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VASCULAR BIOLOGY
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Florida; 2Malcom Randall Veterans Affairs Medical Center; 3Center for Hypertension, Department of Physiology and Functional Genomics, University of Florida; 4Division of Nephrology, Hypertension, and Renal Transplantation, Department of Medicine, University of Florida, Gainesville, Florida
Submitted 11 February 2008 ; accepted in final form 3 September 2008
| ABSTRACT |
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nitric oxide; endothelial dysfunction; pulmonary hypertension
Up to 79% of patients with primary pulmonary hypertension have hyperuricemia (UA concentrations in the blood more than 5.5 mg/dl) (2, 6, 10). Although some investigators consider UA in the blood as a bystander in the pathophysiology of pulmonary hypertension (9) or even as a beneficial component (29), clinical studies have demonstrated that the serum concentration of UA defines the severity of pulmonary hypertension and may predict mortality of patients with this disease (3, 23, 31). The mechanisms responsible for the UA contribution to the severity of pulmonary hypertension are unknown.
Experimental studies have suggested that UA may affect various vasoactive mediators. Recently, we have shown that UA affects acetylcholine (ACh)-induced vasodilation in rat aortic segments in a concentration-dependent manner (24) and inhibits nitric oxide (NO) production in cultured aortic endothelial cells (14). We hypothesize that UA may impair NO production in pulmonary endothelial cells and in this way contributes to the severity of pulmonary hypertension. The goal of this study was to test whether UA alters NO production by pulmonary arterial endothelial cells (PAEC) and to clarify possible mechanisms of the UA action.
Endothelial cells generate NO from the amino acid L-arginine via the catalytic action of endothelial NO synthase (eNOS) (1). L-Arginine is the only substrate for NO synthesis by eNOS. On the other hand, L-arginine is metabolized by several pathways including intracellular arginase, the final enzyme in the L-arginine-urea cycle (35). By competing for a common substrate, arginase may affect NO production by endothelial cells (4, 7). In this paper, we studied effects of UA on vasodilation of isolated porcine pulmonary artery segments (PAS), on NO production, on the L-arginine-eNOS pathway, and on arginase activity in cultured PAEC.
| EXPERIMENTAL PROCEDURES |
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Detection of NO production by PAEC using the fluorescent indicator DAF-FM diacetate. Control PAEC and PAEC treated with UA (0, 5.0, or 7.5 mg/dl, 24 h) were first washed with HBSS and then incubated with 5 µM 4-amino-5-methylamino-2',7'-difluorofluorescein (DAF-FM) diacetate dissolved in HBSS for 30 min at 37°C in darkness. After incubation PAEC were washed to remove excess fluorescent probe. Fresh HBSS containing 0.1 mM L-arginine without or with UA (5.0 or 7.5 mg/dl) was added to PAEC, and cells were incubated for an additional 20 min to allow complete deesterification of the intracellular diacetate. After this procedure, direct visualization of NO production by PAEC was assessed using a laser-scanning confocal microscope with excitation and emission maxima at 495 and 515 nm, respectively. Within the cytoplasm of several (5–6) cells in the field, regions of interest (ROI) were randomly chosen and the intensities of fluorescence in the ROI were quantified every 60 s using LSM 510 software for the Carl Zeiss Laser Scanning Microscope. On the fifth minute from the beginning of fluorescence measurements, bradykinin (BK, the final concentration of 2 µM) was added to cells to stimulate NO production. The average DAF-FM fluorescence in ROI at the beginning of measurements was taken as Fo, and all following points were expressed as a ratio of the average DAF-FM fluorescence at the particular time point (F) to Fo.
cGMP measurements. Measurements of cGMP levels in PAEC were performed by the acetylation enzyme immunoassay (EIA) protocol on 100 µl of ethanol cellular extracts using cGMP EIA Biotrak system (Amersham Bioscinces). Details of preparing ethanol extracts from PAEC for cGMP measurements have been reported by us (15).
