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Vascular Biology |
From the Department of Pharmacology and Toxicology, School of Pharmacy, Martin Luther University, Halle, Germany.
Correspondence to Dr Henning Schröder, School of Pharmacy, Martin Luther University, Wolfgang-Langenbeck-Str. 4, 06099 Halle (Saale), Germany. E-mail schroeder{at}pharmazie.uni-halle.de
| Abstract |
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Methods and Results A 24-hour incubation with hydrogen peroxide markedly reduced viability of cultured endothelial cells. Preincubation with aspirin (3 to 30 µmol/L) protected endothelial cells from hydrogen peroxidemediated toxicity and increased viability in a concentration-dependent fashion by up to 95% of control. This effect was specific in that other nonsteroidal anti-inflammatory drugs, such as salicylate or indomethacin, did not alter hydrogen peroxide toxicity. Aspirin-induced endothelial protection was abrogated in the presence of the NO scavenger PTIO (30 µmol/L) and the inhibitor of soluble guanylyl cyclase ODQ (1 µmol/L). Moreover, the L-arginine antagonist L-NMMA (25 µmol/L), but not its D-enantiomer, led to complete inhibition of aspirin-dependent cytoprotection. Correspondingly, aspirin enhanced NO synthase activity (citrulline formation) and intracellular cyclic GMP accumulation in endothelial cells. Protein expression of endothelial NO synthase remained unaffected in the presence of aspirin.
Conclusions Our data suggest that endothelial NO synthase is a site of action of aspirin and that the NO/cyclic GMP system assumes a crucial function in mediating the cytoprotective action of aspirin.
Key Words: aspirin nitric oxide cyclic GMP endothelium antioxidant defense mechanism
| Introduction |
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Although the mechanisms responsible for the observed aspirin-induced endothelial protection are largely unknown, we and others have found a very similar profile of cytoprotection evoked by nitric oxide (NO) or NO donors.1014 Thus, NO as well as aspirin reduced the sensitivity of endothelial cells to hydrogen peroxide and other pro-oxidant agents in a time-dependent fashion.7,12,13,15,16 Both aspirin and NO donors induced long-term protective effects in endothelial cells that occurred after short periods of pretreatment and were sustained after washing out either agent.7,12,13,15,16 The similarity in the antioxidant actions of aspirin and NO led us to assume that NO might have a role as a downstream mediator in aspirin-dependent endothelial protection.
Our aim, therefore, was to investigate whether endothelial NO synthase (NOS) is a site of action for aspirin and contributes to the reduction of oxidant injury seen under the influence of this drug. Moreover, the present study explores a possible involvement of the NO-sensitive soluble guanylyl cyclase and the second messenger cyclic GMP (cGMP) in the action of aspirin.
| Methods |
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Cell Culture
Vascular endothelial cells derived from bovine pulmonary artery were obtained as a cell line (ATCC CCL 209, batch No. F-11811 and 1336517) from the American Type Culture Collection.16,17 Bovine endothelial cells were maintained and subcultured in DMEM supplemented with 15% FBS, 100 U/mL penicillin, and 100 µg/mL streptomycin. Measurements of cGMP were performed in porcine aortic endothelial cells that are known to respond in a particularly sensitive manner to autocrine release of NO.18 These cells were isolated from different porcine aortas and characterized as described previously.13 They were maintained and subcultured (up to passage 3) in DMEM supplemented with 15% FBS, 100 U/mL penicillin, and 100 µg/mL streptomycin. The cells were grown in a humidified incubator at 37°C (95% room air, 5% CO2). Expression of eNOS was measured in EA.hy 926 endothelial cells that were obtained from Dr Cora-Jean S. Edgell (Pathology Department, University of North Carolina, Chapel Hill, NC). This cell line was established as a model system for characterizing the regulation of eNOS and cultured according to published protocols.19 Rat fetal lung fibroblast cells (RFL-6) were from the American Type Culture Collection (ATCC CCL 192) and cultured as previously reported.20
Cell Viability Analysis
