Metformin relaxes rat thoracic aorta via nitric oxide, AMPK, potassium channels, and PKC

Document Type : Original Article

Author

Bursa Uludag University Medicine School, Physiology Department, Bursa, Turkey

Abstract

Objective(s): The present research aimed to identify the functional effects and underlying mechanisms of metformin on the rat thoracic aorta.
Materials and Methods: Thoracic aorta segments of Wistar Albino rats were put in the chambers of an isolated tissue bath system. The resting tone was adjusted to 1 g. Following the equilibration time, potassium chloride or phenylephrine was used to contract the vascular segments. The vessel segments were cumulatively treated with metformin (10-7–10-3 M) when a steady contraction was achieved. The described experimental approach was repeated after incubations with signaling pathway inhibitors and selective blockers of potassium channels to identify the effect mechanisms of metformin.
Results: Metformin had a potent vasorelaxant effect in a concentration-dependent way (P<0.001). After the endothelium was removed, the vasorelaxant effect level of metformin was significantly reduced. The level of vasorelaxant effect of metformin was increased by the maintenance of perivascular adipose tissue. Following administrations of L-NAME, methylene blue, compound C, BIM-I, and potassium channel blockers, the level of vasodilatory action of metformin was significantly reduced (P<0.001).
Conclusion: According to the results of this investigation, metformin significantly relaxes the thoracic aorta segments of rats. Metformin-mediated vasorelaxation involves the activation of numerous subtypes of potassium channels, including BKCa, IKCa, Kv, Kir, and K2p channels, as well as endothelium-dependent processes, including AMPK and eNOS/NO/sGS signaling pathways. Moreover, metformin-induced vasorelaxation is mediated through PVAT activation and the PKC signaling pathway.

