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Am J Physiol Heart Circ Physiol 276: H1043-H1048, 1999;
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Vol. 276, Issue 3, H1043-H1048, March 1999

Inhibition of copper/zinc superoxide dismutase impairs NO ·-mediated endothelium-dependent relaxations

Christel O. Wambi-Kiéssé and Zvonimir S. Katusic

Departments of Anesthesiology and Pharmacology, Mayo Clinic, Rochester, Minnesota 55905


    ABSTRACT
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Abstract
Introduction
Methods
Results
Discussion
References

The superoxide anion (O-2·) appears to be an important modulator of nitric oxide (NO ·) bioavailability. The present study was designed to characterize the role of copper/zinc superoxide dismutase (Cu/Zn SOD) in endothelium-dependent relaxations. Cu/Zn SOD was inhibited with the Cu2+ chelator diethyldithiocarbamic acid (DETCA). In isolated canine basilar arteries, DETCA (7.6 × 10-3 M) inhibited total vascular SOD activity by 46% (P < 0.0001, n = 6-8 dogs). DETCA (7.6 × 10-3 M) significantly reduced relaxations to bradykinin and A-23187 (P < 0.05, n = 7-11). The inhibitory effect of DETCA was abolished by the O-2· scavenger 4,5-dihydroxy-1,3-benzenedisulfonic acid (Tiron; 9.4 × 10-3 M; P < 0.05, n = 6-13). Tiron significantly potentiated the relaxations to bradykinin in control rings (P < 0.05, n = 13), and the nitric oxide synthase inhibitor Nomega -nitro-L-arginine methyl ester (L-NAME; 3 × 10-4 M) abolished these relaxations (P < 0.0001, n = 6). DETCA and Tiron had no effect on the relaxations to diethylamine-NONOate or forskolin (P > 0.05, n = 6). Our results demonstrate that endothelium-dependent relaxations mediated by NO · are impaired after the inhibition of Cu/Zn SOD. Relaxations to bradykinin (but not A-23187) were significantly augmented by Tiron. Pharmacological scavenging of O-2· reverses the effect of Cu/Zn SOD inhibition.

A-23187; bradykinin; cerebral vessels; inflammation; Tiron


    INTRODUCTION
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Abstract
Introduction
Methods
Results
Discussion
References

NITRIC OXIDE (NO ·) has been identified as the endothelium-derived relaxing factor (8, 10, 31). NO · readily reacts with the superoxide anion (O-2·) (6, 33). The favorable kinetics of the reaction between NO · and O-2· (2, 6, 26) intrinsically make vascular O-2· levels an important determinant of NO · biological activity (23, 25). Enzymatic scavenging of O-2· is carried out by superoxide dismutases (SOD) (20), which differ in their cellular localization as well as in the identity of the transition metal in their catalytic sites (3). In eukaryotes, Mn SOD is mitochondrial and the dimeric Cu/Zn SOD is cytosolic and nuclear, whereas the tetrameric, proteoglycan-bound Cu/Zn SOD is extracellular (18, 27). Total SOD distribution between these isoforms varies between species and vascular beds; however, the predominant activity of SOD in peripheral vessels is attributed to the Cu/Zn isoforms (27).

The SOD substrate, O-2·, can be produced by a number of cellular processes (3). There is increasing evidence of constitutive O-2· production in the vascular wall by a phagocyte-like NAD(P)H oxidase (22, 28, 29). Increased vascular O-2· levels have been associated with a number of vascular diseases, including atherosclerosis, hypertension, ischemia-reperfusion, inflammation, and vasospasm (2, 9, 14, 16, 17, 32). Adequate O-2· scavenging appears to be imperative for normal NO ·-mediated vasomotor function. The present study was designed to determine the effect of Cu/Zn SOD inhibition, by chelation of Cu2+ with diethyldithiocarbamic acid (DETCA), on NO ·-mediated relaxations in cerebral arteries. Previous experiments in the bovine coronary artery and rabbit aorta showed impairment of NO ·-mediated relaxations after treatment with DETCA (23, 25). In the present study, we additionally sought to correlate the physiological effect of DETCA with the biochemical effect on SOD activity. We also sought to determine the reversibility of the DETCA effect by pharmacologically scavenging O-2· with 4,5-dihydroxy-1,3-benzenedisulfonic acid (Tiron), a cell-permeable O-2· scavenger (5, 21, 22).


