Vascular Biology |
From the Department of Pharmacology, Johannes Gutenberg University, Mainz, Germany.
Correspondence to Dr Petra M. Schwarz, Department of Pharmacology, Johannes Gutenberg University, Obere Zahlbacher Strasse 67, 55101 Mainz, Germany. E-mail petra.schwarz{at}uni-mainz.de
| Abstract |
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Key Words: smooth muscle NG-nitro-L-arginine potassium chloride RNase protection analysis Western blot immunohistochemistry
| Introduction |
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In skeletal muscle, all 3 isoforms of NOS have been described. NOS I is localized at the sarcolemma and especially enriched at the neuromuscular end plate.2 3 4 In the rat, skeletal muscle expresses an alternatively spliced form of NOS I, namely, µNOS I, that contains a 102-nucleotide (nt)/34amino acid insert after nucleotide 2865 of the NOS I cDNA.5 NOS II has been found to be constitutively expressed in type I fibers of guinea pig skeletal muscle.2 The expression could be further increased with LPS.2 Immunohistochemical evidence indicating the presence of NOS III in rat skeletal muscle has also been published.6 This isoform has been localized mainly to mitochondria.6 Skeletal musclederived NO is likely to participate in the regulation of contractile function.2 3
Cardiac myocytes, another type of muscle cells, have been reported to express NOS III constitutively.7 This isoform seems to mediate the muscarinic cholinergic attenuation of contractile responsiveness to ß-adrenergic agonists.7 However, the same study failed to detect NOS I in ventricular myocytes.7 NOS II has been shown to be induced in cardiac myocytes by cytokines.8 9
Recently, NOS I immunoreactivity has been described in the media of the carotid artery of both normotensive and spontaneously hypertensive rats.10 In hypertensive rats, NO produced by this enzyme negatively modulated the contractions induced by angiotensin II.10 Exposure of cultured human aortic smooth muscle cells to fluid flow has been shown to result in an increased NO production.11 Western blots demonstrated that the only isoform expressed by these cells was NOS I.11 Another study using Western blot analysis showed a low expression of NOS III protein in endothelium-denuded rat aorta.12 This expression increased when animals were treated with monocrotaline to induce heart failure.12 NOS II is not normally present in vascular smooth muscle cells but can be induced by cytokines or LPS.13 14
These somewhat controversial findings prompted us to investigate whether vascular smooth muscle and adventitia of an intact artery, namely, rat aorta, express a NOS isoform constitutively, to identify the isoform(s), and to test the possible functional significance of this expression for the modulation of vascular tone. We demonstrate that NOS III expression is clearly restricted to the endothelium. The nonendothelial components of rat aorta show a clearly detectable expression of NOS I>µNOS I. Functional studies with endothelium-denuded rat aortic rings indicate that this enzyme can modulate vascular contractility under conditions in which intracellular calcium levels are elevated (eg, after KCl depolarization).
| Materials and Methods |
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RNA Isolation and RT-PCR
Total RNA was isolated from aorta (intact,
endothelium-denuded, or medial layer alone), rat
cerebellum, and gastrocnemius muscle by acid guanidinium
thiocyanate/phenol/chloroform extraction.15 RNA (2 µg)
was annealed with 40 ng random hexamer primers and reverse-transcribed
with SuperScript reverse transcriptase according to the manufacturers
instructions. Reverse transcription (RT)-generated cDNAs encoding for
rat NOS I, µNOS I, and
-actin were amplified by polymerase chain
reaction (PCR) as described previously (40 cycles).16 The
primer pairs specific for NOS I, µNOS I, and
-actin were selected
by analysis of the published cDNA sequences
(Table
).5 17 18 PCR products were separated on 1.8%
agarose gels in Tris borate/EDTA buffer containing 0.5 µg/mL ethidium
bromide.
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Cloning of Rat NOS I/µNOS I and
-Actin cDNA Fragments
The amplified cDNA fragments (µNOS I, 380 base pairs [bp];
-actin, 353 bp) were cloned into the EcoRV site of vector
pCR-Script with a SureClone Ligation Kit, generating the cDNA clones
pCR-µNOS I-rat and pCR-
-actin-rat. µNOS I and
-actin cDNAs
were sequenced by use of the dideoxy-mediated chain termination method
(T7Sequencing Kit, Pharmacia).
