Does nitric oxide mediate the vasodilator activity of nitroglycerin?

Circ Res. 2003 Oct 31;93(9):e104-12. doi: 10.1161/01.RES.0000100067.62876.50. Epub 2003 Oct 9.

Abstract

Nitroglycerin (glyceryl trinitrate, GTN) relaxes blood vessels primarily via activation of the soluble guanylyl cyclase (sGC)/cGMP/cGMP-dependent protein kinase (cGK-I) pathway. Although the precise mechanism of sGC activation by GTN in the vascular wall is unknown, the mediatory role of nitric oxide (NO) has been postulated. We tested the GTN/NO hypothesis in different types of isolated rat and rabbit blood vessels using two novel approaches: (1) EPR spin trapping using colloid Fe(DETC)2 and (2) analysis of cGK-I-dependent phosphorylation of the vasodilator-stimulated phosphoprotein at Ser239 (P-VASP). For comparison, another organic nitrate, isosorbide dinitrate (ISDN), and endothelium-dependent vasodilator, calcium ionophore A23187, were tested. We found a marked discrepancy between GTN's strong vasoactivity (vasodilation and augmentation of P-VASP) and its poor NO donor properties. In aortas precontracted with phenylephrine, GTN, ISDN, and A23187 induced nearly full relaxations (>80%) and doubling of vascular P-VASP content at concentrations of 100 nmol/L, 100 micromol/L, and 1 micromol/L, respectively. GTN applied in vasorelaxant concentrations (10 to 1000 nmol/L) did not significantly increase the basal vascular NO production, in contrast to ISDN and A23187. The absence of GTN-derived NO was confirmed in rabbit vena cava and renal artery. A significant increase in vascular NO formation was observed only at suprapharmacological GTN concentrations (>10 micromol/L). The concentration dependency of NO formation from GTN was comparable to that of ISDN, although the latter exhibits 100-folds lower vasorelaxant potency. We conclude that GTN activates the sGC/cGMP/cGK-I pathway and induces vasorelaxation without intermediacy of the free radical NO. The full text of this article is available online at http://www.circresaha.org.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Aorta, Thoracic / drug effects
  • Aorta, Thoracic / physiology
  • Benomyl / pharmacology
  • Calcimycin / pharmacology
  • Cell Adhesion Molecules / drug effects
  • Cell Adhesion Molecules / metabolism
  • Dose-Response Relationship, Drug
  • Electron Spin Resonance Spectroscopy
  • Enzyme Inhibitors / pharmacology
  • Guanylate Cyclase
  • In Vitro Techniques
  • Ionophores / pharmacology
  • Isosorbide Dinitrate / pharmacology
  • Male
  • Microfilament Proteins
  • Nitric Oxide / metabolism*
  • Nitroglycerin / pharmacology*
  • Phosphoproteins / drug effects
  • Phosphoproteins / metabolism
  • Phosphorylation / drug effects
  • Rabbits
  • Rats
  • Rats, Wistar
  • Receptors, Cytoplasmic and Nuclear / metabolism
  • Renal Artery / drug effects
  • Renal Artery / physiology
  • Soluble Guanylyl Cyclase
  • Spin Trapping
  • Vasoconstrictor Agents / pharmacology
  • Vasodilation / drug effects*
  • Vasodilation / physiology*
  • Vasodilator Agents / pharmacology*
  • Venae Cavae / drug effects
  • Venae Cavae / physiology

Substances

  • Cell Adhesion Molecules
  • Enzyme Inhibitors
  • Ionophores
  • Microfilament Proteins
  • Phosphoproteins
  • Receptors, Cytoplasmic and Nuclear
  • Vasoconstrictor Agents
  • Vasodilator Agents
  • vasodilator-stimulated phosphoprotein
  • Nitric Oxide
  • Calcimycin
  • Guanylate Cyclase
  • Soluble Guanylyl Cyclase
  • Nitroglycerin
  • Isosorbide Dinitrate
  • Benomyl