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(Hypertension. 2003;41:1301.)
© 2003 American Heart Association, Inc.
Scientific Contributions |
From the Department of Pharmacology, Monash University, Melbourne, Victoria, Australia.
Correspondence to Dr Barbara Kemp-Harper, Department of Pharmacology, Monash University, Clayton Victoria 3800, Australia. E-mail barbara.kemp{at}med.monash.edu.au
| Abstract |
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Key Words: nitric oxide nitroxyl anion potassium channels vasorelaxation vasculature mesenteric arteries
| Introduction |
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NO- can be generated directly from the enzymatic activity of NO synthase (NOS)2,3 such that NOS-catalyzed oxidation of L-arginine results in the production of NO-, which is further oxidized to NO by superoxide dismutase. In addition, NO- can also be formed during oxidation of the decoupled NOS product N-hydroxy-L-arginine,6,7 from NOS in the absence of tetrahydrobiopterin,8 after the decomposition of S-nitrosothiols9,10 and peroxynitrite11 and from the reduction of NO by mitochondrial cytochrome c.12
The biological activity of NO- can be studied by using NO- donors such as Angelis salt. Of particular interest is the identification of NO- as a potent vasodilator, mediating relaxation of large isolated conduit arteries,4,5,13 exerting dilator activity in the intact pulmonary vascular bed,14 and decreasing mean arterial blood pressure in the anesthetized rabbit.15 The relaxation response to NO- in large arteries is accompanied by an increase in cyclic GMP13 and attenuated by the soluble guanylate cyclase (sGC) inhibitor ODQ.4,5
The finding that NO- can be formed endogenously and mediates vascular smooth muscle relaxation raises the exciting possibility that NO- may contribute to vasodilator responses previously attributed to NO. Indeed, it has recently been suggested that the relaxation attributed to endothelium-derived relaxing factor in both rat4 and mouse5 aortae is mediated in part by NO-. These studies emphasize the potential physiological importance of NO-.
The full potential of NO- as both an endogenous and exogenous regulator of vascular tone, however, will not be realized until its effects within the resistance vasculature are studied. Currently, the role of NO- in resistance vessels is unknown; thus, this study aimed to investigate the mechanisms whereby NO- mediates vasorelaxation of small mesenteric resistance arteries.
| Methods |
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Isolation and Study of Mesenteric Arteries
Male Wistar-Kyoto rats were killed by means of stunning and exsanguination. Small mesenteric arteries (third-order branch of the superior mesenteric artery) were isolated, cut into 2-mm lengths, and mounted in isometric myographs.16 Vessels were maintained in physiological Krebs solution at 37°C and continuously bubbled with carbogen (95% O2, 5% CO2). Data were captured through the use of the CVMS data acquisition system (World Precision Instruments). After a 30-minute equilibration period, vessel diameters were normalized to an equivalent transmural pressure of 100 mm Hg.17
Functional Experiments
Thirty minutes after normalization, vessels were maximally contracted with a K+-depolarizing solution (KPSS). Responses to vasorelaxants were then examined in arteries precontracted to
50% KPSS with methoxamine (0.1 to 5 µmol/L). Cumulative concentration-response curves to either the NO- donor Angelis salt (0.1 nmol/L to 100 µmol/L), sodium nitroprusside (SNP; 0.1 nmol/L to 100 µmol/L), NO (1 nmol/L to 30 µmol/L; aqueous solution of NO gas), or the cGMP analogue 8-pCPT-cGMP (0.1 to 100 µmol/L) were constructed. Only one concentration-response curve to any vasodilator was obtained for each vessel segment.
Initially, relaxation responses to Angelis salt were examined in Krebs solution with and without the copper chelator EDTA (0.026 mmol/L). Subsequent experiments were conducted in Krebs solution containing EDTA. Responses to Angelis salt, SNP, and NO were obtained in the absence and presence of the NO- scavenger L-cysteine (3 mmol/L) and the NO scavenger carboxy-PTIO (200 µmol/L), which were added 3 and 15 minutes before precontraction with methoxamine, respectively.
In the presence of carboxy-PTIO (200 µmol/L), responses to Angelis salt were also examined in the absence or presence of either (1) ODQ (3 and 10 µmol/L), (2) high K+ (30 mmol/L), (3) ODQ (3 or 10 µmol/L)+30 mmol/L K+, (4) iberiotoxin (100 nmol/L), (5) charybdotoxin (100 nmol/L), (6) apamin (100 nmol/L), (7) 4-aminopyridine (1 mmol/L), (8) glibenclamide (10 µmol/L), and (9) 4-aminopyridine (1 mmol/L)+ODQ (10 µmol/L). Inhibitors were added 30 minutes before precontraction with methoxamine.
