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Hypertension. 1998;32:488-495

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(Hypertension. 1998;32:488-495.)
© 1998 American Heart Association, Inc.


Scientific Contributions

Role of NADH/NADPH Oxidase–Derived H2O2 in Angiotensin II–Induced Vascular Hypertrophy

A. Maziar Zafari; Masuko Ushio-Fukai; Marjorie Akers; Qiqin Yin; Aalok Shah; David G. Harrison; W. Robert Taylor; ; Kathy K. Griendling

From the Department of Medicine, Division of Cardiology, Emory University, Atlanta, Ga.

Correspondence to Kathy K. Griendling, PhD, Division of Cardiology, Emory University School of Medicine, 1639 Pierce Dr, Room 319, Atlanta, GA 30322. E-mail kgriend{at}emory.edu

Abstract—Recent evidence suggests that oxidative mechanisms may be involved in vascular smooth muscle cell (VSMC) hypertrophy. We previously showed that angiotensin II (Ang II) increases superoxide production by activating an NADH/NADPH oxidase, which contributes to hypertrophy. In this study, we determined whether Ang II stimulation of this oxidase results in H2O2 production by studying the effects of Ang II on intracellular H2O2 generation, intracellular superoxide dismutase and catalase activity, and hypertrophy. Ang II (100 nmol/L) significantly increased intracellular H2O2 levels at 4 hours. Neither superoxide dismutase activity nor catalase activity was affected by Ang II; the SOD present in VSMCs is sufficient to metabolize Ang II–stimulated superoxide to H2O2, which accumulates more rapidly than it is degraded by catalase. This increase in H2O2 was inhibited by extracellular catalase, diphenylene iodonium, an inhibitor of the NADH/NADPH oxidase, and the AT1 receptor blocker losartan. In VSMCs stably transfected with antisense p22phox, a critical component of the NADH/NADPH oxidase in which oxidase activity was markedly reduced, Ang II–induced production of H2O2 was almost completely inhibited, confirming that the source of Ang II–induced H2O2 was the NADH/NADPH oxidase. Using a novel cell line that stably overexpresses catalase, we showed that this increased H2O2 is a critical step in VSMC hypertrophy, a hallmark of many vascular diseases. Inhibition of intracellular superoxide dismutase by diethylthiocarbamate (1 mmol/L) also resulted in attenuation of Ang II–induced hypertrophy (62±2% inhibition). These data indicate that AT1 receptor–mediated production of superoxide generated by the NADH/NADPH oxidase is followed by an increase in intracellular H2O2, suggesting a specific role for these oxygen species and scavenging systems in modifying the intracellular redox state in vascular growth.


Key Words: vascular smooth muscle • angiotensin II • NADH • NADPH oxidase • hydrogen peroxide • superoxide dismutase • catalase • hypertrophy




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D. M. Fries, E. Paxinou, M. Themistocleous, E. Swanberg, K. K. Griendling, D. Salvemini, J. W. Slot, H. F. G. Heijnen, S. L. Hazen, and H. Ischiropoulos
Expression of Inducible Nitric-oxide Synthase and Intracellular Protein Tyrosine Nitration in Vascular Smooth Muscle Cells: ROLE OF REACTIVE OXYGEN SPECIES
J. Biol. Chem., June 13, 2003; 278(25): 22901 - 22907.
[Abstract] [Full Text] [PDF]


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JCBHome page
P. Chiarugi, G. Pani, E. Giannoni, L. Taddei, R. Colavitti, G. Raugei, M. Symons, S. Borrello, T. Galeotti, and G. Ramponi
Reactive oxygen species as essential mediators of cell adhesion: the oxidative inhibition of a FAK tyrosine phosphatase is required for cell adhesion
J. Cell Biol., June 9, 2003; 161(5): 933 - 944.
[Abstract] [Full Text] [PDF]


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Journal of Renin-Angiotensin-Aldosterone SystemHome page
D. G Harrison, Hua Cai, U. Landmesser, and K. K Griendling
The Pickering Lecture British Hypertension Society, 10th September 2002: Interactions of angiotensin II with NAD(P)H oxidase, oxidant stress and cardiovascular disease
Journal of Renin-Angiotensin-Aldosterone System, June 1, 2003; 4(2): 51 - 61.
[Abstract] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. J. Bivalacqua, J. S. Armstrong, J. Biggerstaff, A. B. Abdel-Mageed, P. J. Kadowitz, W. J. G. Hellstrom, and H. C. Champion
Gene transfer of extracellular SOD to the penis reduces O2{middle dot} and improves erectile function in aged rats
Am J Physiol Heart Circ Physiol, April 1, 2003; 284(4): H1408 - H1421.
[Abstract] [Full Text] [PDF]