    METHODS
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Abstract
Introduction
Methods
Results
Discussion
References

Measurement of vascular SOD activity. Rings of isolated basilar arteries were initially incubated at 37°C in 2.5 ml of MEM (with Earle's salts, containing 0.1% BSA, 100 U/ml penicillin, and 100 µg/ml streptomycin) in a CO2 incubator (5% CO2-95% air; Forma Scientific) for 1 h. After the 1-h equilibration, all rings were transferred to fresh MEM. Some rings were transferred to MEM containing DETCA (7.6 × 10-3 M). The rings were further incubated for 30 min before being frozen in liquid N2 and stored in a -80°C freezer. The rings were homogenized in a chilled phosphate buffer containing 0.216 M KH2PO4 and 8.0 N KOH; the final pH of the homogenizing buffer was 7.8. The homogenates were centrifuged at 14,000 g for 15 min at 4°C. The supernatant fraction was stored at -80°C until analysis. The pellet fraction was digested in SDS (2%) for 36 h at room temperature. SOD activity was assayed spectrophotometrically by the reduction of cytochrome c (partially acetylated) as described previously (12, 20). Protein content in the supernatant and pellet fractions was determined with the DC Protein Assay Kit (Bio-Rad, Hercules, CA).

Organ chamber studies. The experiments were performed on rings of isolated basilar arteries, 4-5 mm in length, obtained from anesthetized (pentothal sodium, 25 mg/kg iv) mongrel dogs (15-20 kg) of either sex. All procedures were in accordance with institutional guidelines. Vascular reactivity was studied in modified Krebs-Ringer bicarbonate (control) solution of the following composition (in mM): 123.2 NaCl, 4.9 KCl, 2.0 CaCl2, 0.6 MgSO4, 1.2 KH2PO4, 26.0 NaHCO3, and 11.6 dextrose. Each ring was connected to an isometric force transducer (Gould) and suspended in an organ chamber filled with 25 ml of control solution (37°C, pH 7.4) aerated with a 94% O2-6% CO2 gas mixture. Isometric force was recorded continuously. The rings were allowed to equilibrate in the organ bath for 1 h before each experiment. Each ring was then gradually stretched to the optimal point of its length-tension curve as determined by the contraction to UTP (10-5 M) (11). The functional integrity of the endothelium was assessed by observing the presence of relaxations to substance P (10-8 M). All experiments were carried out in the presence of indomethacin (10-5 M) to inhibit cyclooxygenase activity. The incubation time for indomethacin was 45 min before experimentation. DETCA (7.6 × 10-3 M) was added to the organ bath 15 min after indomethacin. All organ baths were washed out 30 min after the addition of DETCA. Indomethacin (10-5 M) was reapplied 5 min after washout. In some experiments, Tiron (9.4 × 10-3 M) was added to the organ bath for 10 min after readministration of indomethacin. Submaximal contractions to UTP (10-5 M) were obtained 5 min after readministration of indomethacin and were allowed to stabilize for another 10 min. Concentration-response curves to calcium ionophore A-23187, bradykinin, diethylamine NONOate (DEA NONOate), and forskolin were obtained cumulatively. Relaxations were expressed as a percentage of the maximal relaxation induced by papaverine (3 × 10-4 M).

Drugs. The following pharmacological agents were used: A-23187, BSA, bradykinin, cytochrome c (partially acetylated), DETCA, Tiron, dimethyl sulfoxide (DMSO), forskolin, indomethacin, Nomega -nitro-L-arginine methyl ester (L-NAME), papaverine, KOH, substance P, UTP, xanthine (sodium salt), and xanthine oxidase from Sigma (St. Louis, MO); DEA NONOate from Cayman Chemical (Ann Arbor, MI); EDTA disodium salt from J. T. Baker (Phillipsburg, NJ); KCN from Fischer Chemical (Fairlawn, NJ); and penicillin, SDS, and streptomycin from GIBCO-BRL (Grand Island, NY). Drugs were dissolved in distilled water so that volumes <= 0.250 ml were added to the organ baths. DEA NONOate solutions at the highest concentrations were made daily in 1.5 M Tris buffer, pH 8.8. Stock solutions of A-23187 and forskolin at the highest concentrations were made in DMSO. The concentrations of all drugs are expressed as final molar concentrations in the organ bath.

Statistical analysis. The data are expressed as means ± SE; n refers to the number of dogs from which basilar artery segments were obtained. Statistical analysis was performed using repeated-measures ANOVA with Bonferroni/Dunn's post hoc test. Statistical significance was accepted at a level of P < 0.05.


