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First 11 pages of thesis. - OPUS - Universität Würzburg

First 11 pages of thesis. - OPUS - Universität Würzburg

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under conditions <strong>of</strong> substrate or co-factor deficiency, nNOS uncouples to<br />

generate superoxide <strong>11</strong>7, 121 . It was recently shown that induced expression <strong>of</strong><br />

nNOS in neuroepithelial cells 202 and over expression <strong>of</strong> nNOS in neuroblastoma<br />

cells resulted in increased nNOS mediated superoxide formation 203 . These<br />

results are consistent with our observation in atherosclerotic vessel where the<br />

expression <strong>of</strong> nNOS is induced during atherosclerosis 164 .<br />

4.3 iNOS generates nitric oxide and superoxide simultaneously<br />

in apoE ko vessels<br />

Our ESR measurements show that iNOS significantly contributes to nitric<br />

oxide production in the vasculature <strong>of</strong> atherosclerotic apoE ko mice.<br />

Interestingly, total aortic nitric oxide formation is increased in apoE ko,<br />

compared to healthy wild type C57Bl6 mice. Vascular nitric oxide production in<br />

apoE/iNOS dko mice was reduced to the levels <strong>of</strong> C57Bl6 mice, suggesting that<br />

the source <strong>of</strong> increased nitric oxide production in apoE ko mice is iNOS. Since<br />

iNOS is expressed in smooth muscle cells and leukocytes in the plaque, these<br />

cell types mediate the additional aortic nitric oxide production 164 . iNOS is<br />

regulated transcriptionally and catalyses the production <strong>of</strong> high concentrations<br />

<strong>of</strong> nitric oxide, once the enzyme is expressed. In contrast, eNOS and nNOS<br />

produce low amounts <strong>of</strong> nitric oxide in a highly regulated way.<br />

Indirect measurements <strong>of</strong> nitric oxide like the L-arginine to L-citrulline<br />

conversion assay and cGMP levels suggest that there is reduced eNOS<br />

activity in atherosclerotic vessels 67 . The impaired endothelial nitric oxide<br />

production results in impaired endothelial vasodilator function also termed<br />

endothelial dysfunction. Therefore, atherosclerosis is generally considered a<br />

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