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2 Department of Pharmacology, School of Pharmacy, Universidad de Granada, 18071 Granada, Spain and 3 Department of Pharmacology, School of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain
* To whom correspondence should be addressed. E-mail: fperez{at}med.ucm.es.
| ABSTRACT |
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| Introduction |
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Angiotensin II (AngII) increases arterial pressure, impairs endothelial function, induces vascular smooth muscle hypertrophy, and induces the expression of multiple vasoactive and inflammatory substances, playing a key role in the pathophysiology of cardiovascular diseases, including hypertension, atherosclerosis, and heart failure (8). A significant body of evidence supports a role for the intracellular production of reactive oxygen species (ROS), such as superoxide anion (O2–) and hydrogen peroxide, in the signal transduction of AngII (9–12). The major source of intracellular ROS in vascular cells is NADPH oxidase, a multisubunit enzymatic complex that comprises 2 membrane-bound subunits, Nox (Nox-1, Nox-2, also referred to as gp91phox, Nox-4 or Nox-5) and p22phox, which are regulated by cytoplasmic subunits such as p47phox, p67phox, and a low-molecular weight G protein (rac 2 or rac 1) (12). The translocation of cytosolic p47phox to the membrane is essential in the assembly process of this complex and plays a major role in NADPH oxidase activity in cardiovascular cells (13,14). AngII activates NADPH oxidases in vascular smooth muscle by inducing phosphorylation of p47phox and by de novo protein synthesis of p47phox and other NADPH oxidase subunits (8,9,15).
In this study, we investigated the effects of quercetin and its methylated plasma metabolite isorhamnetin on the AngII-induced endothelial dysfunction in vitro and its relation with the production of O2– and the expression of p47phox.
| Materials and Methods |
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Tissue culture. The descending thoracic aortae were dissected and cut into rings. Rings were incubated in Krebs solution (composition in mmol/L: NaCl, 118; KCl, 4.75; NaHCO3, 25; MgSO4, 1.2; CaCl2, 2; KH2PO4, 1.2; and glucose, 11) containing an antibiotic-antimycotic mixture (penicillin, gentamycin, and anfotericin B) for 2, 4, 6, or 8 h in a cell culture incubator in the absence or presence of AngII (1 µmol/L) and in the presence of vehicle [dimethylsulfoxide (DMSO) 0.1%], quercetin (1 or 10 µmol/L), isorhamnetin (1 or 10 µmol/L), or losartan (10 µmol/L). Aortae were immediately used for contractile tension recording, frozen in liquid nitrogen, and stored at –80°C for Western blots or included in embedding medium and then frozen in liquid nitrogen and stored at –80°C for immunohistochemistry or O2– production analysis.
Contractile tension recording. Aortic rings, previously incubated as mentioned above, were mounted in organ chambers, as previously described (3,4). The chamber was filled with Krebs solution at 37°C and gassed with 95% O2 and 5% CO2. Rings were stretched to 2 g of tension and equilibrated for 90–120 min. The contraction was recorded using data acquisition hardware and software (REGXPC computer program from Cibertec). After equilibration, arteries were stimulated with 1 µmol/L phenylephrine and a concentration-response curve was constructed by cumulative addition of acetylcholine (ACh). In some experiments, polyethyleneglycol O2– dismutase (PEG-SOD, 100 kU/L) or apocynin (100 µmol/L) were added to the organ chamber 60 min before the addition of phenylephrine. Endothelium-independent responses to sodium nitroprusside were also performed in the dark in rings precontracted with 1 µmol/L phenylephrine.
In situ detection of vascular O2– production. Unfixed aortic rings were cryopreserved by incubation with PBS (0.1mol/L) containing 30% sucrose for 1–2 h, included in OCT, frozen, and 10-µm cross sections were obtained in a cryostat (Microm International Model HM500 OM) (16). Sections were incubated in a humidified chamber for 30 min in HEPES-buffered solution (in mmol/L: NaCl, 130; KCl, 5; MgCl2, 1.2; glucose, 10; and HEPES, 10, pH 7.3 with NaOH) at 37°C. Afterwards, the sections were further incubated for 30 min in HEPES solution containing dihydroethidium (DHE) (10 µmol/L) in the dark, counterstained with the nuclear stain 4',6-diamidino,2-phenylindol (DAPI), and mounted with a coverslip. Four sections of each preparation were examined on a fluorescence microscope (Leica DM IRB), photographed with a Leica DC300F color digital camera, and images were saved for off-line analysis. Ethidium and DAPI fluorescence were quantified using ImageJ (version 1.32j, NIH, http://rsb.info.nih/ij/). O2– production was estimated from the ratio of ethidium/DAPI fluorescence (16). Negative controls were obtained in the absence of DHE.
Vascular p47phox expression.
