lecture 17
endothelial cells control vascular tone - smooth muscle contraction and relaxation

yellow structure - represent gap junctions
in many blood vessels there are numerous gap junctions between the endothelial cells and smooth muscle cells
not as many between endothelial and endothelial cells
smaller vessels tend to have more myoendothelial gap junctions
relaxation
nitric oxide an diffuse through cell membranes
PGI2 - exported from cell and acts on cell membrane receptor
EDHF - electrical communication by hyperpolarization
contraction
endothelin is a peptide
generated through transcription and translation, then exported from the cell and acts on a g coupled receptor

membrane potention is graded (-30 mV → -68 mV)
activated endothelial cells hyperpolarize
KIR - inward retifier potassium channel (keep MP negative)
open in negative membrane potentials
2 key events when EC are stimulated



membrane potential (more negative) further away from equilibrium potential (124 mV? for calcium) - bigger driving force
currents travel from EC → EC and also EC → SMC (many arteries and arterioles)
nitric oxide synthase - enzyme that produces nitric oxide NO* (free radical)
nitric oxide diffuses to smooth muscle and causes vasodilation
break adherens junctions and form gap to allow immune cells to come in
discovered first lol

PLA2 = phospholipase A2 (enzyme)
COX = cycloxygenase
category of drugs called cyclooxygenase inhibitors like aspirin

puts the brakes on phenotypic changes that promote atherosclerosis
ED recuit leokocytes (white blood cells) to repair damage, this can get out of control in atherosclerosis and cause an inflamed area of artery which promotes the atherosclerotic process
during inflammation
anti-atherogenic - prevent atherosclerosis
Nitric Oxide Production is stimulated by Agonists or Shear Stress

eNOS is activated by
increase in Ca2+ (Ca2+ - calmodulin binding)
phosphorylation


EET will cause dilation/relaxation of smooth muscle

EDHF
increase in calcium → calcium acts on calcium activated potassiuum channels KCA
causes hyperpolarization → carried through to smooth muscle cells
hypoerpolarized SMC inhibits L-type calcium channels → Ca2+ levels in cell goes down → relaxation
large arteries dont have myoendothelial gap junctions → so no edhf

long lasting vasoconstrictor (2-3 hours)

particularly prominent in the lungs → pulmonary hypertension (dont need to know the others

ECE = endothelium converting enzyme
ET1 enters extracellular fluid, can then act on receptors (g coupled receptors 2 types)
both increase Ca++ in the cell → contraction
there are also endothelin receptors (ETB)on the membrane of EC
causes release of nitric oxide and prostacycline - blocks contraction
block ETB receptors → enhance contstriction by endothelin
block ETA receptors → reduce constriction by endothelin

*chronic shear stress
*LDL cholesterol
^ mostly vasoconstrictors that causes EC’s to produce more endophelin
almost like a positive feedback loop
*ANP = atrial natriuretic peptide

also involved in cardiac remodelng
increased in several pathologies