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1 Unit of Pharmacology and Therapeutics, 2 Division of Cardiology, and Departments of 3 Physiology and 4 Internal Medicine, Université Catholique de Louvain, B-1200 Brussels, Belgium
Because nitric oxide
(NO) regulates cardiac and vessel contraction, we compared the
expression and activity of the endothelial NO synthase (eNOS) and
caveolin, which tonically inhibits eNOS in normal and hypertrophic
cardiomyopathic hearts. NOS activity (L-[3H]citrulline formation), eNOS
immunostaining, and caveolin abundance were measured in heart tissue of
23 mongrel dogs before and at 3 and 7 wk of perinephritic hypertension
(PHT). Hemodynamic parameters in vivo and endothelial NO-dependent
relaxation of macro- and coronary microvessels in vitro were assessed
in the same animals. eNOS immunostaining and total calcium-dependent
NOS activity decreased at 7 wk in all four heart cavities (in left
ventricle, from 17.0 ± 1.3 to 0.2 ± 0.2 fmol · min
1 · mg protein
1,
P < 0.001). Caveolin-1 and -3 also decreased in PHT
dog hearts. Accordingly, basal vascular tone was preserved, but maximal
endothelial NO-dependent relaxation was impaired in all vessels from
7-wk PHT dogs. The latter had preserved systolic function but impaired diastolic relaxation [relaxation time constant
(T1), 25.1 ± 0.9 vs. 22.0 ± 1 ms in
controls; P < 0.05]. Peripheral infusion of the NOS
inhibitor
NG-nitro-L-arginine
methyl ester increased mean aortic pressure in both groups
and reduced diastolic (T1, 31.9 ± 1.4 ms)
and systolic function in PHT dogs (DP40, 47.5 ± 2.5 vs. 59.4 ± 3.8 s
1 in control animals). In conclusion, both eNOS
and caveolin proteins are decreased in the hypertrophic hearts of PHT
dogs. This is associated with altered maximal (but not basal) vascular
relaxation and impaired diastolic function. Further degradation of
cardiac function after NOS inhibition suggests a critical role of
residual NOS activity, probably supported by the concurrent
downregulation of caveolin.
cardiac hypertrophy; diastolic function; perinephritic hypertension; endothelial nitric oxide synthase
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