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Department of Internal Medicine, Southern Arizona Veterans Administration Health Care System and Sarver Heart Center, University of Arizona, Tucson, Arizona 85723
Congestive heart failure (HF) is characterized by
inadequate nitric oxide (NO) production in the vasculature. Because NO
is degraded by oxygen radicals, we hypothesized that NO is degraded faster in HF from inadequate peripheral arterial antioxidant reserves. HF was induced in male Sprague-Dawley rats by left coronary artery ligation. Vascular endothelial function was evaluated by measuring the
NO-mediated vasorelaxation response to acetylcholine (ACh; 10
9-10
4 M) in excised aortas. This was
repeated with the free radical generator pyrogallol (20 µM) and again
with pyrogallol and superoxide dismutase (SOD; 60 U/ml). Aortic and
myocardial SOD activity was also determined. ACh-induced vasorelaxation
was reduced in HF (n = 9) compared with normal control
rats (n = 11; P < 0.001). Pyrogallol
further reduced vasorelaxation in HF: 74 ± 11% at
10
4 M ACh versus 58 ± 10% in normal control rats
(P < 0.004). There was a trend (P = 0.06) toward reduced SOD activity in HF aortas. In conclusion, altered
NO-dependent vasorelaxation in HF is in part due to excessive
degradation of NO and is likely related to reduced vascular SOD activity.
congestive heart failure; superoxide dismutase; nitric oxide; endothelial function
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