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Am J Physiol Heart Circ Physiol 285: H535-H540, 2003. First published February 21, 2003; doi:10.1152/ajpheart.00360.2001
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NOS inhibition accelerates atherogenesis: reversal by exercise

Josef Niebauer,1,2 Andrew J. Maxwell,1 Patrick S. Lin,1 David Wang,1 Philip S. Tsao,1 and John P. Cooke1

1Section of Vascular Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, California 94305-5246; and 2Herzzentrum der Universität Leipzig, Kardiologie, Leipzig 04289, Germany

Submitted 30 April 2001 ; accepted in final form 5 February 2003

In this study, we assessed the effects of chronic exercise training (12 wk) on atherosclerotic lesion formation in hypercholesterolemic apolipoprotein E-deficient mice (n = 31). At the age of 9 wk, mice were assigned to the following groups: sedentary (Sed; n = 9); exercise (Ex; n = 12); sedentary and oral NG-nitro-L-arginine (L-NNA, Sed-NA; n = 4), or exercise and oral L-NNA (Ex-NA; n = 6). Chronic exercise training was performed on a treadmill for 12 wk (6 times/wk and twice for 1 h/day) at a final speed of 22 m/min, and an 8° grade. L-NNA was discontinued 5 days before final treadmill testing. The farthest distance run to exhaustion was observed in Ex-NA mice (Sed: 306 ± 32 m; Ex: 640 ± 87; Sed-NA: 451 ± 109 m; Ex-NA: 820 ± 49 m; all P < 0.05). Lesion formation was assessed in the proximal ascending aorta by dissection microscopy after oil red O staining. The aortas of Sed-NA mice manifested a threefold increase in lesion formation compared with the other groups. This L-NNA-induced lesion formation was reduced by chronic exercise training (Sed, 786 ± 144; Ex, 780 ± 206; Sed-NA, 2,147 ± 522; Ex-NA, 851 ± 253; Sed-NA vs. all other groups: P < 0.001). In conclusion, treatment with oral L-NNA (an nitric oxide synthase antagonist) leads to accelerated atherogenesis in genetically determined hypercholesterolemic mice. This adverse effect can be overcome by chronic exercise training.

apolipoprotein E deficiency; atherosclerotic lesions; NG-nitro-L-arginine; nitric oxide; treadmill



Address for reprint requests and other correspondence: J. P. Cooke, Vascular Medicine, Falk Cardiovascular Research Center, Stanford Univ. School of Medicine, 300 Pasteur Dr., Stanford, CA 94305-5246 (E-mail: john.cooke{at}stanford.edu).




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