Bioscienee Reports, Vol. 7, No. 10, 1987 The Role of Lysolecithin in the Relaxation of Vascular Smooth Muscle Richard J. Bing and M a y t h e m Saeed Received October 15, 1987 KEY WORDS: endothelium; vascular relaxation; lysolecithin; phospholipids. The effect of lysolecithin (lysophosphatidylcholine) on the relaxation of rabbit aortic strip closely resembled that produced by acetylcholine (ACh) which releases the endothelium-derived relaxing factor (EDRF). Relaxation induced by lysolecithin depended on the presence of endothelium and was inhibited by hemoglobin and methylene blue. It appeared to be mediated by the second messenger, c-GMP. Lysolecithin induced relaxation was slower but more persistent than that resulting from the endothelium-derived relaxing factor (EDRF) produced by acetylcholine (ACh). Like lysolecithin, Triton X-100, a non-ionic detergent, also preferentially relaxed aortic strips with intact endothelium. The results demonstrate the importance of phospholipids derived from cell membranes in vascular smooth muscle relaxation. Endothelium-derived relaxing factors appear as a group of heterogeneous substances. INTRODUCTION Local factors have been implicated in the maintenance of vascular smooth muscle tone with the vascular endothelium playing an important role. For example, endothelial cells release an endothelium-derived relaxing factor (EDRF) which is inhibited by lipoxygenase and phospholipase inhibitors and by substances which block guanylate cyclase (1-3). Cyclooxygenase blockage does not inhibit relaxation. EDRF has a short half-life of six seconds (4) and is potentiated by free radical scavengers such as superoxide dismutase (SOD) (5). In addition to relaxing isolated preconstricted vascular strips, EDRF also dilates coronary arteries of perfused hearts (6) and of hearts in ,fftu and regulates arterial tone (7). Recently EDRF has been identified as nitric oxide (NO) (8). Like EDRF, NO induces relaxation of precontracted strips and the Huntington Medical ResearchInstitutes, Pasadena, California. 783 0144-8463/87/1000-0783505.00/0 9 1987 Plenum Publishing Corporation 784 Bing and Saeed relaxation is inhibited by hemoglobin and methylene blue (9) and potentiated by superoxide dismutase (SOD) (5,10). In a previous publication we furnished evidence of the role of phospholipids in vascular smooth muscle relaxation and production of c-GMP (11). Prior to this, Huang and Lee (12) had obtained a dose dependent relaxation with PLAz in precontracted intact and rubbed aortic preparations, and F6stermann and Neufang (13) discovered a smooth muscle relaxing effect in the unrubbed preparation by melittin, an activator of PLA 2. In addition, thimerasol which prevents conversion of lysolecithin to lecithin relaxed the preparation (14). We found that addition of PLA 2 to both unrubbed (intact) and rubbed (endothelium-deprived) precontracted rabbit aortic strips caused relaxation (11). In the rubbed strip relaxation was dose dependent and was inhibited by methylene blue and hemoglobin. Indomethacin had no effect. Phospholipase C (PLC) caused a prolonged increase in tension, while phospholipase D was ineffective. A significant increase in c-GMP occurred in the strips following onset of relaxation. In the unrubbed strip PLA2 also caused relaxation which was potentiated by SOD and inhibited by hemoglobin. The present report demonstrates that lysolecithin (lysophosphatidylcholine) is a phospholipid involved in the relaxation of vascular smooth muscle. It is entirely possible that other enzymatic products of lecithin possess similar relaxing properties. Relaxation depends on the presence of endothelium and is strongly inhibited by methylene blue, hemoglobin, partially inhibited by nordihydroguiaretic-acid (NDGA), but not by indomethacin; it is potentiated by superoxide dismutase. MATERIALS AND METHODS A total of 20 rabbits were used; seven aortic strips were obtained from each animal for the study of the effect of lysolecithin and its inhibitors. The effect of lysolecithin was tested by bioassay of rabbit aortic strips suspended in oxygenated Krebs-Henseleit solution at a resting tension of 1.5 g. Male white New Zealand rabbits weighing 2.43.1 kg were anesthetized with pentobarbital (30mg/kg) and heparinized with 500 IU/kg I.V. Tracheostomy was performed and the animals were ventilated with a respirator (Bird Mark 10, Space Tech., Palm Springs, CA) to assure sufficient oxygen supply. Median sternotomy was performed and the thoracic aorta was removed and immersed in ice cold Krebs-Henseleit solution (15). After removal of adjacent superficial connective and adipose tissue, the aorta was cut in rings of about 3 mm in width. These rings were cut into transverse strips (15). Endothelium was removed by gently rubbing the intimal surface with moistened filter paper wrapped around a wooden stick. Strips were mounted in an organ chamber of 20ml capacity