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Circulation. 2001;103:1282-1288

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(Circulation. 2001;103:1282.)
© 2001 American Heart Association, Inc.


Basic Science Reports

Endothelial Regulation of Vasomotion in ApoE-Deficient Mice

Implications for Interactions Between Peroxynitrite and Tetrahydrobiopterin

Jørn Bech Laursen, MD, PhD; Mark Somers, MD; Sabine Kurz, MD; Louise McCann, BS; Ascan Warnholtz, MD; Bruce A. Freeman, PhD; Margaret Tarpey, MD; Tohru Fukai, MD; David G. Harrison, MD

From the Department of Medicine, Emory University School of Medicine, and Veterans Administration Hospital, Atlanta, Ga (J.B.L., M.S., S.K., L.M., A.W., T.F., D.G.H.); the Department of Anesthesia, University of Alabama, Birmingham (B.A.F., M.T.); and Medical Department B, Division of Cardiology, Rigshospitalet, Denmark (J.B.L.).

Correspondence to David G. Harrison, Professor of Medicine, Emory University School of Medicine, Cardiology Department, 1639 Pierce Dr, WMB-319, Atlanta, GA 30322. E-mail dharr02{at}emory.edu

Background—Altered endothelial cell nitric oxide (NO·) production in atherosclerosis may be due to a reduction of intracellular tetrahydrobiopterin, which is a critical cofactor for NO synthase (NOS). In addition, previous literature suggests that inactivation of NO· by increased vascular production superoxide (O2·-) also reduces NO· bioactivity in several disease states. We sought to determine whether these 2 seemingly disparate mechanisms were related.

Methods and Results—Endothelium-dependent vasodilation was abnormal in aortas of apoE-deficient (apoE-/-) mice, whereas vascular superoxide production (assessed by 5 µmol/L lucigenin) was markedly increased. Treatment with either liposome-entrapped superoxide dismutase or sepiapterin, a precursor to tetrahydrobiopterin, improved endothelium-dependent vasodilation in aortas from apoE-/- mice. Hydrogen peroxide had no effect on the decay of tetrahydrobiopterin, as monitored spectrophotometrically. In contrast, superoxide modestly and peroxynitrite strikingly increased the decay of tetrahydrobiopterin over 500 seconds. Luminol chemiluminescence, inhibitable by the peroxynitrite scavengers ebselen and uric acid, was markedly increased in apoE-/- aortic rings. In vessels from apoE-/- mice, uric acid improved endothelium-dependent relaxation while having no effect in vessels from control mice. Treatment of normal aortas with exogenous peroxynitrite dramatically increased vascular O2·- production, seemingly from eNOS, because this effect was absent in vessels lacking endothelium, was blocked by NOS inhibition, and did not occur in vessels from mice lacking eNOS.

Conclusions—Reactive oxygen species may alter endothelium-dependent vascular relaxation not only by the interaction of O2·- with NO· but also through interactions between peroxynitrite and tetrahydrobiopterin. Peroxynitrite oxidation of tetrahydrobiopterin may represent a pathogenic cause of "uncoupling" of NO synthase.


