1 We examined regeneration of endothelial cells (ECs), neointima formation, decreased endotheliumdependent relaxation (EDR) and changes in the contents of L-arginine, NG-monomethyl-L-arginine (L-NMMA), asymmetrical NG, N0-dimethylarginine (ADMA) and symmetrical NG,NG-dimethylarginine (SDMA) in the regnerated ECs, 6 weeks after balloon denudation of the rabbit carotid artery. 2 Regeneration of ECs was completed in 6 weeks and a significant neointima formation accompanied by the decreased EDR was observed. 3 L-NMMA and ADMA contents in the regenerated ECs (23.5 + 4.3 and 21.2 + 2.0 pmol mg-' DNA, respectively) were significantly (P <0.05 and P <0.01) higher than those in the control ECs (8.8 + 3.0 and 7.4 + 1.9 pmol mg'l DNA, respectively), whereas L-arginine was significantly (P < 0.005) decreased in the regenerated ECs (31,470+1,050 pmol mg-' DNA) as compared to that in the control ECs (47,870+ 1,890 pmol mg-' DNA). SDMA content was below the assay limits. 4 L-NMMA and ADMA, but not SDMA, inhibited the EDR induced by acetylcholine in a concentration-dependent manner. The inhibition with L-NMMA and ADMA was prevented by an addition of L-arginine, but not by D-arginine. 5 These results suggest that the accumulation of endogenous inhibitors for nitric oxide synthesis and decreased L-arginine content are associated with decreased NO production/release from regenerated ECs and neointima formation. Keywords: Neointima formation; endogenous inhibitors for NO synthesis; balloon denudation; decreased endotheliumdependent relaxation; EDRF/NO
Introduction MethodsAs proposed by Ross & Glomset (1976a,b) and Ross (1986), denudation and nondenudation intimal injuries may play an important role in the development of atherosclerotic vascular disease (Ip et al., 1990). We have reported that restoration of the endothelium after balloon denudation of the rabbit carotid artery was completed in 6 weeks and that regenerated ECs were less capable of producing/releasing the endothelium-derived relaxing factor (EDRF/nitric oxide: NO) (Azuma et al., 1990;Niimi et al., 1994). EDRF/NO inhibits platelet adhesion and aggregation (Azuma et al., 1986;Radomski et al., 1987), which is considered as an initiating event for neointima formation (Ross, 1986;Schwartz et al., 1981). It has also been demonstrated that NO inhibits smooth muscle cell proliferation (Garg & Hassid, 1989). These findings when considered together suggest that the neointima formation after endothelial removal might be caused at least partly through impairment of the ability of ECs to produce/release EDRF/NO. However, the mechanism by which the production/release of EDRF/NO is reduced remains unclear. Recently, Vallance et al. (1992) have obtained evidence NG-monomethyl-L-arginine (L-NMMA) and asymmetrical NG,NG-dimethyl arginine (ADMA) play a role as endogenous inhibitors of NO synthesis. The present experiments were, therefore, designed to determine the regeneration of ECs, the neointima formation, the decreased EDR and the changes in content of L-arginine, L-NMMA, ADMA an...