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Peroxynitrite and vascular endothelial dysfunction in diabetes mellitus
Ming-Hui Zou1, Richard Cohen, Volker Ullrich
1Vascular Research Laboratory, Graduate School of Medicine, University of Tennessee, Knoxville, TN 37920, USA. mzou@mc.utmck.edu
Endothelium : Journal of Endothelial Cell Research
|September 17, 2004
Summary
Reactive nitrogen species (RNS) in diabetes cause vascular damage by uncoupling endothelial nitric oxide synthase (eNOS) and inactivating prostacyclin synthase (PGIS), leading to reduced vasodilation and increased vasoconstriction.
Area of Science:
- Biochemistry
- Vascular Biology
- Diabetes Mellitus Research
Background:
- Macro and microvascular complications are leading causes of death in diabetes.
- Reactive nitrogen species (RNS), including peroxynitrite (ONOO-), are implicated in diabetes-related vascular dysfunction.
- The precise mechanisms linking diabetes, RNS, and vascular damage remain unclear.
Purpose of the Study:
- To elucidate the mechanisms by which RNS, specifically peroxynitrite, contribute to vascular disease in diabetes.
- To investigate the impact of peroxynitrite on endothelial nitric oxide synthase (eNOS) and prostacyclin synthase (PGIS).
- To understand the interdependency of these oxidative modifications in diabetic vascular pathology.
Main Methods:
- Investigated the effect of peroxynitrite on the zinc thiolate center of eNOS in vitro.
- Assessed the impact of peroxynitrite on prostacyclin synthase (PGIS) activity and modification.
- Examined eNOS uncoupling and PGIS nitration in diabetic animal models (mice and rats).
Main Results:
- Peroxynitrite oxidizes and disrupts the zinc thiolate center of eNOS, leading to eNOS uncoupling (reduced NO bioavailability, increased superoxide production).
- Peroxynitrite selectively nitrates and inactivates PGIS, diminishing prostacyclin production and increasing vasoconstrictor release.
- Diabetic mice and rats exhibit eNOS uncoupling and increased tyrosine nitration of PGIS, confirming in vivo relevance.
Conclusions:
- Diabetes-induced RNS lead to oxidative inactivation of key vasodilatory enzymes, eNOS and PGIS, through distinct yet interdependent mechanisms.
- eNOS uncoupling and PGIS inactivation by peroxynitrite contribute significantly to the vascular pathophysiology of diabetes.
- These findings highlight novel therapeutic targets for mitigating diabetes-associated vascular complications.