Document Detail


Endogenous nitric oxide contributes to bradykinin-stimulated glucose uptake but attenuates vascular tissue-type plasminogen activator release.
MedLine Citation:
PMID:  19841473     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bradykinin causes vasodilation, stimulates tissue-type plasminogen activator (t-PA) release and, in rodents, increases muscle glucose uptake. Although bradykinin causes vasodilation partly by activating nitric-oxide synthase (NOS), the role of nitric oxide in regulating bradykinin-stimulated t-PA release is uncertain. This study examined the effect of high-dose NOS inhibition on bradykinin-stimulated t-PA release and glucose uptake in humans. We studied 24 healthy (12 women and 12 men), overweight and obese (body mass index >25 kg/m(2)), normotensive, nondiabetic subjects with normal cholesterol. We measured the effect of intra-arterial N(omega)-monomethyl-L-arginine (L-NMMA, 12 micromol/min) on forearm blood flow (FBF), net t-PA release, and glucose uptake at baseline and in response to intra-arterial bradykinin (50-200 ng/min) in subjects pretreated with the cyclooxygenase inhibitor aspirin. Measurements were repeated after isosorbide dinitrate (ISDN; 5 mg) or sildenafil (50 mg). L-NMMA decreased baseline FBF (P < 0.001), increased baseline forearm vascular resistance (P < 0.001), and increased the t-PA arterial-venous gradient (P = 0.04) without affecting baseline net t-PA release or glucose uptake. During L-NMMA, ISDN tended to decrease baseline net t-PA release (P = 0.06). L-NMMA blunted bradykinin-stimulated vasodilation (P < 0.001 for FBF and FVR). Bradykinin increased net glucose extraction (from -80 +/- 23 to -320 +/- 97 microg/min/100 ml at 200 ng/min bradykinin, P = 0.02), and L-NMMA (-143 +/- 50 microg/min/100 ml at 200 ng/min, P = 0.045) attenuated this effect. In contrast, L-NMMA enhanced bradykinin-stimulated t-PA release (39.9 +/- 7.0 ng/min/100 ml versus 30.0 +/- 4.2 ng/min/100 ml at 200 ng/min, P = 0.04 for L-NMMA). In gender-stratified analyses, L-NMMA significantly increased bradykinin-stimulated t-PA release in women (F = 6.7, P = 0.02) but not in men. Endogenous NO contributes to bradykinin-stimulated vasodilation and glucose uptake but attenuates the fibrinolytic response to exogenous bradykinin.
Authors:
Mias Pretorius; Nancy J Brown
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2009-10-19
Journal Detail:
Title:  The Journal of pharmacology and experimental therapeutics     Volume:  332     ISSN:  1521-0103     ISO Abbreviation:  J. Pharmacol. Exp. Ther.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-21     Completed Date:  2010-01-26     Revised Date:  2011-07-19    
Medline Journal Info:
Nlm Unique ID:  0376362     Medline TA:  J Pharmacol Exp Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  291-7     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, Tennessee, USA. mias.pretorius@vanderbilt.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aspirin / pharmacology
Bradykinin / pharmacology*,  physiology
Dose-Response Relationship, Drug
Endothelium, Vascular / metabolism*,  physiopathology
Enzyme Inhibitors / pharmacology
Female
Forearm / blood supply
Glucose / metabolism*
Humans
Male
Nitric Oxide / biosynthesis,  physiology*
Nitric Oxide Donors / pharmacology
Nitric Oxide Synthase / antagonists & inhibitors
Obesity / enzymology,  metabolism*,  physiopathology
Regional Blood Flow / physiology
Tissue Plasminogen Activator / metabolism*
Vasodilation / drug effects,  physiology
omega-N-Methylarginine / pharmacology
Grant Support
ID/Acronym/Agency:
1UL1-RR024975/RR/NCRR NIH HHS; HL060906/HL/NHLBI NIH HHS; HL065193/HL/NHLBI NIH HHS; HL085740/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Enzyme Inhibitors; 0/Nitric Oxide Donors; 10102-43-9/Nitric Oxide; 17035-90-4/omega-N-Methylarginine; 50-78-2/Aspirin; 50-99-7/Glucose; 58-82-2/Bradykinin; EC 1.14.13.39/Nitric Oxide Synthase; EC 3.4.21.68/Tissue Plasminogen Activator
Comments/Corrections

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