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J. Clin. Pathol.Home page
P A J Krijnen, C Meischl, C E Hack, C J L M Meijer, C A Visser, D Roos, and H W M Niessen
Increased Nox2 expression in human cardiomyocytes after acute myocardial infarction
J. Clin. Pathol., March 1, 2003; 56(3): 194 - 199.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
R. A. Oeckler, P. M. Kaminski, and M. S. Wolin
Stretch Enhances Contraction of Bovine Coronary Arteries via an NAD(P)H Oxidase-Mediated Activation of the Extracellular Signal-Regulated Kinase Mitogen-Activated Protein Kinase Cascade
Circ. Res., January 10, 2003; 92(1): 23 - 31.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
P. T. Schumacker
Angiotensin II Signaling in the Brain: Compartmentalization of Redox Signaling?
Circ. Res., November 29, 2002; 91(11): 982 - 984.
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StrokeHome page
D. E. Kim, Y. S. Suh, M.-S. Lee, K. Y. Kim, J. H. Lee, H. S. Lee, K. W. Hong, and C. D. Kim
Vascular NAD(P)H Oxidase Triggers Delayed Cerebral Vasospasm After Subarachnoid Hemorrhage in Rats
Stroke, November 1, 2002; 33(11): 2687 - 2691.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
P. A. Ortiz and J. L. Garvin
Superoxide stimulates NaCl absorption by the thick ascending limb
Am J Physiol Renal Physiol, November 1, 2002; 283(5): F957 - F962.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
U. G. B. Haider, D. Sorescu, K. K. Griendling, A. M. Vollmar, and V. M. Dirsch
Resveratrol Suppresses Angiotensin II-Induced Akt/Protein Kinase B and p70 S6 Kinase Phosphorylation and Subsequent Hypertrophy in Rat Aortic Smooth Muscle Cells
Mol. Pharmacol., October 1, 2002; 62(4): 772 - 777.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
P. N. Seshiah, D. S. Weber, P. Rocic, L. Valppu, Y. Taniyama, and K. K. Griendling
Angiotensin II Stimulation of NAD(P)H Oxidase Activity: Upstream Mediators
Circ. Res., September 6, 2002; 91(5): 406 - 413.
[Abstract] [Full Text] [PDF]


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J. Clin. Pathol.Home page
L Van Heerebeek, C Meischl, W Stooker, C J L M Meijer, H W M Niessen, and D Roos
NADPH oxidase(s): new source(s) of reactive oxygen species in the vascular system?
J. Clin. Pathol., August 1, 2002; 55(8): 561 - 568.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
G. NICKENIG, S. BAUDLER, C. MULLER, C. WERNER, N. WERNER, H. WELZEL, K. STREHLOW, and M. BOHM
Redox-sensitive vascular smooth muscle cell proliferation is mediated by GKLF and Id3 in vitro and in vivo
FASEB J, July 1, 2002; 16(9): 1077 - 1086.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. Mueller, S. Baudler, H. Welzel, M. Bohm, and G. Nickenig
Identification of a Novel Redox-Sensitive Gene, Id3, Which Mediates Angiotensin II-Induced Cell Growth
Circulation, May 21, 2002; 105(20): 2423 - 2428.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
C. Kumaran and K. Shivakumar
Calcium- and superoxide anion-mediated mitogenic action of substance P on cardiac fibroblasts
Am J Physiol Heart Circ Physiol, May 1, 2002; 282(5): H1855 - H1862.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. Nishida, K. L. Schey, S. Takagahara, K. Kontani, T. Katada, Y. Urano, T. Nagano, T. Nagao, and H. Kurose
Activation Mechanism of Gi and Go by Reactive Oxygen Species
J. Biol. Chem., March 8, 2002; 277(11): 9036 - 9042.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
D. JAVESGHANI, S. A. MAGDER, E. BARREIRO, M. T. QUINN, and S. N. A. HUSSAIN
Molecular Characterization of a Superoxide-Generating NAD(P)H Oxidase in the Ventilatory Muscles
Am. J. Respir. Crit. Care Med., February 1, 2002; 165(3): 412 - 418.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
Y. K. Kim, M.-S. Lee, S. M. Son, I. J. Kim, W. S. Lee, B. Y. Rhim, K. W. Hong, and C. D. Kim
Vascular NADH Oxidase Is Involved in Impaired Endothelium-Dependent Vasodilation in OLETF Rats, a Model of Type 2 Diabetes
Diabetes, February 1, 2002; 51(2): 522 - 527.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Hirotani, K. Otsu, K. Nishida, Y. Higuchi, T. Morita, H. Nakayama, O. Yamaguchi, T. Mano, Y. Matsumura, H. Ueno, et al.
Involvement of Nuclear Factor-{kappa}B and Apoptosis Signal-Regulating Kinase 1 in G-Protein-Coupled Receptor Agonist-Induced Cardiomyocyte Hypertrophy
Circulation, January 29, 2002; 105(4): 509 - 515.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
K. El Hadri, M. Moldes, N. Mercier, M. Andreani, J. Pairault, and B. Feve
Semicarbazide-Sensitive Amine Oxidase in Vascular Smooth Muscle Cells: Differentiation-Dependent Expression and Role in Glucose Uptake
Arterioscler Thromb Vasc Biol, January 1, 2002; 22(1): 89 - 94.
[Abstract] [Full Text] [PDF]


