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First 11 pages of thesis. - OPUS - Universität Würzburg

First 11 pages of thesis. - OPUS - Universität Würzburg

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Interestingly, BH4 supplementation resulted in decreased atherosclerosis,<br />

decreased superoxide and increased nitric oxide in this transgenic mice. Taken<br />

together, all these studies show that the presence <strong>of</strong> a functionally active eNOS<br />

is essential for the prevention <strong>of</strong> atherosclerosis.<br />

1.6.2 Role <strong>of</strong> nNOS in cardiovascular diseases<br />

Nitric oxide generated by nNOS functions as a non-adrenergic non-<br />

cholinergic neurotransmitter in the autonomous nervous system. Non-<br />

adrenergic non-cholinergic perivascular nerves (nitrergic nerves) found in the<br />

adventitia <strong>of</strong> cerebral and certain peripheral arteries (e.g. mesenteric, renal and<br />

femoral arteries) contain nNOS. In perivascular nitrergic nerves, nNOS derived<br />

nitric oxide causes relaxation <strong>of</strong> adjacent vascular smooth muscle cells,<br />

counterbalancing vasoconstriction mediated by the sympathetic nervous<br />

system 152 . nNOS expressed in cardiomyocytes plays an important role in<br />

regulating cardiac function 153 . In this respect, deletion <strong>of</strong> nNOS resulted in a<br />

higher heart rate and decreased heart rate variance compared to wildtype<br />

mice 154 . Genetic deficiency <strong>of</strong> nNOS resulted in increased myocardial infarction<br />

size and increased superoxide formation suggesting that nNOS serves a<br />

protective role in myocardial injury 155 . Following myocardial reperfusion injury,<br />

lack <strong>of</strong> nNOS resulted in a significant increase in cardiac polymorphonuclear<br />

leukocyte infiltration 156 .<br />

Recent studies have shown the expression <strong>of</strong> nNOS in normal vascular<br />

smooth muscle cells <strong>of</strong> carotid 157 , coronary 158 and pulmonary 159 arteries and the<br />

aorta 160 . In the absence <strong>of</strong> functional eNOS under pathophysiological<br />

conditions, nNOS may regulate normal vascular tone 160 . Further, studies have<br />

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