Responses to 8-pCPT-cGMP were also examined in the absence or presence of 4-aminopyridine (1 mmol/L).
NO-Sensitive Electrode Experiments
NO release was measured with an ISO-NOP nitric oxide sensor electrode (World Precision Instruments). The electrode was calibrated by adding known volumes of a standard KNO2 solution to a solution of KI (0.1 mol/L) and H2SO4 (0.1 mol/L) at 37°C. Subsequently, the NO electrode was immersed in a closed 10-mL vial containing carbogenated Krebs solution (37°C) and exposed to increasing concentrations of Angelis salt (1 nmol/L to 100 µmol/L), in the absence and presence of carboxy-PTIO (200 µmol/L). In some experiments, EDTA (0.026 mmol/L) was included in the Krebs solution.
Data Analysis
Relaxation responses are expressed as a percentage reversal of the methoxamine precontraction. Individual relaxation curves were fitted to a sigmoidal logistic equation (Graphpad Prism 3.0) and pEC50 values (concentration of agonist causing a 50% relaxation) calculated and expressed as -log M. Differences between mean pEC50 and maximum relaxation (Rmax) values were tested by using either a Student unpaired t test or 1-way ANOVA (Graphpad Prism 3.0). Concentration-response curves were compared by means of a 2-way ANOVA (Sigma Stat 1.0). Results are expressed as mean±SEM, and statistical significance was accepted at a level of P<0.05.
An expanded Methods section can be found in an online data supplement available at http://www.hypertensionaha.org.
| Results |
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0.3 µmol/L with 1097±139 nmol/L NO generated in response to 100 µmol/L Angelis salt. The NO scavenger carboxy-PTIO (200 µmol/L) decreased the NO signal generated from Angelis salt (P<0.05) and caused a significant rightward shift in the relaxation-response curve (pEC50=7.02±0.16; P<0.01) (Figure 1A).
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The inclusion of the Cu2+-chelator EDTA (0.026 mmol/L) in the Krebs solution markedly reduced the NO signal generated in response to Angelis salt (477±127 nmol/L at 100 µmol/L Angelis salt; Figure 1B). Furthermore, in the presence of EDTA, neither Angelis saltmediated relaxations (pEC50=7.51±0.13, Rmax=95.5±1.5%) nor the production of NO was affected by carboxy-PTIO (Figure 1B). The vehicle for Angelis salt (0.01 mol/L NaOH) did not induce relaxation or generate a NO signal (data not shown). All subsequent responses to Angelis salt were examined in the presence of EDTA (0.026 mmol/L) and carboxy-PTIO (200 µmol/L), and concentrations of Angelis salt >10 µmol/L were not used.
The second decomposition product of Angelis salt, nitrite, was a 15 000-fold less potent vasodilator (NaNO2: pEC50= 3.81±0.17, Rmax=87.0±4.7%; n=5) of small mesenteric arteries compared with NO-.
Effect of Carboxy-PTIO and L-Cysteine on Responses to Angelis Salt, NO Gas, and SNP
As indicated previously, the NO scavenger carboxy-PTIO had no effect on relaxation responses to Angelis salt (Figure 2A). In contrast, carboxy-PTIO (200 µmol/L) decreased the sensitivity to NO gas (Figure 2B) and SNP (Figure 2C) 10-fold (P<0.05) and 21-fold (P<0.01), respectively. Carboxy-PTIO also attenuated the relaxation response to 30 µmol/L NO gas (Rmax=68.1±7.0% versus control Rmax= 90.5±2.4%; P<0.05)
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The NO- scavenger L-cysteine (3 mmol/L) caused a significant rightward shift in the concentration-response curve to Angelis salt (pEC50=6.09±0.13, Rmax=87.1±2.3%; P<0.01) compared with control (pEC50=7.58±0.10, Rmax= 94.2±0.8%; Figure 2A) but did not alter the maximum response. L-Cysteine failed to alter the response to NO gas (Figure 2B) yet caused a significant decrease in sensitivity to SNP (pEC50=6.36±0.20 versus control pEC50=8.26±0.06; P<0.01, Figure 2C).