with both ends fastened (15). One end was tied to the bottom of the chamber, the other end was attached to an isometric pressure transducer (UL-20-Gr, Shinkoh, Minebea Co. Ltd., Tokyo, Japan). The chambers were carefully oxygenated with 95 ~o Oz and 5 ~o CO2 by slow bubbling to prevent foaming. Strips were allowed to equilibrate for 60 minutes, and basal tension of the strips was adjusted to 1.5 g. Tension development was induced by addition of histamine (10 -5 M) to the Smooth Muscle Relaxation 785 organ chamber. After a steady state was reached, acetylcholine (ACh) (10 - 6 M) was added to induce EDRF release by the endothelial cells. In four experiments lysolecithin was dissolved in Triton X-100 (10 -6 M) and control observations were carried out with Triton X-100 alone. After it was found that Triton X-100 alone caused relaxation mainly of the unrubbed precontracted strip, lysolecithin was dissolved in DMSO. Suspension was prepared by placing lysolecithin powder (5 rag) on a Watch glass adding 100 pl DMSO plus 0.5 ml Krebs-Henseleit gradually and stirring continuously wJ:th a glass rod until all solid particles had disappeared. Lysolecithin (10-7, 10-6 and 10-5 M) in DMSO (heretofore referred as lysolecithin) was then added to the muscle bath. Hemoglobin (10- 6 and 10- 5 M) or methylene blue (10- 5 M) were added during lysolecithin induced relaxation while indomethacin (t0 -5 M) and (3x10 -5 M) NDGA were added 20 minutes prior to precontraction with histamine (11). Superoxide dismutase (SOD, 150 U/ml) (10) was administered after the addition of lysolecithin. All chemicals were purchased from Sigma Chemical Co., St Louis, MO. Lysolecithin is prepared by PLA 2 from egg L-c~-phosphatidylcholine. It contains primarily palmitic and stearic acids. RESULTS The effect of lysolecithin (10 -7, 10 -6 and 10 .5 M). on the precontracted unrubbed aortic strip is shown in Fig. 1. Lysolecithin (10 -6 M) resulted in a slight Onrubbed Str~p renswn ~ mm Z~ & .:, L;,~,,,.,,,~ O5 Twns~on ;00 ~B ~50u/m~ -~ Rt~bbeOStrip ,2. ,;. ,o'. ,0",;~ ,;....... ,;'. Fig. 1. The effect of lysolecitbin, superoxide dismutase (SOD) and methylene blue (Mt3) on reIaxation of intact and endothelium-deprived aortic strips is shown. In the intact (unrubbed) preparation lysolecithin induced relaxation was inhibited by methylene blue and potentiated by SOD. In the endothelium-deprived (rubbed) preparation, the effect of lysolecithin and methylene blue was attenuated. The comparatively rapid relaxation with acetylcholine is shown. All preparations were precontracted with histamine (HA). 786 Bing and Saeed Unrubbed Strip 3 rain Ten|lOt1 (9) ,& ,0-~, w "7~176 ~ - ,, -~ mm Fig. 2. The effect of hemoglobin (Hb) and nordihydroguiareticacid 0NDGA) on lysolecithin induced relaxation in the unrubbed aortic strip are illustrated. NDGA partially inhibits relaxation, while hemoglobin inhibition is more complete. Comparative effects of acetylcholine are also shown. All preparations were precontracted with histamine (HA). decrease in tension, while 10 .5 M lysolecithin caused a marked decline in tension which is comparable to the relaxation induced by ACh (10- 6 M) (Fig. 1). As compared to the relaxation following ACh (10 -6 M), the fall in tension with lysolecithin was more gradual. As shown in Figs 1 and 2 both hemoglobin (10 -6 and 10 -5 M) and methylene blue (10-5 M) completely inhibited relaxation. Indomethacin (10- 5 M) had no effect on relaxation induced by lysolecithin. Nordihydroguiaretic-acid (NDGA) partially inhibited relaxation (Fig. 2). Relaxation was slightly potentiated by superoxide dismutase (SOD) (Fig. 1). The addition of DMSO alone to the bath had no effect on tension, while Triton X-100 caused marked relaxation of both unrubbed and rubbed preparations (Fig. 3). In the rubbed strip the effect of lysolecithin was markedly reduced (Fig. 1). The decline in tension was very slight and extended over several minutes. As expected, ACh had no effect on developed tension in the rubbed strip. Hemoglobin did not alter tension, while methylene blue caused a gradual increase (Fig. 1). DISCUSSION Lysolecithin (lysophosphatidylcholine) is a smooth muscle relaxant in the unrubbed rabbit aortic strip (Figs 1 and 2). In the rubbed preparation, relaxation is considerably reduced (Fig. i). In the unrubbed strip, hemoglobin (Fig. 2) and methylene blue (Fig. 1) inhibit relaxation of lysolecithin. Hemoglobin is known to Smooth MuscleRelaxation re,,$1on 787 Un~bbed str~p 3 mm r (q) Rubbed Steep 3 rain T,;;.... :]/ 4 - ~ ',Z .... 