Hypertension. 2000;36:291-295
(Hypertension. 2000;36:291.)
© 2000 American Heart Association, Inc.
Ascorbic Acid and Glutathione Modulate the Biological Activity of S-Nitrosoglutathione
Aiming Xu;
Joseph A. Vita;
John F. Keaney, Jr
From the Evans Memorial Department of Medicine and Whitaker
Cardiovascular Institute, Boston University School of Medicine, Boston, Mass.
Correspondence to Dr John F. Keaney, Jr, Whitaker Cardiovascular Institute, Boston University School of Medicine, 80 E Concord St, Room W507, Boston, MA 02118. E-mail jkeaney{at}bu.edu
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Abstract
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AbstractAscorbic acid and
glutathione (GSH) are important
determinants of the intracellular redox
state, and both are
known to accelerate the decomposition of
S-nitrosoglutathione
(GSNO), an endogenous
adduct of nitric oxide (NO). The implications
of these observations for
GSNO bioactivity are not yet clear.
We investigated the effect of
ascorbic acid and GSH on GSNO
bioactivity by using a bioassay with
isolated segments of guinea
pig aorta suspended in organ chambers.
Arterial segments demonstrated
relaxation to GSNO (0.1
µmol/L) that was significantly
enhanced by 300 µmol/L ascorbic
acid (71±6% versus
53±6%,
P<0.05) but not GSH. Both
ascorbic acid and
GSH significantly shortened the duration of
arterial relaxation
in response to 0.1 µmol/L GSNO
(from >120 minutes
to 22.5±3.5 and 36.3±4.3 minutes, respectively;
P<0.05), consistent with accelerated decomposition
of GSNO
that was confirmed spectrophotometrically. The effect of
ascorbic
acid was abrogated by either DTPA or the copper(I)-specific
agent bathocuproine but not deferoxamine, indicating
a dependence
on the availability of redox-active copper.
Consistent with
this notion, the action of ascorbic acid on
GSNO bioactivity
was also supported by copper-zinc superoxide
dismutase, a physiologically
relevant source of
copper. In contrast, the effect of GSH on
GSNO degradation and
GSNO-mediated arterial relaxation was
independent of
transition metal ions, because DTPA had no effect.
These data indicate
that both ascorbic acid and GSH modulate
GSNO bioactivity and suggest a
distinction between the mechanism
of GSNO degradation by ascorbic acid
or GSH. Whereas both ascorbic
acid and GSH accelerate the degradation
of GSNO, only ascorbic
acid is dependent on the presence of transition
metal ions.
Key Words: antioxidants oxidation-reduction blood vessels nitric oxide S-nitrosoglutathione relaxation
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Introduction
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Vascular homeostasis is dependent, in part, on
nitric oxide
(NO),
1 a free radical that is synthesized
enzymatically from
L-arginine and O
2
by an endothelial isoform of nitric oxide
synthase.
1 NO contributes to resting vascular
tone,
2 impairs
platelet activation,
3
prevents leukocyte adhesion to the
endothelium,
4 and inhibits vascular smooth
muscle migration
5 and proliferation.
6 Mice
lacking endothelial nitric oxide synthase are
hypertensive,
7 8 and impaired NO bioactivity in diabetes
and atherosclerosis
is thought to contribute to
vascular disease (reviewed in Reference
9 ). Thus, NO
is an important mediator of vascular homeostasis.
Under aerobic conditions, NO can combine with
O210 or reduced thiols11 to
form S-nitrosothiols, which possess bioactivity
similar to authentic NO.12 13 In the intracellular space,
the abundance of glutathione (GSH; 1 to 5 mmol/L14 )
renders the formation of S-nitrosoglutathione (GSNO)
kinetically feasible,11 15 16 and GSNO formation has
been implicated in cellular functions such as neutrophil oxidant
production17 and signal
transduction.18 The precise metabolic fate of
GSNO and its implications for NO bioactivity, however, remain
unclear.