Measurement of L-arginine uptake by PAEC. L-Arginine uptake was measured using L-[3H]arginine (a mixture of 50 µM unlabeled L-arginine plus L-[3H]arginine, 10 µCi/ml) according to the method reported by us (36). Briefly, PAEC grown in 24-well plates were washed with 0.5 ml of a buffer of the following composition (in mM): 140 LiCl, 5 KCl, 2 Na2HPO4, 1.2 MgSO4, 2.5 CaCl2, 11 glucose, and 10 HEPES-Tris (pH 7.4, 37°C, LiCl-Dulbecco solution) and then incubated with L-[3H]arginine in LiCl-Dulbecco solution containing different concentrations of UA for 1 min. The incubation was stopped by washing cells four times with 2 ml of ice-cold LiCl-Dulbecco solution. After solubilization of the cells, radioactivity was quantitated by liquid scintillation spectrometry.
Determination of eNOS activity in the total membrane fraction from PAEC. Control PAEC and PAEC treated with UA were scraped and homogenized in buffer A (50 mM Tris·HCl, pH 7.4, containing 0.1 mM EDTA and EGTA, 1 mM PMSF, and 1 µg/ml leupeptin). The homogenates were centrifuged at 100,000 g for 60 min at 4°C, and the total membrane fraction pellet was resuspended in buffer B (buffer A + 2.5 mM CaCl2). eNOS activity in the total membrane fraction was determined by monitoring the formation of L-[3H]citrulline from L-[3H]arginine in buffer A with the addition of UA, 1 mM NADPH, 100 nM calmodulin, 10 µM BH4, and 5 µM L-arginine containing purified L-[3H]arginine for 30 min at 37°C. The measurement of L-[3H]citrulline formation was performed as previously described (27).
Western blot analysis of eNOS and arginase expressions in cell lysates. PAEC were washed twice with ice-cold PBS without calcium or magnesium and scraped in lysis buffer (10 mM Tris, pH 7.5, 100 mM NaCl, 1 mM EDTA, 1 mM EGTA, 1% Nonidet P-40, 0.4% deoxycholate, and 60 mM octylglucoside) containing protease and phosphatase inhibitor cocktails (Calbiochem). The protocols for Western blot analysis and for quantification of the density of the bands have been reported by us (15). For the analysis, anti-eNOS (BD Transduction Laboratories) and anti-arginase I or II (Santa Cruz Biotechnology) antibodies were used.
Arginase assays.
Arginase activity in intact PAEC was determined by measuring urea contents in the culture media using
-isonitrosopropriophenone (9% in absolute ethanol) as previously described (8). Cells grown in 100-mm dishes were incubated in 7 ml of serum-free RPMI with or without UA, and three aliquots of culture media (each 350 µl) were taken for measuring urea content. The amount of urea produced was used as an index of arginase activity. For testing the direct effects of UA on arginase, cell lysates were used. To prepare PAEC lysates for arginase assay, PAEC were grown to confluence in 100-mm dishes, rinsed twice with ice-cold HBSS, and then scraped into 0.5 ml of lysis buffer containing 50 mM Tris·HCl (pH 7.5), 0.1 mM EDTA, 0.1 mM EGTA, and protease inhibitors [inhibitor cocktail Set III (Calbiochem)]. PAEC were lysed by sonication for 30 s. Cell lysates were incubated with L-arginine (0.5 M; pH 9.7) with or without UA (7.5 mg/dl) at 37°C for 60 min. The hydrolysis reaction of L-arginine by arginase was stopped by adding 750 µl of an acid solution mixture (H2SO4-H3PO4-H2O, 1:3:7), and urea produced was determined using
-isonitrosopropriophenone.
