NAD(P)H oxidase and eNOS play differential roles in cytomegalovirus infection-induced microvascular dysfunction

Igor L Leskov1, Jennifer Whitsett, Jeannette Vasquez-Vivar

  • 1Department of Molecular and Cellular Physiology, Louisiana State University Health Sciences Center, Shreveport, LA 71130, USA.

Insights

Cytomegalovirus (CMV) infection impairs blood vessel function by activating NAD(P)H oxidase, contributing to cardiovascular issues. Targeting this enzyme may offer new therapeutic strategies for CMV-related vascular complications.

Area of Science:

  • Cardiovascular Research
  • Infectious Diseases
  • Vascular Biology

Background:

  • Primary cytomegalovirus (CMV) infection induces oxidative stress and reduces nitric oxide (NO) bioavailability, early vascular responses linked to cardiovascular risk.
  • NAD(P)H oxidase and NO bioavailability are critical in microvascular responses to cardiovascular risk factors and infections.

Purpose of the Study:

  • To investigate the roles of NAD(P)H oxidase and NO bioavailability in microvascular dysfunction during persistent CMV infection, alone or with hypercholesterolemia.
  • To elucidate the specific cellular sources (hematopoietic vs. vascular wall) of NAD(P)H oxidase involved in CMV-induced vascular changes.

Main Methods:

  • Utilized wild-type (WT) and gp91(phox) knockout mice subjected to murine CMV (mCMV) infection.
  • Administered normal or high-cholesterol diets and assessed microvascular function (vasodilation, blood cell recruitment) using intravital microscopy.
  • Employed pharmacological interventions including sepiapterin (NO precursor) and apocynin (NAD(P)H oxidase inhibitor/antioxidant).

Main Results:

  • CMV infection impaired endothelium-dependent vasodilation independently of diet, with NAD(P)H oxidase inhibition/deficiency protecting against this dysfunction.
  • CMV infection combined with hypercholesterolemia induced blood cell recruitment; sepiapterin reduced leukocyte accumulation, while NAD(P)H oxidase inhibition reduced platelet adhesion.
  • NAD(P)H oxidase activation in both hematopoietic and vascular cells contributes to CMV-induced arteriolar dysfunction and thrombotic events.

Conclusions:

  • Activation of both hematopoietic and vascular NAD(P)H oxidase is implicated in CMV-induced arteriolar dysfunction and thrombogenic phenotypes.
  • Endothelial nitric oxide synthase (eNOS) dysfunction differentially mediates venular responses to CMV and hypercholesterolemia, distinct from arteriolar responses.
  • NAD(P)H oxidase and eNOS play differential roles in regulating microvascular responses to CMV infection.

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