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Circulation Research. 1998;82:1298-1305

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(Circulation Research. 1998;82:1298-1305.)
© 1998 American Heart Association, Inc.


Original Contributions

Superoxide Production in Vascular Smooth Muscle Contributes to Oxidative Stress and Impaired Relaxation in Atherosclerosis

Francis J. Miller, Jr,, David D. Gutterman, C. David Rios, Donald D. Heistad, , Beverly L. Davidson

From the Department of Internal Medicine, University of Iowa College of Medicine and Cardiovascular Center, and Veterans Administration Medical Center, Iowa City, Iowa.

Correspondence to Francis J. Miller, Jr, MD, E315 General Hospital, Department of Internal Medicine, University of Iowa Hospitals, Iowa City, IA 52242. E-mail francis-miller{at}uiowa.edu

Abstract—The endothelium is a source of reactive oxygen species in short-term models of hypercholesterolemia and atherosclerosis. We examined a chronic model of atherosclerosis for increased vascular production of superoxide (O2-·) and determined whether endothelial overexpression of superoxide dismutase (SOD) would improve endothelium-dependent relaxation. Superoxide generation was 3 times higher in isolated aortas from Watanabe heritable hyperlipidemic (WHHL) rabbits (2 to 4 years old) compared with aortas from New Zealand White (NZ) rabbits (43±10 versus 14±2 relative light units · min-1 · mm-2, n=9, P<0.05). After in vitro transduction with adenovirus containing the gene for CuZn-SOD (AdCMVCuZn-SOD) or extracellular SOD (AdCMVEC-SOD), endothelial O2-· levels in WHHL aortas were significantly reduced. Gene transfer of SOD to WHHL aortas, however, failed to improve the impaired relaxation to acetylcholine or calcium ionophore. By use of the oxidative fluorescent dye hydroethidine, an in situ assay indicated markedly increased generation of O2-· throughout the wall of WHHL aorta, especially within layers of smooth muscle. This finding was confirmed by demonstrating increased O2-· levels in smooth muscle cells cultured from WHHL aorta. We conclude that elevated O2-· levels in atherosclerotic vessels are not confined to the endothelium but occur throughout the vascular wall, including smooth muscle cells. Reduction in endothelial O2-· levels is not sufficient to improve endothelium-dependent relaxation. Generation of reactive oxygen species within the media may contribute to vasomotor dysfunction in atherosclerosis.


Key Words: superoxide dismutase • reactive oxygen species • gene transfer • adenovirus • acetylcholine • atherosclerosis




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Am. J. Physiol. Endocrinol. Metab.Home page
C. L. Oltman, L. J. Coppey, J. S. Gellett, E. P. Davidson, D. D. Lund, and M. A. Yorek
Progression of vascular and neural dysfunction in sciatic nerves of Zucker diabetic fatty and Zucker rats
Am J Physiol Endocrinol Metab, July 1, 2005; 289(1): E113 - E122.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. L. Kruger, S. Peterson, S. Turkseven, P. M. Kaminski, F. F. Zhang, S. Quan, M. S. Wolin, and N. G. Abraham
D-4F Induces Heme Oxygenase-1 and Extracellular Superoxide Dismutase, Decreases Endothelial Cell Sloughing, and Improves Vascular Reactivity in Rat Model of Diabetes
Circulation, June 14, 2005; 111(23): 3126 - 3134.
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Am. J. Physiol. Heart Circ. Physiol.Home page
L. Tao, H.-R. Liu, F. Gao, Y. Qu, T. A. Christopher, B. L. Lopez, and X. L. Ma
Mechanical traumatic injury without circulatory shock causes cardiomyocyte apoptosis: role of reactive nitrogen and reactive oxygen species
Am J Physiol Heart Circ Physiol, June 1, 2005; 288(6): H2811 - H2818.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Tojo, M. Ushio-Fukai, M. Yamaoka-Tojo, S. Ikeda, N. Patrushev, and R. W. Alexander
Role of gp91phox (Nox2)-Containing NAD(P)H Oxidase in Angiogenesis in Response to Hindlimb Ischemia
Circulation, May 10, 2005; 111(18): 2347 - 2355.
[Abstract] [Full Text] [PDF]


