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1 Diabetes and Metabolism Unit and 2 Whitaker Cardiovascular Institute, Evans Memorial Department of Medicine, Boston University School of Medicine, Boston, Massachusetts 02118; and 3 Division of Metabolic Research, Pfizer Central Research, Groton, Connecticut 06340
Nitric oxide (NO) plays an important role
in the control of numerous vascular functions including basal
Na+-K+-ATPase activity in arterial tissue.
Hyperglycemia inhibits Na+-K+-ATPase activity
in rabbit aorta, in part, through diminished bioactivity of NO. The
precise mechanism(s) for such observations, however, are not yet clear.
The purpose of this study was to examine the role of superoxide in
modulating NO-mediated control of Na+-K+-ATPase
in response to hyperglycemia. Rabbit aorta incubated with hyperglycemic
glucose concentrations (44 mM) demonstrated a 50% reduction in
Na+-K+-ATPase activity that was abrogated by
superoxide dismutase. Hyperglycemia also produced a 50% increase in
steady-state vascular superoxide measured by lucigenin-enhanced
chemiluminescence that was closely associated with reduced
Na+-K+-ATPase activity. Specifically, the
hyperglycemia-induced increase in vascular superoxide was endothelium
dependent, inhibited by L-arginine, and stimulated by
N
-nitro-L-arginine. Aldose
reductase inhibition with zopolrestat also inhibited the
hyperglycemia-induced increase in vascular superoxide. In each
manipulation of vascular superoxide, a reciprocal change in
Na+-K+-ATPase activity was observed. Finally, a
commercially available preparation of
Na+-K+-ATPase was inhibited by pyrogallol, a
superoxide generator. These data suggest that hyperglycemia induces an
increase in endothelial superoxide that inhibits the stimulatory effect
of NO on vascular Na+-K+-ATPase activity.
sodium-potassium adenosine 5'-triphosphatase; nitric oxide; endothelium; glucose
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