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1、嘌呤P2Y6受体生物学特性最新研究(2)5调节膀胱功能刺激膀胱平滑肌细胞P2Y6受体能通过PLC /IP3信号通路调节膀胱膀胱平滑肌的收缩20.在麻醉小鼠 体 内,膀胱 上 皮 细 胞通 过 释 放ATP激 活P2Y6受体能提高膀胱的排空频率21,膀胱上皮细胞是通过泛连接蛋白-1管道释放ATP激活P2Y6受体使膀胱收缩频率增加22.6抑制骨骼肌细胞凋亡实验证实TNF-α诱导小鼠骨骼肌细胞凋亡与NF-κB的活化相关23,激活P2Y6受体能降低TNF-a诱导的NF-κB提升作用而间接发挥抑制细胞凋亡的作用24.进一步研究发现内源性UDP和合成激动剂MRS2693
2、浓度依赖性保护小鼠骨骼肌细胞细胞凋亡,P2Y6阻断剂能阻止这种保护作用25.7其他另外,激活P2Y6受体能调节磷脂酶D的活性及磷脂酸生成,且阻断磷脂酶D途径后细胞能通过其他途径促进磷脂酸的生成26; 用UDP激活P2Y6受体能有效保护小鼠感染水疱性口炎病毒27;P2Y6受体能调节白细胞对CCL2的反应能力28; 激活P2Y6能够刺激胰岛素的分泌29; 以巨噬细胞为研究对象,P2Y6相对于其他P2Y嘌呤受体成员,在巨噬细胞中呈高表达,调控多种促炎症因子如单核细胞趋化蛋白-1(MCP-1)、肿瘤坏死因子-a和炎性蛋白-1a /p等的转录表达,进一步研究表明,P2Y6主要通过MEK1 /2-ERK1
3、 /2MAPK API信号通路从转录水平上调控MCP-1表达,而非P38、c-Jun氨基末端激酶或NF-κB通路30.8结语综上所述,P2Y6受体的过度激活会引起严重的生理功能障碍和疾病,P2Y6受体参与心血管疾病、神经病变、呼吸系统疾病及胃肠道疾病等的发生。其中,P2Y6受体介导细胞外核苷酸的活动,以参与心血管疾病的发生发展最为重要,体现在促进血管炎症反应、增强血管张力、促进平滑肌细胞的收缩与增殖等方面,因此寻找P2Y6受体阻断剂的研究可能成为未来心血管疾病药物研究领域的一大热点。同时,P2Y6受体广泛调控各种炎症因子的表达及炎症反应,且与其他受体(Cys LT1R和C5a R受
4、体) 协同调节炎症因子的表达31,为开展抗炎症药物研究提供了新的靶点。此外,激活P2Y6受体能刺激胰岛素的分泌,相应受体的激动剂和拮抗剂具有开发成治疗糖尿病药物的前景。因此,研究P2Y6受体的生物学效应具有重要的理论和应用价值。未来关于P2Y6受体生物学效应的研究应倾向于在明确其生物学效应后,对其生物学效应进行进一步筛选,确证其在某一领域的实用价值。参考文献:1Paikin JS,Eikelboom JW,Cairns JA,et al. New antithromboticagents -insights from clinical trialsJ. Nat Rev Cardiol,2010
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