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First 11 pages of thesis. - OPUS - Universität Würzburg

First 11 pages of thesis. - OPUS - Universität Würzburg

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state <strong>of</strong> decreased nitric oxide bioavailability. In contrast, our data shows that<br />

iNOS increases total nitric oxide production <strong>of</strong> the vessel wall in the apoE ko<br />

model. Since iNOS activity is not regulated by calcium influx, the iNOS<br />

mediated nitric oxide production does not locally mediate endothelium derived<br />

vasorelaxation. Instead, the iNOS mediated increased nitric oxide production<br />

observed during bacterial sepsis can result in life threatening hypotension due<br />

to systemic vasorelaxation 204 . Our study is consistent with the previously<br />

published report by Minor et al., who showed increased nitrogen oxides in the<br />

aorta <strong>of</strong> atherosclerotic rabbits 205 . This study employed an indirect method for<br />

nitric oxide detection and didn’t specify the source <strong>of</strong> nitric oxide production.<br />

Thus, the induction <strong>of</strong> iNOS expression in atherosclerosis results in increased<br />

vascular nitric oxide production, compared to wild type mice.<br />

Increased superoxide production can decrease nitric oxide bioavailability<br />

and result in proatherogenic oxidative stress. Aside from other enzymatic<br />

sources <strong>of</strong> superoxide, iNOS itself may contribute directly to superoxide<br />

production. Therefore, we evaluated superoxide production in apoE ko and<br />

apoE/iNOS dko mice. Employing two independent direct methods, we found a<br />

significant decrease in vascular wall superoxide production in apoE/iNOS dko,<br />

compared to apoE ko. In addition, total vascular reactive oxygen species (ROS)<br />

production, assessed by measuring the conversion <strong>of</strong> CMH to nitroxide CM .<br />

was significantly reduced in apoE/iNOS dko, compared to apoE ko animals<br />

(data not shown). Since decreased oxidative stress in chronically iNOS deficient<br />

mice could also result from secondary changes, i.e. iNOS mediated regulation<br />

<strong>of</strong> gene expression; we tested whether acute pharmacological iNOS inhibition<br />

reduces vascular superoxide production. And indeed, pretreatment <strong>of</strong> the<br />

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