Preparation of Antisense RNA Probes and RNase Protection
Analyses
To generate radiolabeled antisense RNA probes for RNase
protection analyses, the cDNA clones pCR-µNOS I-rat and
pCR-
-actin-rat were linearized with EcoRI and
AspI, respectively, extracted with phenol/chloroform, and
concentrated by ethanol precipitation. These DNAs (0.5 µg) were in
vitrotranscribed for 60 minutes at 37°C by using T3/T7 RNA
polymerase and [
-32P]UTP. Then, the template
DNA was degraded with DNase I (RNase free, 10 U/µL) for 45 minutes at
37°C, and the labeled RNA was precipitated with ethanol.
RNase protection analyses were performed with the above
[
-32P]UTP-labeled probes as
described.19 Briefly, after a denaturation step for 10
minutes at 85°C, 20 µg of total RNA (isolated as described above)
was hybridized for 14 hours at 51°C with a 200 000 cpmlabeled NOS
I/µNOS I cRNA probe (435 nt) and a 30 000 cpmlabeled
-actin
cRNA probe (183 nt) in hybridization buffer (40 mol/L PIPES [pH 6.7],
400 mmol/L NaCl, 1 mmol/L EDTA, and 50% formamide). Then,
the hybridization mixture was incubated for 30 minutes at 30°C with
300 µL digestion buffer (10 mmol/L Tris HCl [pH 7.4], 300
mmol/L NaCl, and 5 mmol/L EDTA) containing 3.5 µg RNase A and 25
U RNase T1. The reaction was stopped by addition of 70 µL of a buffer
(10 mmol/L Tris HCl [pH 7.8], 5 mmol/L EDTA, and 2.85%
SDS) containing 70 µg proteinase K. After incubation for 15 minutes
at 37°C and phenol/chloroform extraction, the samples were
concentrated by ethanol precipitation and analyzed by
electrophoresis using 6% polyacrylamide/8 mol/L urea gels.
Gels were dried and exposed to x-ray films for
3 days. Densitometric
analyses were performed using the PhosphoImager system
(Bio-Rad). The protected RNA fragments for NOS I, µNOS I, and
-actin were 302, 377, and 110 nt, respectively.
Western Blotting
For Western blotting, the aorta (intact,
endothelium-denuded, or medial layer alone),
cerebellum, and gastrocnemius muscle were homogenized on
ice. Combined soluble and CHAPS-solubilized particulate fractions (100
µg each) were separated on 5% or 7.5% SDS-polyacrylamide
gels and electroblotted to nitrocellulose membranes (Schleicher &
Schuell).20 21 Blots were blocked for 60 minutes at room
temperature in Tris-buffered saline (TBS, consisting of 10 mmol/L
Tris HCl [pH 7.4] and 154 mmol/L NaCl) containing 5% (wt/vol)
nonfat dry milk and 0.05% (wt/vol) Tween 20. They were then incubated
overnight at 4°C with rabbit polyclonal antibodies to NOS I
(1:2000)22 or NOS II (1:1000)23 or a mouse
monoclonal antibody to NOS III (1:500) in PBS containing 1% (wt/vol)
bovine serum albumin and 0.1% (wt/vol) Tween 20. After 3
washes with TBS containing 5% (wt/vol) nonfat dry milk and 0.05%
(wt/vol) Tween 20, the blots were incubated for 60 minutes at room
temperature with a goat anti-rabbit or a horse anti-mouse alkaline
phosphataseconjugated secondary antibody. After 3 washes with TBS
containing 0.05% (wt/vol) Tween 20, bands were visualized with
5-bromo-4-chloro-3-indolyl phosphate/nitro blue tetrazolium
chloride.
Immunohistochemistry
To detect NOS I in rat aorta, serial sections of 10 µm
were made with a cryostat (Leica). The sections were fixed for 5
minutes in 4% (wt/vol) paraformaldehyde at 4°C.
