Oxidative Stress in Hypertensive Patients Induces an Increased Contractility in Vein Grafts Independent of Endothelial Function

Objective. To evaluate the impact of oxidative stress on vascular reactivity to vasoconstrictors and on nitric oxide (NO) bioavailability in saphenous vein (SV) graft with endothelial dysfunction from hypertensive patients (HT). Methods. Endothelial function, vascular reactivity, oxidative state, ni...

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Main Authors: Claudio Joo Turoni, Rodrigo Marañón, Maria Karbiner, Juan Muntaner, Víctor Proto, María Peral de Bruno
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.4061/2011/902129
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author Claudio Joo Turoni
Rodrigo Marañón
Maria Karbiner
Juan Muntaner
Víctor Proto
María Peral de Bruno
author_facet Claudio Joo Turoni
Rodrigo Marañón
Maria Karbiner
Juan Muntaner
Víctor Proto
María Peral de Bruno
author_sort Claudio Joo Turoni
collection DOAJ
description Objective. To evaluate the impact of oxidative stress on vascular reactivity to vasoconstrictors and on nitric oxide (NO) bioavailability in saphenous vein (SV) graft with endothelial dysfunction from hypertensive patients (HT). Methods. Endothelial function, vascular reactivity, oxidative state, nitrites and NO release were studied in isolated SV rings from HT and normotensive patients (NT). Only rings with endothelial dysfunction were used. Results. HT rings presented a hyperreactivity to vasoconstrictors that was reverted by diphenylene iodonium (DPI). In NT, no effect of DPI was obtained, but Nω-nitro-L-arginine methyl ester (L-NAME) increased the contractile response. NO was present in SV rings without endothelial function. Nitrites were higher in NT than in HT (1066.1 ± 86.3 pmol/mg; n=11 versus 487.8 ± 51.6; n=23; P<0.01) and inhibited by nNOS inhibitor. L-arginine reversed this effect. Antioxidant agents increased nitrites and NO contents only in HT. The anti-nNOS-stained area by immunohistochemistry was higher in NT than HT. HT showed an elevation of oxidative state. Conclusions. Extraendothelial NO counter-regulates contractility in SV. However, this action could be altered in hypertensive situations by an increased oxidative stress or a decreased ability of nNOS to produce NO. Further studies should be performed to evaluate the implication of these results in graft patency rates.
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spelling doaj-art-0e0aa553d2d849b2a3a98241ef29f3972025-02-03T06:13:53ZengWileyInternational Journal of Hypertension2090-03922011-01-01201110.4061/2011/902129902129Oxidative Stress in Hypertensive Patients Induces an Increased Contractility in Vein Grafts Independent of Endothelial FunctionClaudio Joo Turoni0Rodrigo Marañón1Maria Karbiner2Juan Muntaner3Víctor Proto4María Peral de Bruno5Departamento de Fisiología, Facultad de Medicina Universidad Nacional de Tucumán INSIBIO-CONICET, Tucumán, ArgentinaDepartamento de Fisiología, Facultad de Medicina Universidad Nacional de Tucumán INSIBIO-CONICET, Tucumán, ArgentinaDepartamento de Fisiología, Facultad de Medicina Universidad Nacional de Tucumán INSIBIO-CONICET, Tucumán, ArgentinaCentro Modelo de Cardiología S.R.L., Balcarce 32, 4000 Tucumán, ArgentinaCentro Modelo de Cardiología S.R.L., Balcarce 32, 4000 Tucumán, ArgentinaDepartamento de Fisiología, Facultad de Medicina Universidad Nacional de Tucumán INSIBIO-CONICET, Tucumán, ArgentinaObjective. To evaluate the impact of oxidative stress on vascular reactivity to vasoconstrictors and on nitric oxide (NO) bioavailability in saphenous vein (SV) graft with endothelial dysfunction from hypertensive patients (HT). Methods. Endothelial function, vascular reactivity, oxidative state, nitrites and NO release were studied in isolated SV rings from HT and normotensive patients (NT). Only rings with endothelial dysfunction were used. Results. HT rings presented a hyperreactivity to vasoconstrictors that was reverted by diphenylene iodonium (DPI). In NT, no effect of DPI was obtained, but Nω-nitro-L-arginine methyl ester (L-NAME) increased the contractile response. NO was present in SV rings without endothelial function. Nitrites were higher in NT than in HT (1066.1 ± 86.3 pmol/mg; n=11 versus 487.8 ± 51.6; n=23; P<0.01) and inhibited by nNOS inhibitor. L-arginine reversed this effect. Antioxidant agents increased nitrites and NO contents only in HT. The anti-nNOS-stained area by immunohistochemistry was higher in NT than HT. HT showed an elevation of oxidative state. Conclusions. Extraendothelial NO counter-regulates contractility in SV. However, this action could be altered in hypertensive situations by an increased oxidative stress or a decreased ability of nNOS to produce NO. Further studies should be performed to evaluate the implication of these results in graft patency rates.http://dx.doi.org/10.4061/2011/902129
spellingShingle Claudio Joo Turoni
Rodrigo Marañón
Maria Karbiner
Juan Muntaner
Víctor Proto
María Peral de Bruno
Oxidative Stress in Hypertensive Patients Induces an Increased Contractility in Vein Grafts Independent of Endothelial Function
International Journal of Hypertension
title Oxidative Stress in Hypertensive Patients Induces an Increased Contractility in Vein Grafts Independent of Endothelial Function
title_full Oxidative Stress in Hypertensive Patients Induces an Increased Contractility in Vein Grafts Independent of Endothelial Function
title_fullStr Oxidative Stress in Hypertensive Patients Induces an Increased Contractility in Vein Grafts Independent of Endothelial Function
title_full_unstemmed Oxidative Stress in Hypertensive Patients Induces an Increased Contractility in Vein Grafts Independent of Endothelial Function
title_short Oxidative Stress in Hypertensive Patients Induces an Increased Contractility in Vein Grafts Independent of Endothelial Function
title_sort oxidative stress in hypertensive patients induces an increased contractility in vein grafts independent of endothelial function
url http://dx.doi.org/10.4061/2011/902129
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