|Year : 2006 | Volume
| Issue : 2 | Page : 125-130
Effect of redox agents on the response of rat aorta to nitric oxide and sodium nitroprusside
KK Sardar, SN Sarkar, DU Bawankule, SK Mishra, V Raviprakash
Division of Pharmacology and Toxicology, Indian Veterinary Research Institute, Izatnagar - 243 122, UP, India
S N Sarkar
Division of Pharmacology and Toxicology, Indian Veterinary Research Institute, Izatnagar - 243 122, UP
Source of Support: None, Conflict of Interest: None
Objective: To study the redox regulation of vascular responses to endogenous nitric oxide (NO) and NO derived from nitrovasodilator sodium nitroprusside (SNP) in isolated rat aorta.
Materials and Methods: To determine the influence of reducing [ascorbic acid (1 mM) and reduced glutathione (GSH) (1 mM)] and oxidizing agents [oxidized glutathione (GSSG) (1 mM) and CuSO4 (1 and 5 µM)] on the vasodilation caused by acetylcholine (ACh; 10-11-10-5 M) and SNP (10-9-10-4 M). Isometric tensions were measured in isolated aorta by a force transducer and recorded in a computer, using Chart V4.1.2 software.
Results: ACh and SNP produced relaxation of rat aortic rings that was dependent on concentration. The rings were preconstricted with L-phenylephrine (1 µM). It was observed that oxidizing and reducing agents caused opposite effects on vasodilation induced by NO in rat aorta. Ascorbic acid and GSH potentiated the responses to NO, causing a leftward shift in the concentration-response curve of ACh with significant increase in the pD2 and the Emax. GSSG and CuSO4 inhibited relaxation caused by ACh and shifted the concentration-response curve to the right. In concentration-responses induced by SNP, ascorbic acid significantly increased the pD2 and Emax values from 5.85 ± 0.08 to 6.24 ± 0.05 and 80.83 ± 1.37% to 89.26 ± 1.49%, respectively. However, CuSO4 significantly decreased these values from 5.85 ± 0.02 to 4.56 ± 0.10 and 77.18 ± 0.82% to 53.52 ± 1.60%, respectively. Potentiation of NO response by reducing agents may be related to either increased availability of nitroxyl anion (NO-) or reduction in superoxide anion radical (O2·-). The opposite could be true for the oxidizing agents.
Conclusion: The findings of this study suggest that reducing agents like ascorbic acid can improve the vascular responses to NO under oxidative stress.
Keywords: Reducing agents, vasodilators, vitamin C
|How to cite this article:|
Sardar K K, Sarkar S N, Bawankule D U, Mishra S K, Raviprakash V. Effect of redox agents on the response of rat aorta to nitric oxide and sodium nitroprusside. Indian J Pharmacol 2006;38:125-30
|How to cite this URL:|
Sardar K K, Sarkar S N, Bawankule D U, Mishra S K, Raviprakash V. Effect of redox agents on the response of rat aorta to nitric oxide and sodium nitroprusside. Indian J Pharmacol [serial online] 2006 [cited 2020 Dec 4];38:125-30. Available from: https://www.ijp-online.com/text.asp?2006/38/2/125/24619
| Introduction|| |
Nitric oxide (NO) is a potent vasodilator. It is synthesised endogenously by the vascular endothelium that plays an important role in the regulation of vascular functions. Endothelial dysfunction is associated with various vascular disorders like atherosclerosis, systemic and pulmonary hypertension, arterial thrombotic disorders, angina pectoris, and stroke. NO is also generated from a number of clinically important compounds called nitrovasodilators. These nitric oxide donor drugs are used in the treatment of disease conditions related to NO deficiency, such as, angina pectoris and pulmonary hypertension. Cellular redox state is believed to be an important factor in determining response in vascular smooth muscle that is related to NO. In addition, it determines cellular responses and diseases that are induced by stress. Inherent in these responses are reactive oxygen species (ROS) that inflict direct cellular damage. Vascular disease due to impaired NO bioactivity is primarily attributed to superoxide anion radical (O 2·-), which is capable of rapidly inactivating endothelium-derived NO. Therefore, the aim of the therapeutic interventions is to increase the NO bioavailability either by increasing NO production or decreasing O 2·- generation in the endothelium. Oxidative stress has been identified as an important factor in the development of tolerance to organic nitrates.
