JACC
HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
 QUICK SEARCH:   [advanced]


     


J Am Coll Cardiol, 2000; 35:71-75
© 2000 by the American College of Cardiology Foundation
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ueda, S.
Right arrow Articles by Imaizumi, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ueda, S.
Right arrow Articles by Imaizumi, T.

CLINICAL STUDIES

Tetrahydrobiopterin restores endothelial function in long-term smokers

Seiji Ueda, MDa, Hidehiro Matsuoka, MD, PhDa, Hiroshi Miyazaki, MDa, Michiaki Usui, MDa, Seiya Okuda, MD, PhDa and Tsutomu Imaizumi, MD, PhD, FACCa

a Department of Internal Medicine III, and the Cardiovascular Research Institute, Kurume University School of Medicine, Kurume, Japan

Manuscript received March 19, 1999; revised manuscript received August 3, 1999, accepted October 5, 1999.

Reprint requests and correspondence: Dr. Hidehiro Matsuoka, Department of Internal Medicine III, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan
matsuoka{at}med.kurume-u.ac.jp

OBJECTIVES

We sought to test whether tetrahydrobiopterin (BH4) supplementation improves nitric oxide (NO) bioactivity in smokers.

BACKGROUND

In smokers, endothelium-derived NO bioactivity is impaired. BH4 is an essential cofactor of NO synthase, and its deficiency decreases NO bioactivity.

METHODS

Sapropterin hydrochloride, an active analogue of BH4 (2 mg/kg body weight), was administered orally to healthy male smokers and age-matched nonsmokers. Before and 3 and 24 h after sapropterin, we measured plasma levels of BH4 and examined flow-mediated vasodilation (FMV) of the brachial artery by high resolution ultrasonography, a noninvasive test of endothelial function.

RESULTS

Basal plasma levels of BH4 were not different between smokers and nonsmokers. Sapropterin administration increased plasma levels of BH4 by threefold at 3 h, which returned to the baseline at 24 h. Before sapropterin, FMV was significantly smaller in smokers (p = 0.0002). Sapropterin significantly augmented endothelium-dependent vasodilation in smokers, but did not affect it in nonsmokers (p = 0.001 by analysis of variance [ANOVA]). Coadministration of NG-monomethyl-L-arginine (L-NMMA), an NO synthase inhibitor (20 µmol), into the brachial artery completely abolished the vasodilatory effects of sapropterin (p = 0.002 by ANOVA). Endothelium-independent vasodilation by glyceryl trinitrate was not different between smokers and nonsmokers and was not altered by BH4.

CONCLUSIONS

We demonstrated that BH4 supplementation improved bioactivity of endothelium-derived NO in smokers. These observations strongly suggest that decreased NO-dependent vasodilation in smokers could be related to reduced bioactivity of BH4.

Abbreviations and Acronyms
  ANOVA = analysis of variance
  BH4 = tetrahydrobiopterin
  FMV = flow-mediated vasodilation
  GTN = glyceryl trinitrate
  HbA1c = glycosylated hemoglobin
  HDL = high density lipoprotein
  LDL = low density lipoprotein
  L-NMMA = NG-monomethyl-L-arginine
  NO = nitric oxide
  NOS = nitric oxide synthase




This article has been cited by other articles:


Home page
HeartHome page
F Cosentino, D Hurlimann, C Delli Gatti, R Chenevard, N Blau, N J Alp, K M Channon, M Eto, P Lerch, F Enseleit, et al.
Chronic treatment with tetrahydrobiopterin reverses endothelial dysfunction and oxidative stress in hypercholesterolaemia
Heart, April 1, 2008; 94(4): 487 - 492.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
D. Xiao, X. Huang, J. Lawrence, S. Yang, and L. Zhang
Fetal and Neonatal Nicotine Exposure Differentially Regulates Vascular Contractility in Adult Male and Female Offspring
J. Pharmacol. Exp. Ther., February 1, 2007; 320(2): 654 - 661.
[Abstract] [Full Text] [PDF]