Immunohistochemistry was performed as described
previously.16 Briefly, after blocking of
endogenous peroxidase and biotin, sections were washed for
10 minutes in antibody incubation medium (4% [wt/vol] nonfat dry
milk and 0.3% [vol/vol] Triton X-100 in PBS). They were then
incubated for 30 minutes in a 1:10 dilution of normal serum from
the species in which the secondary antibody was generated (goat or
horse). Sections were incubated overnight at 4°C with one of the
following primary antibodies: a rabbit polyclonal antibody to NOS I
(1:500) and a mouse monoclonal antibody to NOS III (1:100). Sections
were washed in incubation medium and then incubated for 60 minutes with
the secondary biotinylated antibody (1:100, a goat anti-rabbit IgG or a
horse anti-mouse IgG). After several washes in PBS, cells were exposed
for 20 minutes to an avidin DH-biotinylated horseradish peroxidase H
complex (1:100 in PBS, Vectastain Elite ABC Kit). The chromogen
reaction was performed with 3,3'-diaminobenzidine (DAB peroxidase
substrate tablet set). Cells were washed in distilled water, mounted in
glycerol gelatin, and coverslipped. In control experiments, the primary
antibodies were replaced with rabbit preimmune serum or mouse
IgG.
Measurement of Vascular Responses
Rat aortic segments were obtained as described above. Then,
vascular rings of 3-mm length were prepared.
Endothelium was removed by gently rubbing the intimal
surface with a stainless steel wire. The rings were incubated at 37°C
in 5-mL organ baths in modified Krebs solution of the following
composition (mmol/L): NaCl 118.0, KCl 4.7,
KH2PO4 1.2,
CaCl2 · 2H2O 2.5,
MgSO4 · 7H2O 1.2,
NaHCO3 25.0, and glucose 10.6. The solution was
aerated continuously with 95% O2 and 5%
CO2. The pH was 7.4. Isometric tension of the
aortic rings was recorded with force transducers coupled to DC
amplifiers and a pen recorder. The initial load on the tissues was
adjusted to 1 g. Before the actual experiment, preparations were
allowed to stabilize for
1 hour. Rings were precontracted several
times with 0.1 µmol/L norepinephrine (NE) until the
contractile response was reproducible. The absence of
endothelium was verified by a complete loss of
relaxation to acetylcholine (1 µmol/L). Then,
concentration-response curves were generated with either KCl (5 to
90 mmol/L) or NE (0.1 nmol/L to 1 µmol/L). When the KCl
concentration was increased, the appropriate amounts of NaCl were
omitted to maintain osmolarity. After a washout period, rings were
incubated for 30 minutes with 300 µmol/L
NG-nitro-L-arginine
(L-NNA). Then, a second concentration-response curve was generated with
KCl and NE in the presence of the NOS inhibitor.
Data Analysis
Data represent mean±SEM. Statistical differences were
determined by factorial ANOVA followed by the Fisher protected least
significant difference test for comparison of multiple means.
Materials
The DAB peroxidase substrate tablet set, goat anti-rabbit
antibody conjugated to alkaline phosphatase, horse anti-mouse antibody
conjugated to alkaline phosphatase, mouse immunoglobulin G, LPS from
Escherichia coli (serotype 055:B5), L-NNA, and
(-)-norepinephrine bitartrate salt were obtained from
Sigma Chemical. SuperScript reverse transcriptase was from Life
Technologies. EcoRI, EcoRV, random hexamer
primer, the SureClone Ligation Kit, Taq DNA polymerase, Taq polymerase
reaction buffer, and the T7Sequencing Kit were
from Pharmacia. pCR-Script was from Stratagene. AspI, DNase
I, RNase A, RNase T1, proteinase K, and T3 RNA polymerase were from
Boehringer-Mannheim. [
-32P]UTP was
from ICN. Biotinylated goat anti-rabbit IgG, biotinylated horse
anti-mouse IgG, goat normal serum, horse normal serum, and the
Vectastain Elite ABC Kit were from Vector Laboratories. Mouse
monoclonal antibody to NOS III was from Transduction Laboratories.
| Results |
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In a second approach, the same antisense primer was used but was
combined with a sense primer specific for the µNOS I insert (Figure 2
). This yielded a 380-bp fragment in
gastrocnemius muscle (Figure 2
). This fragment was amplified to
a lesser extent from RNAs from cerebellum and aorta (intact,
endothelium-denuded, or medial layer alone; Figure 2
). The amplified 380-bp cDNA fragment from
endothelium-denuded rat aorta was cloned into the
EcoRV site of vector pCR-Script. Its sequence was found to
be 100% identical to the sequence reported for rat skeletal
muscle,5 thereby demonstrating that µNOS mRNA is
expressed in the endothelium-denuded aorta.
|
An antisense RNA probe generated from this µNOS-specific
sequence was used in subsequent RNase protection analyses.