Release of NO from the nitrovasodilators involves redox regulation via endogenous reductants and oxidants. Sodium nitroprusside (SNP), a multivalent anion and NO donor, requires 1 electron reduction to initiate NO release. However, the nitrovasodilator 3-morpholino-sydnonimine (SIN-1) can spontaneously release NO by undergoing 1 electron oxidation. In the living system, NO can exist in a variety of redox forms, such as, nitrosonium cation (NO+), NO free radical (NO·), and nitroxyl anion (NO-) depending on the source of the NO. It is not known which among these forms is responsible for vascular relaxation. Evidences suggest that NO- is more physiologically relevant. However, according to Dierks and Burstyn,, NO· is the only redox state that can activate soluble guanylyl cyclase (sGC). If it is so, the relaxant activity of NO- should be due to its oxidation to NO·. This was contradicted by the finding that NO- from Angeli's salt (Sodium trioxodinitrate, Na 2 N 2 O 3 ) could mediate vascular relaxation without conversion of NO- to NO·, and this relaxation was mediated through GC activation.,
NO is believed to cause relaxation of vascular smooth muscle by activation of sGC and consequent rise in intracellular cyclic GMP. Activation of sGC can be accomplished with NO donors. Redox active agents can alter the activity of sGC., Thiol reductants like dithiothreitol and reduced glutathione (GSH) cause inhibitory as well as stimulatory effects on sGC, while thiol oxidant, such as, oxidized glutathione (GSSG) inhibits the activity of sGC. Available literature reveals the importance of cellular redox state or processes in the regulation of the activity of sGC and the response in vascular smooth muscle that is related to NO. As both endogenous NO and NO donors primarily act through stimulation of sGC, it is important to examine the effects of redox reagents on the vasodilator responses elicited by NO.
Several underlying signaling processes in vascular dysfunction are influenced by alterations in the status of intracellular redox. A better understanding of the regulation of function of vascular smooth muscle cell will provide further insight into the pathophysiological mechanisms that contribute to vascular changes and end-organ damage associated with hypertension. It could permit identification of potential novel therapeutic targets in the prevention and management of vascular disorders. Oxidative stress plays an important role in the dysfunction of endothelium and development of atherosclerosis. Modification of vascular risk factors and employment of antioxidants have been shown to improve endothelial function. In rat coronary artery, redox compounds have been shown to influence nitrovasodilator induced relaxation in vitro . In patients with coronary artery disease, where vasodilator responses to acetylcholine (ACh) and SNP were reduced, ascorbic acid produced a beneficial effect. Anderson et al . also demonstrated the efficacy of antioxidants in the therapy of coronary artery disease. Ulker et al .,  showed that antioxidants, such as, ascorbic acid and tocopherol protected hypertension associated with enhanced oxidative stress. As information on the cellular redox state in influencing vasodilation of rat aorta by NO is scanty, we evaluated the effects of different reducing and oxidizing agents on the relaxation induced with ACh and SNP in rat aorta.
| Materials and Methods|| |
Sodium nitroprusside (SNP), L-phenylephrine, and acetylcholine (ACh) chloride were procured from Sigma. GSSG and GSH were obtained from E. Merck. Ascorbic acid and copper sulphate (CuSO) were procured from British Drug House (BDH) Laboratory Chemicals Division, Glaxo Laboratories, Mumbai and SISCO Research Laboratories (SRL), Mumbai, respectively. All other chemicals used were of analytical grade.