    RESULTS
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Abstract
Introduction
Methods
Results
Discussion
References

Effect of DETCA on SOD activity in isolated canine basilar arteries. In isolated canine basilar arteries with endothelium, incubation with DETCA (7.6 × 10-3 M) for 30 min in MEM significantly decreased vascular SOD activity by 46% (Fig. 1).


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Fig. 1.   Effect of diethyldithiocarbamic acid (DETCA) on superoxide dismutase (SOD) activity in canine basilar arteries with endothelium. Arteries were incubated in MEM for 30 min in presence or absence of DETCA (7.6 × 10-3 M). Values are expressed as means ± SE for control (n = 6) and DETCA-treated rings (n = 8). SOD activity was measured in supernatant of vascular homogenates and normalized over total protein content in supernatant and pellet fractions. * Significant statistical difference between control and DETCA-treated rings (P < 0.0001).

Endothelium-dependent relaxations to bradykinin. During contractions induced by UTP (10-5 M), bradykinin induced concentration-dependent relaxations that were significantly impaired when arterial rings were preincubated with DETCA (7.6 × 10-3 M; Fig. 2). The effect of DETCA on relaxations to bradykinin was abolished by the presence of the cell-permeable O-2· scavenger Tiron (9.4 × 10-3 M; Fig. 2). In control rings, Tiron (9.4 × 10-3 M) significantly potentiated the relaxations to bradykinin (Fig. 3). The relaxations in the presence of Tiron in control rings were abolished by L-NAME (3 × 10-4 M; Fig. 3). Preincubation of arteries with L-arginine (10-4 M) or sepiapterin (10-4 M) did not affect the potentiation of relaxations to bradykinin observed in the presence of Tiron (data not shown).


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Fig. 2.   Concentration-response curves to bradykinin in canine basilar arteries with endothelium preincubated with or without DETCA (7.6 × 10-3 M) for 30 min, constructed in presence or absence of Tiron (9.4 × 10-3 M). Relaxations were obtained during contractions induced by UTP (10-5 M). Data are shown as means ± SE and expressed as a percentage of maximal relaxation induced by papaverine (3 × 10-4 M): 100% = 5.7 ± 0.6 (n = 11), 6.3 ± 0.6 (n = 11), or 5.1 ± 0.6 g (n = 7) for control, DETCA-, or DETCA + Tiron-treated rings, respectively. DETCA curve is significantly different from that of control (P < 0.05). DETCA + Tiron curve is not significantly different from that of control (P > 0.05).


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Fig. 3.   Concentration-response curves to bradykinin in canine basilar arteries with endothelium pretreated with or without Nomega -nitro-L-arginine methyl ester (L-NAME; 3 × 10-4 M) for 30 min. Curves were constructed in presence or absence of Tiron (9.4 × 10-3 M). Relaxations were obtained during contractions to UTP (10-5 M). Data are shown as means ± SE and expressed as a percentage of maximal relaxation induced by papaverine (3 × 10-4 M): 100% = 5.7 ± 0.6 (n = 11), 6.0 ± 0.4 (n = 13), or 7.9 ± 1.2 g (n = 6) for control, Tiron-, or L-NAME + Tiron-treated rings, respectively. Tiron and L-NAME + Tiron curves are significantly different from that of control (P < 0.05 and P < 0.0001, respectively).

Endothelium-dependent relaxations to A-23187. Preincubation with DETCA (7.6 × 10-3 M) significantly impaired the concentration-dependent relaxations to A-23187 during contractions induced by UTP (10-5 M; Fig. 4A). The effect of DETCA on relaxations to A-23187 was abolished by the presence of Tiron (9.4 × 10-3 M; Fig. 4A). In control rings, Tiron had no effect on the relaxations to A-23187 (Fig. 4B).


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Fig. 4.   Concentration-response curves to A-23187 in canine basilar arteries with endothelium preincubated with or without DETCA (7.6 × 10-3 M) for 30 min (A), constructed in presence or absence of Tiron (9.4 × 10-3 M; A and B). Relaxations were obtained during contractions to UTP (10-5 M). Data are shown as means ± SE and expressed as a percentage of maximal relaxation induced by papaverine (3 × 10-4 M): 100% = 5.8 ± 0.7 (n = 7), 5.6 ± 0.4 (n = 7), 6.3 ± 0.4 (n = 6), or 5.7 ± 0.4 g (n = 6) for control, DETCA-, DETCA + Tiron-, and Tiron-treated rings, respectively. DETCA curve is significantly different from that of control (P < 0.05). DETCA + Tiron curve is not significantly different from that of control (P > 0.05). Tiron curve is not significantly different from control (P > 0.05).