Keywords

Main Subjects


1. Bailey CJ Metformin: historical overview. Diabetologia 2017; 60:1566-1576. 
2. Glovaci D, Fan W, Wong ND. Epidemiology of diabetes mellitus and cardiovascular disease. Curr Cardiol Rep 2019; 21:21.
3. Flory J, Lipska K. Metformin in 2019. JAMA 2019; 321:1926-1927.
4. Lv Z, Guo Y. Metformin and its benefits for various diseases. Front Endocrinol (Lausanne) 2020; 11:1-10.
5. LaMoia TE, Shulman GI. Cellular and molecular mechanisms of metformin action. Endocr Rev 2021; 42:77-96.
6. Schernthaner G, Schernthaner GH. The right place for metformin today. Diabetes Res Clin Pract 2020; 159:107946.
7. Piskovatska V, Storey KB, Vaiserman AM, Lushchak O. The use of metformin to increase the human healthspan. Adv Exp Med Biol 2020; 1260:319-332.
8. Majithiya JB, Balaraman R. Metformin reduces blood pressure and restores endothelial function in aorta of streptozotocin-induced diabetic rats. Life Sci 2006; 78:2615-2624. 
9. Sung JY, Choi HC. Metformin-induced AMP-activated protein kinase activation regulates phenylephrine-mediated contraction of rat aorta. Biochem Biophys Res Commun 2012; 421:599-604. 
10. Pyla R, Osman I, Pichavaram P, Hansen P, Segar L. Metformin exaggerates phenylephrine-induced AMPK phosphorylation independent of CaMKKβ and attenuates contractile response in endothelium-denuded rat aorta. Biochem Pharmacol 2014; 92:266-279. 
11. Panth N, Paudel KR, Gong DS, Oak MH. Vascular Protection by Ethanol Extract of Morus alba Root Bark: Endothelium-dependent relaxation of rat aorta and decrease of smooth muscle cell migration and proliferation. Evid Based Complement Alternat Med 2018; 7905763.
12. Nurullahoğlu-Atalık KE, Kutlu S, Solak H, Özen-Koca R. Cilostazol enhances atorvastatin-induced vasodilation of female rat aorta during aging. Physiol Int 2017; 104:226-234.
13. Sahinturk S, Demirel S, Isbil N, Ozyener F. Potassium channels contributes to apelin-induced vasodilation in rat thoracic aorta. Protein Pept Lett, 2022; 29:538-549.
14. Sahinturk S, Demirel S, Ozyener F, Isbil N. [Pyr1]apelin-13 relaxes the rat thoracic aorta via APJ, NO, AMPK, and potassium channels. Gen Physiol Biophys 2021; 40:427-434.
15. Sahinturk S, Demirel S, Ozyener F, Isbil, N. Vascular functional effect mechanisms of elabela in rat thoracic aorta. Ann Vasc Surg 2022; 84:381-397.
16. Demirel S, Sahinturk S, Isbil N, Ozyener F. Physiological role of K+ channels in irisin-induced vasodilation in rat thoracic aorta. Peptides 2022; 147:170685.
17. Sterne J. Du nouveau dans les antidiabétiques. La NN dimethylamine guanyl guanidine (N.N.D.G.). Maroc Med 1957; 36:1295–1296.
18. Deng M, Su D, Xu S, Little PJ, Feng X, Tang L, et al. Metformin and vascular diseases: A focused review on smooth muscle cell function. Front Pharmacol 2020; 11:1-10.
19. Hehir MP, Morrison JJ. Metformin and human uterine contractility. Endocrine 2012; 42: 761-763. 
20. Kelany ME, Alqahtani S, Alkuriji A, Al-Omar S. Role of the antidiabetic drugs: Glibenclamide and metformin on the contractility of isolated rat uteri. Pak J Pharm Sci 2016; 29:51-57.
21. Vignozzi L, Filippi S, Comeglio P, Cellai I, Morelli A, Rastrelli G, et al. Metformin in vitro and in vivo increases adenosine signaling in rabbit corpora cavernosa. J Sex Med 2014; 11: 1694-1708.
22. Kacar E, Yardimci A, Ulker N, Sahinturk S, Zorlu G, Tan F, et al. Investigation of effects of metformin on rats’ urinary bladder contractions. Ann Med Res, 2022; 29:905–909.
23. Tan CS, Loh YC, Tew WY, Yam MF. Vasorelaxant effect of 3,5,4’-trihydroxy-trans-stilbene (resveratrol) and its underlying mechanism. Inflammopharmacology 2020; 28:869-875. 
24. Lee JM, Peuler JD. Acute vasorelaxant effects of metformin and attenuation by stimulation of sympathetic agonist release. Life Sci 1999; 64:PL57-63. 
25. Peuler JD, Miller JA, Bourghli M, Zammam HY, Soltis EE, Sowers JR. Disparate effects of antidiabetic drugs on arterial contraction. Metabolism 1997; 46:1199-1205.
26. Peuler JD, Lee JM, Smith JM. 4-Aminopyridine antagonizes the acute relaxant action of metformin on adrenergic contraction in the ventral tail artery of the rat. Life Sci 1999; 65: PL 287-293. 