Healthy, adult, male Wistar rats (150-200 g) were procured from the Laboratory Animal Resources Section of the Institute. They were kept in polypropylene cages with standard food and water ad libitum . The rats were killed by cervical dislocation; the thoracic aorta was dissected out and kept in the modified Kreb-Henseleit solution (MKHS). The MKHS contained (in mM, pH 7.4) NaCl, 118; KCl, 4.7; CaCl 2 .2H 2 O, 2.5; MgSO 4 .7H 2 O, 1.2; NaHCO 3 , 11.9; KH 2 PO 4 , 1.2 and D-glucose, 11.1 in triple-distilled water. After removal of adherent tissues, aorta was cut into rings of 3-4 mm length. The experiment on the rats was done as per the guidelines of the Institute Ethics Committee.
Recording of tension in aortic rings
The rat aortic rings were held between two L-shaped hooks made of 30-gauge stainless steel wire. They were mounted in a thermostatically controlled (37±0.5oC) organ bath of 20 ml capacity, containing MKHS and equilibrated for 1 hour under a resting tension of 1.5 g. The perfusing solution was continuously aerated with carbogen. During equilibration, the bathing fluid was changed every 15 min. The change in tension was measured with an isometric force transducer (Model: MLT 0202/D, Powerlab, Australia) and recorded in a computer, using Chart V4.1.2 software (Powerlab, Australia). In some aortic rings, the endothelium was removed mechanically by inserting a wet cotton wick.
Assessment of redox regulation in rat aorta
The aortic rings were primed with L-phenylephrine (1 µM) and when the contraction attained plateau, ACh (1 µM) was added to determine the endothelial integrity. A contractile or relaxant response to ACh confirmed the absence or the presence of functional endothelium. The tissues were washed with MKHS to restore the baseline tension. They were then contracted submaximally with L-phenylephrine (1 µM). When the contraction was stable ACh (10 -11 -10 -5 M) or SNP (10 -9sub - 10 -4 M) was added cumulatively at an increment of 1 log, until maximal reversal of the contraction induced by L-phenylephrine was obtained. After several washes with MKHS, the tissues were exposed to the individual reducing or oxidizing agents for 30 min before the second concentration-response curve was elicited with ACh (10 -11-10 -5 M) or SNP (10 -9-10 -4 M). The reducing agents used were ascorbic acid (1 mM) and GSH (1 mM) while the oxidizing agents were GSSG (1 mM) and CuSO 4 (1 and 5 µM in separate preparations). The effects of individual reducing or oxidizing agents on basal tension, contraction induced by L-phenylephrine, vasodilatory potency, and efficacy of ACh or SNP were evaluated. The contribution of endogenous nitric oxide to ACh is based on the observation made earlier where L- NG-nitroarginine methyl ester (L-NAME), a NO synthase inhibitor, abolished the response of ACh in rat aorta.
Results are expressed as mean±SEM. EC 50 and IC 50 were calculated by linear regression analysis. pD 2 values were determined by the formula, pD 2 = -log [B], where [B] is the molar concentration of the agonist, which produces half maximal response. Data were analysed by Student's paired t-test. Statistical significance was considered at P<0.05.
| Results|| |
Effect of reducing agents on responses in rat aorta induced by ACh
Effects induced by ascorbic acid and GSH are presented in [Figure - 1]A and B. ACh (10 -11-10 -5 M) caused concentration-related relaxation of rat aortic rings preconstricted with L-phenylephrine (1µM). In the respective groups of reducing agent, the absolute tension produced by L-phenylephrine were 0.40 ± 0.01 g (n=5) and 0.91 ± 0.14 g (n=5). The respective pD 2 and Emax values of ACh were 8.64±0.08 and 84.50±1.21% and 7.97 ± 0.07 and 77.19 ± 1.94 %. As preincubation of the rings with ascorbic acid (1 mM) or GSH (1 mM) failed to alter the basal tone or contraction induced by L-phenylephrine, the absolute tension produced by L-phenylephrine in the presence of ascorbic acid (0.41 ± 0.01 g, n=5) or GSH (0.94 ± 0.11 g, n=5) was comparable with the respective controls. Both ascorbic acid and GSH caused a leftward shift in the concentration-response curve of ACh with significant increase in the pD 2 and Emax to 8.94 ± 0.72 and 89.14 ± 1.33 % with ascorbic acid and to 8.26±0.06 and 86.12 ± 1.20 % with GSH, respectively.