Endothelial cells were seeded at 2x104 cells per well in 96-well microtiter plates in 100 µL of media containing 15% FBS. After a 48-hour incubation at 37°C, cells reached confluence and were incubated for 12 hours in the presence of aspirin or other nonsteroidal anti-inflammatory drugs. PTIO, ODQ, or N-monomethyl-L/D-arginine (L-/D-NMMA) was added 15 minutes before aspirin. After washing out the previously added agents, hydrogen peroxide was given to the cells and incubation at 37°C was continued for 24 hours, followed by a cytotoxicity assay. Hydrogen peroxide was used at different concentrations between 0.5 and 1 mmol/L to compensate for varying sensitivities of cell cultures to oxidant injury and to achieve comparable degrees of cytotoxicity with each experiment. Cell viability was measured by staining with crystal violet and additionally by the lactate dehydrogenase assay (LDH assay; Boehringer, Mannheim) as previously described.17,21,22 The crystal violet assay allows the colorimetric assessment of the remaining viable cells after the incubation procedure. Cells were washed with PBS, fixed with methanol for 5 minutes, and then stained for 10 minutes with a 0.1% crystal violet solution. After 3 washes with tap water, the dye was eluted with 0.1 mol/L trisodium citrate in 50% ethanol for 10 minutes. Optical density at 630 nm was monitored on a microtiter plate reader (Biotek EL 311s). For the LDH assay, cells were plated and incubated as in the crystal violet assay. The supernatant was used to quantitate the LDH release of the cells spectrophotometrically at 490 nm according to the manufacturers protocol. Total cytotoxicity (100%) was standardized on LDH release after incubation with Triton X-100.
Measurement of Hydrogen Peroxide Decomposition
Hydrogen peroxide decomposition was measured with luminol-enhanced chemiluminescence and performed according to the previously published protocols using a Berthold LB9507 luminometer at 37°C.23,24 Cells were cultured and incubated with aspirin or vehicle in 6-well plates in analogy to the cell viability protocol. After adding hydrogen peroxide, samples were taken from the supernatant at different time points and were subsequently incubated with the chemiluminescence enhancer luminol (100 µmol/L) for 5 minutes. Chemiluminescence (relative light units) was measured with an integration time of 10 seconds. Control wells with luminol alone and luminol with cells as well as controls with or without hydrogen peroxide were included in each experiment. There was no significant light signal in the presence of lucigenin (50 µmol/L) instead of luminol.
cGMP Measurement
Cells grown to confluence in 6-well plates were washed twice with 2 mL of a balanced salt solution containing 130 mmol/L NaCl, 5.4 mmol/L KCl, 1.8 mmol/L CaCl2, 5.5 mmol/L glucose, and 20 mmol/L HEPES-NaOH, buffered to pH 7.3. Cells were exposed for 10 minutes at 37°C to PTIO, ODQ L-/D-NMMA, or vehicle in the balanced solution containing 0.5 mmol/L isobutylmethylxanthine. Aspirin, other nonsteroidal anti-inflammatory drugs, or YC-1 were added and the incubation was continued for another 10 minutes at 37°C. The final assay volume was 1 mL. Supernatants were aspirated, and after addition of ethanol and subsequent evaporation, cGMP levels were determined by an enzyme-linked immunoassay according to the manufacturers protocol (EIA kit, Cayman) and as outlined earlier.25
NOS Activity (Citrulline Formation)
Citrulline synthesis was measured by a modification of a previously described technique.26,27 Cells grown to confluence in 35-mm culture dishes were incubated at 37°C for 30 minutes in 1.5 mL of HEPES buffer (pH 7.4) containing 0.25% albumin from human serum with or without the NOS inhibitor N(G)-nitro-L-arginine methyl ester (L-NAME, 1 mmol/L). Subsequently, cells were stimulated with aspirin in the presence of 10 µmol/L L-arginine and 3.3 µCi/mL L-[3H]-arginine. After 15 minutes, the reaction was stopped with cold PBS containing 5 mmol/L L-arginine and 4 mmol/L EDTA, and the cells were denatured with 96% ethanol. After evaporation, the soluble cellular components were dissolved in 20 mmol/L HEPES sodium salt (pH 5.5) and applied to 2-mL columns of Dowex AG50WX-8 (Na+ form). The radioactivity corresponding to the [3H]-citrulline content of the eluate was quantified by liquid scintillation counting. Agonist-induced [3H]-citrulline production was expressed in fmol/mg per well. Basal [3H]-citrulline synthesis was determined from the L-NAMEinhibitable radioactivity in unstimulated cells.
