Wedgwood, Stephen, and Stephen M. Black. Induction of apoptosis in fetal pulmonary arterial smooth muscle cells by a combined superoxide dismutase/catalase mimetic. Am J Physiol Lung Cell Mol Physiol 285: L305-L312, 2003. First published March 28, 2003 10.1152/ajplung.00382. 2002-Reactive oxygen species (ROS) such as superoxide and hydrogen peroxide are known to play an important role in the proliferation and viability of vascular smooth muscle cells. In this study, we determined the effects of increased superoxide dismutase and catalase activity on fetal pulmonary arterial smooth muscle cell (FPASMC) proliferation and viability using EUK-134, a superoxide dismutase/catalase mimetic. Treatment of FPASMC with EUK-134 or with a combination of superoxide dismutase and catalase enzymes decreased superoxide and hydrogen peroxide levels as detected by the fluorescent dyes dihydroethidium and dichlorodihydrofluorescein diacetate, respectively. EUK-134 (5 M) attenuated serum-induced FPASMC proliferation, whereas 50 M EUK-134 decreased the number of viable cells, suggesting cell death. Conversely, combined superoxide dismutase and catalase enzyme activity equivalent to 50 M EUK-134 prevented proliferation but did not reduce the number of viable FPASMC. The loss of mitochondrial membrane potential after 18 h, an increase in caspase-9 and caspase-3 activity after 24 h, and the subsequent appearance of TdT-mediated dUTP nick end labeling-positive nuclei were detected in FPASMC after treatment with 50 M EUK-134. This indicates an induction of programmed rather than necrotic cell death and suggests that prolonged removal of ROS is required to stimulate apoptosis. Compounds such as EUK-134 may, therefore, prove more effective than enzymic antioxidants over longer periods, especially when the aim is to decrease the number of smooth muscle cells in diseases resulting from excessive muscularization.reactive oxygen species IN PERSISTENT PULMONARY HYPERTENSION OF THE NEWBORN (PPHN), pulmonary vascular resistance does not decrease normally at birth, resulting in pulmonary hypertension, right-to-left shunting, and hypoxemia (40). Newborns who die of PPHN have an abnormal microvasculature, which contains excessive amounts of smooth muscle within small pulmonary arteries and extension of this muscle to nonmuscular arteries (20,27). These structural changes indicate that in utero events have altered the pulmonary circulation. These events are also seen in an ovine model of PPHN where prolonged compression or ligation of the ductus arteriosus in utero in the lamb produces vascular remodeling and fetal and neonatal pulmonary hypertension (1,7,29,48). Endothelin-1 (ET-1) gene expression is increased both in newborns who die of PPHN (37) and in the ductal ligation model of fetal pulmonary hypertension (7). Furthermore, ET-1 receptor blockade attenuated the vascular remodeling associated with ductal ligation (21), suggesting a role for ET-1 in vascular smooth muscle cell (SMC) proliferation. However, the mechanisms involved are poorly unde...