Effect of oxidizing agents on responses in rat aorta induced by ACh
The results are presented in [Figure - 2]A and B. ACh (10 -11-10 -5 M) elicited relaxation of rat aortic rings that was dependent on concentration. The rings were preconstricted with L-phenylephrine (1 µM). The absolute tension produced with L-phenylephrine in the respective groups of aortic rings used for evaluating GSSG and CuSO 4 effects were 0.60 ± 0.12 g (n=5) and 0.65 ± 0.04 g (n=6). The respective pD 2 and Emax values of ACh were 8.10 ± 0.05 and 80.05 ± 1.85 %, and 7.98 ± 0.04 and 78.98 ± 1.78 %. Preincubation of the aortic rings with GSSG (1 mM) or CuSO 4 (1 and 5 µM) had no significant effect on the contraction induced by L-phenylephrine. Therefore, the respective absolute tension produced by L-phenylephrine in the presence of GSSG (0.56 ± 0.09 g; n=5) or CuSO 4 (0.61 ± 0.07 g; n=6) was comparable to the respective control value. Both GSSG and CuSO 4 caused a rightward shift in the concentration-response curve of ACh. The pD 2 and the Emax values were significantly decreased to 6.52 ± 0.18 and 50.66 ± 1.96%, respectively, with GSSG. These values were significantly reduced to 6.57 ± 0.15 and 59.43 ± 1.92% respectively with 1 µM of CuSO 4 and to 6.10 ± 0.17 and 50.82 ± 1.01%, respectively with 5 µM of CuSO 4
Effect of ascorbic acid and CuSO 4 on responses in rat aorta induced by SNP
The results are presented in [Figure - 3]A and B. SNP (10 -9-10 -4M) produced relaxation of rat aortic rings that was dependent on concentration. The rings were preconstricted with L-phenylephrine (1 µM). The absolute tension produced with L-phenylephrine in the respective group of aortic rings used for evaluating ascorbic acid and CuSO 4 effects was 0.80±0.13 g (n=5) and 0.51±0.03 g (n=6). The respective pD 2 and Emax values of SNP were 5.85±0.08 and 80.83±1.37%, and 5.85 ± 0.02 and 77.18 ± 0.82%. Preincubation of the aortic rings with ascorbic acid (1 mM) or CuSO 4 (1 µM) had no significant effect on the basal tone or the contraction induced by L-phenylephrine. Therefore, the respective absolute tension produced with L-phenylephrine in the presence of ascorbic acid (0.79 ± 0.13 g; n=5) or CuSO 4 (0.45 ± 0.03 g; n=5) was comparable to the respective control value. Ascorbic acid caused a leftward shift, while CuSO 4 caused a rightward shift in the concentration-response curve of SNP. Ascorbic acid significantly increased the pD 2 and Emax values to 6.24 ± 0.05 and 89.26 ± 1.49%, respectively. CuSO 4 significantly decreased these values to 4.56 ± 0.10 and 53.52 ± 1.60%, respectively.
| Discussion|| |
This study reports the redox regulation of vasodilator responses to NO in rat thoracic aorta. Influence of reductants, such as, ascorbic acid and GSH and oxidants like CuSO 4 and GSSG on relaxation produced by endogenous NO (released by ACh-induced endothelial stimulation) and by NO released from NO donor compound (SNP) was evaluated in rat aorta model. The important observations of this study are that oxidizing and reducing agents had opposite effects on vasodilation induced by NO in rat aorta. The relaxant responses to endothelium derived nitric oxide (EDNO) and SNP were potentiated by the reductants, ascorbic acid and GSH in rat aorta. Oxidants CuSO 4 and GSSG markedly inhibited vasodilator responses to ACh in rat aortic rings with intact endothelium and the responses to nitrovasodilator, SNP in rings denuded of endothelium.