eNOS Protein Analysis
Endothelial cells were cultured in 150-mm dishes as described above. After a 12-hour incubation with control media, aspirin, or staurosporine, cells were washed and extracted as described previously.16,19,28 Protein (75 µg) was applied to sodium dodecyl sulfate polyacrylamide gel electrophoresis (7.5% gels). After electrophoresis, protein was transferred to a nitrocellulose membrane, and a polyclonal antibody to human eNOS (Sigma) was used to identify eNOS protein content. Antigen antibody complexes were visualized with the horseradish peroxidase chemiluminescence system according to the manufacturers instructions (Boehringer, Mannheim).
Statistical Analysis
Results are expressed as mean±SEM. Data were analyzed by ANOVA and subsequently by Bonferronis correction for multiple comparisons. Differences were considered significant at P<0.05. All data were determined out of n=3 to 6 independent experiments at different days and cell passages. The values in the cell viability measurements correspond to the average of 6 samples, and all other experiments were performed at least in triplicate.
| Results |
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A cytoprotective effect comparable to aspirin was observed when preincubating the cells with the membrane-permeable cGMP analogue 8-bromo cGMP (1 to 10 µmol/L) (Figure 2A) or the cAMP analogue 8-bromo cAMP (1 to 10 µmol/L) (Figure 2B).
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Cytoprotection by aspirin was specific in that other nonsteroidal anti-inflammatory drugs such as salicylic acid, indomethacin, and diclofenac left hydrogen peroxideinduced toxicity unaltered (Figure 4A). Aspirin, other nonsteroidal anti-inflammatory agents, PTIO, L-NMMA, D-NMMA, or ODQ alone had no significant effect on cell viability under these conditions (not shown).
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Hydrogen Peroxide Decomposition
Incubation of endothelial cells with hydrogen peroxide (1 mmol/L) led to a marked increase in photon emission as assessed by luminol-enhanced chemiluminescence. Pretreatment with aspirin (10 µmol/L) for 12 hours and subsequent media change did not alter the hydrogen peroxidedependent light emission (Figure 3).
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cGMP Levels
Aspirin (10 to 300 µmol/L) increased intracellular levels of the second messenger molecule cGMP in a concentration-dependent fashion. A significant cGMP formation already occurred at aspirin concentrations (30 µmol/L) that were effective in endothelial protection (Figure 5A). Additional experiments were performed at maximally effective concentrations of aspirin. Preincubation with the NO scavenger PTIO (30 µmol/L) led to complete inhibition of endothelial cGMP stimulation by aspirin (Figure 5A). In agreement with the results on cell viability, aspirin led to a specific elevation of cGMP levels that was not observed with other nonsteroidal anti-inflammatory drugs such as salicylic acid, indomethacin, or diclofenac (Figure 4B). YC-1, a direct, NO-independent stimulator of soluble guanylyl cyclase that is known to sensitize the enzyme toward its gaseous activator NO, produced an overadditive cGMP increase when given in combination with aspirin (Figure 5B). Under conditions of simultaneous incubation with aspirin and YC-1, L-NMMA only reversed the aspirin-dependent cGMP stimulatory effect, pointing to the involvement of the L-arginine/NO pathway in the action of aspirin (Figure 5B). Moreover, in RFL-6 cells that are devoid of NOS activity but rich in soluble guanylyl cyclase, basal cGMP levels remained unchanged after an incubation with aspirin but rose to several fold over basal in a control experiment with glyceryl trinitrate, a NOS-independent donor of NO (Figure 5C).
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NOS Activity and Expression
Measurements of NOS activity, determined as citrulline formation, were performed in protein extracts of endothelial cells as described by Bredt and Snyder26 and in the intact endothelial cell system.27
The basal citrulline formation was not altered by aspirin in the enzyme extracts (data not shown), whereas NOS activity increased significantly after direct incubation of endothelial cells with aspirin. The citrulline formation was completely depressed by the L-arginine antagonist L-NAME at 1000 µmol/L26,27 (data not shown for 300 µmol/L) (Figure 6A). Enhanced NOS activity in the presence of aspirin was not associated with induction of eNOS protein expression (Figure 6). In a positive control experiment, staurosporine caused a marked elevation of eNOS protein levels19 (Figure 6).
