have been more speculative than certain; and appear to be inconsistent among blood vessels [9,10]. When characterized, these 350 E2 signaling mechanisms can provide convincing clues E2 + RSVL 1 µM for the protective effects of RSVL in the E2 + ICI-182,780 vasculature. 300 The present study demonstrates the capacity of RSVL to stimulate the GC/cGMP/kinase-G cascade cGMP (% of control) 250 in an endothelium-free system; i.e., the human coronary smooth muscle cells (HCSMCs). This signaling cascade is known to culminate into both 200 vasodilatory and antiatherogenic effects in smooth muscles [24]. At the molecular level, cGMP dilates 150 blood vessels through reduction of intracellular calcium, inhibition of myosin-light-chain phosphor- ylation, or stimulation of potassium efflux and 100 membrane repolarization [18,25]. On the other hand, cGMP elicits cytostatic actions in smooth Control -9 -8 -7 -6 -5 -4 -3 muscles by enhancing apoptosis, inhibiting mito- Estradiol (E2) (log M) genic enzymes such as PI3K and MAPKs, and/or in- terfering with the cell-cycle machinery [2,23,24]. Figure 7 The effects of RSVL (1 mM) and ICI-182,780 (10 M) on estradiol (E2, 1 nM-200 mM)-induced cGMP for- In HCSMCs, our present observations showed that mation in HCSMCs. Incubation with E2 or ICI-182,780 the stimulatory effects of RSVL on cGMP are not continued for 20 min in the presence of IBMX (0.5 mM) mediated by sGC or via inhibition of phosphodies- before RSVL or E2 were added for 15 min. Data are terases, as confirmed by the use of subcellular means SEM of 5e6 experiments. fractions and specific inhibitors for sGC and PDE
514 A.M. El-Mowafy et al. enzymes. Instead, these effects for RSVL involved Moreover, we were able to demonstrate stimula- the activation of membrane-bound GC isoform tion of pGC by RSVL in a microsomal-membrane (pGC). This response occurred in both time- and preparation, implying that the enhanced cGMP re- concentration-related fashions. The time-course sponse occurs mostly at the cell-membrane level. of this response (10 min for maximal cGMP forma- Further, we showed that effects for RSVL and the tion/kinase-G activation) rules out the involve- GC-A agonist, ANP, were competitive rather than ment of genomic mechanisms. This notion was additive. On the other hand, E2 reproduced these also confirmed by using conventional inhibitors rapid GC-A stimulatory effects of RSVL in HCSMCs. for transcription and translation (data not pre- Both responses to RSVL and E2 were sensitive to sented). The estimated EC50 value of this re- the pure ER-blocker, ICI-182,780, supporting the sponse, 1.8 mM, is congruent to those found for mediation by membrane ERs. Lines of evidence inhibition of MAPKs (2 mM) [2], and for relaxation that RSVL and E2 share common ERs and mem- of vascular beds (0.5e10 mM) [10,13]. Indeed, brane-bound GC-A enzyme have currently evolved pGC has been a major player in maintaining cardio- from competition experiments on cGMP formation, vascular hemodynamic mechanisms and integrity. which revealed that these ligands act ‘‘competi- Not surprisingly, lower pGC activity was observed tively’’ on one and the same effector. in vascular preparations from hypertensive animals Despite these similarities between RSVL and E2 [26], whereas treatments with exogenous ANP trig- actions, some mechanistic differences have been gered both vasodilation and cytostatic responses observed in their present cGMP response. First, the [24,27]. These views are supported by the re- maximal cGMP stimulatory response for RSVL was ported ability of RSVL to improve the vascular me- appreciably (46%) higher than that of E2, which chanical properties in hypertensive animals [28]. was likewise spotted between E2 and tamoxifen in Unlike sGC, the membrane-bound pGC enzyme another cell system [32]. We propose that this is a receptor-linked enzyme that exists in at least higher intrinsic activity for RSVL could be the con- seven isoforms in mammalian tissues (GC-A sequence of its nature as a mixed ER-agonist/ through -G) [24,29]. Albeit being primarily acti- antagonist, as compared to the pure agonistic vated by the endogenous ligands ‘‘natriuretic profile of E2. Our dynamic simulation studies for peptides’’, recent observations showed that pGC the mechanism of interaction of these ligands could also be stimulated by exogenous agents, with ER-a may well support this assumption [33]. like vitamin-C and muscarinic agonists, in diverse Because also these ligands appear to chiefly target systems [2,30]. The exact scenario underlying a membrane receptor, their differential lipid this process has not been defined. However, an im- solubility and cellular penetrability can be an portant regulatory mechanism for pGC is its sus- additional element. Lastly, as the identity, struc- ceptibility for desensitization by a PKC-triggered tural details, and ligand-binding characteristics dephosphorylation [19]. get unraveled, more of these differential ligand Because RSVL is a phytoestrogen with a capacity responses can be better explained. In the present to bind to estrogen receptors (ERs), numerous work, the partial, but significant attenuation of cardiovascular studies have investigated the link RSVL response by the pure ER blocker, ICI- between ER-binding and cardiovascular protection 182,780, suggests that RSVL may