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Vol. 298, Issue 3, 879-885, September 2001
Department of Surgery, Division of Emergency Medicine, Thomas
Jefferson University, Philadelphia, Pennsylvania (X.-L.M., B.L.L.,
T.A.C.); Department of Physiology, Fourth Military Medical University,
Xian, People's Republic of China (F.G.); and Department of
Cardiovascular Pharmacology, SmithKline Beecham Pharmaceuticals, King
of Prussia, Pennsylvania (A.H.N., T.-L.Y., F.C.B.)
This study tested the hypothesis that increased nitric oxide (NO)
inactivation and concurrent peroxynitrite formation is responsible for
endothelial dysfunction in the spontaneously hypertensive stroke-prone
rat (SHRSP). In SHRSP, the aortic vasorelaxation to acetylcholine (ACh)
was decreased (p < 0.05), but NO production was
unchanged. Nitrotyrosine staining, a footprint of peroxynitrite (ONOO
) formation, was detected. Exposure of SHRSP to a
high-salt, high-fat diet (SFD) further exacerbated hypertension and
accelerated end-organ disease. A severe endothelial dysfunction
[maximal ACh relaxation: 49.8 ± 2.1 versus 94.5 ± 1.8% in
Wistar-Kyoto rats (WKY), p < 0.01], increased
basal NO production (482 ± 17 versus 356 ± 21 nM,
p < 0.01), decreased ACh-stimulated NO production
(57 ± 6 versus 112 ± 6 nM, p < 0.01),
extensive inducible NO synthase and nitrotyrosine staining,
elevated nitrotyrosine content (21-fold increase over WKY), and a high
percentage of cells with DNA damage were observed in the aortic tissues
from these animals. Treatment of SHRSP on SFD with carvedilol restored
ACh-induced vasorelaxation and NO production, inhibited nitrotyrosine
formation, reduced vascular cell DNA damage, and reduced end-organ
injury. These data demonstrate that endothelial dysfunction was caused
by increased NO inactivation alone (SHRSP) or in combination with
decreased NO production from endothelial NO synthase (SHRSP on SFD).
Antioxidant treatment with carvedilol exerted significant vascular
protective effects, attenuated end-organ damage, and decreased
mortality under these conditions.
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