Mülsch A, Mordvintcev P, Bassenge E, Jung F, Clement B, Busse R
Center of Physiology, Johann-Wolfgang-Goethe University Clinic, Frankfurt, Germany.
Circulation. 1995 Oct 1;92(7):1876-82. doi: 10.1161/01.cir.92.7.1876.
The objectives of this study were (1) to assess glyceryl trinitrate (GTN)-derived nitric oxide (NO) formation in vascular tissues and organs of anesthetized rabbits in vivo, (2) to establish a correlation between tissue NO levels and a biological response, and (3) to verify biotransformation of GTN to NO by cytochrome P-450.
NO was trapped in tissues in vivo as a stable paramagnetic mononitrosyl-iron-diethyldithiocarbamate complex [NOFe(DETC)2]. After removal of the tissues, NO was determined by cryogenic electron spin resonance spectroscopy. NO formation in vitro was assessed by spin trapping and by activation of soluble guanylyl cyclase. The GTN-elicited decrease in coronary perfusion pressure was monitored in isolated, constant-flow perfused rabbit hearts. NO was not detected in control tissues. In GTN-treated rabbits, NO formation was higher in organs than in vascular tissues and higher in venous than in arterial vessels. In isolated hearts, ventricular NO levels and decreases in coronary perfusion pressure achieved by GTN were closely correlated. Purified cytochrome P-450 catalyzed NO formation from GTN in a P-450-NADPH reductase- and NADPH-dependent fashion.
Since GTN-derived NO formation in myocardial tissue correlates to the GTN-elicited vasodilator response, we conclude that GTN-derived NO detected in vivo correlates with the systemic effects of GTN. Therefore, the higher rate of NO formation detected in veins compared with arteries explains the preferential venodilator activity of GTN. High NO formation in cytochrome P-450-rich organs in vivo and efficient NO formation from GTN by cytochrome P-450 in vitro highlights the importance of this pathway for NO formation from GTN in the intact organism.
本研究的目的是:(1)评估麻醉兔体内血管组织和器官中甘油三硝酸酯(GTN)衍生的一氧化氮(NO)的形成;(2)建立组织NO水平与生物学反应之间的相关性;(3)验证细胞色素P-450将GTN生物转化为NO的过程。
在体内,NO作为稳定的顺磁性单亚硝基-铁-二乙基二硫代氨基甲酸盐复合物[NOFe(DETC)2]被困在组织中。去除组织后,通过低温电子自旋共振光谱法测定NO。通过自旋捕获和可溶性鸟苷酸环化酶的激活来评估体外NO的形成。在离体的、恒流灌注的兔心脏中监测GTN引起的冠状动脉灌注压降低。在对照组织中未检测到NO。在接受GTN治疗的兔子中,器官中NO的形成高于血管组织,静脉中高于动脉血管。在离体心脏中,心室NO水平与GTN引起的冠状动脉灌注压降低密切相关。纯化的细胞色素P-450以依赖P-450-NADPH还原酶和NADPH的方式催化GTN形成NO。
由于心肌组织中GTN衍生的NO形成与GTN引起的血管舒张反应相关,我们得出结论,体内检测到的GTN衍生的NO与GTN的全身效应相关。因此,与动脉相比,静脉中检测到的静脉中较高的NO形成速率解释了GTN优先的静脉扩张活性。体内富含细胞色素P-450的器官中NO形成率高,以及体外细胞色素P-450能有效地将GTN转化为NO,这突出了该途径在完整生物体中由GTN形成NO的重要性。