trigger additional by RSVL [1,6]. In this context, in porcine coronary signaling pathways to enhance GC-A activity. This arteries, we reported that RSVL rapidly inhibited view is supported by the current finding that this MAPKs through an ER-independent mechanism ER-blocker completely blunted the E2 response; [2]. However, the vasorelaxant effects of RSVL, needless to say, RSVL, away from ERs, can modu- also in porcine coronaries, were ascribed to modu- late a variety of cellular trafficking pathways lation of potassium current, through an ER- [1e3]. For instance, the remarkable RSVL antioxi- mediated pathway [12]. Interestingly, in arterial dant activity has been associated with many bio- cells isolated from hypertensive animals, the ER- logical effects; including cGMP formation [12]. blocker (ICI-182,780) only partly reversed the Thus, collectively, it appears that the signaling long-term inhibitory effects of RSVL on atheroscle- pathway that couples RSVL to GC-A activation is rosis, DNA synthesis and prolyl hydroxylase activity not necessarily a simple/direct one. Lastly, in this [31]. Our present finding that activation of GC by context, it also remains to be investigated whether RSVL in HCSMCs was both rapid (minutes) and me- RSVL can produce additional effects by binding to diated by the GC-A isoform agrees with the study such membrane ERs. of Chen and colleagues that showed an agonistic Indeed, functional evidence has been accumu- effect for the ER-ligand tamoxifen in the porcine lated that both long-term (genomic)- and short- kidney proximal tubular LLC-PK1 cells [32]. term-effects can be mediated by E2 binding to
Nongenomic activation of the GC-A enzyme 515 membrane ERs [34]. However, a paucity of informa- membrane-bound GC-A isoform downstream from tion is available on the mechanisms whereby E2 membrane estrogen receptors, and is functional in generates its non-genomic effects; and many postu- the absence of vascular endothelium. lations have been driven therein. Classical ER-a receptors were reported to signal non-genomic activation of NO synthase and mitogen-activated Acknowledgement protein kinase [35,36]. Also, E2 has been shown to employ another type of cell-surface receptor, This study was supported by Kuwait University GPR30da G-protein-coupled receptor homologdin grant PT 01/01 to A.M.El-M. and M.A. order to activate the ERK [37]. Therefore, all these previous observations are in line with our present findings that RSVL binds to membrane ERs to en- References hance cGMP formation through a membrane-bound GC enzyme. [1] Fremont L. Biological effects of resveratrol. Life Sci Because of its reported multifaceted health January 14, 2000;66(8):663e73. benefits, it has been appealing to correlate RSVL’s [2] El-Mowafy AM, White RE. Resveratrol inhibits MAPK activity therapeutic effects with its plasma levels and nuclear translocation in coronary artery smooth muscle re- consumption of red wine. For instance, the study versal of Endothelin-1 stimulatory effects. FEBS Lett 1999; 451(1):63e7. by Goldberg and colleagues has argued against [3] Kopp P. Resveratrol a phytoestrogen found in red wine a possible therapeutic plasma level for RSVL A possible explanation for the conundrum of the ‘French following normal consumption of red wine [38]. paradox’? Eur J Endocrinol 1998;138(6):619e20. Therefore, it appears important that red wine [4] El-Mowafy AM, Alkhalaf M. Resveratrol activates adenylyl- should not be considered as the only source or cyclase in human breast cancer cells: a novel estrogen receptor-independent cytostatic mechanism. Carcinogen- the ‘‘gold standard’’ of dietary RSVL. In this vein, esis 2003;24(5):869e73. an elegant study by Bertelli and co-workers re- [5] Gentilli M, Mazoit JX, Bouaziz H, Fletcher D, Casper RF, vealed that ‘‘diets’’ rich in the phytoestrogens, Benhamou D, et al. Resveratrol decreases hyperalgesia RSVL and quercetin, such as fruits and vegetables, induced by carrageenan in the rat hind paw. Life Sci can evidently provide adequate plasma levels to 2001;68(11):1317e21. [6] Basly JP, Marre-Fournier F, LeBail JC, Habrioux G, trigger antihypertensive effects and cardiovascu- Chulia AJ. Estrogenic/antiestrogenic scavenging properties lar benefits in humans [39], or protection/pallia- of (E)-(Z)-resveratrol. Life Sci 2000;66(9):769e77. tion against stroke and hypertension in genetic [7] de Lorgeril M, Salen P, Guiraud A, Boucher F, de Leiris J. animal models of such diseases [28]. On the other Resveratrol and non-ethanolic components of wine in hand, many commercial drug-preparations with experimental cardiology. Nutr Metab Cardiovasc Dis 2003; 13(2):100e3. extracted RSVL as the sole or component of their [8] Soleas GJ, Diam EP, Goldberg DM. Wine as a biological fluid active ingredients are currently sold in drugstores. history production role in disease prevention. J Clin Lab These, if optimally dosed, can confer better Anal 1997;11(5):287e313. plasma RSVL levels, while also avoiding the biolog- [9] Chen CK, Pace-Asciak CR. Vasorelaxing activity of resvera- ical hazards/glitches posed by the alcohol in wine. trol and quercetin in isolated rat aorta. Gen Pharmacol 1996;27(2):363e6. Therefore, not surprisingly, in their commentary [10] Naderali EK, Smith SL, Doyle PJ, Williams G. 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