Effect of ODQ and High K+ on Responses to Angelis Salt
The sGC inhibitor ODQ, at concentrations of 3 and 10 µmol/L, caused a marked and concentration-dependent attenuation (P<0.05) of the relaxation-response curve to Angelis salt (Figure 3A). This was accompanied by a significant (P<0.001) decrease in the response to 10 µmol/L Angelis salt (3 µmol/L ODQ: Rmax=78.0±3.7%; 10 µmol/L ODQ: Rmax=41.0±6.0%) compared with control (Rmax=93.4± 1.9%). ODQ at 10 µmol/L impaired Angelis saltmediated relaxation to a significantly greater extent than did 3 µmol/L ODQ (P<0.05).
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Raising the extracellular concentration of K+ to 30 mmol/L also caused a significant 20-fold (P<0.001) decrease in sensitivity to Angelis salt and reduced the relaxation response to 10 µmol/L Angelis salt (Rmax=83.2±3.3%; P<0.01) compared with control (pEC50=7.67±0.22, Rmax=95.9±0.6%; Figure 3B). ODQ at concentrations of either 3 or 10 µmol/L in combination with 30 mmol/L K+ virtually abolished the response to Angelis salt (Figure 3C).
Effect of Specific K+ Channel Inhibitors on Responses to Angelis Salt
The relaxation response to Angelis salt (pEC50=7.75±0.16, Rmax=93.2±2.2%) was unchanged in the presence of the K+ channel inhibitors glibenclamide (10 µmol/L), apamin (100 nmol/L), iberiotoxin (100 nmol/L), and charybdotoxin (100 nmol/L). In contrast, a significant decrease in sensitivity to Angelis salt was seen after treatment with the voltage-sensitive K+ channel (Kv) inhibitor 4-aminopyridine (1 mmol/L: pEC50=6.78±0.06, Rmax=93.6±2.7%; P<0.01, Figure 4A). ODQ (10 µmol/L) and 4-aminopyridine (1 mmol/L) in combination abolished the vasorelaxant response to Angelis salt (Figure 4B).
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The relaxation response to the cGMP analogue 8-pCPT-cGMP (pEC50=4.82±0.09, Rmax=80.4±1.5%) was unchanged in the presence of high K+ or 4-aminopyridine (Figure 5).
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| Discussion |
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Given that NO- can undergo oxidation to NO,18 both extracellularly19,20 and intracellularly,21,22 we initially elucidated the possible contribution of NO to responses to the NO- donor Angelis salt. This was achieved through the use of two experimental approaches. First, a NO-sensitive electrode was used to detect NO generation after decomposition of Angelis salt in Krebs solution. Second, several pharmacological agents were used to identify the species of NO mediating relaxation responses to Angelis salt.
Under our experimental conditions, it was apparent that NO-, donated from Angelis salt, was oxidized in part to NO. Thus high concentrations of Angelis salt (
1 µmol/L) decomposed in Krebs solution to generate a substantial amount of NO, as detected with the NO-sensitive electrode. Furthermore, the NO scavenger carboxy-PTIO caused a rightward shift in the relaxation response curve to Angelis salt, reflecting the loss of NO formed from Angelis salt and the continuing vasorelaxation caused by NO-.
Given that copper can catalyze the oxidation of NO- to NO,19,20 the effect of the Cu2+-chelator EDTA (0.026 mmol/L) on the decomposition of Angelis salt was studied. Indeed, in the presence of EDTA, NO generation in the Krebs solution was markedly reduced, such that NO was not detected at concentrations of Angelis salt of <10 µmol/L. These findings are in agreement with those of other investigators19,20 and clearly indicate that the presence of Cu2+ ions in the experimental media (Krebs solution) leads to the partial oxidation of NO-, donated from Angelis salt, to NO. In further support of this observation, Angelis saltmediated relaxation was unaffected by carboxy-PTIO in the presence of EDTA.
To further distinguish between the redox forms of NO that may contribute to the relaxant activity of Angelis salt, a number of pharmacological agents were used. Carboxy-PTIO and L-cysteine have been shown to distinguish between NO and NO-, respectively. Thus, the free radical scavenger carboxy-PTIO inactivates NO but not NO-,4,5,23 and the thiol L-cysteine, at millimolar concentrations, attenuates the actions of NO- yet enhances and prolongs the activity of NO.4,5,24
Accordingly, the NO scavenger carboxy-PTIO attenuated the relaxation response to NO gas solution but did not alter that to Angelis salt. Conversely, L-cysteine inhibited Angelis saltmediated relaxation but not that to NO gas. Similar findings have been made in the rat isolated anococcygeus23 and aorta4 and mouse aorta.5 Interestingly, we found that vasorelaxation to the NO donor SNP in rat small mesenteric arteries was impaired by both carboxy-PTIO and L-cysteine. This was also the observation of Wanstall and colleagues5 in the mouse aorta, and, together, these findings suggest that SNP donates both NO and NO-.
