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Updated: Jul 25, 2026

En Face Detection of Nitric Oxide and Superoxide in Endothelial Layer of Intact Arteries
Published on: February 25, 2016
Expression of nitric oxide related enzymes in coronary heart disease
1Department of Cardiology, University of Heidelberg, INF 410, 69120, Heidelberg, Germany.
Abstract:
Enzymes involved in the metabolism nitric oxide (NO) and reactive oxygen species (ROS) may play a role for the decreased availability of NO in atherosclerosis. We, therefore, hypothesized that the pattern of gene expression of these enzymes is altered in atherosclerosis. Myocardial tissue from patients with coronary heart disease (CHD) or without CHD (control group) was investigated. The level of enzymes related to NO/ROS metabolism was determined both at mRNA level and protein level by rt-PCR, real-time PCR, and western blot. The expression of NOS1-3 (synthesis of NO), arginase1 (reduction of L-arginine), p22phox (active subunit of NADPH oxidase), GTPCH (rate limiting enzyme for tetrahydrobiopterin), SOD1-3 (scavengers of superoxide anions), PRTMT1-3, and DDAH2 (involved in the metabolism of ADMA) was determined. All enzymes were found to be expressed in human myocardium. NOS isoforms were decreased in CHD in protein level, but only the downregulation of NOS3 expression reached statistical significance. The expression of PRMT1 and PRMT3 was increased. In addition, the expression of DDAH2 was reduced, both theoretically leading to an increase of ADMA concentration. SOD3 was downregulated in tissue from patients with CHD. Taken together, in myocardial tissue from patients with atherosclerosis, the expression of genes increasing ADMA levels is enhanced in contrast to a reduced expression of genes promoting NO synthesis. These results may contribute to the explanation of increased oxidative stress in atherosclerosis on the level of gene expression.
Insights
In atherosclerosis, gene expression of enzymes involved in nitric oxide (NO) metabolism is altered. Key enzymes that increase harmful ADMA levels were upregulated, while those promoting NO synthesis were downregulated in heart tissue.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Atherosclerosis Research
Background:
- Nitric oxide (NO) bioavailability is reduced in atherosclerosis.
- Enzymes metabolizing NO and reactive oxygen species (ROS) are potential contributors to NO deficiency.
- Altered gene expression patterns of these enzymes may underlie NO dysregulation in atherosclerosis.
Purpose of the Study:
- To investigate the gene expression patterns of enzymes involved in NO and ROS metabolism in myocardial tissue from patients with and without coronary heart disease (CHD).
- To determine if altered expression of these enzymes contributes to the pathophysiology of atherosclerosis.
Main Methods:
- Myocardial tissue samples were obtained from patients with CHD and control subjects.
- mRNA and protein levels of key enzymes (NOS1-3, arginase1, p22phox, GTPCH, SOD1-3, PRMT1-3, DDAH2) were analyzed using rt-PCR, real-time PCR, and Western blot.
Main Results:
- All investigated enzymes were expressed in human myocardium.
- NOS isoforms protein levels were decreased in CHD, with significant downregulation of NOS3 expression.
- Expression of PRMT1 and PRMT3 was increased, while DDAH2 expression was reduced, potentially increasing ADMA levels.
- Superoxide dismutase 3 (SOD3) was downregulated in CHD tissue.
Conclusions:
- Atherosclerosis is associated with enhanced expression of genes that increase ADMA levels and reduced expression of genes that promote NO synthesis in myocardial tissue.
- These findings provide insights into the molecular mechanisms of increased oxidative stress in atherosclerosis at the gene expression level.
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