NO can exist in three different interrelated redox forms, i.e., NO+, NO· , and NO- with distinct properties and biological functions., The NO donor, SNP is known to contribute primarily NO+ species. The mechanism by which ascorbic acid potentiated the responses to EDNO and SNP is not clear, but may be related to either scavenging of intracellular O 2·- or greater availability of NO- redox species. Exogenous GSH had an effect similar to that of ascorbic acid, but it is widely believed that plasma membrane is impermeable to extracellular GSH. Studies with vascular endothelial cells have, however, shown significant increases in the intracellular concentration of GSH in the presence of extracellular GSH., Findings of this study with ascorbic acid are consistent with the previous reports, wherein this compound was shown to improve endothelium-dependent flow-mediated dilation in patients with coronary artery disease and lower pressure in hypertensive subjects. Inactivation of EDNO by reactive oxygen species (ROS), viz., O 2·- may inactivate NO to produce vascular dysfunction. The observations of this study with ascorbic acid in rat aorta suggest that the antioxidant may improve rat aortic circulation in the event of an oxidative stress.
Several reports reveal that ascorbic acid has variable effects on NO/nitrovasodilator-induced vasodilation in various blood vessels. Ascorbic acid reduced the responses to EDNO and authentic NO in rabbit aortic rings. In the same preparation, it potentiated relaxation to nitroprusside and S-nitroso-N-acetyl penicillamine (SNAP), but again inhibited relaxation to GTN. In rat coronary artery, ascorbic acid potentiated the relaxant responses to authentic NO, but inhibited the vasodilator responses of 3-morpholino-sydnonimine (SIN-1) and SNAP. Potentiation of the responses to EDNO and SNP by ascorbic acid and GSH in rat aorta possibly relates to a common mechanism of potentiation by these two reducing agents. As discussed elsewhere, among the three redox species of NO, nitroxyl anion (NO-) is physiologically the most relevant one. This is because it is produced in abundance, endogenously., It is possible that NO+ derived from SNP undergoes reduction in the presence of reducing agents to form NO-. This could be the possible mechanism of potentiation of the nitrovasodilator responses by the reducing agents. In our laboratory, contribution of Na+-K+-ATPase to the potentiation of NO responses to reducing agents was evaluated by assaying the effect of ascorbic acid and GSH on 86 Rb-uptake in pulmonary artery of sheep. It was found that neither ascorbic acid nor GSH had any significant effect on either basal or SNP stimulated 86 Rb-uptake (unpublished data). This observation suggests that membrane bound Na+ pump may not contribute to the potentiation of NO responses induced by ascorbic acid.
CuSO 4 and GSSG could reduce the availability of NO- species and therefore, inhibit relaxant responses of SNP in rat aorta. Current findings with CuSO 4 are at variance with the finding in rabbit aorta. De Saram et al . reported that CuSO 4 had no significant effect on relaxation to nitroprusside in rabbit aortic rings. CuSO 4 has, however, been shown to reduce ACh-induced relaxation in rat aorta., Copper has been shown to increase the tissue cyclic GMP level in rat pulmonary artery and to stimulate NO synthase activity. These mechanisms, however, do not explain the inhibitory effect observed in rat aorta. It is quite possible that oxidizing agents, viz., GSSG and CuSO 4 may reduce the availability of NO- species for the vasodilator responses of SNP in rat aorta. The other possibility of copper inhibiting nitrovasodilator responses may relate to O 2· generation by this transition metal, which reacts with NO to produce peroxynitrite (OONO-). Endothelial production of O 2· by copper has been reported to cause altered NO activity and endothelial dysfunction.
Both GSH and GSSG have been shown to produce coronary vasodilation via NO and sGC-dependent mechanism in rats. Although the present investigation has not made an attempt to define responses by GSH and GSSG that are dependent on endothelium, it is less likely that they alter the vasodilator responses to EDNO and SNP in rat aorta through endogenous NO formation/cGMP formation. This is evident from the findings that GSH and GSSG had opposite effects on the relaxation mediated by NO in rat aortic rings. Furthermore, these two compounds had no significant effect on the contraction elicited by submaximal concentration of phenylephrine in rat aortic rings. It is well documented that basal NO production has significant inhibitory influence on contraction elicited by vasoconstrictors. Therefore, substances modifying basal NO release would modify the responses to vasoconstrictors like phenylephrine. The contribution of endogenous NO or sGC pathway is not evident in rat aorta in the presence of GSH. Most likely, the oxidant and the reductant properties of GSSG and GSH, respectively, determine the modulation of NO responses in rat aorta.