It appears, therefore, that under the experimental conditions used in the current study, namely, the inclusion of EDTA in the Krebs solution, NO- donated from Angelis salt (<10 µmol/L) is not oxidized to NO extracellularly (eg, before entry into the vascular smooth muscle). These findings are similar to those in the rat isolated anococcygeus,23 yet contrast studies in the rat isolated aorta,20 where, even in the presence of EDTA, carboxy-PTIO markedly attenuates Angelis saltmediated relaxation. Such a discrepancy may reflect differences in the oxidative environment between large conduit and small resistance arteries. Specifically, the aorta may have cellular components at the level of the smooth muscle that readily convert NO- to NO, and/or mesenteric resistance arteries may contain an antioxidant that prevents the oxidation of NO- to NO. Nevertheless, our NO electrode studies coupled with functional experiments established the optimal conditions whereby to investigate the role of NO- in the resistance vasculature. Namely, all subsequent experiments were conducted in Krebs solution containing EDTA (0.026 mmol/L) and carboxy-PTIO (200 µmol/L), and concentrations of Angelis salt >10 µmol/L were not used.
Although Angelis salt decomposes to produce both NO- and nitrite anions (NO2-), it is unlikely that the relaxation to Angelis salt in mesenteric resistance arteries could be attributed to NO2-, as NO2- was a 15 000-fold less potent vasodilator compared with Angelis salt in this vascular preparation.
We next sought to characterize the mechanism(s) whereby NO- mediates vasorelaxation of rat small mesenteric arteries. In agreement with previous studies in vascular4,5 and nonvascular preparations,23,25 the sGC inhibitor ODQ markedly attenuated the relaxation response to Angelis salt. Thus, responses to NO- appear to be mediated predominantly through the activation of the sGC/cGMP pathway. Given that Dierks and Burstyn21 have suggested that NO is the only redox form of NO that can directly activate sGC, our findings, together with those of other investigators,4,5 suggest that NO- may be oxidized to NO. If such a conversion of NO- to NO were to take place, it must occur intracellularly, as we have clearly demonstrated that NO- is not oxidized in the extracellular media. Indeed, a number of candidates have been proposed as intracellular oxidants including superoxide dismutase,3,18 flavins,26 copper-containing enzymes,19,22,24 quinones,27 and cytochrome P450.22 It remains to be determined if such oxidants play a role in the conversion of NO- to NO in the resistance vasculature.
We cannot exclude the possibility, however, that NO- itself can directly activate sGC, particularly given that previous studies have shown that relaxant responses to NO- are more susceptible to inhibition by ODQ than those to NO.4,5,23 If NO- were to directly activate sGC, it would presumably have to traverse the cell membrane. Yet, the negatively charged nature of this NO species may oppose such an action. It is tempting to speculate, therefore, that anion channels may facilitate the movement of NO- across cellular membranes, although no studies to date have investigated this hypothesis.
Interestingly, we found that ODQ, at a concentration of 10 µmol/L, failed to abolish the relaxation to Angelis salt in rat small mesenteric arteries. Similarly, responses to Angelis salt in the mouse isolated aorta have been shown to be resistant, in part, to ODQ.5 It is unlikely that the concentration of ODQ used (10 µmol/L) was insufficient to inhibit sGC completely, given that a concentration of 10 to 60 nmol/L is required to achieve half-maximal inhibition of sGC,28 and ODQ at a concentration of 3 µmol/L has been shown to abolish cGMP production in response to a NO donor.29 Rather the inability of ODQ to abolish responses to Angelis salt suggests that NO- may also mediate vascular smooth muscle relaxation in resistance arteries through a cGMP-independent mechanism.
Indeed, our finding that raising the extracellular concentration of K+ (30 mmol/L) attenuated the relaxation to Angelis salt and furthermore abolished the ODQ-resistant response suggested that NO- mediates relaxation of rat small mesenteric arteries in part through the activation of K+ channels and subsequent smooth muscle hyperpolarization. Specifically, we identified an ability of NO- to activate a voltage-gated K+ (Kv) channel, as relaxation responses to Angelis salt were impaired by the Kv channel inhibitor 4-aminopyridine. Neither ATP-sensitive (KATP) nor Ca2+-activated (KCa) K+ channels appeared to be activated by NO-, as glibenclamide, iberiotoxin, charybdotoxin, and apamin were without effect.