Recent evidence suggests that S-nitrosothiol
metabolism is sensitive to the local reducing environment.
Reduced transition metal ions such as Cu+
catalyze the decomposition of S-nitrosothiols more
effectively than do their oxidized forms (eg,
Cu2+).16 19 20 Both ascorbic
acid21 and GSH22 accelerate the decomposition
of GSNO in vitro and may modulate the release of NO from
S-nitrosothiols.23 Enhanced release of NO
from S-nitrosothiols has been shown to augment the
hypotensive response to these agents.24 However, the
effect of ascorbic acid and GSH on the NO-like bioactivity of GSNO is
not clear and serves as the purpose of the present study.
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Methods
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Materials
Sodium nitrite was purchased from Fisher Scientific.
Sulfanilamide
and
N-(1-naphthyl)ethylenediamine
dihydrochloride were obtained
from Aldrich Chemical Co. Chelex-100
resin was purchased from
Bio-Rad Laboratories, whereas DTPA, GSH,
prostaglandin F
2
(PGF
2
),
and all other compounds were purchased
from Sigma Chemical
Co.
Physiological salt solution (PSS) contained
118.3 mmol/L NaCl, 4.7 mmol/L KCl, 2.5 mmol/L
CaCl2, 1.2 mmol/L
MgSO4, 1.2 mmol/L
KH2PO4, 25 mmol/L
NaHCO3, and 11.1 mmol/L glucose. All
solutions were prepared with double-distilled water and treated with
Chelex before use. All glassware was acid-washed followed by thorough
flushing with Chelex-treated water. Solutions of NO and GSNO were
synthesized and quantified immediately before use as
described.12 25 26
NO Bioassay
The NO-like bioactivity of GSNO was assessed in a PSS buffer
system with vascular relaxation as a bioassay with segments of Hartley
guinea pig thoracic aorta. Animals (450 to 500 g) were killed with
CO2, and aortic ring segments (5 mm) without
endothelium were prepared and suspended in organ
chambers as described.27 Organ chambers were acid-washed
followed by copious flushing with Chelex-treated water to minimize
contamination with metal ions. With this treatment, the buffer metal
ion content (as assessed by ascorbate oxidation28 ) was
reduced from 6±2 to <0.01 µmol/L (n=3). Animal studies were
approved by the Boston University Medical Campus Institutional Animal
Care and Use Committee.
Quantification of GSNO Degradation
Time-dependent changes in GSNO concentration were monitored
continuously at 332 nm (
=750 mol/L-1 ·
cm-1) over a period of 100 minutes with the use
of a Varian Cary 3 dual-beam spectrophotometer at 37°C. The rate of
GSNO decay as a function of time (d[GSNO]/dt)
was determined by the initial slope of the decay curve over the first
10 minutes of incubation.
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Results
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Effect of Ascorbic Acid and GSH on GSNO-Induced Arterial
Relaxation
We used arterial relaxation as a marker for the
NO-like bioactivity
of GSNO. Extracellular GSNO added to organ chambers
produced
dose-dependent arterial relaxation that was mildly
enhanced
by physiologically relevant ascorbic
acid (>0.1 mmol/L)
in the buffer (Figure 1A
;
P<0.05 for ascorbate
versus control
by 2-way ANOVA). Higher concentrations of ascorbic acid
produced
no additional effect. In contrast, GSNO-mediated
arterial relaxation
was not materially altered by GSH
(Figure 1B
), and no vasodilation
was observed with decomposed
GSNO (data not shown). Thus, ascorbic
acid but not GSH modestly
augments the extent of GSNO-induced
arterial
relaxation.
