1. The cold receptor TRPM8 activation leads to attenuation of endothelium-dependent cerebral vascular functions during head cooling.
- Author
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Fedinec AL, Liu J, Zhang R, Harsono M, Pourcyrous M, and Parfenova H
- Subjects
- Animals, Animals, Newborn, Arterioles drug effects, Arterioles physiopathology, Body Temperature physiology, Bradykinin analysis, Cerebrovascular Circulation physiology, Endothelium physiopathology, Female, Glutamic Acid analysis, Head, Hypercapnia physiopathology, Hypothermia, Induced methods, Male, Nitroprusside metabolism, Nitroprusside pharmacology, Pyrimidinones pharmacology, Rewarming adverse effects, Sodium Channel Agonists pharmacology, Swine, TRPM Cation Channels immunology, TRPM Cation Channels metabolism, Vasodilation drug effects, Vasodilator Agents metabolism, Vasodilator Agents pharmacology, Brain blood supply, Cerebrovascular Circulation drug effects, Endothelium drug effects, Hypothermia, Induced adverse effects, TRPM Cation Channels drug effects
- Abstract
Using the cranial window technique, we investigated acute effects of head cooling on cerebral vascular functions in newborn pigs. Head cooling lowered the rectal and extradural brain temperatures to 34.3 ± 0.6°C and 26.1 ± 0.6°C, respectively. During the 3-h hypothermia period, responses of pial arterioles to endothelium-dependent dilators bradykinin and glutamate were reduced, whereas the responses to hypercapnia and an endothelium-independent dilator sodium nitroprusside (SNP) remained intact. All vasodilator responses were restored after rewarming, suggesting that head cooling did not produce endothelial injury. We tested the hypothesis that the cold-sensitive TRPM8 channel is involved in attenuation of cerebrovascular functions. TRPM8 is immunodetected in cerebral vessels and in the brain parenchyma. During normothermia, the TRPM8 agonist icilin produced constriction of pial arterioles that was antagonized by the channel blocker AMTB. Icilin reduced dilation of pial arterioles to bradykinin and glutamate but not to hypercapnia and SNP, thus mimicking the effects of head cooling on vascular functions. AMTB counteracted the impairment of endothelium-dependent vasodilation caused by hypothermia or icilin. Overall, mild hypothermia produced by head cooling leads to acute reversible reduction of selected endothelium-dependent cerebral vasodilator functions via TRPM8 activation, whereas cerebral arteriolar smooth muscle functions are largely preserved.
- Published
- 2021
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