Home page
Arterioscler. Thromb. Vasc. Bio.Home page
A. L. Moens and D. A. Kass
Tetrahydrobiopterin and Cardiovascular Disease
Arterioscler. Thromb. Vasc. Biol., November 1, 2006; 26(11): 2439 - 2444.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
X. Guo, M. J. Oldham, M. T. Kleinman, R. F. Phalen, and G. S. Kassab
Effect of cigarette smoking on nitric oxide, structural, and mechanical properties of mouse arteries
Am J Physiol Heart Circ Physiol, November 1, 2006; 291(5): H2354 - H2361.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
I. Eskurza, L. A Myerburgh, Z. D Kahn, and D. R Seals
Tetrahydrobiopterin augments endothelium-dependent dilatation in sedentary but not in habitually exercising older adults
J. Physiol., November 1, 2005; 568(3): 1057 - 1065.
[Abstract] [Full Text] [PDF]


Home page
Arterioscler. Thromb. Vasc. Bio.Home page
R. Sugano, H. Matsuoka, N. Haramaki, H. Umei, E. Murase, K. Fukami, S. Iida, H. Ikeda, and T. Imaizumi
Polymorphonuclear Leukocytes May Impair Endothelial Function: Results of Crossover Randomized Study of Lipid-Lowering Therapies
Arterioscler. Thromb. Vasc. Biol., June 1, 2005; 25(6): 1262 - 1267.
[Abstract] [Full Text] [PDF]


Home page
Eur Heart JHome page
M. L. Bots, J. Westerink, T. J. Rabelink, and E. J.P. de Koning
Assessment of flow-mediated vasodilatation (FMD) of the brachial artery: effects of technical aspects of the FMD measurement on the FMD response
Eur. Heart J., February 2, 2005; 26(4): 363 - 368.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
S. Mochizuki, P. Sipkema, M. Goto, O. Hiramatsu, H. Nakamoto, E. Toyota, T. Kajita, F. Shigeto, T. Yada, Y. Ogasawara, et al.
Exogenous NO suppresses flow-induced endothelium-derived NO production because of depletion of tetrahydrobiopterin
Am J Physiol Heart Circ Physiol, February 1, 2005; 288(2): H553 - H558.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
K. A. Blackwell, J. P. Sorenson, D. M. Richardson, L. A. Smith, O. Suda, K. Nath, and Z. S. Katusic
Mechanisms of aging-induced impairment of endothelium-dependent relaxation: role of tetrahydrobiopterin
Am J Physiol Heart Circ Physiol, December 1, 2004; 287(6): H2448 - H2453.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
T. Nystrom, A. Nygren, and A. Sjoholm
Tetrahydrobiopterin increases insulin sensitivity in patients with type 2 diabetes and coronary heart disease
Am J Physiol Endocrinol Metab, November 1, 2004; 287(5): E919 - E925.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
M. A. Kolinsky and S. S. Gross
The Mechanism of Potent GTP Cyclohydrolase I Inhibition by 2,4-Diamino-6-hydroxypyrimidine: REQUIREMENT OF THE GTP CYCLOHYDROLASE I FEEDBACK REGULATORY PROTEIN
J. Biol. Chem., September 24, 2004; 279(39): 40677 - 40682.
[Abstract] [Full Text] [PDF]


Home page
HypertensionHome page
R. W. Powers, R. E. Gandley, D. L. Lykins, and J. M. Roberts
Moderate Hyperhomocysteinemia Decreases Endothelial-Dependent Vasorelaxation in Pregnant But Not Nonpregnant Mice
Hypertension, September 1, 2004; 44(3): 327 - 333.
[Abstract] [Full Text] [PDF]