27. Almabrouk TA, Ewart MA, Salt IP, Kennedy S. Perivascular fat, AMP-activated protein kinase and vascular diseases. Br J Pharmacol 2014; 171:595-617.
28. Munzel T, Feil R, Mulsch A, Lohmann SM, Hofmann F, Walter U. Physiology and pathophysiology of vascular signaling controlled by guanosine 3’,5’-cyclic monophosphate-dependent protein kinase [corrected]. Circulation 2003; 108:2172-2183. 
29. Félétou, M.; Huang, Y.; Vanhoutte, P.M. Endothelium-mediated control of vascular tone: COX-1 and COX-2 products. Br J Pharmacol 2011; 164:894-912.
30. Ford RJ, Teschke SR, Reid EB, Durham KK, Kroetsch JT, Rush JWE. AMP-activated protein kinase activator AICAR acutely lowers blood pressure and relaxes isolated resistance arteries of hypertensive rats. J Hypertens 2012; 30:725-733.
31. Schneider H, Schubert KM, Blodow S, Kreutz CP, Erdogmus S, Wiedenmann M, et al. AMPK dilates resistance arteries via activation of SERCA and BKCa channels in smooth muscle. Hypertension 2015; 66:108-116.
32. Goirand F, Solar M, Athea Y, Viollet B, Mateo P, Fortin D, et al. Activation of AMP kinase alpha1 subunit induces aortic vasorelaxation in mice. J Physiol 2007; 581:1163-1171.
33. Zhou G. Myers R, Li Y, Chen Y, Shen X, Fenyk-Melody J, et al. Role of AMP-activated protein kinase in mechanism of metformin action. J Clin Invest 2001; 108:1167-1174. 
34. Kim SA, Choi HC. Metformin inhibits inflammatory response via AMPK-PTEN pathway in vascular smooth muscle cells. Biochem Biophys Res Commun 2012; 425:866-872. 
35. Vigetti D, Clerici M, Deleonibus S, Karousou E, Viola M, Moretto P, et al. Hyaluronan synthesis is inhibited by adenosine monophosphate-activated protein kinase through the regulation of HAS2 activity in human aortic smooth muscle cells. J Biol Chem., 2011, 286:7917-7924. 
36. Dessy C, Kim I, Sougnez CL, Morgan KG. A role for MAP kinase in differentiated smooth muscle contraction evoked by α-adrenoceptor stimulation. Am J Physiol 1998; 1275:1081-1086.
37. Roberts RE. Role of the extracellular signal-regulated kinase (ERK) signal transduction cascade in α2-adrenoceptor-mediated vasoconstriction in porcine palmar lateral vein. Br J Pharmacol 2001; 133:859-866.
38. Roberts RE. The role of Rho kinase and extracellular regulated kinase-mitogen-activated protein kinase in alpha2-adrenoceptor-mediated vasoconstriction in the porcine palmar lateral vein. J Pharmacol Exp Ther 2004; 311:742-747. 
39. Perjés Á, Kilpiö T, Ulvila J, Magga J, Alakoski T, Szabó Z, et al. Characterization of apela, a novel endogenous ligand of apelin receptor, in the adult heart. Basic Res Cardiol 2016; 111:2.
40. Wang Y, Zhou H, Wu B, Zhou Q, Cui, D, Wang L. Protein kinase C isoforms distinctly regulate propofol-induced endothelium-dependent and endothelium-independent vasodilation. J Cardiovasc Pharmacol 2015; 66: 276-284.
41. Demirel S, Sahinturk S, Isbil N, Ozyener F. Irisin relaxes rat thoracic aorta through inhibiting signaling pathways implicating protein kinase C. Turk J Med Sci 2022; 52:514-521.
42. Tykocki NR, Boerman EM, Jackson WF. Smooth muscle ion channels and regulation of vascular tone in resistance arteries and arterioles. Comprehens Physiol 2017; 7: 485-581.
43. Jackson WF. Potassium Channels in Regulation of vascular smooth muscle contraction and growth. Adv Pharmacol 2018; 78:89–144.
44. Ahmad T, Shah AJ, Khan T, Roberts R. Mechanism underlying the vasodilation induced by diosmetin in porcine coronary artery. Eur J Pharmacol 2020; 884:173400.
45. Demirel S, Sahinturk S, Isbil N, Ozyener F. Irisin relaxes rat thoracic aorta: MEK1/2 signaling pathway, KV channels, SKCa channels, and BKCa channels are involved in irisin-induced vasodilation. Can J Physiol Pharmacol 2022; 100:379-385.
46. Mughal A, Sun C, O’Rourke ST. Activation of large conductance, calcium-activated potassium channels by nitric oxide mediates apelin-induced relaxation of isolated rat coronary arteries. J Pharmacol Exp Ther 2018; 366:265-273.
47. Bhalla RC, Toth KF, Tan E, Bhatty RA, Mathias E, Sharma RV. Vascular effects of metformin. Possible mechanisms for its antihypertensive action in the spontaneously hypertensive rat. Am J Hypertens 1996; 9:570-576. 
48. Anabtawi A, Miles JM. Metformin: Nonglycemic effects and potential novel indications. Endocr Pract 2016; 22:999-1007.