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| Discussion |
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The present study demonstrates that NO, which has long been known to improve endothelial dysfunction,3436 is a crucial mediator of aspirin-induced endothelial cell protection. Pretreatment with aspirin caused a concentration-dependent increase in the surviving fraction of endothelial cells that were exposed to oxidant stress in the form of hydrogen peroxide. This cell-protective action of aspirin was completely abolished in the presence of the NO scavenger PTIO.37 A role for NO as effector molecule is additionally supported by our observation that incubation with aspirin results in enhanced accumulation of endothelial cGMP levels. The cyclic nucleotide cGMP is not only the second messenger of NO in many biological systems but has also been established as a sensitive marker of intracellular NO formation.17,18,38 That aspirin increases cGMP via NO and subsequent activation of soluble guanylyl cyclase is clearly demonstrated by a series of experiments using YC-1. YC-1 is a direct, NO-independent stimulator of soluble guanylyl cyclase that is known to sensitize the enzyme toward its gaseous activator NO.3941 A simultaneous incubation of cells with YC-1 and aspirin produced an overadditive increase in cGMP that is typically seen when YC-1 is given in combination with submaximally effective concentrations of NO.42 ODQ is a selective inhibitor of soluble guanylyl cyclase, the cGMP-generating target enzyme of NO,43 and was found in the present study to abrogate cytoprotection by aspirin. These findings confirm the role of the NO/cGMP pathway in this process and point specifically to cGMP as a causative mediator in antioxidant protection. Moreover, this assumption corresponds with the observed cytoprotective action of the membrane-permeable cGMP analogue 8-Br-cGMP. A similar endothelial protection could be demonstrated for the cAMP analogue 8-Br-cAMP, which has previously been reported as a possible mediator of cGMP-dependent cytoprotection in endothelial cells.44 It is noteworthy and in agreement with the results presented here that the stress proteins ferritin and heme oxygenase-1 have been identified as downstream mediators of NO-induced endothelial protection15,17,45 and were likewise shown to be inducible through aspirin.16,46
According to our findings, the enhanced activity of the NO/cGMP system under the influence of aspirin is attributable to a direct stimulatory effect of aspirin on eNOS. Thus, the inhibitor of NOS L-NMMA but not its D-enantiomer entirely blocked cytoprotection by aspirin, indicating involvement of enzymatic, L-argininedependent NO formation. Similarly, cGMP elevation in the presence of aspirin was attenuated by L-NMMA. Moreover, in RFL-6 cells that are devoid of NOS activity but rich in soluble guanylyl cyclase,20,47,48 basal cGMP levels remained unchanged after an incubation with aspirin. There was no effect of aspirin on eNOS protein levels in endothelial cells, precluding a stimulatory action on gene expression as possible explanation for the observed increase in NO-dependent cGMP accumulation. A genomic action of aspirin at this site seems also unlikely given the rapid onset of its effect on cellular cGMP levels. However, aspirin significantly augmented citrulline formation from L-arginine, demonstrating enhanced NOS activity in the intact endothelial cell system. Therefore, it seems possible that aspirin may regulate eNOS activity posttranslationally by the availability of its substrate, L-arginine, or cofactors (eg, tetrahydrobiopterin or NADPH) or by protein-protein interactions, for example with caveolin or heat shock protein 90.49 Interestingly and in support of the data presented here, a previous study reported a stimulatory effect of aspirin on NO synthesis in neutrophils.50 Our study, however, is the first to establish eNOS as a site of action for aspirin and to demonstrate functional implications of this novel pathway.