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StrokeHome page
H. Xie, P. E. Ray, and B. L. Short
NF-{kappa}B Activation Plays a Role in Superoxide-Mediated Cerebral Endothelial Dysfunction After Hypoxia/Reoxygenation
Stroke, May 1, 2005; 36(5): 1047 - 1052.
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J. Biol. Chem.Home page
P. K. Witting, B. J. Wu, M. Raftery, P. Southwell-Keely, and R. Stocker
Probucol Protects against Hypochlorite-induced Endothelial Dysfunction: IDENTIFICATION OF A NOVEL PATHWAY OF PROBUCOL OXIDATION TO A BIOLOGICALLY ACTIVE INTERMEDIATE
J. Biol. Chem., April 22, 2005; 280(16): 15612 - 15618.
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Proc. Natl. Acad. Sci. USAHome page
H. Zhao, J. Joseph, H. M. Fales, E. A. Sokoloski, R. L. Levine, J. Vasquez-Vivar, and B. Kalyanaraman
Detection and characterization of the product of hydroethidine and intracellular superoxide by HPLC and limitations of fluorescence
PNAS, April 19, 2005; 102(16): 5727 - 5732.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
D. D. Gutterman, H. Miura, and Y. Liu
Redox Modulation of Vascular Tone: Focus of Potassium Channel Mechanisms of Dilation
Arterioscler Thromb Vasc Biol, April 1, 2005; 25(4): 671 - 678.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
S. A. Phillips, F. A. Sylvester, and J. C. Frisbee
Oxidant stress and constrictor reactivity impair cerebral artery dilation in obese Zucker rats
Am J Physiol Regulatory Integrative Comp Physiol, February 1, 2005; 288(2): R522 - R530.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
S. P. Didion and F. M. Faraci
Ceramide-Induced Impairment of Endothelial Function Is Prevented by CuZn Superoxide Dismutase Overexpression
Arterioscler Thromb Vasc Biol, January 1, 2005; 25(1): 90 - 95.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
S.-i. Yamagishi, R. Abe, Y. Inagaki, K. Nakamura, H. Sugawara, D. Inokuma, H. Nakamura, T. Shimizu, M. Takeuchi, A. Yoshimura, et al.
Minodronate, a Newly Developed Nitrogen-Containing Bisphosphonate, Suppresses Melanoma Growth and Improves Survival in Nude Mice by Blocking Vascular Endothelial Growth Factor Signaling
Am. J. Pathol., December 1, 2004; 165(6): 1865 - 1874.
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Circ. Res.Home page
A. D. Nguyen, S. Itoh, V. Jeney, H. Yanagisawa, M. Fujimoto, M. Ushio-Fukai, and T. Fukai
Fibulin-5 Is a Novel Binding Protein for Extracellular Superoxide Dismutase
Circ. Res., November 26, 2004; 95(11): 1067 - 1074.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
K. Sato, T. Komaru, H. Shioiri, S. Takeda, K. Takahashi, H. Kanatsuka, M. Nakayama, and K. Shirato
Hypercholesterolemia Impairs Transduction of Vasodilator Signals Derived From Ischemic Myocardium: Myocardium-Microvessel Cross-Talk
Arterioscler Thromb Vasc Biol, November 1, 2004; 24(11): 2034 - 2039.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
R. Stocker, A. Huang, E. Jeranian, J. Y. Hou, T. T. Wu, S. R. Thomas, and J. F. Keaney Jr
Hypochlorous Acid Impairs Endothelium-Derived Nitric Oxide Bioactivity Through a Superoxide-Dependent Mechanism