Ascorbic acid and GSH had more uniform effects on the duration of
GSNO-mediated arterial relaxation. Contracted
arterial segments exposed to GSNO (0.1 µmol/L)
demonstrated stable relaxation that was shortened considerably by
300 µmol/L ascorbic acid or GSNO (Figure 2A). Quantitatively, the half-time of
GSNO (0.1 µmol/L) arterial relaxation (ie, the time
required to restore 50% of the tension reduction produced by a
vasodilator) exceeded 120 minutes (Figure 2B) and decreased to
22.5±3.5 minutes and 36.3±4.3 minutes in the presence of ascorbic
acid and GSH, respectively (both P<0.05 versus control by
1-way ANOVA; n=6). Thus, both ascorbic acid and GSH appear to
accelerate GSNO decomposition manifested as a shorter duration of
arterial relaxation.

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Figure 2. Ascorbic acid (AA) and the duration of
GSNO-mediated arterial relaxation. Segments of thoracic
aorta were harvested from Hartley guinea pigs as described in Methods.
A, Vessels were contracted with PGF2 , and the duration
of relaxation was assayed in response to 0.1 µmol/L GSNO in the
presence or absence of 0.3 mmol/L ascorbic acid or GSH. B,
Composite data on the duration of GSNO-mediated arterial
relaxation derived from the half-time of arterial
relaxation as described in Methods. Data are mean±SEM of 6
experiments. CTL indicates control. *P<0.05 vs no
additions.
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Transition Metal Ions and Ascorbic AcidInduced GSNO
Decomposition
The decomposition of GSNO has been linked to reduced
transition metal ions,29 and ascorbic acid is known to
reduce the valence state of transition metal ions in
solution.30 In the presence of DTPA, a strong metal
chelator, we found that ascorbic acid had no effect on the duration of
GSNO-mediated arterial relaxation (Figure 3). Specific chelation of Cu(I) with
100 µmol/L bathocuproine sulfonate31 also abrogated
the effect of ascorbic acid, whereas the iron-specific chelator
deferoxamine (100 µmol/L) was ineffective (Figure 3).

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Figure 3. Transition metal ions and ascorbic acid (AA-)
induced GSNO decomposition. Segments of thoracic aorta were harvested
from Hartley guinea pigs as described in Methods. A, Original tracings
of vessels contracted with PGF2 and exposed to 0.1
µmol/L GSNO in the presence or absence of 0.3 mmol/L ascorbic
acid with or without DTPA (100 µmol/L), bathocuproine (BC;
100 µmol/L), or deferoxamine (DFO; 100
µmol/L). B, Composite data on the duration of GSNO-mediated
arterial relaxation derived from the half-time of
arterial relaxation as described in Methods. Data are
mean±SEM of 6 experiments. CTL indicates control.
*P<0.05 vs no additions.
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To examine the kinetics of GSNO decomposition, we followed GSNO decay
as the change in absorbance at 332 nm. As shown in Figure 4, GSNO decay was significantly enhanced
by ascorbic acid, and this effect was inhibited by chelation of
transition metals with DTPA (Figure 4). The effect of ascorbic
acid was specific for Cu(I), because it was inhibited by bathocuproine
and not affected by deferoxamine (Figure 4).
Individually, copper and ascorbic acid enhanced GSNO degradation, and
their combination was additive (Figure 4). Thus, ascorbic acid
enhances GSNO decomposition in a copper-dependent manner.
Transition Metal Ions and GSH-Induced GSNO Decomposition
Arterial relaxation to GSNO (0.1 µmol/L) was
significantly shortened by GSH (Figures 5A and 5B), but this effect was only
partially inhibited by DTPA (Figure 5A) and not materially
altered in the presence of copper or deferoxamine (Figure 5B). Consistent with this observation, GSNO decay was
significantly enhanced by GSH (Figure 6).
However, the effect of GSH on GSNO decay was not significantly
inhibited by chelation of transition metals with DTPA (Figure 6). In fact, GSH actually inhibited the action of copper to
enhance GSNO decomposition (Figure 6). Thus, GSH accelerates
GSNO decay through a mechanism that appears largely independent of
transition metals.