The effects on endothelial integrity and the NO/cGMP system that we report here are specific for aspirin and not elicited by other nonsteroidal anti-inflammatory drugs such as diclofenac, indomethacin, or salicylate. This finding implies that it is the acetyl group within acetylsalicylic acid that confers the capacity to increase endothelial NO formation as well as antioxidant defense and that all other inhibitors of cyclooxygenase tested, including nonacetylated salicylate, do not fulfill the structural requirements necessary to activate NOS. In a previous investigation, we have demonstrated a similar specificity of aspirin for the induction of the protective stress gene ferritin.16 Multiple other mechanisms of action have been proposed for aspirin beyond inhibition of COX.51 These include modulation of signaling molecules of the nuclear factor-
B signaling pathway, demonstrable in vitro.52 However, the concentrations used in most of these studies in vitro translate into toxic plasma concentration in vivo, some not compatible with life.53 With reference to the fact that in humans peak aspirin plasma concentrations of 4 µg/mL (which corresponds to
25 µmol/L) can be obtained after the oral administration of a single 325-mg tablet,54 the effects of aspirin on endothelial function and cGMP accumulation were observed at therapeutically relevant concentrations. Clearly, more research is needed to additionally analyze the molecular mechanisms by which aspirin exerts its actions on endothelial NOS and downstream targets.
In summary, we have demonstrated for the first time that aspirin is capable of activating the NO-cGMP signaling pathway in endothelial cells. Increases in NO and cGMP are causally related to antioxidant protection and improved integrity of the endothelium. Therefore, this novel pathway seems to be of functional relevance and may significantly contribute to aspirin-induced prevention of endothelial injury in cardiovascular disease, eg, during atherogenesis and other inflammatory processes. In the light of our investigations, activation of endothelial NO and cGMP formation could be an important mechanism by which aspirin, in addition to its platelet inhibitory action, protects against myocardial infarction, stroke, and death.
| Acknowledgments |
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Received March 5, 2003; accepted May 13, 2003.
| References |
|---|
|
|
|---|
2. Antithrombotic Trialists Collaboration. Collaborative meta-analysis of randomised trials of antiplatelet therapy for prevention of death, myocardial infarction, and stroke in high risk patients. BMJ. 2002; 324: 7186.
3. Samuelsson B, Granstrom E, Green K, Hamberg M, Hammarstrom S. Prostaglandins. Annu Rev Biochem. 1975; 44: 669695.[CrossRef][Medline] [Order article via Infotrieve]
4. Reilly IA, FitzGerald GA. Aspirin in cardiovascular disease. Drugs. 1988; 35: 154176.
5. Aruoma OI, Halliwell B. The iron-binding and hydroxyl radical scavenging action of anti-inflammatory drugs. Xenobiotica. 1988; 18: 459470.[Medline] [Order article via Infotrieve]
6. Woollard AC, Wolff SP, Bascal ZA. Antioxidant characteristics of some potential anticataract agents: studies of aspirin, paracetamol, and bendazac provide support for an oxidative component of cataract. Free Radic Biol Med. 1990; 9: 299305.[CrossRef][Medline] [Order article via Infotrieve]
7. Podhaisky HP, Abate A, Polte T, Oberle S, Schröder H. Aspirin protects endothelial cells from oxidative stress: possible synergism with vitamin E. FEBS Lett. 1997; 417: 349351.[CrossRef][Medline] [Order article via Infotrieve]
8. Steer KA, Wallace TM, Bolton CH, Hartog M. Aspirin protects low density lipoprotein from oxidative modification. Heart. 1997; 77: 333337.
9. Wu R, Lamontagne D, de Champlain J. Antioxidative properties of acetylsalicylic acid on vascular tissues from normotensive and spontaneously hypertensive rats. Circulation. 2002; 105: 387392.
10. Wink DA, Hanbauer I, Krishna MC, DeGraff W, Gamson J, Mitchell JB. Nitric oxide protects against cellular damage and cytotoxicity from reactive oxygen species. Proc Natl Acad Sci U S A. 1993; 90: 98139817.
11. Chang J, Rao NV, Markewitz BA, Hoidal JR, Michael JR. Nitric oxide donor prevents hydrogen peroxide-mediated endothelial cell injury. Am J Physiol. 1996; 270: L931L940.