Relaxations to DEA NONOate. In endothelium-intact canine basilar arteries, the concentration-dependent relaxations to DEA NONOate were not affected by DETCA (7.6 × 10-3 M; Table 1). Tiron (9.4 × 10-3 M) had no effect on the relaxations to DEA NONOate in rings preincubated with DETCA (Table 1). Tiron had no effect on the relaxations to DEA NONOate in control rings (Table 1).

                              
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Table 1.   Effect of DETCA and Tiron on concentration-dependent relaxations to DEA NONOate

Relaxations to forskolin. In arteries with endothelium, the concentration-dependent relaxations to forskolin were not affected by DETCA (7.6 × 10-3 M; Table 2). Relaxations to forskolin in control rings were not affected by Tiron (9.4 × 10-3 M; Table 2).

                              
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Table 2.   Effect of DETCA and Tiron on concentration-dependent relaxations to forskolin


    DISCUSSION
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Abstract
Introduction
Methods
Results
Discussion
References

Our study is the first to demonstrate impairment of NO ·-mediated relaxations after inhibition of Cu/Zn SOD in cerebral arteries. The mechanism of this impairment appears to be increased cellular O-2· formation and subsequent chemical inactivation of NO ·. O-2· and NO · are known to readily react to form peroxynitrite (ONOO-). The rate of reaction between O-2· and NO · exceeds the dismutation reaction rate of O-2· by SOD (2), thus making vascular O-2· concentration an important determinant of NO · activity (25).

DETCA chelates the Cu2+ cation, which is necessary for Cu/Zn SOD enzymatic activity (3). In our experiments, DETCA (7.6 × 10-3 M) caused a 46% inhibition of total SOD activity. Previous studies demonstrated that inhibition of SOD increases vascular O-2· levels (25, 30). Inhibition of SOD activity by DETCA likewise affected the vascular reactivity of cerebral arteries. DETCA (7.6 × 10-3 M) impaired the relaxations to the nitric oxide synthase (NOS) agonists bradykinin and A-23187. Tiron (9.4 × 10-3 M), a cell-permeable O-2· scavenger, abolished the inhibitory effect of DETCA on NOS-mediated relaxations. Inhibition of SOD activity after DETCA treatment, therefore, impairs NOS-mediated relaxations by increasing steady-state vascular O-2· levels. We show that the effect of DETCA on NOS-mediated relaxations is reversed by pharmacological scavenging of O-2·.

In a previous study, Mügge and colleagues (23) demonstrated that in rabbit aortas 5 mM DETCA causes ~60% inhibition of relaxations to acetylcholine and A-23187. In the present study, we used a 7.6 mM concentration of DETCA and obtained ~25-30% reduction in endothelium-dependent relaxations to bradykinin and A-23187. In addition to obvious vascular and species differences, it is important to notice that in our study we incubated cerebral arteries with DETCA for 30 min, whereas Mügge and colleagues (23) incubated rabbit aortas for 45 min. Furthermore, enzymatic activity of SOD appears to be lower in rabbit aorta than in canine basilar artery (unpublished observation). Taken together, these differences may be responsible for less pronounced DETCA-induced inhibition of endothelium-dependent relaxations in cerebral arteries.

Inhibition of SOD with DETCA unmasked a constitutive production of O-2· in vascular tissue. Because our experiments were carried out in the presence of indomethacin (10-6 M), we can rule out the contribution of cyclooxygenase to the detected O-2· production (13). Recent biochemical studies have shown that an NAD(P)H oxidase is the major source of O-2· in the vascular wall (22, 28, 29). We could not demonstrate the contribution of NAD(P)H oxidase to the observed impairment of endothelium-dependent relaxations because the available flavoprotein inhibitors for the oxidase also inhibit NOS. However, in preliminary experiments, we have detected increased O-2· production in canine basilar artery homogenates on addition of exogenous NADH or NADPH. The increased O-2· production was considerably greater for NADH and abrogated by diphenyliodonium chloride, a flavoprotein inhibitor, suggesting that NAD(P)H oxidase is a potential source of O-2· in cerebral arteries. Analysis of tetrahydrobiopterin (BH4) binding to neuronal NOS indicated that some NOS molecules exist in an uncoupled, O-2·-producing state (4). Experiments with recombinant endothelial NOS showed that the O-2·-generating potential of this enzyme is inversely dependent on BH4 availability and independent of exogenous L-arginine (36). The flavin moiety of endothelial NOS was shown to be the source of O-2· production (36). In the present study, we could not abolish the formation of O-2· by increasing concentrations of available BH4 and L-arginine. The source of the constitutive O-2· production in cerebral arteries remains to be determined.