In the absence of patch-clamp studies, we can only suggest that the inhibitory effect of 4-aminopyridine on Angelis saltmediated relaxation is indicative of the activation of Kv channels by NO-. It is certainly feasible that NO- activates a Kv channel in resistance arteries because the Kv channel subunits, Kv1.2, Kv1.3, and Kv1.5 are expressed in rat mesenteric artery smooth muscle cells.30 Furthermore, preliminary electrophysiological experiments in our laboratory have demonstrated an ability of Angelis salt to hyperpolarize rat small mesenteric arteries, depolarized with phenylephrine, through a 4-aminopyridinesensitive mechanism (Favaloro and Kemp-Harper, unpublished data). In addition, our findings concur with a previous study in a nonvascular preparation, the sheep isolated urethra, where relaxation responses to Angelis salt were found to be impaired in part by 4-aminopyridine.25 Our study, together with that of Costa and colleagues,25 suggests an ability of NO- to activate Kv channels.
Whether NO- activates Kv channels directly or through a cGMP-dependent mechanism remains to be determined. However, our findings that a component of the relaxation response to Angelis salt was resistant to ODQ and vasorelaxation to the cell-permeable cGMP analogue 8-pCPT-cGMP was unchanged in the presence of 4-aminopyridine suggests that NO- may activate Kv channels, at least in part, independently of cGMP. Indeed, the free radical form of NO (NO) has been found to directly activate K+ channels of the KCa3133 and Kv subtypes.34,35
In contrast, Costa and colleagues25 have proposed that NO- activates Kv channels in sheep urethral smooth muscle through a cGMP-dependent mechanism. Although these investigators also found that the action of 8-bromo-cGMP was not affected by 4-aminopyridine, their observation that the response to a single concentration of Angelis salt (0.1 mmol/L) was abolished by ODQ and that 4-aminopyridine failed to antagonize the actions of Angelis salt in the presence of the phosphodiesterase inhibitor zaprinast (a state of elevated cGMP) led them to conclude that NO- activated Kv channels in a cGMP-dependent manner. Indeed, cGMP itself can activate K+ channels, albeit of the KCa subtype.36
Nevertheless, the possibility that NO- activates Kv channels in part through the activation of sGC cannot be excluded by the findings of the current study. Given that endogenously and exogenously generated cGMP may mediate relaxation through different mechanisms,37 a lack of effect of 4-aminopyridine on the response to 8-pCPT-cGMP does not necessarily preclude an ability of cGMP to activate Kv channels. Future studies that use electrophysiological techniques to record changes in membrane potential will allow us to elucidate the exact mechanism whereby NO- activates Kv channels and hyperpolarizes the vascular smooth muscle.
Interestingly, in rat small mesenteric arteries, NO at high concentrations activates a charybdotoxin-sensitive K+ channel (KCa) through a cGMP-independent mechanism.33 Taken together with our findings, it may be suggested that NO and NO- can mediate vasorelaxation of resistance arteries through distinct mechanisms, namely, the activation of KCa and Kv channels, respectively. These findings are of particular importance in light of the recent reports that the activity of endothelium-derived relaxing factor in large conduit arteries4,5 more closely resembles the properties of NO- rather than NO. Indeed, future studies examining the contribution of NO- to endothelium-dependent relaxation in the resistance vasculature will further clarify the importance of endogenously generated NO- in the regulation of vascular tone.
Perspectives
In conclusion, this study has provided evidence to suggest an ability of NO- to mediate relaxation of resistance-like arteries through the activation of soluble guanylate cyclase and Kv channels. Furthermore, it appears that this activation of Kv channels by NO- is, at least in part, independently of cGMP. These results suggest that NO- and NO may activate distinct K+ channels to mediate their response. From a clinical viewpoint, NO- donors may represent a novel class of nitrovasodilator for the treatment of cardiovascular disease. Thus, the distinct mechanism of action of NO- may facilitate the use of NO- donors in the treatment of disorders such as angina, in which the current use of traditional nitrovasodilators is often limited due to the development of nitrate tolerance.
| Acknowledgments |
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Received January 2, 2003; first decision January 23, 2003; accepted April 4, 2003.
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