12. Polte T, Oberle S, Schröder H. Nitric oxide protects endothelial cells from tumor necrosis factor-
-mediated cytotoxicity: possible involvement of cyclic GMP. FEBS Lett. 1997; 409: 4648.[CrossRef][Medline]
[Order article via Infotrieve]
13. Oberle S, Schröder H. Ferritin may mediate SIN-1-induced protection against oxidative stress. Nitric Oxide. 1997; 1: 308314.[CrossRef][Medline] [Order article via Infotrieve]
14. Fernandez-Tome P, Lizasoain I, Leza JC, Lorenzo P, Moro MA. Neuroprotective effects of DETA-NONOate, a nitric oxide donor, on hydrogen peroxide-induced neurotoxicity in cortical neurones. Neuropharmacology. 1999; 38: 13071315.[CrossRef][Medline] [Order article via Infotrieve]
15. Motterlini R, Foresti R, Intaglietta M, Winslow RM. NO-mediated activation of heme oxygenase: endogenous cytoprotection against oxidative stress to endothelium. Am J Physiol. 1996; 270: H107H114.
16. Oberle S, Polte T, Abate A, Podhaisky HP, Schröder H. Aspirin increases ferritin synthesis in endothelial cells: a novel antioxidant pathway. Circ Res. 1998; 82: 10161020.
17. Polte T, Abate A, Dennery PA, Schröder H. Heme oxygenase-1 is a cGMP-inducible endothelial protein and mediates the cytoprotective action of nitric oxide. Arterioscler Thromb Vasc Biol. 2000; 20: 12091215.
18. Schröder H, Strobach H, Schrör K. Nitric oxide but not prostacyclin is an autocrine endothelial mediator. Biochem Pharmacol. 1992; 43: 533537.[CrossRef][Medline] [Order article via Infotrieve]
19. Li H, Förstermann U. Structure-activity relationship of staurosporine analogs in regulating expression of endothelial nitric-oxide synthase gene. Mol Pharmacol. 2000; 57: 427435.
20. Schröder H, Leitman DC, Bennett BM, Waldman SA, Murad F. Glyceryl trinitrate-induced desensitization of guanylate cyclase in cultured rat lung fibroblasts. J Pharmacol Exp Ther. 1988; 245: 413418.
21. Flick DA, Gifford GE. Comparison of in vitro cell cytotoxic assays for tumor necrosis factor. J Immunol Methods. 1984; 68: 167175.[CrossRef][Medline] [Order article via Infotrieve]
22. Decker T, Lohmann-Matthes ML. A quick and simple method for the quantitation of lactate dehydrogenase release in measurements of cellular cytotoxicity and tumor necrosis factor (TNF) activity. J Immunol Methods. 1988; 115: 6169.[CrossRef][Medline] [Order article via Infotrieve]
23. Nakamura M, Nakamura S. One- and two-electron oxidations of luminol by peroxidase systems. Free Radic Biol Med. 1998; 24: 537544.[CrossRef][Medline] [Order article via Infotrieve]
24. Pizzinat N, Copin N, Vindis C, Parini A, Cambon C. Reactive oxygen species production by monoamine oxidases in intact cells. Naunyn Schmiedebergs Arch Pharmacol. 1999; 359: 428431.[CrossRef][Medline] [Order article via Infotrieve]
25. Grosser N, Schröder H. A common pathway for nitric oxide release from NO-aspirin and glyceryl trinitrate. Biochem Biophys Res Commun. 2000; 274: 255258.[CrossRef][Medline] [Order article via Infotrieve]
26. Bredt DS, Snyder SH. Isolation of nitric oxide synthetase, a calmodulin-requiring enzyme. Proc Natl Acad Sci U S A. 1990; 87: 682685.
27. Heller R, Münscher-Paulig F, Grabner R, Till U. L-Ascorbic acid potentiates nitric oxide synthesis in endothelial cells. J Biol Chem. 1999; 274: 82548260.
28. Akarasereenont P, Mitchell JA, Appleton I, Thiemermann C, Vane JR. Involvement of tyrosine kinase in the induction of cyclo-oxygenase and nitric oxide synthase by endotoxin in cultured cells. Br J Pharmacol. 1994; 113: 15221528.[Medline] [Order article via Infotrieve]
29. Monobe H, Yamanari H, Nakamura K, Ohe T. Effects of low-dose aspirin on endothelial function in hypertensive patients. Clin Cardiol. 2001; 24: 705709.[Medline] [Order article via Infotrieve]
30. Ranke C, Hecker H, Creutzig A, Alexander K. Dose-dependent effect of aspirin on carotid atherosclerosis. Circulation. 1993; 87: 18731879.
