Objective-Overproduction of reactive oxygen species such as hydrogen peroxide (H 2 O 2 ) has been implicated in various cardiovascular diseases. However, mechanism(s) underlying coronary vascular dysfunction induced by H 2 O 2 is unclear. We studied the effect of H 2 O 2 on dilation of coronary arterioles to endothelium-dependent and endothelium-independent agonists. Methods and Results-Porcine coronary arterioles were isolated and pressurized without flow for in vitro study. All vessels developed basal tone and dilated dose-dependently to activators of nitric oxide (NO) synthase (adenosine and ionomycin), cyclooxygenase (arachidonic acid), and cytochrome P450 monooxygenase (bradykinin). Intraluminal incubation of vessels with H 2 O 2 (100 mol/L, 60 minutes) did not alter basal tone but inhibited vasodilations to adenosine and ionomycin in a manner similar as that by NO synthase inhibitor L-NAME. H 2 O 2 affected neither endothelium-dependent responses to arachidonic acid and bradykinin nor endothelium-independent dilation to sodium nitroprusside. The inhibited adenosine response was not reversed by removal of H 2 O 2 but was restored by excess L-arginine. Inhibition of L-arginine consuming enzyme arginase by ␣-difluoromethylornithine or N -hydroxy-nor-Larginine also restored vasodilation. Administering deferoxamine, an inhibitor of hydroxyl radical production, prevented the H 2 O 2 -induced impairment of vasodilation to adenosine. Western blot and reverse-transcription polymerase chain reaction results indicated that arginase I was upregulated after treating vessels with H 2 O 2 . Key Words: endothelium Ⅲ free radicals Ⅲ hydrogen peroxide Ⅲ nitric oxide R eactive oxygen species (ROS) from mitochondria and other subcellular sources have been regarded as toxic byproducts of metabolism, especially when excessive production of ROS outstrips endogenous antioxidant defense mechanisms. 1 However, ROS are also known to influence the expression of a number of genes and signal transduction pathways 2 and are thought to act as subcellular messengers for certain growth factors. 3 Interestingly, several cardiovascular diseases with diverse etiologies, such as atherosclerosis, 4 hypertension, 5 vascular complications in diabetes, 6 and after ischemia/reperfusion injury 7 are associated with the common hallmarks of increased oxidative stress and endothelial cell dysfunction. 8 Although the molecular basis of endothelial dysfunction is not completely understood, numerous studies point to the reduction of nitric oxide (NO) biosynthesis and/or bioactivity as a major mechanism. 9 However, the underlying cellular mechanisms contributing to the reduction of NO-mediated effects remain unclear.
Conclusions-H
See page 1931Perfusion of coronary artery with H 2 O 2 has recently been shown to impair vasodilation in response to NO-mediated agonists; 10 however, the studies suggested that endothelial dysfunction caused by H 2 O 2 was not mediated by the disruption of arginine-NO pathway. 11 In fact, NO synthase (NOS) activity and its exp...