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PMID 17891166  (  )
Title Improvement of vascular function by acute and chronic treatment with the PDE-5 inhibitor sildenafil in experimental diabetes mellitus.
Abstract BACKGROUND AND PURPOSE: Diabetes-associated vascular dysfunction contributes to increased cardiovascular risk. We investigated whether the phosphodiesterase-5 inhibitor sildenafil would improve vascular function in diabetic rats. EXPERIMENTAL APPROACH: Male Wistar rats were injected with streptozotocin (50 mg kg(-1), i.v.) to induce insulin-deficient diabetes. Direct effects of sildenafil as well as modification of endothelium-dependent and -independent vasorelaxation were investigated in vitro. The effects of acute and chronic (2 week) treatment in vivo of sildenafil on vascular function were also characterized in isolated aortic segments in organ bath chambers 4 weeks after diabetes induction. KEY RESULTS: Sildenafil induced a concentration-dependent vasorelaxation, which was attenuated by the nitric oxide (NO) synthase inhibitor, N(G)-nitro-L-arginine. Acetylcholine-induced endothelium-dependent as well as endothelium-independent relaxation induced by the NO donor, DEA-NONOate, was significantly reduced in aortae from diabetic rats. Incubation with sildenafil in vitro normalized both endothelium-dependent and -independent relaxation in aortae from diabetic rats. Acute as well as chronic in vivo treatment with sildenafil resulted in enhanced endothelium-dependent and -independent vasorelaxation. Superoxide formation was increased in diabetes, associated with enhanced membrane expression of the NAD(P)H oxidase subunit gp91(phox) and Rac, which were both reduced by chronic treatment with sildenafil. CONCLUSIONS AND IMPLICATIONS: We demonstrate that sildenafil treatment rapidly and chronically improves vascular relaxation in diabetic rats. Treatment with sildenafil might provide a similarly beneficial effect in diabetic patients. Julius-Maximilians-Universitat Wurzburg, Wurzburg, Bavaria, Germany. a.schaefer@medizin.uni-wuerzburg.de

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Targets by SciMiner Summary

HUGO ID Symbol Target Name #Occur ActualStr
7876NOS3nitric oxide synthase 3 (endothelial cell)10eNOS |
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)5Rac-1 |
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)4gp91 phox |
8784PDE5Aphosphodiesterase 5A, cGMP-specific4PDE-5 |
14874NOX5NADPH oxidase, EF-hand calcium binding domain 53nadph oxidase |
132ACTBactin, beta2beta actin | beta-actin |
6081INSinsulin2insulin |
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)2p47 |
1693CD68CD68 molecule1CD68 |
391AKT1v-akt murine thymoma viral oncogene homolog 11Rac |
9683PTPRUprotein tyrosine phosphatase, receptor type, U1FMI |
9393PRKCAprotein kinase C, alpha1protein kinase c |

 