31. Kodama M, Yamasaki Y, Sakamoto K, Yoshioka R, Matsuhisa M, Kajimoto Y, Kosugi K, Ueda N, Hori M. Antiplatelet drugs attenuate progression of carotid intima-media thickness in subjects with type 2 diabetes. Thromb Res. 2000; 97: 239245.[CrossRef][Medline] [Order article via Infotrieve]
32. Cyrus T, Sung S, Zhao L, Funk CD, Tang S, Pratico D. Effect of low-dose aspirin on vascular inflammation, plaque stability, and atherogenesis in low-density lipoprotein receptor-deficient mice. Circulation. 2002; 106: 12821287.
33. Husain S, Andrews NP, Mulcahy D, Panza JA, Quyyumi AA. Aspirin improves endothelial dysfunction in atherosclerosis. Circulation. 1998; 97: 716720.
34. Drexler H. Nitric oxide and coronary endothelial dysfunction in humans. Cardiovasc Res. 1999; 43: 572579.
35. Bell DM. Markers for progression of coronary disease. Pharmacotherapy. 2001; 21: 190S194S.[CrossRef][Medline] [Order article via Infotrieve]
36. Spieker LE, Lüscher TF, Noll G. Current strategies and perspectives for correcting endothelial dysfunction in atherosclerosis. J Cardiovasc Pharmacol. 2001; 38 (suppl 2): S35S41.
37. Akaike T, Maeda H. Quantitation of nitric oxide using 2-phenyl-4,4,5,5-tetramethylimidazoline-1-oxyl 3-oxide (PTIO). Methods Enzymol. 1996; 268: 211221.[Medline] [Order article via Infotrieve]
38. Kuhn M, Otten A, Frölich JC, Förstermann U. Glyceryl trinitrate increases platelet cyclic GMP after metabolism in fibroblasts. Eur J Pharmacol. 1991; 200: 175178.[CrossRef][Medline] [Order article via Infotrieve]
39. Mülsch A, Bauersachs J, Schäfer A, Stasch JP, Kast R, Busse R. Effect of YC-1, an NO-independent, superoxide-sensitive stimulator of soluble guanylyl cyclase, on smooth muscle responsiveness to nitrovasodilators. Br J Pharmacol. 1997; 120: 681689.[CrossRef][Medline] [Order article via Infotrieve]
40. Friebe A, Koesling D. Mechanism of YC-1-induced activation of soluble guanylyl cyclase. Mol Pharmacol. 1998; 53: 123127.
41. Stasch JP, Becker EM, Alonso-Alija C, Apeler H, Dembowsky K, Feurer A, Gerzer R, Minuth T, Perzborn E, Pleiss U, Schröder H, Schroeder W, Stahl E, Steinke W, Straub A, Schramm M. NO-independent regulatory site on soluble guanylate cyclase. Nature. 2001; 410: 212215.[CrossRef][Medline] [Order article via Infotrieve]
42. Schmidt K, Schrammel A, Koesling D, Mayer B. Molecular mechanisms involved in the synergistic activation of soluble guanylyl cyclase by YC-1 and nitric oxide in endothelial cells. Mol Pharmacol. 2001; 59: 220224.
43. Moro MA, Russel RJ, Cellek S, Lizasoain I, Su Y, Darley-Usmar VM, Radomski MW, Moncada S. cGMP mediates the vascular and platelet actions of nitric oxide: confirmation using an inhibitor of the soluble guanylyl cyclase. Proc Natl Acad Sci U S A. 1996; 93: 14801485.
44. Polte T, Schröder H. Cyclic AMP mediates endothelial protection by nitric oxide. Biochem Biophys Res Commun. 1998; 251: 460465.[CrossRef][Medline] [Order article via Infotrieve]
45. Recalcati S, Taramelli D, Conte D, Cairo G. Nitric oxide-mediated induction of ferritin synthesis in J774 macrophages by inflammatory cytokines: role of selective iron regulatory protein-2 downregulation. Blood. 1998; 91: 10591066.
