Cross Talk Between Plasma Membrane Na(+)/Ca (2+) Exchanger-1 and TRPC/Orai-containing Channels: Key Players in Arterial Hypertension
Overview
General Medicine
Authors
Affiliations
Arterial smooth muscle (ASM) Na(+)/Ca(2+) exchanger type 1 (NCX1) and TRPC/Orai-containing receptor/store-operated cation channels (ROC/SOC) are clustered with α2 Na(+) pumps in plasma membrane microdomains adjacent to the underlying junctional sarcoplasmic reticulum. This arrangement enables these transport proteins to function as integrated units to help regulate local Na(+) metabolism, Ca(2+) signaling, and arterial tone. They thus influence vascular resistance and blood pressure (BP). For instance, upregulation of NCX1 and TRPC6 has been implicated in the pathogenesis of high BP in several models of essential hypertension. The models include ouabain-induced hypertensive rats, Milan hypertensive rats, and Dahl salt-sensitive hypertensive rats, all of which exhibit elevated plasma ouabain levels. We suggest that these molecular mechanisms are key contributors to the increased vascular resistance ("whole body autoregulation") that elevates BP in essential hypertension. Enhanced expression and function of ASM NCX1 and TRPC/Orai1-containing channels in hypertension implies that these proteins are potential targets for pharmacological intervention.
Sensational site: the sodium pump ouabain-binding site and its ligands.
Blaustein M, Hamlyn J Am J Physiol Cell Physiol. 2024; 326(4):C1120-C1177.
PMID: 38223926 PMC: 11193536. DOI: 10.1152/ajpcell.00273.2023.
Structure-Based Function and Regulation of NCX Variants: Updates and Challenges.
Khananshvili D Int J Mol Sci. 2023; 24(1).
PMID: 36613523 PMC: 9820601. DOI: 10.3390/ijms24010061.
Zhao Y, Li L, Lu Z, Hu Y, Zhang H, Sun F J Am Heart Assoc. 2022; 11(15):e025328.
PMID: 35904193 PMC: 9375510. DOI: 10.1161/JAHA.121.025328.
Servello D, Abdinghoff J, Grissmer A, Tschernig T Biomed Rep. 2022; 17(1):60.
PMID: 35719837 PMC: 9198990. DOI: 10.3892/br.2022.1543.
Wang Y, Zhang J, Wier W, Chen L, Blaustein M Am J Physiol Heart Circ Physiol. 2020; 320(1):H221-H237.
PMID: 33124883 PMC: 7847073. DOI: 10.1152/ajpheart.00487.2020.