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Circulation. 2000;102:1302-1307

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(Circulation. 2000;102:1302.)
© 2000 American Heart Association, Inc.


Basic Science Reports

Nitric Oxide Provokes Tumor Necrosis Factor-{alpha} Expression in Adult Feline Myocardium Through a cGMP-Dependent Pathway

Dinesh Kalra, MD; Georg Baumgarten, MD; Ziad Dibbs, MD; Yukihiro Seta, MD; Natarajan Sivasubramanian, PhD; Douglas L. Mann, MD

From the Winters Center for Heart Failure Research, Cardiology Section, Department of Medicine, Veterans Administration Medical Center and Baylor College of Medicine, Houston, Tex.

Correspondence to Douglas L. Mann, MD, Cardiology Research (151C), VA Medical Center, 2002 Holcombe Blvd, Houston, TX 77030. E-mail dmann{at}bcm.tmc.edu

Background—The mechanism(s) responsible for the persistent coexpression of tumor necrosis factor-{alpha} (TNF-{alpha}) and nitric oxide (NO) in the failing heart is unknown.

Methods and Results—To determine whether NO was sufficient to provoke TNF-{alpha} biosynthesis, we examined the effects of an NO donor, S-nitroso-N-acetyl penicillamine (SNAP), in buffer-perfused Langendorff hearts. SNAP (1 µmol/L) treatment resulted in a time- and dose-dependent increase in myocardial TNF-{alpha} mRNA and protein biosynthesis in adult cat hearts. The effects of SNAP were completely abrogated by a NO quenching agent, 2-(4-carboxyphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl 3-oxide (C-PTIO), and mimicked by sodium nitroprusside. Electrophoretic mobility shift assays demonstrated that SNAP treatment led to the rapid induction of nuclear factor kappa-beta (NF-{kappa}B) but not AP-1. The importance of the cGMP pathway in terms of mediating NO-induced TNF-{alpha} biosynthesis was shown by studies that demonstrated that 8-bromo-cGMP mimicked the effects of SNAP and that the effects of SNAP could be completely abrogated using a cGMP antagonist, 1H-(1,2,4)oxadiazolo(4,3-a)quinoxalin-1-one (ODQ), or protein kinase G antagonist (Rp-8-Br-cGMPS). SNAP and 8-Br-cGMP were both sufficient to lead to the site-specific phosphorylation (serine 32) and degradation of I{kappa}B{alpha} in isolated cardiac myocytes. Finally, protein kinase G was sufficient to directly phosphorylate I{kappa}B{alpha} on serine 32, a critical step in the activation of NF-{kappa}B.

Conclusions—These studies show that NO provokes TNF-{alpha} biosynthesis through a cGMP-dependent pathway, which suggests that the coincident expression of TNF-{alpha} and NO may foster self-sustaining positive autocrine/paracrine feedback inflammatory circuits within the failing heart.


Key Words: nitric oxide • tumor necrosis factor • cyclic GMP • NF-{kappa}B • heart failure, congestive




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