Targets by SciMiner Full list

HUGO ID Symbol Name ActualStr Score FlankingText
391AKT1v-akt murine thymoma viral oncogene homolog 1Rac1.6the NAD(P)H NAD P H oxidase subunit gp91 phox and Rac which were both reduced by chronic treatment with sildenafil
8784PDE5Aphosphodiesterase 5A, cGMP-specificPDE-50.3Similarly PDE-5 inhibition with sildenafil prevents the smoking-induced decrease in flow-mediated vasodilation
9683PTPRUprotein tyrosine phosphatase, receptor type, UFMI0.3mm rings which were mounted in an organ bath (FMI, FMI Seeheim Germany for isometric force measurements
132ACTBactin, betabeta-actin0.3Proteins were electrotransferred onto polyvinylidine difluoride membrane (Immun-Blot Immun-Blot 0.2 beta-actin (4967, 4967 Cell Signaling Technology Frankfurt Germany
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.2Endothelial NO synthase (eNOS) eNOS dimer/monomer dimer monomer protein was detected by western blot analysis
1693CD68CD68 moleculeCD680.3m sections of aorta were stained using primary antibody against CD68 (MCA341R, MCA341R Serotec Disseldorf Germany
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)p470.6adenine dinucleotide phosphate (NADPH) NADPH oxidase subunits gp91 phox and p47 phox was significantly increased in aortae from diabetic rats gp91
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)p470.6chronic treatment with sildenafil ( Figure 4b whereas the increased p47 phox expression was not changed (data data not shown
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac-11.6Translocation of the small G protein Rac-1 to the plasma membrane activates NADPH oxidase
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac-11.6There was a trend towards increased Rac-1 expression in the aortic membrane in diabetes vs control and
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac-11.6aortic membrane in diabetes vs control and sildenafil significantly reduced Rac-1 expression changes ( Figure 4c
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.2throughout the vascular wall endothelium-specific increased superoxide formation by uncoupled eNOS with reduced dimer/monomer dimer monomer ratio has been observed in
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.2We found that eNOS dimer/monomer dimer monomer ratio was significantly reduced in the aortae
8784PDE5Aphosphodiesterase 5A, cGMP-specificPDE-50.3study we demonstrate that acute and chronic treatment with the PDE-5 inhibitor sildenafil in experimental diabetes improves vascular function and reduces
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.2C activity as well as increased levels of the endogenous eNOS inhibitor asymmetric dimethylarginine result in enhanced oxidative stress and reduced
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.2H oxidase subunit gp91 phox in aortae from diabetic rats eNOS becomes uncoupled under certain circumstances such as high glucose challenge
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.2However a major contribution of uncoupled eNOS to superoxide formation in the present experimental condition is unlikely
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac-11.6NAD(P)H NAD P H oxidase subunits and expression changes of Rac-1 favours NAD(P)H NAD P H oxidase as the major source
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.2Nevertheless there was a significant shift in eNOS dimer/monomer dimer monomer ratio towards monomer in aortae from diabetic
8784PDE5Aphosphodiesterase 5A, cGMP-specificPDE-50.3of inducing cGMP-dependent vasorelaxation which can be enhanced by the PDE-5 inhibitor sildenafil ( Li et al 2005
8784PDE5Aphosphodiesterase 5A, cGMP-specificPDE-50.3Thereby PDE-5 inhibition would not only result in the enhancement of the
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac-11.6( b and membrane expression of the small G protein Rac-1 a NADPH oxidase regulator ( c were assessed by western
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.2Uncoupling of eNOS in aortic rings from control rats and diabetic rats (STZ)
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.2kg -1 day -1 for 2 weeks was assessed by eNOS dimer/monomer dimer monomer ratio following low temperature SDS-PAGE ( a
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.2aortae was examined by immunohistochemistry for CD68 cells ( b eNOS endothelial NO synthase SDS-PAGE sodium dodecyl sulphate-polyacrylamide gel electrophoresis STZ
6081INSinsulininsulin1.0experimental approach: male wistar rats were injected with streptozotocin 50 mg kg 1 i.v. to induce insulin deficient diabetes.
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)gp91 phox1.0superoxide formation was increased in diabetes associated with enhanced membrane expression of the nad p h oxidase subunit gp91 phox and rac which were both reduced by chronic treatment with sildenafil.
6081INSinsulininsulin1.0impaired endothelial function has been described in very early stages of diabetes mellitus and hyperglycaemia and decreased insulin sensitivity as well as increased oxidative stress have been proposed as possible contributors reviewed by guerci et al 2001 .
132ACTBactin, betabeta actin1.0proteins were electrotransferred onto polyvinylidine difluoride membrane immun blot 0.2 beta actin 4967 cell signaling technology frankfurt germany .
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)gp91 phox1.0expression of the nicotinamide adenine dinucleotide phosphate nadph oxidase subunits gp91 phox and p47 phox was significantly increased in aortae from diabetic rats. gp91 phox expression was significantly reduced by chronic treatment with sildenafil figure 4b whereas the increased p47 phox expression was not changed data not shown .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0expression of the nicotinamide adenine dinucleotide phosphate nadph oxidase subunits gp91 phox and p47 phox was significantly increased in aortae from diabetic rats. gp91 phox expression was significantly reduced by chronic treatment with sildenafil figure 4b whereas the inc
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0translocation of the small g protein rac 1 to the plasma membrane activates nadph oxidase.
9393PRKCAprotein kinase C, alphaprotein kinase c1.0increased expression of nad p h oxidase subunits enhanced nad p h oxidase and protein kinase c activity as well as increased levels of the endogenous enos inhibitor asymmetric dimethylarginine result in enhanced oxidative stress and reduced no bioavailability in diabetes hink et al 2001 .
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)gp91 phox1.0we demonstrate that chronic treatment with sildenafil reduces the enhanced superoxide formation and expression of the nad p h oxidase subunit gp91 phox in aortae from diabetic rats. enos becomes uncoupled under certain circumstances such as high glucose challenge to produce superoxide instead of no bauersachs and sch_amp_auml;fer 2005 ; forstermann
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)gp91 phox1.0expression of the nadph oxidase subunit gp91 phox b and membrane expression of the small g protein rac 1 a nadph oxidase regulator c were assessed by western blot.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0expression of the nadph oxidase subunit gp91 phox b and membrane expression of the small g protein rac 1 a nadph oxidase regulator c were assessed by western blot.