Home page
Circ. Res.Home page
J. A. Beckman, J. K. Liao, S. Hurley, L. A. Garrett, D. Chui, D. Mitra, and M. A. Creager
Atorvastatin Restores Endothelial Function in Normocholesterolemic Smokers Independent of Changes in Low-Density Lipoprotein
Circ. Res., July 23, 2004; 95(2): 217 - 223.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
M. d. C. P. Franco, Z. B. Fortes, E. H. Akamine, E. M. Kawamoto, C. Scavone, L. R. G. de Britto, M. N. Muscara, S. A. Teixeira, R. C. A. Tostes, M. H. C. Carvalho, et al.
Tetrahydrobiopterin improves endothelial dysfunction and vascular oxidative stress in microvessels of intrauterine undernourished rats
J. Physiol., July 1, 2004; 558(1): 239 - 248.
[Abstract] [Full Text] [PDF]


Home page
Exp. Biol. Med.Home page
E. R. Werner, A. C.F. Gorren, R. Heller, G. Werner-Felmayer, and B. Mayer
Tetrahydrobiopterin and Nitric Oxide: Mechanistic and Pharmacological Aspects
Experimental Biology and Medicine, December 1, 2003; 228(11): 1291 - 1302.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
B. M. Mitchell, A. M. Dorrance, and R. C. Webb
GTP cyclohydrolase 1 inhibition attenuates vasodilation and increases blood pressure in rats
Am J Physiol Heart Circ Physiol, November 1, 2003; 285(5): H2165 - H2170.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
N. Ihlemann, C. Rask-Madsen, A. Perner, H. Dominguez, T. Hermann, L. Kober, and C. Torp-Pedersen
Tetrahydrobiopterin restores endothelial dysfunction induced by an oral glucose challenge in healthy subjects
Am J Physiol Heart Circ Physiol, July 11, 2003; 285(2): H875 - H882.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
R. S. Barua, J. A. Ambrose, S. Srivastava, M. C. DeVoe, and L.-J. Eales-Reynolds
Reactive Oxygen Species Are Involved in Smoking-Induced Dysfunction of Nitric Oxide Biosynthesis and Upregulation of Endothelial Nitric Oxide Synthase: An In Vitro Demonstration in Human Coronary Artery Endothelial Cells
Circulation, May 13, 2003; 107(18): 2342 - 2347.
[Abstract] [Full Text] [PDF]


Home page
Postgrad. Med. J.Home page
Z S Nedeljkovic, N Gokce, and J Loscalzo
Mechanisms of oxidative stress and vascular dysfunction
Postgrad. Med. J., April 1, 2003; 79(930): 195 - 200.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
G. Reaven and P. S. Tsao
Insulin resistance and compensatory hyperinsulinemia: The key player between cigarette smoking and cardiovascular disease?
J. Am. Coll. Cardiol., March 19, 2003; 41(6): 1044 - 1047.
[Abstract] [Full Text] [PDF]


Home page
HypertensionHome page
B. M. Mitchell, A. M. Dorrance, and R. C. Webb
GTP Cyclohydrolase 1 Downregulation Contributes to Glucocorticoid Hypertension in Rats
Hypertension, March 1, 2003; 41(3): 669 - 674.
[Abstract] [Full Text] [PDF]


Home page
Biol Res NursHome page
B. M. Mitchell and R. C. Webb
Impaired Vasodilation and Nitric Oxide Synthase Activity in Glucocorticoid-Induced Hypertension
Biol Res Nurs, July 1, 2002; 4(1): 16 - 21.
[Abstract] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
M. E. Hyndman, S. Verma, R. J. Rosenfeld, T. J. Anderson, and H. G. Parsons
Interaction of 5-methyltetrahydrofolate and tetrahydrobiopterin on endothelial function
Am J Physiol Heart Circ Physiol, June 1, 2002; 282(6): H2167 - H2172.
[Abstract] [Full Text] [PDF]


Home page
Mol Hum ReprodHome page
M. Toth, Z. Kukor, and S. Valent
Chemical stabilization of tetrahydrobiopterin by L-ascorbic acid: contribution to placental endothelial nitric oxide synthase activity
Mol. Hum. Reprod., March 1, 2002; 8(3): 271 - 280.
[Abstract] [Full Text] [PDF]


