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Am J Physiol Heart Circ Physiol 293: H2894-H2903, 2007. First published August 24, 2007; doi:10.1152/ajpheart.01230.2006
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Diminished NO release in chronic hypoxic human endothelial cells

Louise Østergaard,1 Edgaras Stankevicius,1 Malene R. Andersen,3,4 Yvonne Eskildsen-Helmond,1 Thomas Ledet,2 Michael J. Mulvany,1 and Ulf Simonsen1

1Department of Pharmacology, University of Aarhus, Aarhus; 2Research Laboratory for Biochemical Pathology, Aarhus Sygehus, Aarhus; 3Research Laboratory of Obstetrics and Gynecology, Skejby Hospital, University of Aarhus, Aarhus; and 4Research Laboratory, Department of Clinical Biochemistry, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark

Submitted 8 November 2006 ; accepted in final form 12 August 2007

The present study addressed whether chronic hypoxia is associated with reduced nitric oxide (NO) release due to decreased activation of endothelial NO synthase (eNOS). Primary cultures of endothelial cells from human umbilical veins (HUVECs) were used and exposed to different oxygen levels for 24 h, after which NO release, intracellular calcium, and eNOS activity and phosphorylation were measured after 24 h. Direct measurements using a NO microsensor showed that in contrast to 1-h exposure to 5% and 1% oxygen (acute hypoxia), histamine-evoked (10 µM) NO release from endothelial cells exposed to 5% and 1% oxygen for 24 h (chronic hypoxia) was reduced by, respectively, 58% and 40%. Furthermore, chronic hypoxia also lowered the amount and activity of eNOS enzyme. The decrease in activity could be accounted for by reduced intracellular calcium and altered eNOS phosphorylation. eNOS Ser1177 and eNOS Thr495 phosphorylations were reduced and increased, respectively, consistent with lowered enzyme activity. Akt kinase, which can phosphorylate eNOS Ser1177, was also decreased by hypoxia, regarding both total protein content and the phosphorylated (active) form. Moreover, the protein content of beta- actin, which is known to influence the activity of eNOS, was almost halved by hypoxia, further supporting the fall in eNOS activity. In conclusion, chronic hypoxia in HUVECs reduces histamine-induced NO release as well as eNOS expression and activity. The decreased activity is most likely due to changed eNOS phosphorylation, which is supported by decreases in Akt expression and phosphorylation. By reducing NO, chronic hypoxia may accentuate endothelial dysfunction in cardiovascular disease.

endothelial nitric oxide synthase; Akt; actin; endothelium; hypoxia



Address for reprint requests and other correspondence: U. Simonsen, Dept. of Pharmacology, Faculty of Health Sciences, Univ. of Aarhus, 8000 Aarhus C, Denmark (e-mail: us{at}farm.au.dk)







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