Arterioscler Thromb Vasc Biol, November 1, 2004; 24(11): 2028 - 2033.
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Physiol. Rev.Home page
R. Stocker and J. F. Keaney Jr.
Role of Oxidative Modifications in Atherosclerosis
Physiol Rev, October 1, 2004; 84(4): 1381 - 1478.
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Am. J. Physiol. Heart Circ. Physiol.Home page
J. J. Andresen, F. M. Faraci, and D. D. Heistad
Vasomotor responses in MnSOD-deficient mice
Am J Physiol Heart Circ Physiol, September 1, 2004; 287(3): H1141 - H1148.
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Arterioscler. Thromb. Vasc. Bio.Home page
T. Anazawa, P. C. Dimayuga, H. Li, S. Tani, J. Bradfield, K.-Y. Chyu, S. Kaul, P. K. Shah, and B. Cercek
Effect of Exposure to Cigarette Smoke on Carotid Artery Intimal Thickening: The Role of Inducible NO Synthase
Arterioscler Thromb Vasc Biol, September 1, 2004; 24(9): 1652 - 1658.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
Z. Chen, J. F. Keaney Jr., E. Schulz, B. Levison, L. Shan, M. Sakuma, X. Zhang, C. Shi, S. L. Hazen, and D. I. Simon
Decreased neointimal formation in Nox2-deficient mice reveals a direct role for NADPH oxidase in the response to arterial injury
PNAS, August 31, 2004; 101(35): 13014 - 13019.
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Am. J. Physiol. Heart Circ. Physiol.Home page
D. D. Lund, C. A. Gunnett, Y. Chu, R. M. Brooks, F. M. Faraci, and D. D. Heistad
Gene transfer of extracellular superoxide dismutase improves relaxation of aorta after treatment with endotoxin
Am J Physiol Heart Circ Physiol, August 1, 2004; 287(2): H805 - H811.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
F. M. Faraci and S. P. Didion
Vascular Protection: Superoxide Dismutase Isoforms in the Vessel Wall
Arterioscler Thromb Vasc Biol, August 1, 2004; 24(8): 1367 - 1373.
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StrokeHome page
S. Dayal, E. Arning, T. Bottiglieri, R. H. Boger, C. D. Sigmund, F. M. Faraci, and S. R. Lentz
Cerebral Vascular Dysfunction Mediated by Superoxide in Hyperhomocysteinemic Mice
Stroke, August 1, 2004; 35(8): 1957 - 1962.
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Am. J. Physiol. Heart Circ. Physiol.Home page
R. Hernanz, A. M. Briones, M. J. Alonso, E. Vila, and M. Salaices
Hypertension alters role of iNOS, COX-2, and oxidative stress in bradykinin relaxation impairment after LPS in rat cerebral arteries
Am J Physiol Heart Circ Physiol, July 1, 2004; 287(1): H225 - H234.
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Cardiovasc ResHome page
B. S Conklin, W. Fu, P. H Lin, A. B Lumsden, Q. Yao, and C. Chen
HIV protease inhibitor ritonavir decreases endothelium-dependent vasorelaxation and increases superoxide in porcine arteries
Cardiovasc Res, July 1, 2004; 63(1): 168 - 175.
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Circ. Res.Home page
T. Tanimoto, A. O. Lungu, and B. C. Berk
Sphingosine 1-Phosphate Transactivates the Platelet-Derived Growth Factor {beta} Receptor and Epidermal Growth Factor Receptor in Vascular Smooth Muscle Cells
Circ. Res., April 30, 2004; 94(8): 1050 - 1058.
[Abstract] [Full Text] [PDF]