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Physiol. Rev.Home page
W. Droge
Free Radicals in the Physiological Control of Cell Function
Physiol Rev, January 1, 2002; 82(1): 47 - 95.
[Abstract] [Full Text] [PDF]


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Journal of Renin-Angiotensin-Aldosterone SystemHome page
N. Uhlenius, O. Vuolteenaho, and I. Tikkanen
Renin-angiotensin blockade improves renal cGMP production via non-AT2-receptor mediated mechanisms in hypertension-induced by chronic NOS inhibition in rat
Journal of Renin-Angiotensin-Aldosterone System, December 1, 2001; 2(4): 233 - 239.
[Abstract] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
C. Berry, R. Touyz, A. F. Dominiczak, R. C. Webb, and D. G. Johns
Angiotensin receptors: signaling, vascular pathophysiology, and interactions with ceramide
Am J Physiol Heart Circ Physiol, December 1, 2001; 281(6): H2337 - H2365.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
G. Zalba, G. S. Jose, M. U. Moreno, M. A. Fortuno, A. Fortuno, F. J. Beaumont, and J. Diez
Oxidative Stress in Arterial Hypertension: Role of NAD(P)H Oxidase
Hypertension, December 1, 2001; 38(6): 1395 - 1399.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
R. A. Beswick, A. M. Dorrance, R. Leite, and R. C. Webb
NADH/NADPH Oxidase and Enhanced Superoxide Production in the Mineralocorticoid Hypertensive Rat
Hypertension, November 1, 2001; 38(5): 1107 - 1111.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
P. Silacci, A. Desgeorges, L. Mazzolai, C. Chambaz, and D. Hayoz
Flow Pulsatility Is a Critical Determinant of Oxidative Stress in Endothelial Cells
Hypertension, November 1, 2001; 38(5): 1162 - 1166.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
E. A. Jaimes, C. Sweeney, and L. Raij
Effects of the Reactive Oxygen Species Hydrogen Peroxide and Hypochlorite on Endothelial Nitric Oxide Production
Hypertension, October 1, 2001; 38(4): 877 - 883.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Munzel and J. F. Keaney Jr
Are ACE Inhibitors a "Magic Bullet" Against Oxidative Stress?
Circulation, September 25, 2001; 104(13): 1571 - 1574.
[Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
S. L. Lee, A. R. Simon, W. W. Wang, and B. L. Fanburg
H2O2 signals 5-HT-induced ERK MAP kinase activation and mitogenesis of smooth muscle cells
Am J Physiol Lung Cell Mol Physiol, September 1, 2001; 281(3): L646 - L652.
[Abstract] [Full Text] [PDF]


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Physiol. Rev.Home page
B. C. Berk
Vascular Smooth Muscle Growth: Autocrine Growth Mechanisms
Physiol Rev, July 1, 2001; 81(3): 999 - 1030.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
H. L Reeve, S. Tolarova, D. P Nelson, S. Archer, and E K. Weir
Redox control of oxygen sensing in the rabbit ductus arteriosus
J. Physiol., May 15, 2001; 533(1): 253 - 261.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
K. Irani
Angiotensin II-Stimulated Vascular Remodeling : The Search for the Culprit Oxidase
Circ. Res., May 11, 2001; 88(9): 858 - 860.
[Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
Y. Shi, R. Niculescu, D. Wang, S. Patel, K. L. Davenpeck, and A. Zalewski
Increased NAD(P)H Oxidase and Reactive Oxygen Species in Coronary Arteries After Balloon Injury
Arterioscler Thromb Vasc Biol, May 1, 2001; 21(5): 739 - 745.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
G. A. Stouffer, C. Patterson, N. Madamanchi, and M. S. Runge
Role of Reactive Oxygen Species in Angiotensin II Signaling : The Plot Thickens
Arterioscler Thromb Vasc Biol, April 1, 2001; 21(4): 471 - 472.
[Full Text] [PDF]