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Figure 5. Transition metal ions and GSH-induced GSNO
decomposition. Segments of thoracic aorta were harvested from Hartley
guinea pigs as described in Methods. A, Original tracings of vessels
contracted with PGF2 and exposed to 0.1 µmol/L
GSNO in the presence or absence of 0.3 mmol/L GSH with or without
DTPA (100 µmol/L). B, Composite data on the duration of
GSNO-mediated arterial relaxation derived from the
half-time of arterial relaxation as described in Methods.
Data are mean±SEM of 6 experiments. CTL indicates control; DFO,
deferoxamine. *P<0.05 vs no
additions.
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The availability of redox-active copper in vivo is
controversial.32 We sought to determine whether a
physiologically relevant source of copper (eg,
copper-zinc superoxide dismutase [Cu-Zn SOD]) would support the
effects of ascorbic acid on GSNO-mediated arterial
relaxation. As shown in Figure 7, Cu-Zn
SOD enhanced the effect of ascorbic acid on GSNO-mediated
arterial relaxation, and this effect was inhibited by DTPA.
In contrast, Cu-Zn SOD had no effect on the ability of GSH to shorten
the duration of GSNO-mediated arterial relaxation (Figure 7).

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Figure 7. Cu-Zn SOD and GSNO-mediated
arterial relaxation. Segments of thoracic aorta were
harvested from Hartley guinea pigs as described in Methods, contracted
with PGF2 , and exposed to 0.1 µmol/L GSNO in the
presence or absence of 0.3 mmol/L ascorbic acid (AA) (A) or GSH
(B) with or without the indicated concentrations of Cu-Zn SOD or
100 µmol/L DTPA. Data are mean±SEM of 6 experiments.
*P<0.05 vs no additions; effect of Cu-Zn SOD was
significant by 1-way ANOVA (P<0.01).
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Discussion
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The data presented here indicate that both ascorbic acid
and
GSH modulate the bioactivity of
S-nitrosoglutathione
measured
as arterial relaxation. Specifically, ascorbic
acid increased
the extent of GSNO-mediated arterial
relaxation. Both ascorbic
acid and GSH appeared to accelerate the
decomposition of GSNO
because the duration of GSNO-mediated
arterial relaxation was
reduced by both compounds. The
effect of ascorbic acid and
GSH on GSNO decomposition was confirmed by
spectrophotometric
studies that followed the kinetics of GSNO
degradation. Ascorbic
acid and GSH appeared to modulate the bioactivity
of GSNO through
distinct mechanisms. We found that the ability of
ascorbic
acid to accelerate GSNO decomposition was copper dependent.
In
contrast, GSH accelerated GSNO decomposition without enhancing
its
bioactivity, and this effect was not dependent on copper.
These data
suggest that ascorbic acid and GSH may modulate
GSNO action and
metabolism.
The role of ascorbic acid in GSNO metabolism has been
examined previously. Kashiba-Iwatsuki and colleagues21
found by electron spin resonance that extracellular levels of
ascorbic acid (50 to 100 µmol/L) stimulated the decomposition of
GSNO in vitro in association with ascorbyl radical production
and that 2 moles of GSNO were consumed per mole of ascorbic acid. The
data presented here extend these observations by linking the
enhanced degradation of GSNO to an increased NO flux enhancing the
extent (Figure 1) of GSNO-mediated arterial
relaxation and reducing its duration of action (Figure 2). In
contrast to prior studies,21 33 we found that the effect
of ascorbic acid on GSNO-mediated arterial relaxation was
dependent on the presence of copper (Figures 3 and 4).
One possible explanation for this discrepancy might relate to tissue
sources of metal ions or our bicarbonate buffer system compared with
the phosphate system of Kashiba-Iwatsuki and colleagues.
Catalytic quantities of both copper and iron20 are known
to accelerate the decomposition of S-nitrosothiols.