Based on the findings of this study, it may be concluded that oxidants cause inhibitory effect, while reductants produce an opposite effect on the vasorelaxation induced by ACh (EDNO) and NO donor - SNP in rat aorta. However, further studies are required to define their mechanisms of action.
| Acknowledgments|| |
The authors thank the Director, IVRI, Izatnagar, for providing financial assistance and necessary facilities to conduct this study.
| References|| |
|1.||Ignarro LJ, Cirino G, Casini A, Napoli C. Nitric oxide as a signaling molecule in the vascular system: An overview. J Cardiovasc Pharmacol 1999;34:879-86. [PUBMED] |
|2.||Britten MB, Zeiher AM, Schachinger V. Clinical importance of coronary endothelial vasodilator dysfunction and therapeutic options. J Intern Med 1999;245:315-27. [PUBMED] [FULLTEXT]|
|3.||Fayers KE, Cummings MH, Shaw KM, Laight DW. Nitrate tolerance and the links with endothelial dysfunction and oxidative stress. Br J Clin Pharmacol 2003;56:620-8. [PUBMED] [FULLTEXT]|
|4.||Feelisch M, Ostrowski J, Noack E. On the mechanism of NO release from sydnonimines. J Cardiovasc Pharmacol 1989;14:13-22. [PUBMED] |
|5.||Komarov AM, Wink DA, Feelisch M, Schmidt HH. Electron-paramagnetic resonance spectroscopy using N-methyl-D-glucamine dithiocarbamate iron cannot discriminate between nitric oxide and nitroxyl: implications for the detection of reaction products for nitric oxide synthase. Free Radic Biol Med 2000;28:739-42. [PUBMED] [FULLTEXT]|
|6.||Dierks EA, Burstyn JN. Nitric oxide (NO), the only nitrogen monoxide redox form capable of activating soluble guanylyl cyclase. Biochem Pharrmacol 1996;51:1593-600. [PUBMED] [FULLTEXT]|
|7.||Dierks EA, Burstyn JN. The deactivation of soluble guanylyl cyclase by redox-active agents. Arch Biochem Biophys 1998;351:1-7. [PUBMED] [FULLTEXT]|
|8.||Ellis A, Lu H, Li CG, Rand MJ. Effects of agents that inactivate free radical NO (NO.) on nitroxyl anion-mediated relaxation, and on the detection of NO· released from the nitroxyl anion donor Angeli's salt. Br J Pharmacol 2001;134: 521-8. [PUBMED] [FULLTEXT]|
|9.||Wanstall JC, Jeffery TK, Gambino A, Lovren F, Triggle CR. Vascular smooth muscle relaxation mediated by nitric oxide donors: A comparison with acetylcholine, nitric oxide and nitroxyl ion. Br J Pharmacol 2001;134:463-72. [PUBMED] [FULLTEXT]|
|10.||Morley D, Keefer LK. Nitric oxide/nucleophile complexes: a unique class of nitric oxide based-vasodilators. J Cardiovasc Pharmacol 1993;22:3-9. [PUBMED] |
|11.||Wu XB, Brune B, von Appen F, Ullrich V. Reversible activation of soluble guanylate cyclase by oxidizing agents. Arch Biochem Biophys 1992;294: 75-82. [PUBMED] |
|12.||Murphy ME. Influence of redox compounds on nitrovasodilator-induced relaxation of rat coronary arteries. Br J Pharmacol 1999;128:435-43. [PUBMED] [FULLTEXT]|
|13.||Heitzer T, Schlinzig T, Krohn K, Meinertz T, Munzel T. Endothelial dysfunction, oxidative stress, and risk of cardiovascular events in patients with coronary artery disease. Circulation 2001;104:2673-78. [PUBMED] [FULLTEXT]|