46. Abate A, Vreman HJ, Dennery PA, Schröder H. Aspirin induces heme oxygenase-1 protein synthesis and activity in endothelial cells. Circulation. 2001; 104 (suppl 2): 1152. Abstract.
47. Schröder H, Leitman D, Hayward L, Bennett B, Murad F. Cultured rat lung fibroblasts as a model for organic nitrate-induced cyclic GMP accumulation and activation of guanylate cyclase. J Appl Cardiol. 1987; 2: 301311.
48. Ishii K, Sheng H, Warner TD, Förstermann U, Murad F. A simple and sensitive bioassay method for detection of EDRF with RFL-6 rat lung fibroblasts. Am J Physiol. 1991; 261: H598H603.
49. Fleming I, Busse R. Molecular mechanisms involved in the regulation of the endothelial nitric oxide synthase. Am J Physiol Regul Integr Comp Physiol. 2003; 284: R1R12.
50. Lopez-Farre A, Caramelo C, Esteban A, Alberola ML, Millas I, Monton M, Casado S. Effects of aspirin on platelet-neutrophil interactions: role of nitric oxide and endothelin-1. Circulation. 1995; 91: 20802088.
51. Tegeder I, Pfeilschifter J, Geisslinger G. Cyclooxygenase-independent actions of cyclooxygenase inhibitors. FASEB J. 2001; 15: 20572072.
52. Kopp E, Ghosh S. Inhibition of NF-
B by sodium salicylate and aspirin. Science. 1994; 265: 956959.
53. Proudfoot AT. Toxicity of salicylates. Am J Med. 1983; 75: 99103.[CrossRef][Medline] [Order article via Infotrieve]
54. Feldman M, Cryer B. Aspirin absorption rates and platelet inhibition times with 325-mg buffered aspirin tablets (chewed or swallowed intact) and with buffered aspirin solution. Am J Cardiol. 1999; 84: 404409.[CrossRef][Medline] [Order article via Infotrieve]
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G. G.L. Biondi-Zoccai, M. Lotrionte, P. Agostoni, A. Abbate, M. Fusaro, F. Burzotta, L. Testa, I. Sheiban, and G. Sangiorgi A systematic review and meta-analysis on the hazards of discontinuing or not adhering to aspirin among 50 279 patients at risk for coronary artery disease Eur. Heart J., November 2, 2006; 27(22): 2667 - 2674. [Abstract] [Full Text] [PDF] |
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H. Schroder No Nitric Oxide for HO-1 from Sodium Nitroprusside Mol. Pharmacol., May 1, 2006; 69(5): 1507 - 1509. [Abstract] [Full Text] [PDF] |
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R. C. Hermida, D. E. Ayala, C. Calvo, J. E. Lopez, A. Mojon, M. Rodriguez, and J. R. Fernandez Differing Administration Time-Dependent Effects of Aspirin on Blood Pressure in Dipper and Non-Dipper Hypertensives Hypertension, October 1, 2005; 46(4): 1060 - 1068. [Abstract] [Full Text] [PDF] |
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H. Schroder New signaling routes for an old drug: lipoxin A4 might mediate heme oxygenase-1 induction by aspirin. Focus on "Novel lipid mediator aspirin-triggered lipoxin A4 induces heme oxygenase-1 in endothelial cells" Am J Physiol Cell Physiol, September 1, 2005; 289(3): C507 - C508. [Full Text] [PDF] |
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G. Kojda Direct vasoprotection by aspirin: a significant bonus to antiplatelet activity? Cardiovasc Res, November 1, 2004; 64(2): 192 - 194. [Full Text] [PDF] |
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E. Torsney, U. Mayr, Y. Zou, W. D. Thompson, Y. Hu, and Q. Xu Thrombosis and Neointima Formation in Vein Grafts Are Inhibited by Locally Applied Aspirin Through Endothelial Protection Circ. Res., June 11, 2004; 94(11): 1466 - 1473. [Abstract] [Full Text] [PDF] |
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