. Vascular effects of a common gene variant of extracellular superoxide dismutase in heart failure. Am J Physiol Heart Circ Physiol 291: H914 -H920, 2006; doi:10.1152/ajpheart.00080.2006.-A common gene variant of human extracellular superoxide dismutase (ecSOD), in ϳ5% of humans, is associated with increased risk of ischemic heart disease. The purpose of this study was to examine vascular effects of ecSOD with effects of the ecSOD variant (ecSODR213G) in rats with heart failure. Seven weeks after coronary artery ligation, we studied rats with heart failure and sham-operated rats. Adenoviral vectors expressing human ecSOD, ecSOD R213G, or a control virus were injected intravenously. In the aorta from rats with heart failure, responses to acetylcholine (69 Ϯ 4% relaxation, means Ϯ SE) and basal levels of nitric oxide (NO) (vasoconstrictor responses to a NO synthase inhibitor) were greatly impaired, and levels of superoxide and peroxynitrite were increased. Gene transfer of ecSOD restored responses to acetylcholine (92 Ϯ 2% relaxation) and basal levels of NO to normal and reduced levels of superoxide [from 2.3 Ϯ 0.2 to 0.9 Ϯ 0.2 relative light units per second per millimeter squared (RLU ⅐ s Ϫ1 ⅐ mm Ϫ2 )] and peroxynitrite (from 2.4 Ϯ 0.2 to 0.9 Ϯ 0