Key Words: endothelium • genes • vessels




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M. Toporsian, R. Gros, M. G. Kabir, S. Vera, K. Govindaraju, D. H. Eidelman, M. Husain, and M. Letarte
A Role for Endoglin in Coupling eNOS Activity and Regulating Vascular Tone Revealed in Hereditary Hemorrhagic Telangiectasia
Circ. Res., April 1, 2005; 96(6): 684 - 692.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. J. Nicholls, G. J. Dusting, B. Cutri, S. Bao, G. R. Drummond, K.-A. Rye, and P. J. Barter
Reconstituted High-Density Lipoproteins Inhibit the Acute Pro-Oxidant and Proinflammatory Vascular Changes Induced by a Periarterial Collar in Normocholesterolemic Rabbits
Circulation, March 29, 2005; 111(12): 1543 - 1550.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
C. Rask-Madsen and G. L. King
Proatherosclerotic Mechanisms Involving Protein Kinase C in Diabetes and Insulin Resistance
Arterioscler Thromb Vasc Biol, March 1, 2005; 25(3): 487 - 496.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
J. Bauersachs and A. Schafer
Tetrahydrobiopterin and eNOS dimer/monomer ratio-a clue to eNOS uncoupling in diabetes?
Cardiovasc Res, March 1, 2005; 65(4): 768 - 769.
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Cardiovasc ResHome page
S. Cai, J. Khoo, and K. M. Channon
Augmented BH4 by gene transfer restores nitric oxide synthase function in hyperglycemic human endothelial cells
Cardiovasc Res, March 1, 2005; 65(4): 823 - 831.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
T. E. Peterson and Z. S. Katusic
Transcribing the Cross-Talk of Cytokine-Induced Tetrahydrobiopterin Synthesis in Endothelial Cells
Circ. Res., February 4, 2005; 96(2): 141 - 143.
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Circ. Res.Home page
A. Huang, Y.-Y. Zhang, K. Chen, K. Hatakeyama, and J. F. Keaney Jr
Cytokine-Stimulated GTP Cyclohydrolase I Expression in Endothelial Cells Requires Coordinated Activation of Nuclear Factor-{kappa}B and Stat1/Stat3
Circ. Res., February 4, 2005; 96(2): 164 - 171.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
S. Mochizuki, P. Sipkema, M. Goto, O. Hiramatsu, H. Nakamoto, E. Toyota, T. Kajita, F. Shigeto, T. Yada, Y. Ogasawara, et al.
Exogenous NO suppresses flow-induced endothelium-derived NO production because of depletion of tetrahydrobiopterin
Am J Physiol Heart Circ Physiol, February 1, 2005; 288(2): H553 - H558.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
N. R. Madamanchi, A. Vendrov, and M. S. Runge
Oxidative Stress and Vascular Disease
Arterioscler Thromb Vasc Biol, January 1, 2005; 25(1): 29 - 38.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
K. Laude, H. Cai, B. Fink, N. Hoch, D. S. Weber, L. McCann, G. Kojda, T. Fukai, H. H. H. W. Schmidt, S. Dikalov, et al.
Hemodynamic and biochemical adaptations to vascular smooth muscle overexpression of p22phox in mice
Am J Physiol Heart Circ Physiol, January 1, 2005; 288(1): H7 - H12.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
K. A. Blackwell, J. P. Sorenson, D. M. Richardson, L. A. Smith, O. Suda, K. Nath, and Z. S. Katusic
Mechanisms of aging-induced impairment of endothelium-dependent relaxation: role of tetrahydrobiopterin
Am J Physiol Heart Circ Physiol, December 1, 2004; 287(6): H2448 - H2453.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Wassmann, T. Czech, M. van Eickels, I. Fleming, M. Bohm, and G. Nickenig
Inhibition of Diet-Induced Atherosclerosis and Endothelial Dysfunction in Apolipoprotein E/Angiotensin II Type 1A Receptor Double-Knockout Mice
Circulation, November 9, 2004; 110(19): 3062 - 3067.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
J.-M. Li and A. M Shah
Endothelial cell superoxide generation: regulation and relevance for cardiovascular pathophysiology
Am J Physiol Regulatory Integrative Comp Physiol, November 1, 2004; 287(5): R1014 - R1030.
[Abstract] [Full Text] [PDF]


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Physiol. Rev.Home page
R. Stocker and J. F. Keaney Jr.
Role of Oxidative Modifications in Atherosclerosis
Physiol Rev, October 1, 2004; 84(4): 1381 - 1478.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
F. M. Faraci and S. P. Didion
Vascular Protection: Superoxide Dismutase Isoforms in the Vessel Wall
Arterioscler Thromb Vasc Biol, August 1, 2004; 24(8): 1367 - 1373.
[Abstract] [Full Text] [PDF]


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StrokeHome page
S. Dayal, E. Arning, T. Bottiglieri, R. H. Boger, C. D. Sigmund, F. M. Faraci, and S. R. Lentz
Cerebral Vascular Dysfunction Mediated by Superoxide in Hyperhomocysteinemic Mice
Stroke, August 1, 2004; 35(8): 1957 - 1962.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
M. d. C. P. Franco, Z. B. Fortes, E. H. Akamine, E. M. Kawamoto, C. Scavone, L. R. G. de Britto, M. N. Muscara, S. A. Teixeira, R. C. A. Tostes, M. H. C. Carvalho, et al.
Tetrahydrobiopterin improves endothelial dysfunction and vascular oxidative stress in microvessels of intrauterine undernourished rats
J. Physiol., July 1, 2004; 558(1): 239 - 248.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
S. Kawashima and M. Yokoyama
Dysfunction of Endothelial Nitric Oxide Synthase and Atherosclerosis
Arterioscler Thromb Vasc Biol, June 1, 2004; 24(6): 998 - 1005.
[Abstract] [Full Text] [PDF]


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CirculationHome page
U. Landmesser, B. Hornig, and H. Drexler
Endothelial Function: A Critical Determinant in Atherosclerosis?
Circulation, June 1, 2004; 109(21_suppl_1): II-27 - II-33.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
J. M. Sasser, J. C. Sullivan, A. A. Elmarakby, B. E. Kemp, D. M. Pollock, and J. S. Pollock
Reduced NOS3 Phosphorylation Mediates Reduced NO/cGMP Signaling in Mesenteric Arteries of Deoxycorticosterone Acetate-Salt Hypertensive Rats
Hypertension, May 1, 2004; 43(5): 1080 - 1085.
[Abstract] [Full Text] [PDF]