Because this probe overlaps the µNOS insert, it recognizes both NOS I
and µNOS I mRNAs. As expected, RNA from gastrocnemius muscle showed
mainly the 377-nt fragment for µNOS I (95.3±3.7% of total, n=5;
Figure 3
). RNA from cerebellum produced
predominantly the 302-nt fragment of brain-type NOS I, but contained
9.6±1.9% µNOS I mRNA (n=5, Figure 3
). Also, the
endothelium-denuded aorta contained brain-type NOS I
and µNOS I mRNA with brain-type NOS I representing
92.1±2.8% of total (n=5). In the medial layer alone, the overall
amount of both NOS I subforms was less than in total aorta, but the
relative amounts of NOS I and µNOS I remained about the same (with
µNOS I representing 8.7±1.5% of total, n=5; Figure 3
).
|
Detection of NOS Protein in Rat Aorta
Western blots (from 5% SDS-polyacrylamide gels) using a
specific polyclonal antibody to NOS I and µNOS I demonstrated the
160-kd NOS I protein in the combined soluble and CHAPS-solubilized
particulate fractions of the cerebellum, the
endothelium-denuded aorta, and the medial layer alone
(Figure 4A
). A slightly larger protein
(probably µNOS I) was found in gastrocnemius muscle. This larger
protein was also seen in cerebellum,
endothelium-denuded aorta, and the medial layer alone
(Figure 4A
). On 7.5% SDS-polyacrylamide gels, the 2
protein bands could not be distinguished (n=3, data not shown).
Endothelium-intact and
endothelium-denuded aortas did not differ in their NOS
I/µNOS I content (n=3, data not shown). Homogenates from
total aorta showed a 135-kd NOS III band with the antiNOS III
antibody (Figure 4B
). This band disappeared when the
endothelium or the endothelium plus
adventitia was removed (Figure 4B
). Western blots using a
polyclonal antiNOS II antibody demonstrated the 130-kd NOS II protein
in LPS-induced aortas but not in normal aortas (n=4, data not
shown).
|
Immunohistochemistry
To determine the cellular location of the NOS isoforms in
rat aorta, sections were first stained with a polyclonal antibody
recognizing NOS I and µNOS I. NOS I/µNOS I immunoreactivity was
found in the smooth muscle layer of the aorta (Figure 5A
). NOS I/µNOS I immunoreactive
material was also detected in the adventitia (Figure 5B
). The
endothelium showed no NOS I/µNOS I immunoreactivity
(Figure 5A
). Immunoreactivity was lost when the antiNOS I
antibody was replaced with preimmune serum (Figure 5D
and 5E
).
Staining with a monoclonal antibody to NOS III was clearly restricted
to the endothelium (Figure 5C
); Figure 5F
shows a negative control.
|
Functional Significance of NOS I/µNOS I in Rat Aorta for
Regulation of Vascular Tone
When endothelium-denuded aortic rings were
constricted with increasing concentrations of KCl (5 to 90
mmol/L), the addition of the NOS inhibitor L-NNA (300
µmol/L) produced a marked increase in the contractile response
(Figure 6A
). In contrast, when
tension was induced with NE (0.1 nmol/L to 1 µmol/L), the
maximum contraction remained unchanged in the presence of 300
µmol/L L-NNA (Figure 6B
). Only at low concentrations of NE was
a small increase in the contractile response detectable with the NOS
inhibitor (Figure 6B
).