Specifically, the reduced forms (eg, Cu+ and
Fe2+) of these metal ions are responsible for the catalysis
of S-nitrosothiol decomposition.16 19 20
Because both ascorbic acid and GSH reduce copper and
iron,30 it is reasonable to speculate that both agents
enhance GSNO bioactivity through transition metal reduction. Although
our data support such speculation for ascorbic acid, the effect of GSH
on GSNO decomposition and its NO-like bioactivity was not materially
altered by metal ion chelation with DTPA (Figure 5). This
observation is readily explained by observations that GSH forms a
redox-inactive complex with copper34 35 36 at molar ratios
of GSH:Cu exceeding 2.19 37 Given that our experiments
were performed with a GSH concentration of 300 µmol/L
(Figures 5 and 6) and that the contaminating metal
ion concentration was <0.01 µmol/L, our conditions favored
GSH-Cu(I) complex formation,37 thus explaining the lack of
copper dependence. Although Fe(II) supports the decomposition of
GSNO,19 20 it is unlikely that GSH-mediated GSNO
decomposition involved iron, because DTPA and deferoxamine
had no effect on this process (Figure 6).
There are data to suggest that GSH-mediated GSNO decomposition proceeds
in the absence of transition metal ions. Hogg and
coworkers23 used a metal ionfree system and found that
GSNO formed in the presence of excess GSH was unstable, suggesting a
direct reaction between GSH and GSNO. The proposed product of this
reaction was peroxynitrite, a compound with limited vasodilating
bioactivity compared with authentic NO.38 39 With this
scenario, one would predict that GSH-mediated GSNO decomposition would
not lead to enhanced NO-like bioactivity, consistent with the
results reported here (Figure 1B). Thus, metal ionindependent
reaction of GSH with GSNO can account for the reduced GSNO-mediated
arterial relaxation in the presence of millimolar
concentrations of GSH.
One important issue to consider is the relevance of our findings for
S-nitrosothiol action and metabolism in vivo.
Considerable evidence indicates that S-nitrosothiols are
formed in vivo, and protein S-nitrosylation has been
implicated in the modulation of energy
metabolism,17 signal
transduction,40 apoptosis,41 and even
blood flow.42 For such events to be reversible, the
cellular environment must provide some mechanism(s) to restore
nitrosothiols back to their reduced form. Singh and
colleagues16 have proposed that GSNO serves as a sink for
functional protein NO+ moieties, leading to the
"repair" of S-nitrosylated proteins, and that
GSH-mediated GSNO decomposition facilitates this repair mechanism. Our
data and those of others19 39 indicate that ascorbic
acid may also facilitate GSNO decomposition, perhaps through
copper-containing enzymes such as SOD (Figure 7),43
and enhance the NO-like bioactivity of GSNO (Figure 1). Prior
reports that ascorbic acid enhances NO bioactivity44 and
reduces blood pressure45 have prompted speculation on the
role of GSNO decomposition in these observations.
In summary, the data presented here indicate that both ascorbic
acid and GSH enhance the decomposition of GSNO. In the case of ascorbic
acid, accelerated GSNO decomposition is metal ion dependent and
associated with a modest increase in bioactivity (eg, vasodilation)
that is reduced in duration. With GSH, however, accelerated GSNO
decomposition is not metal ion dependent and does not seem to result in
enhanced bioactivity. Instead, the main effect is a reduction in the
duration of GSNO bioactivity. These data suggest that the reducing
environment within the cell has important implications for
S-nitrosothiol bioactivity.
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Acknowledgments
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This work was supported by grants from the National
Institutes
of Health (HL-53398 to J.A.V. and HL-59346 to J.F.K.).
Joseph
A. Vita is an Established Investigator of the American Heart
Association, and John F. Keaney, Jr, is the recipient of a
Clinical
Investigator Development Award (HL-03195) from the
National Institutes
of Health.
Received October 20, 1999;
first decision November 12, 1999;
accepted February 25, 2000.
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