|14.||Anderson TJ, Hubacek J, Wyse DG, Knudtson ML. Effect of chelation therapy on endothelial function in patients with coronary artery disease: PATCH substudy. J Am Coll Cardiol 2003;41:420-5. [PUBMED] [FULLTEXT]|
|15.||Ulker S, McKeown PP, Bayraktutan U. Vitamins reverse endothelial dysfunction through regulation of eNOS and NAD(P)H oxidase activities. Hypertension 2003;41:534-9. [PUBMED] [FULLTEXT]|
|16.||Ulker S, McMaster D, McKeown PP, Bayraktutan U. Impaired activities of antioxidant enzymes elicit endothelial dysfunction in spontaneous hypertensive rats despite enhanced vascular nitric oxide generation. Cardiovasc Res 2003;59:488-500. [PUBMED] [FULLTEXT]|
|17.||Mishra SK, Abbot SE, Choudhury Z, Cheng M, Khatab N, Maycock NJR, et al . Endothelium-dependent relaxation of rat aorta and main pulmonary artery by the phytoestrogens genistein and daidzein. Cardiovasc Res 2000;46:539-46. |
|18.||Stamler JS, Singel DJ, Loscalzo J. Biochemistry of nitric oxide and its redox-activated forms. Science 1992;258:1898-902. [PUBMED] |
|19.||Lipton SA, Choi YB, Sucher NJ, Pan ZH, Stamler JS. Redox state, NMDA receptors and NO-related species. Trends Pharmacol Sci 1996;17:186-7. |
|20.||Meister A, Anderson ME. Glutathione. Annu Rev Biochem 1983;52:711-60. [PUBMED] [FULLTEXT]|
|21.||Tsan MF, White JE, Rosano CL. Modulation of endothelial GSH concentrations: Effect of exogenous GSH and GSH monoethyl ester. J Appl Physiol 1989;66:1029-34. [PUBMED] [FULLTEXT]|
|22.||Suttorp N, Kastle S, Neuhof H. Glutathione redox cycle is an important defense system of endothelial cells against chronic hyperoxia. Lung 1991;169:203-14. [PUBMED] |
|23.||Levine GN, Frei B, Koulouris SN, Gerhard MD, Keaney JF Jr, Vita JA. Ascorbic acid reverses endothelial vasomotor dysfunction in patients with coronary artery disease. Circulation 1996;93:1107-13. [PUBMED] [FULLTEXT]|
|24.||Duffy SJ, Gokce N, Holbrook M, Huang A, Frei B, Keaney JF Jr, et al . Treatment of hypertension with ascorbic acid. Lancet 1999;354:2048-9. |
|25.||de Saram K, McNeill KL, Khokher S, Ritter JM, Chowienczyk PJ. Divergent effects of Vitamin C on relaxations of rabbit aortic rings to acetylcholine and NO-donors. Br J Pharmacol 2002;135:1044-50. [PUBMED] [FULLTEXT]|
|26.||Murphy ME, Sies H. Reversible conversion of nitroxyl anion to nitric oxide by superoxide dismutase. Proc Natl Acad Sci USA 1991;88:10860-64. [PUBMED] [FULLTEXT]|
|27.||Ohnishi T, Ishizaki T, Sasaki F, Ameshima S, Nakai T, Miyabo S, et al . The effect of Cu2+ on rat pulmonary arterial rings. Eur J Pharmacol 1997;319: 49-55. |
|28.||Chiarugi A, Pitari GM, Costa R, Ferrante M, Villari L, Amico-Roxas M, et al . Effect of prolonged incubation with copper on endothelium-dependent relaxation in rat isolated aorta. Br J Pharmacol 2002;136:1185-93. |
|29.||Nelli S, McIntosh L, Martin W. Role of copper ions and cytochrome P450 in the vasodilator actions of the nitroxyl anion generator, Angeli's salt, on rat aorta. Eur J Pharmacol 2001;412:281-9. |
|30.||Cheung PY, Schulz R. Glutathione causes coronary vasodilation via a nitric oxide- and soluble guanylate cyclase-dependent mechanism. Am J Physiol 1997;273:1231-8. |
[Figure - 1], [Figure - 2], [Figure - 3]