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| Discussion |
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Controversial information has been published concerning the presence of
NOS in vascular smooth muscle. Recently, it has been shown by Western
blot that the smooth muscle layer of rat aorta expresses
22% of NOS
III protein of the total aorta.12 This expression
increased when rats were treated with monocrotaline to induce heart
failure.12 On the other hand, Western blots of protein
from cultured human aortic smooth muscle cells demonstrated a specific
NOS I signal but showed no immunoreactivity for NOS II and NOS
III.11 While the present study was under review,
another study appeared demonstrating NOS I protein in the media of the
rat carotid artery.10 Our Western blot and
immunohistochemistry data (Figures 4
and 5
) clearly indicate
that NOS III is expressed only in the endothelium and
not in the medial layer of rat aorta. On the other hand, Western blots
and staining of aortic sections with our antiNOS I antibody showed
specific immunoreactivity in only the smooth muscle layer and not in
the endothelium of rat aorta. Therefore, our results
agree with the data involving NOS I expression in cultured human aortic
smooth muscle cells and carotid arteries.10 11
NOS I is subject to alternative splicing.1 In the rat, an additional 102-bp insert between exons 16 and 17 corresponds to an alternatively spliced isoform in skeletal muscle, referred to as µNOS I.5 A µNOS Ispecific antibody detected the resulting 164-kd protein in differentiated skeletal muscle and heart.5 µNOS I has been reported to have the same activity as brain-type NOS I.5 Another group cloned the same µNOS I cDNA from rat penile corpora cavernosa.24 This subform was expressed alone in rat penis, urethra, prostate, and skeletal muscle and was coexpressed with brain-type NOS I in the pelvic plexus, bladder, and cerebellum.
Therefore, we decided to investigate whether rat vascular smooth
muscle, the third muscle cell type besides skeletal muscle and heart,
also expresses µNOS I alone or together with brain-type NOS I. We
compared NOS I/µNOS I RNA and protein expression in rat aorta with
that of cerebellum (positive control for brain-type NOS I) and with
gastrocnemius muscle (positive control for µNOS I). Preliminary
studies with rat aorta and cultured endothelial cells
have clearly indicated that NOS I/µNOS expression is absent from
endothelial cells. Two different RT-PCR approaches and
RNase protection analyses have clearly demonstrated that µNOS
I mRNA is expressed as a minor form together with brain-type NOS I in
the adventitia and the medial layer of the rat aorta (Figures 1 to 3![]()
![]()
). PCR is nonquantitative by definition. If 2 competing templates
are present in different amounts, it is not unusual that only one
dominant band is amplified. In Figures 1
and 2
, this is shown
for cerebellum and aorta. Therefore, only RNase protection
analyses have been used for quantification (see Figure 3
). Additional evidence for the expression of µNOS I came from
the sequencing of a µNOS I fragment cloned from
deendothelialized rat aorta. Interestingly, the
NOS I/µNOS I ratio in the aortic wall is similar to that in
cerebellum, which also expresses µNOS I as a minor splice variant
(Figures 1 to 3![]()
![]()
).
Western blot analyses of gastrocnemius muscle showed a protein
that was slightly larger than the 160-kd NOS I protein in cerebellum
(Figure 4
). The small difference in molecular weight became
apparent only when the proteins were separated on 5%
SDS-polyacrylamide gels. It seems likely that the larger
protein is µNOS I. The larger protein band was also detected in rat
cerebellum, where, however, the 160-kd protein prevailed. The
endothelium-denuded aorta also expressed the 160-kd NOS
I protein together with the slightly larger protein. Removal of the
adventitia resulted in a reduction of brain-type NOS I expression,
whereas the larger protein remained largely unimpaired.
To demonstrate a potential functional significance of NOS I/µNOS I in the regulation of vascular tone, endothelium-denuded rat aortic rings were constricted with the physiological vasoconstrictor NE. Blocking NOS activity with L-NNA produced only a small increase in tension at lower NE concentrations. NE is known to induce only a transient increase in free intracellular calcium levels in smooth muscle as well as phosphorylation of myosin light chain.25 26 However, free intracellular calcium levels rapidly return to basal or even below basal levels while tone is maintained (for review see Reference 2727 ) Therefore, the calcium-regulated NOS I is probably inactive again at the time when a stable tension plateau is reached. Consequently, in a second approach, we induced tension with the membrane-depolarizing agent KCl. Under these conditions, free intracellular calcium levels stay elevated for a longer period of time, and L-NNA produces a marked increase in contraction. This suggests that under these conditions, NOS I/µNOS I is active and negatively contributes to the tension reached. Thus, under conditions of elevated free calcium levels in vascular smooth muscle (eg, in hypertension), the NOS I/µNOS I system, in addition to the predominant endothelial NOS III, may be relevant in controlling vascular tone.
