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Am J Physiol Heart Circ Physiol (February 28, 2002). doi:10.1152/ajpheart.00817.2001
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Articles in PresS, published online ahead of print February 28, 2002
Am J Physiol Heart Circ Physiol, 10.1152/ajpheart.00817.2001
Submitted on September 17, 2001
Accepted on February 26, 2002

Nitrate tolerance does not increase production of peroxynitrite in the heart

Tamas Csont1, Csaba Csonka1, Annamaria Onody1, Aniko Gorbe1, Laszlo Dux1, Richard Schulz2, Gary F Baxter3, and Peter Ferdinandy1*

1 Biochemistry, University of Szeged, Szeged, Hungary
2 Pharmacology and Pediatrics, University of Alberta, Edmonton, Alberta, Canada
3 The Royal Veterinary College, University of London, London, United Kingdom

* To whom correspondence should be addressed. E-mail: peter{at}biochem.szote.u-szeged.hu.

Clinical studies suggested that long-term nitrate treatment does not improve and may even worsen cardiovascular mortality, and the possible role of nitrate tolerance was suspected. Nitrate tolerance has been recently shown to increase vascular superoxide and peroxynitrite production leading to vascular dysfunction. Nevertheless, nitrates exert direct cardiac effects independent from their vascular actions. Therefore, here we investigated whether in vivo nitroglycerin treatment leading to vascular nitrate tolerance increases cardiac formation of nitric oxide (NO), reactive oxygen species, and peroxynitrite thereby leading to cardiac dysfunction. Nitrate tolerance increased bioavailability of NO in the heart without increasing formation of reactive oxygen species. Despite elevated myocardial NO, neither cardiac markers of peroxynitrite formation, nor cardiac mechanical function were affected by nitroglycerin treatment. However, serum free nitrotyrosine, a marker for systemic peroxynitrite formation, was significantly elevated in nitroglycerin-treated animals. This is the first demonstration that although the systemic effects of nitroglycerin may be deleterious due to enhancement of extracardiac peroxynitrite formation, nitroglycerin does not result in oxidative damage in the heart.




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