4 M'A rrlr~ x- ~O0 Fig. 3. The effect of the detergent Triton X-100 on the unrubbed and rubbed aorta is shown. Relaxation with 7.5 x 10 .4 M of Triton X-100 is more pronounced in the unrubbed preparation. For comparative purposes, the effect of acetylcholine is also shown. All preparations were precontracted with histamine (HA). block almost completely the relaxation and increase in cyclic GMP induced by acetylcholine, by binding to EDRF; methylene blue mediates oxidation of a component ofguanylate cyclase after entering the cell thus inhibiting relaxation. These substances also abolish the coronary arterial relaxation elicited by NO (16). The difference in response to rubbed to unrubbed preparation may be the result of diminished c-GMP content in the rubbed preparation, since the c-GMP of unrubbed strips exceeds that of endothelium-deprived preparations (11,17). The possibility must be considered that the action oflysolecithin may be in some way related to that of nitric oxide (NO). One apparent difference is that the acetylcholine induced relaxation which is due to EDRF causes rapid relaxation (15 seconds), while relaxation with lysolecithin is greatly prolonged (10 minutes). However definite answers to this question cannot be obtained with certainty until cross tolerance experiments between nitroglycerine and lysolecithin suggested by Molina (24) have been performed. The effect of lysolecithin in eliciting smooth muscle relaxation is not unexpected on l~hebasis of findings by Huang and Lee (12), by F6stermann and Neufang (13) and by Bing and Saeed (1 i). The latter workers demonstrated that PLA 2 releases a relaxing factor in unrubbed and rubbed precontracted rabbit aortic strips (11). In the former, 788 Bing and Saeed PLA 2 induced relaxation is inhibited by hemoglobin, methylene blue and parabromphenylbromide (PBPB), and is slightly potentiated by superoxide dismutase (11). Relaxation is accompanied by a rise in c-GMP. In the unrubbed preparation, PLA 2 causes a biphasic response in tension but no elevation in c-GMP, probably because the rise in c-GMP is delayed by the contraction. In the rubbed strip, methylene blue and hemoglobin have little or no effect in inhibiting relaxation. This is in line with the finding by Ignarro (17), that endothelium-denuded rings are less sensitive to methylene blue than endothelium-intact rings. Huang and Lee (12) observed dose dependent relaxation in precontracted aortic rings in both rubbed and unrubbed preparations. These workers found no effect of indomethacin, but methylene blue inhibited PLA 2 induced relaxation. F6stermann and Neufang (13) discovered that the PLA 2 activator, melittin, relaxes unrubbed aortic strips; furthermore, an inhibitor of LAT (acyl-CoA-lysolecithin acyltransferase) which converts lysolecithin to lecithin such as thimerasol causes concentration-dependent relaxation if the endothelium is intact. The relaxing effect of Triton X-100 (Fig. 3) on the bioassay preparation deserves some comments. Triton X-100 has been reported to increase guanylate cyclase activity in mammary gland homogenates by several fold (18). Fujimoto and Okabayashi (19) found that Triton X-100, similar to phospholipase A 2 acts primarily on particulate guanylate cyclase, and that perturbation of membrane architecture rather than solubilization account for stimulation of guanylate cyclase (19). On the other hand, Zwiller found that the effect of lysolecithin was not identical to that of Triton X-100, since solubilization of guanylate cyclase activity was much lower with lysolecithin (20). In any case, the similarity in response to Triton X-100 and lysolecithin, both detergents, suggests a common action on the cell membrane. Lysolecithin is a widely distributed and naturally occurring detergent (21). Like PLA 2, it activates guanylate cyclase (20). Shier et al. (23) observed that the guanylate cyclase activity in membrane preparations from mouse fibroblasts is stimulated 5-fold by lysolecithin at concentrations of 100/~g/ml and above. Our findings illustrate that lysolecithin in the presence of endothelium is a consistent and powerful relaxant of rabbit aortic strips. The rate of relaxation is much more gradual than that resulting from the addition of acetylcholine. Similar to EDRF (NO) relaxation is inhibited by methylene blue and hemoglobin slightly potentiated by SOD and partially inhibited by NDGA. Indomethacin has no effect. Therefore lysolecithin, similar to PLA 2 and EDRF causes relaxation through formation of cGMP. Apparently NO mediated relaxation is not the only endothelium-derived mechanism inducing relaxation. Endothelial relaxing factors appear as a group of heterogeneous substances some of them originating in membranes of endothelial cells. ACKNOWLED GEMENTS Supported by grants from The Council for Tobacco Research-USA, Inc., New York, New York; Margaret W. and Herbert Hoover Jr Foundation, Pasadena, California; The Sam S. Stein and Rose Stein Charitable Trust, Sandusky, Ohio and the Patron Saint Foundation, Pasadena, California. We thank Dr Dougherty from the California Institute of Technology for advice and discussion. Smooth Muscle Relaxation 789 REFERENCES !. Furchgott, R. F., Cherry, P. D., Zawadzki, J. V. and Jothianandan, D. 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