We conclude from our data that 2 subforms of NOS I are expressed in nonendothelial structures of rat aorta: the brain-type NOS I and the skeletal muscletype µNOS I, with NOS I being the predominant form. Their distribution in the vascular wall differs from that of skeletal muscle (where µNOS I prevails) and resembles that of the cerebellum (which expresses mainly the NOS I). NOS I/µNOS I may serve as a backup system to the predominant endothelial NOS III in certain pathophysiological conditions.
| Acknowledgments |
|---|
Received February 9, 1998; accepted March 25, 1999.
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C. Gonzalez, A. M. Corbacho, J. P. Eiserich, C. Garcia, F. Lopez-Barrera, V. Morales-Tlalpan, A. Barajas-Espinosa, M. Diaz-Munoz, R. Rubio, S.-H. Lin, et al. 16K-Prolactin Inhibits Activation of Endothelial Nitric Oxide Synthase, Intracellular Calcium Mobilization, and Endothelium-Dependent Vasorelaxation Endocrinology, December 1, 2004; 145(12): 5714 - 5722. [Abstract] [Full Text] [PDF] |
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I. N. Mungrue and D. S. Bredt nNOS at a glance: implications for brain and brawn J. Cell Sci., June 1, 2004; 117(13): 2627 - 2629. [Full Text] [PDF] |
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C. R. Rosenfeld, C. Chen, T. Roy, and X.-T. Liu Estrogen Selectively Up-Regulates eNOS and nNOS in Reproductive Arteries By Transcriptional Mechanisms Reproductive Sciences, May 1, 2003; 10(4): 205 - 215. [Abstract] [PDF] |
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J. C. Sullivan, A. D. Giulumian, D. M. Pollock, L. C. Fuchs, and J. S. Pollock Functional NOS 1 in the rat mesenteric arterial bed Am J Physiol Heart Circ Physiol, August 1, 2002; 283(2): H658 - H663. [Abstract] [Full Text] [PDF] |
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I. B. BUCHWALOW, T. PODZUWEIT, W. BOCKER, V. E. SAMOILOVA, S. THOMAS, M. WELLNER, H. A. BABA, H. ROBENEK, J. SCHNEKENBURGER, and M. M. LERCH Vascular smooth muscle and nitric oxide synthase FASEB J, April 1, 2002; 16(6): 500 - 508. [Abstract] [Full Text] [PDF] |
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R. C. Tambascia, P. M. Fonseca, P. D. C. Corat, H. Moreno Jr, M. J. A. Saad, and K. G. Franchini Expression and Distribution of NOS1 and NOS3 in the Myocardium of Angiotensin II-Infused Rats Hypertension, June 1, 2001; 37(6): 1423 - 1428. [Abstract] [Full Text] [PDF] |
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U. Hink, H. Li, H. Mollnau, M. Oelze, E. Matheis, M. Hartmann, M. Skatchkov, F. Thaiss, R. A. K. Stahl, A. Warnholtz, et al. Mechanisms Underlying Endothelial Dysfunction in Diabetes Mellitus Circ. Res., February 2, 2001; 88 (2): e14 - e22. [Abstract] [Full Text] [PDF] |
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A. L. Kleschyov, B. Muller, T. Keravis, M.-E. Stoeckel, and J.-C. Stoclet Adventitia-derived nitric oxide in rat aortas exposed to endotoxin: cell origin and functional consequences Am J Physiol Heart Circ Physiol, December 1, 2000; 279(6): H2743 - H2751. [Abstract] [Full Text] [PDF] |
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K. M. Channon, H. Qian, and S. E. George Nitric Oxide Synthase in Atherosclerosis and Vascular Injury : Insights From Experimental Gene Therapy Arterioscler Thromb Vasc Biol, August 1, 2000; 20(8): 1873 - 1881. [Abstract] [Full Text] [PDF] |
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M. Barton Sex and NO -- beyond regulation of vasomotor tone Cardiovasc Res, April 1, 2000; 46(1): 20 - 23. [Full Text] [PDF] |
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T. Munzel, H. Li, H. Mollnau, U. Hink, E. Matheis, M. Hartmann, M. Oelze, M. Skatchkov, A. Warnholtz, L. Duncker, et al. Effects of Long-Term Nitroglycerin Treatment on Endothelial Nitric Oxide Synthase (NOS III) Gene Expression, NOS III-Mediated Superoxide Production, and Vascular NO Bioavailability Circ. Res., January 7, 2000; 86 (1): e7 - e12. [Abstract] [Full Text] [PDF] |
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