Aortae were frozen and homogenated in 200 µL of a buffer of the following composition (mmol/L): HEPES, 10 (pH 8); KCl, 10; EDTA, 1; EGTA, 1; dithiothreitol, 1; aprotinin, 0.006; leupeptin, 0.009; N
-p-tosyl-l-lysine chloromethyl ketone, 0.011; NaF, 5; Na2MoO4, 10; NaVO4 and phenylmethanesulfonyl fluoride, 0.5 and centrifuged. Western blots were performed with 30 µg of protein of the supernatant per lane (5,17). Sodium dodecyl sulfate-polyacrylamide (10%) electrophoresis was performed in a mini-gel system (Bio-Rad Laboratories). The proteins were transferred to nitrocellulose membranes overnight and incubated with rabbit anti- p47phox polyclonal antibodies (1:200 dilution, SantaCruz Biotechnology). The membranes were then washed 5 times for 10 min in Tris-buffered saline containing 0.1% Tween 20 and incubated with secondary peroxidase conjugated goat anti-rabbit antibody (1:2000, Santa Cruz Biotechnology). Antibody binding was detected by an enhanced chemiluminesce system (Amersham Pharmacia Biotech). Films were scanned and densitometric analysis was performed on the scanned images using Scion Image-Release Beta 4.02 software (http://www.scioncorp.com). Samples were reprobed for expression of
-actin. p47phox protein abundance/
-actin ratio was calculated and data are expressed as a percentage of the values in control aorta from the same gel.
Immunohistochemistry. Sections (10 µm) of aorta were prepared as described above for DHE fluorescence, fixed with paraformaldehyde 4% for 1 h, and washed with PBS 5 times. Sections were blocked with 0.1 mol/L PBS + 0.3% Tween 20 + 5% bovine serum albumin for 1 h at 37°C in a humidified chamber, incubated with rabbit anti-p47phox polyclonal antibodies (1:50 dilution, SantaCruz Biotechnology), then washed 6 times for 5 min in 0.1 mol/L PBS + 0.3% Tween 20, incubated in the dark with secondary Cy3 conjugated goat anti-rabbit antibody (1:200, Jackson Immunoresearch Laboratories) and washed again 5 times. Then preparations were counterstained with DAPI, examined in a confocal microscope, and photographed. Negative controls were obtained in the absence of primary antibody.
Drugs. All drugs and reagents were from Sigma, except DAPI from Calbiochem and isorhamnetin from Extrasynthese. Quercetin aglycone and isorhamnetin were initially dissolved in DMSO and all other drugs in distilled water.
Statistical analysis. Results are expressed as means ± SEM and n reflects the number of animals. Significant differences between groups were calculated by ANOVA followed by a Newman Keuls test. P < 0.05 was considered significant. Concentration-response curves were fitted to a logistic equation and from these plots the maximal relaxant effect (Emax) and the negative logarithm of the concentration producing half maximal relaxation (pD2) were calculated.
| Results |
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Incubation with the PPAR
antagonist GW9662 (1 µmol/L) (18) did not modify ACh-induced relaxation in control arteries (pD2 = 6.88 ± 0.13 and Emax = 80 ± 3%, n = 8) and did not prevent AngII-induced endothelial dysfunction (pD2 = 6.78 ± 0.09 and Emax = 66.0 ± 6, n = 9). Moreover, quercetin and isorhamnetin (10 µmol/L) improvement of AngII-induced impaired ACh relaxation were unaffected by GW9662 (pD2 = 7.12 ± 0.18, n = 10; 7.43 ± 0.18, n = 10; and Emax = 92.6 ± 3.9%; 89.2 ± 3.2% in rings coincubated with quercetin in the presence or absence of GW9662, respectively; and pD2 = 7.04 ± 0.17, n = 10; 7.08 ± 0.16, n = 10; and Emax = 85.6 ± 4.5%; 86.5 ± 3.1% in rings coincubated with isorhamnetin in the presence or absence of GW9662, respectively). | Discussion |
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Endothelial dysfunction is present in animals made hypertensive by infusion of AngII as well as in mice that chronically overexpress renin and angiotensinogen (9,19). The fact that AngII can also induce endothelial dysfunction in vitro in the mouse carotid artery (20) and rat aorta (this study) indicates that these changes are due to direct effects of AngII on the vessel wall, independent of circulating hormones, neurogenic mechanisms, or changes in arterial pressure. This alteration was suppressed by coincubation with the AT1 receptor antagonist losartan, demonstrating that endothelial dysfunction is mediated by activation of AT1 receptors. Chronic oral administration of quercetin reduces blood pressure and restores endothelial function in several animal models of hypertension, including SHR, NO-deficient, deoxycorticosterone acetate-salt, and Goldblatt hypertensive rats (4–7). However, it was unclear whether the effects on endothelial function were due to a direct effect on the vessel wall, secondary to the blood pressure-lowering effect, or driven by neurohumoral mechanisms of quercetin or its metabolites. Our results show that both quercetin and isorhamnetin are also effective in vitro, reducing endothelial dysfunction in aortic rings. Moreover, it should be noted that the effective concentration of quercetin was as low as 1 µmol/L, which is in the range achieved in plasma after a regular meal containing flavonoid (21), indicating that this effect appears to be physiologically relevant.
