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Am J Physiol Heart Circ Physiol 284: H605-H612, 2003. First published November 7, 2002; doi:10.1152/ajpheart.00697.2002
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Vol. 284, Issue 2, H605-H612, February 2003

Ceramide-induced activation of NADPH oxidase and endothelial dysfunction in small coronary arteries

David X. Zhang, Ai-Ping Zou, and Pin-Lan Li

Department of Pharmacology and Toxicology and Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226

We tested the hypothesis that ceramide induces endothelial dysfunction in small coronary arteries via NADPH oxidase-mediated superoxide and resulting peroxynitrite formation. With the use of dihydroethidium as a superoxide indicator, C2-ceramide was found to increase superoxide production in the endothelial cells of small coronary arteries, which was inhibited by the NADPH oxidase inhibitors N-vanillylnonanamide, apocynin, and diphenylene iodonium. NADPH oxidase expression was confirmed in endothelial cells, as indicated by the immunoblotting of its subunits gp91phox and p47phox. C2-ceramide increased NADPH oxidase activity by 52%, which was blocked by NADPH oxidase inhibitors but not by inhibitors of NO synthase, xanthine oxidase, and mitochondrial electron transport chain enzymes. By Western blot analysis, ceramide-induced NADPH oxidase activation was found to be associated with the translocation of p47phox to the membrane. In isolated and pressurized small coronary arteries, N-vanillylnonanamide, apocynin, or uric acid, a peroxynitrite scavenger, largely restored the inhibitory effects of ceramide on bradykinin- and A-23187-induced vasorelaxation. With the use of nitrotyrosine as a marker, C2-ceramide was found to increase peroxynitrite in small coronary arteries, which could be blocked by uric acid. We conclude that NADPH oxidase-mediated superoxide production and subsequent peroxynitrite formation mediate ceramide-induced endothelial dysfunction in small coronary arteries.

lipids; vasorelaxation; endothelium; signal transduction; free radicals; nitric oxide


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