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Eur J Heart FailHome page
A. Schafer, D. Fraccarollo, P. Tas, I. Schmidt, G. Ertl, and J. Bauersachs
Endothelial dysfunction in congestive heart failure: ACE inhibition vs. angiotensin II antagonism
Eur J Heart Fail, March 1, 2004; 6(2): 151 - 159.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
M. M. Tarpey, D. A. Wink, and M. B. Grisham
Methods for detection of reactive metabolites of oxygen and nitrogen: in vitro and in vivo considerations
Am J Physiol Regulatory Integrative Comp Physiol, March 1, 2004; 286(3): R431 - R444.
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Arterioscler. Thromb. Vasc. Bio.Home page
J. Cornelissen, J. Armstrong, and C. M. Holt
Mechanical Stretch Induces Phosphorylation of p38-MAPK and Apoptosis in Human Saphenous Vein
Arterioscler Thromb Vasc Biol, March 1, 2004; 24(3): 451 - 456.
[Abstract] [Full Text]


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Proc. Natl. Acad. Sci. USAHome page
D. J. Granville, B. Tashakkor, C. Takeuchi, A. B. Gustafsson, C. Huang, M. R. Sayen, P. Wentworth Jr., M. Yeager, and R. A. Gottlieb
Reduction of ischemia and reperfusion-induced myocardial damage by cytochrome P450 inhibitors
PNAS, February 3, 2004; 101(5): 1321 - 1326.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. J. Khatri, C. Johnson, R. Magid, S. M. Lessner, K. M. Laude, S. I. Dikalov, D. G. Harrison, H.-J. Sung, Y. Rong, and Z. S. Galis
Vascular Oxidant Stress Enhances Progression and Angiogenesis of Experimental Atheroma
Circulation, February 3, 2004; 109(4): 520 - 525.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
D. Lebrecht, B. Setzer, R. Rohrbach, and U. A. Walker
Mitochondrial DNA and its respiratory chain products are defective in doxorubicin nephrosis
Nephrol. Dial. Transplant., February 1, 2004; 19(2): 329 - 336.
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Am. J. Pathol.Home page
P. L. Nerheim, J. L. Meier, M. A. Vasef, W.-G. Li, L. Hu, J. B. Rice, D. Gavrila, W. E. Richenbacher, and N. L. Weintraub
Enhanced Cytomegalovirus Infection in Atherosclerotic Human Blood Vessels
Am. J. Pathol., February 1, 2004; 164(2): 589 - 600.
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CirculationHome page
T. Ago, T. Kitazono, H. Ooboshi, T. Iyama, Y. H. Han, J. Takada, M. Wakisaka, S. Ibayashi, H. Utsumi, and M. Iida
Nox4 as the Major Catalytic Component of an Endothelial NAD(P)H Oxidase
Circulation, January 20, 2004; 109(2): 227 - 233.
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Circ. Res.Home page
K. K.W. Au-Yeung, C. W.H. Woo, F. L. Sung, J. C.W. Yip, Y. L. Siow, and K. O
Hyperhomocysteinemia Activates Nuclear Factor-{kappa}B in Endothelial Cells via Oxidative Stress
Circ. Res., January 9, 2004; 94(1): 28 - 36.
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Circ. Res.Home page
T. Bleeke, H. Zhang, N. Madamanchi, C. Patterson, and J. E. Faber
Catecholamine-Induced Vascular Wall Growth Is Dependent on Generation of Reactive Oxygen Species
Circ. Res., January 9, 2004; 94(1): 37 - 45.
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Am. J. Physiol. Heart Circ. Physiol.Home page
A. H. Chamseddine and F. J. Miller Jr.
gp91phox Contributes to NADPH oxidase activity in aortic fibroblasts but not smooth muscle cells
Am J Physiol Heart Circ Physiol, December 1, 2003; 285(6): H2284 - H2289.
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CirculationHome page
D. Lebrecht, B. Setzer, U.-P. Ketelsen, J. Haberstroh, and U. A. Walker
Time-Dependent and Tissue-Specific Accumulation of mtDNA and Respiratory Chain Defects in Chronic Doxorubicin Cardiomyopathy
Circulation, November 11, 2003; 108(19): 2423 - 2429.
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Am. J. Physiol. Heart Circ. Physiol.Home page
W. Gu, D. Weihrauch, K. Tanaka, J. P. Tessmer, P. S. Pagel, J. R. Kersten, W. M. Chilian, and D. C. Warltier
Reactive oxygen species are critical mediators of coronary collateral development in a canine model
Am J Physiol Heart Circ Physiol, October 1, 2003; 285(4): H1582 - H1589.
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Arterioscler. Thromb. Vasc. Bio.Home page
J. B. Rice, L. L. Stoll, W.-G. Li, G. M. Denning, J. Weydert, E. Charipar, W. E. Richenbacher, F. J. Miller Jr, and N. L. Weintraub
Low-Level Endotoxin Induces Potent Inflammatory Activation of Human Blood Vessels: Inhibition by Statins
Arterioscler Thromb Vasc Biol, September 1, 2003; 23(9): 1576 - 1582.
[Abstract] [Full Text] [PDF]