Method of measurement of arginase gene expression by RT-PCR. Total RNA was isolated with TRIzol reagent (Life Technologies, Rockville, MD), cleaned with RNeasy Minelute Cleanup Kit (Qiagen), and treated with DNAse I (Ambion). Purified RNA (2 µg) was converted to cDNA with SuperScript III reverse Transcriptase (Invitrogen) with Oligo d(T)20 primers in a total volume of 20 µl. Real-time PCR was conducted using Applied Biosystems Power SYBR Green PCR master mix on an ABI Prism 7500 sequence detection system. PCR primers for porcine arginase I (accession number: AY039112), arginase II (accession number: NM009705), and β-actin (accession number: U07786) were as follows: arginase I forward 5'-TGAAAGATTACGGGGACCTG-3', reverse; 5'-CTTTTCCCACAGACCTTGGA-3' (product size 87 bp) arginase II forward 5'-CACCCCTCACCACTTCATCT-3' (product size 97 bp), reverse 5'-GAAAATCCTGGGAGTTGTGG-3'; β-actin forward 5'-GGACCTGACCGACTACCTCA-3', reverse 5'-GCGACGTAGCAGAGCTTCTC-3' (product size 111 bp). All samples were run in triplicate. Melting curve analysis for arginase I, arginase II, and β-actin amplification products indicated one specific product for each and no primer-dimer formation. For negative controls, the same RNA preparations were used with the omission of the reverse-transcriptase step to confirm the absence of DNA contamination. Relative gene expression of arginase I and arginase II was estimated by ABI Prism 7500 software with β-actin mRNA used as an internal reference.
Vasorelaxation of porcine PAS. Porcine PAS (2.5–3 mm diameter x 3–4 mm length) were isolated from the lungs of 6- to 7-mo-old pigs. Vasorelaxation of PAS was evaluated as previously described (11, 24). Briefly, PAS suspended in individual organ chambers (Radnoti Four-Unit Tissue Bath System) with 5 ml Earl's solution oxygenated with 95% O2-5% CO2 at 37°C. After 1-h equilibration at a resting force of 1.5 g, the vascular integrity of the PAS was assessed by monitoring 0.5 µM U-46619 (a thromboxane A2 mimetic)-mediated PAS contraction and ACh (5 µM)-mediated vasodilation, respectively. Once vascular integrity was confirmed, PAS were washed several times and then incubated with UA (7.5 mg/dl) or (S)-(2-boronoethyl)-L-cystein (BEC, an arginase inhibitor; 100 µM) or UA and BEC together in an organ bath chamber for 60 min. Stable contraction was induced by 0.5 µM U-46619 for 10 min before ACh-induced vasorelaxation was tested. The vascular tensions were continuously monitored with an isometric force transducer (Harvard Apparatus, Holliston, MA).
Statistics. Data are presented as means ± SE. Statistically significant differences in mean values were tested by ANOVA. If ANOVA indicated significant differences, the data were further analyzed with a post hoc Tukey-HSD test. Differences were considered statistically significant if P < 0.05.
| RESULTS |
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Uric acid does not affect L-arginine transport and eNOS activity in PAEC. To investigate the mechanisms of reduced NO production in PAEC treated with UA, we tested the effects of UA on L-arginine transport and on eNOS activity and expression in PAEC. Cultured PAEC were incubated for 1 or 24 h with different concentrations of UA. After incubation, transport of L-[3H]arginine was assayed. We found (Fig. 2) that neither short-term (1 h) treatment nor 24-h treatment of cultured PAEC with different concentrations of UA changed L-arginine uptake by PAEC.
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| DISCUSSION |
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Endothelial cells generate NO from L-arginine via a constitutive eNOS (26), and it follows that the UA-induced reduction of NO production in PAEC is due to some impairment in the L-arginine-eNOS pathway. Our experiments with detection of L-arginine transport in UA-treated PAEC indicate that if changes in L-arginine availability are involved in the UA-induced reduction of NO production, they are not mediated through alterations in L-arginine uptake. We also did not observe changes in eNOS activity in the total membrane fraction isolated from PAEC treated with different concentrations of UA or changes in the total eNOS expression in PAEC lysates or changes in A23187 [GenBank] -stimulated eNOS phosphorylation, demonstrating that UA does not directly affect eNOS activity and expression under stimulated and nonstimulated conditions. NO production by eNOS depends not only upon intracellular L-arginine availability but the availability of cofactors, in particular, tetrahydrobiopterin (20). It was shown that UA scavenging of peroxynitrite partly protected eNOS from enzymatic uncoupling (16), suggesting that UA should be beneficial for NO production by preventing oxidation of tetrahydrobiopterin. The absence of activating effects of UA on the L-[3H]arginine to L-[3H]citrulline conversion by PAEC eNOS in the membrane fraction in our experiments can be explained by the fact that eNOS activity was performed in the absence of exogenous oxidants (such as peroxynitrites) and because tetrahydrobiopterin was included in the reaction mixture.