Home page
HeartHome page
Y Fukuda, H Teragawa, K Matsuda, T Yamagata, H Matsuura, and K Chayama
Tetrahydrobiopterin restores endothelial function of coronary arteries in patients with hypercholesterolaemia
Heart, March 1, 2002; 87(3): 264 - 269.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
T. Neunteufl, S. Heher, K. Kostner, G. Mitulovic, S. Lehr, G. Khoschsorur, R. W. Schmid, G. Maurer, and T. Stefenelli
Contribution of nicotine to acute endothelial dysfunction in long-term smokers
J. Am. Coll. Cardiol., January 16, 2002; 39(2): 251 - 256.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
N. N. Chan, H. M. Colhoun, and P. Vallance
Cardiovascular risk factors as determinants of endothelium-dependent and endothelium-independent vascular reactivity in the general population
J. Am. Coll. Cardiol., December 1, 2001; 38(7): 1814 - 1820.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
K. Shinozaki, A. Hirayama, Y. Nishio, Y. Yoshida, T. Ohtani, T. Okamura, M. Masada, R. Kikkawa, K. Kodama, and A. Kashiwagi
Coronary endothelial dysfunction in the insulin-resistant state is linked to abnormal pteridine metabolism and vascular oxidative stress
J. Am. Coll. Cardiol., December 1, 2001; 38(7): 1821 - 1828.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
S. Kanaya, H. Ikeda, N. Haramaki, T. Murohara, and T. Imaizumi
Intraplatelet Tetrahydrobiopterin Plays an Important Role in Regulating Canine Coronary Arterial Thrombosis by Modulating Intraplatelet Nitric Oxide and Superoxide Generation
Circulation, November 13, 2001; 104(20): 2478 - 2484.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
T. Gori, S. S. Mak, S. Kelly, and J. D. Parker
Evidence supporting abnormalities in nitric oxide synthase function induced by nitroglycerin in humans
J. Am. Coll. Cardiol., October 1, 2001; 38(4): 1096 - 1101.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
T. Gori, J. M. Burstein, S. Ahmed, S. E.S. Miner, A. Al-Hesayen, S. Kelly, and J. D. Parker
Folic Acid Prevents Nitroglycerin-Induced Nitric Oxide Synthase Dysfunction and Nitrate Tolerance: A Human In Vivo Study
Circulation, September 4, 2001; 104(10): 1119 - 1123.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
Z. S. Katusic
Vascular endothelial dysfunction: does tetrahydrobiopterin play a role?
Am J Physiol Heart Circ Physiol, September 1, 2001; 281(3): H981 - H986.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
S. Setoguchi, M. Mohri, H. Shimokawa, and A. Takeshita
Tetrahydrobiopterin improves endothelial dysfunction in coronary microcirculation in patients without epicardial coronary artery disease
J. Am. Coll. Cardiol., August 1, 2001; 38(2): 493 - 498.
[Abstract] [Full Text] [PDF]


Home page
Circ. Res.Home page
K. Shinozaki, Y. Nishio, T. Okamura, Y. Yoshida, H. Maegawa, H. Kojima, M. Masada, N. Toda, R. Kikkawa, and A. Kashiwagi
Oral Administration of Tetrahydrobiopterin Prevents Endothelial Dysfunction and Vascular Oxidative Stress in the Aortas of Insulin-Resistant Rats
Circ. Res., September 29, 2000; 87(7): 566 - 573.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
R. Heller, A. Unbehaun, B. Schellenberg, B. Mayer, G. Werner-Felmayer, and E. R. Werner
L-Ascorbic Acid Potentiates Endothelial Nitric Oxide Synthesis via a Chemical Stabilization of Tetrahydrobiopterin
J. Biol. Chem., January 5, 2001; 276(1): 40 - 47.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
M. E. Hyndman, S. Verma, R. J. Rosenfeld, T. J. Anderson, and H. G. Parsons
Interaction of 5-methyltetrahydrofolate and tetrahydrobiopterin on endothelial function
Am J Physiol Heart Circ Physiol, June 1, 2002; 282(6): H2167 - H2172.
[Abstract] [Full Text] [PDF]




HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
Copyright © 2000 by the American College of Cardiology Foundation.