2003
DOI: 10.1172/jci14172
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Oxidation of tetrahydrobiopterin leads to uncoupling of endothelial cell nitric oxide synthase in hypertension

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Cited by 683 publications
(692 citation statements)
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“…51 Endothelial NO synthase (eNOS) uncoupling is also a characteristic feature of accelerated vascular aging in diabetes mellitus, hypertension and is induced by oxidation of tetrahydrobiopterin and loss of this important eNOS cofactor. 52 This process is initiated by O 2 -. from Nox enzymes or mitochondrial oxidases and is, in part, regulated by cytokines from inflammatory monocytes, 53 as discussed below.…”
mentioning
confidence: 99%
“…51 Endothelial NO synthase (eNOS) uncoupling is also a characteristic feature of accelerated vascular aging in diabetes mellitus, hypertension and is induced by oxidation of tetrahydrobiopterin and loss of this important eNOS cofactor. 52 This process is initiated by O 2 -. from Nox enzymes or mitochondrial oxidases and is, in part, regulated by cytokines from inflammatory monocytes, 53 as discussed below.…”
mentioning
confidence: 99%
“…7,21,23 Decrease in NO production caused by endothelial dysfunction can lead to an early sign of various cardiovascular diseases such as atherosclerosis. 6,11 Inflammation has an important role in the process of atherosclerosis plaque growth until thrombosis occurs that is caused by rupture. 9,25,26 Macrophage located in the plaque contributes to the atherosclerosis occurrence by activating NF-κB to stimulate proinflammatory genes production.…”
Section: Discussionmentioning
confidence: 99%
“…It can happen due to superoxide anion (O 2 -) which is one of the very reactive free radicals type that binds directly to NO and performs peroxynitric. 11 Besides that, oxidative stress causes tetrahidropbiopterin (BH4) oxidation as one of the NO synthetic cofactor. This oxidation causes endothelial nitric oxide synthase (eNOS) uncoupling and results in the decrease of eNOS expression and NO production.…”
Section: Introductionmentioning
confidence: 99%
“…Restoring BH 4 level through subsequent dosing has reduced the symptoms of endothelial dysfunction in chronic smokers and patients with diabetes (Pieper et al, 1995;Shinozaki et al, 2000), hypercholesterolemia (Stroes et al, 1997) or ischemia-reperfusion injury (Tiefenbacher et al, 1996). Treatment of deoxycorticosterone acetate salt induced mice with oral BH 4 attenuated vascular reactive oxygen species production, increased NO levels and blunted hypertension compared with non-hypertensive control mice (Landmesser et al, 2003). Besides supplementing BH 4 , cells exposed to antioxidants such as Glutathione, Vitamin C or E (which are capable of providing chemical stabilization to BH 4 ), preventing BH 4 oxidation and increases cellular eNOS activity (Wolff et al, 1993;Yoshida et al, 1995).…”
Section: Introductionmentioning
confidence: 99%