Before the discovery of L-arginine as the substrate for NO synthesis, it was known that L-arginine is metabolized by arginase in the L-arginine-urea cycle (21). Two isoforms of arginase exist, arginase I and II, which differ in tissue and intracellular localization. The dominant isoform of arginase in endothelial cells is arginase II (19, 30). Competing with eNOS for a common substrate, arginases have a potential to modulate NO production in endothelial cells, probably by changing the availability of intracellular L-arginine for eNOS (4, 7, 28).
Our experiments demonstrated that UA is able to modulate arginase activity in PAEC. Treatment of PAEC with UA did not affect arginase mRNA or protein expression, indicating that UA modifies the activity of existing arginase. What is more, the addition of UA to PAEC lysates stimulated urea production from L-arginine supporting the notion that UA stimulates arginase directly or through interaction with components present in cell lysates. The kinetic analysis of arginase activation by UA demonstrated that UA affects the affinity of arginase for L-arginine, suggesting that UA may modify the structure of the L-arginine binding site. This effect of UA was not specific for endothelial arginase. A similar increase in the affinity for L-arginine was observed in homogenates of rat liver (expressing arginase I) and kidney (expressing arginase II) after the addition of UA, indicating that there is no specificity in the UA action regarding different isoforms of arginase.
The mechanism(s) of arginase activation by UA is not clear and an evaluation of the potential mechanisms of UA-induced arginase activation and changes in the affinity of arginase for L-arginine is a goal of our future investigation. Independent of the mechanisms that might be involved, UA-induced arginase activation attenuates stimulated cGMP production by PAEC, and the arginase inhibitor BEC prevented the inhibitory effects of UA on cGMP production in PAEC. These observations confirm the data of others that endothelial arginase contributes to impaired NO signaling (4, 7, 28).
The fact that UA activates arginase may have an important physiological significance. Our experiments in isolated PAS have demonstrated that UA impairs pulmonary artery responses to ACh, and arginase inhibition recovers this impairment. In humans, pulmonary hypertension is commonly associated with hyperuricemia (3, 23, 31). Because of the ability of UA to activate endothelial arginase, increased plasma contents of UA in patients with pulmonary hypertension could potentially contribute to reduced local NO levels in the pulmonary vasculature that may have a role in the hemodynamic changes. In addition, it has been shown that arginase may regulate cell proliferation through participation in polyamine synthesis. The coproduct of arginase activity is L-ornithine, a substrate for ornithine decarboxylase, the initial enzyme in the polyamine biosynthetic pathway. Arginase activity might be a limiting factor for polyamine synthesis and cell proliferation in endothelial cells (17, 18) as well as in vascular smooth muscle cells (25, 21). Because of its ability to activate arginase, UA might induce accelerated proliferation of vascular smooth muscle cells. Together with impaired NO production by lung endothelial cells, this acceleration might have a significant impact on obliteration of pulmonary blood vessels. This might explain why pulmonary hypertensive patients with hyperuricemia live dramatically shorter than patients without hyperuricemia (23, 33).
In conclusion, UA inhibits vasodilation in the lung by reducing NO production by endothelial cells. The decrease in NO production in lung endothelial cells by UA is mediated via the L-arginine-arginase enzymatic reaction. Inhibition of arginase attenuates the inhibitory effects of UA on NO production by lung endothelial cells. These studies support a role for UA in the altered NO metabolism that has been observed in pulmonary hypertension.
| GRANTS |
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| DISCLOSURES |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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