Excess of O2– generation is critically involved in the breakdown of NO associated to endothelial dysfunction in aortic rings from AngII-infused rats (9,22). In our experiments, the presence of SOD in the organ chamber restored the relaxant response induced by ACh in aortic rings exposed to AngII. Similarly, overexpression of SOD prevented, while downregulation of SOD potentiated, AngII-induced endothelial dysfunction (20). We also found that AngII increased intracellular O2– production, measured by ethidium red fluorescence, especially in the smooth muscle cells of the medial layer. Furthermore, quercetin and isorhamnetin diminished the increased O2– production in the smooth muscle cells. In addition, the endothelium-independent vasodilation induced by the soluble guanylyl cyclase activator nitroprusside was similar in control and AngII-treated rings and unaffected by the flavonoids, indicating that endothelial dysfunction is due to changes in endothelium-derived NO bioactivity rather than downstream effects on vascular smooth muscle.
The maximal effect of AngII was observed after 6–8 h of incubation even when AngII was absent during the challenge with ACh. Similarly, quercetin and isorhamnetin were present during the exposure to AngII but absent during the endothelial function test. These slow and persistent changes induced by AngII are consistent with the involvement of changes in gene expression. Several studies have shown that NADPH oxidase is critically involved in AngII-induced endothelial dysfunction (9,15). In fact, the NADPH oxidase inhibitor apocynin, which impedes the assembly of the p47phox and p67phox subunits within the membrane NADPH oxidase complex, diminished endothelial dysfunction in AngII-infused mice (23), SHR (5), and AngII-exposed aortic rings in vitro (our results). These results suggest that O2– generated by NADPH oxidase is also involved in the alteration of aortic endothelial function induced by in vitro incubation with AngII. The p47phox subunit of NADPH oxidase plays a pivotal role of in the vascular oxidant stress and blood pressure response in AngII-dependent hypertension (24,25). Moreover, AngII-induced changes in p47phox expression and phosphorylation have been widely analyzed in smooth muscle and endothelial cells in culture (12,13). In this study, in aortae incubated for 6 h with AngII, we found higher protein levels of this NADPH oxidase component, measured by western blot, than in control aortae. Immunohistochemical analysis revealed that overexpression of p47phox occurred mainly in the medial layer. This increased p47phox protein expression is consistent with the increased O2– production found in aortae stimulated by AngII. Coincubation with either quercetin or isorhamnetin decreased the levels of this protein in AngII-treated aortae and the immunohistochemical staining of p47phox without a significant effect in control rings. These results suggest that quercetin and its methylated metabolite decreased O2– production stimulated by AngII by downregulating the expression of the p47phox subunit of vascular NADPH oxidase. In a recent study, we demonstrated that in SHR, the improvement of endothelial function by chronic oral administration of quercetin is associated with a reduction in the NADPH oxidase activity and p47phox expression that is abnormally high in these animals as compared with normotensive Wistar-Kyoto rats (5). These results suggest that decreased NADPH oxidase derived O2– and, thus, diminished NO inactivation may be an important mechanism contributing to the prevention of endothelial dysfunction by quercetin, independently of its blood pressure-lowering properties.
Quercetin has been suggested to show agonistic effects on PPAR
(26). Because the PPAR
ligands reduce O2– generation stimulated by AngII in human coronary artery endothelial cells (27), we hypothesized that quercetin and isorhamnetin might also prevent endothelial dysfunction via activation of these receptors. However, the PPAR
antagonist GW9662 did not affect the effects induced by quercetin and isorhamnetin, suggesting that these protective effects are unrelated to PPAR
activation. Thus, 2 potential mechanisms might be involved in the effects of quercetin. First, ROS can activate its own production via increased expression of NADPH oxidase subunits (28). Thus, quercetin and isorhamnetin, via scavenging ROS, might inhibit this positive feedback mechanism. Additionally, several protein kinases (e.g. protein kinase C, mitogen-activated protein kinases, and Src) have been reported to be involved in AngII-induced activation of NADPH oxidase (29). Because quercetin and related flavanoids are broad protein kinase inhibitors (30), it might also be a possible role of protein kinase inhibition in preventing AngII-induced endothelial function.
Taken together, these results indicate that quercetin and isorhamnetin prevent AngII-induced endothelial dysfunction by inhibiting the overexpression of p47phox and the subsequent increased O2– production resulting in increased response to NO.
| FOOTNOTES |
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4 Abbreviations used: ACh, acetylcholine; AngII, Angiotensin II; AT1, AngII receptor type 1; DAPI, 4',6-diamidino,2-phenylindol; DHE, dihydroethidium; DMSO, dimethylsulfoxide; Emax, maximal relaxant effect; NO, nitric oxide; O2–, superoxide; pD2, half maximal relaxation; PEG-SOD, polyethyleneglycol superoxide dismutase; ROS, reactive oxygen species; SHR, spontaneously hypertensive rats; SOD, superoxide dismutase. ![]()
Manuscript received 25 November 2006. Initial review completed 11 December 2006. Revision accepted 9 January 2007.
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