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CirculationHome page
O. Jung, J.G. Schreiber, H. Geiger, T. Pedrazzini, R. Busse, and R.P. Brandes
gp91phox-Containing NADPH Oxidase Mediates Endothelial Dysfunction in Renovascular Hypertension
Circulation, April 13, 2004; 109(14): 1795 - 1801.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
N. J. Alp and K. M. Channon
Regulation of Endothelial Nitric Oxide Synthase by Tetrahydrobiopterin in Vascular Disease
Arterioscler Thromb Vasc Biol, March 1, 2004; 24(3): 413 - 420.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
N. J. Alp, M. A. McAteer, J. Khoo, R. P. Choudhury, and K. M. Channon
Increased Endothelial Tetrahydrobiopterin Synthesis by Targeted Transgenic GTP-Cyclohydrolase I Overexpression Reduces Endothelial Dysfunction and Atherosclerosis in ApoE-Knockout Mice
Arterioscler Thromb Vasc Biol, March 1, 2004; 24(3): 445 - 450.
[Abstract] [Full Text]


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Am. J. Physiol. Heart Circ. Physiol.Home page
S. O. Hynes, L. A. Smith, D. M. Richardson, I. Kovesdi, T. O'Brien, and Z. S. Katusic
In vivo expression and function of recombinant GTPCH I in the rabbit carotid artery
Am J Physiol Heart Circ Physiol, February 1, 2004; 286(2): H570 - H574.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. Zhu, T. Mori, T. Huang, and J. H. Lombard
Effect of high-salt diet on NO release and superoxide production in rat aorta
Am J Physiol Heart Circ Physiol, February 1, 2004; 286(2): H575 - H583.
[Abstract] [Full Text] [PDF]


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Exp. Biol. Med.Home page
E. R. Werner, A. C.F. Gorren, R. Heller, G. Werner-Felmayer, and B. Mayer
Tetrahydrobiopterin and Nitric Oxide: Mechanistic and Pharmacological Aspects
Experimental Biology and Medicine, December 1, 2003; 228(11): 1291 - 1302.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. A. Beckman, A. B. Goldfine, M. B. Gordon, L. A. Garrett, J. F. Keaney Jr., and M. A. Creager
Oral antioxidant therapy improves endothelial function in Type 1 but not Type 2 diabetes mellitus
Am J Physiol Heart Circ Physiol, December 1, 2003; 285(6): H2392 - H2398.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
U. Hink, M. Oelze, P. Kolb, M. Bachschmid, M.-H. Zou, A. Daiber, H. Mollnau, M. August, S. Baldus, N. Tsilimingas, et al.
Role for peroxynitrite in the inhibition of prostacyclin synthase in nitrate tolerance
J. Am. Coll. Cardiol., November 19, 2003; 42(10): 1826 - 1834.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Munzel, R. Feil, A. Mulsch, S. M. Lohmann, F. Hofmann, and U. Walter
Physiology and Pathophysiology of Vascular Signaling Controlled by Cyclic Guanosine 3',5'-Cyclic Monophosphate-Dependent Protein Kinase
Circulation, November 4, 2003; 108(18): 2172 - 2183.
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CirculationHome page
K. K. Griendling and G. A. FitzGerald
Oxidative Stress and Cardiovascular Injury: Part II: Animal and Human Studies
Circulation, October 28, 2003; 108(17): 2034 - 2040.
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HypertensionHome page
T. Mori and A. W. Cowley Jr
Angiotensin II-NAD(P)H Oxidase-Stimulated Superoxide Modifies Tubulovascular Nitric Oxide Cross-Talk in Renal Outer Medulla
Hypertension, October 1, 2003; 42(4): 588 - 593.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. A. Creager, T. F. Luscher, F. Cosentino, and J. A. Beckman
Diabetes and Vascular Disease: Pathophysiology, Clinical Consequences, and Medical Therapy: Part I
Circulation, September 23, 2003; 108(12): 1527 - 1532.
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CirculationHome page
J.-S. Zheng, X.-Q. Yang, K. J. Lookingland, G. D. Fink, C. Hesslinger, G. Kapatos, I. Kovesdi, and A. F. Chen
Gene Transfer of Human Guanosine 5'-Triphosphate Cyclohydrolase I Restores Vascular Tetrahydrobiopterin Level and Endothelial Function in Low Renin Hypertension
Circulation, September 9, 2003; 108(10): 1238 - 1245.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
X. Gu, A. B. El-Remessy, S. E. Brooks, M. Al-Shabrawey, N.-T. Tsai, and R. B. Caldwell
Hyperoxia induces retinal vascular endothelial cell apoptosis through formation of peroxynitrite
Am J Physiol Cell Physiol, September 1, 2003; 285(3): C546 - C554.
[Abstract] [Full Text] [PDF]