The O-2· scavenger Tiron had an interesting differential effect on the relaxations to bradykinin and A-23187 in control arteries (not treated with DETCA). Tiron (9.4 × 10-3 M) significantly potentiated the relaxations to bradykinin but did not affect the relaxations to A-23187. L-NAME (3 × 10-4 M) abolished the relaxations to bradykinin in the presence of Tiron, suggesting that Tiron was potentiating NO ·-mediated relaxations. Previously, we showed (12) that L-NAME (10-4 M) abolished the relaxations to A-23187 in control arteries. These differential results cannot be attributed to the hyperoxic organ chamber environment, which is known to attenuate NO ·-mediated relaxations (33), because Tiron did not potentiate the relaxations to both agonists. Experiments in the presence of exogenous L-arginine (10-4 M) or sepiapterin (10-4 M) suggested that bradykinin was not stimulating a dysfunctional NOS pool due to substrate or BH4 insufficiency. We cannot rule out the possibility that A-23187 may have stimulated O-2· production that was adequately scavenged, thus preserving NOS-mediated relaxations. Bradykinin was shown to stimulate O-2· production in cultured endothelial cells (7, 15), albeit at higher concentrations than those used in this study. Indomethacin (10-6 M) inhibited the bradykinin-induced O-2· production by 60% in cultured cells (7). Our current results indicate a cyclooxygenase-independent O-2· source stimulated by bradykinin. Our previous results in cerebral arteries showed potentiation of relaxations to bradykinin in the presence of exogenous SOD and catalase (10). Studies with pial arterioles of Wistar-Kyoto rats and spontaneously hypertensive rats also showed enhancement of relaxations to bradykinin in the presence of exogenous SOD (37). However, because SOD and catalase poorly cross the cell membrane (1), the above-mentioned earlier findings may only reflect extracellular O-2· and H2O2 production by bradykinin. In the present study, results with the cell-permeable O-2· scavenger Tiron indicated that bradykinin stimulated O-2· production, which significantly attenuated the vasodilatory effect of the agonist. The source and physiological role of the bradykinin-mediated O-2· production remain to be determined, particularly because this O-2· production appears to evade endogenous SOD. The present finding may be related to the role of bradykinin and O-2· as inflammatory mediators (14, 19, 24, 34, 35).

To determine the selectivity of the DETCA and Tiron, we evaluated relaxations to the direct NO · donor DEA NONOate and the adenylate cyclase activator forskolin in endothelium-intact basilar arteries. Neither DETCA (7.6 × 10-3 M) nor Tiron (9.4 × 10-3 M) affected relaxations to DEA NONOate or forskolin. The effects of DETCA and Tiron, therefore, appear to be selective for the agonist-stimulated NOS pathway in endothelium-intact arteries. We do not have an explanation for differential effects of DETCA on relaxations mediated by endogenous nitric oxide versus relaxations induced by exogenous nitric oxide (DEA NONOate).

The present study demonstrates that, in canine basilar arteries, Cu/Zn SOD activity is necessary for normal NO ·-mediated vasomotor function. The impairment of NOS-mediated relaxations after the inhibition of Cu/Zn SOD activity can be reversed by pharmacological scavenging of O-2·. Finally, it appears that bradykinin concomitantly stimulates NO · and O-2· production in canine basilar arteries. The exact source of O-2· remains to be determined.


    ACKNOWLEDGEMENTS

We thank Leslie Smith for technical assistance, Dr. Yasuhiko Iida for valuable advice, and Janet Beckman for typing the manuscript.


    FOOTNOTES

This work was supported in part by National Institute of General Medical Sciences Grant R25-GM-55252 (to C. O. Wambi-Kiéssé) and National Heart, Lung, and Blood Institute Grant HL-53524 (to Z. S. Katusic).

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. §1734 solely to indicate this fact.

Address for reprint requests: Z. S. Katusic, Depts. of Anesthesiology and Pharmacology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905 (E-mail: katusic.zvonimir{at}mayo.edu).

Received 5 August 1998; accepted in final form 30 November 1998.


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Abstract
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Methods
Results
Discussion
References

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Am J Physiol Heart Circ Physiol 276(3):H1043-H1048
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