Document Information


PMID 18302965  (  )
Title Atrial natriuretic peptide prevents diabetes-induced endothelial dysfunction.
Abstract Atrial natriuretic peptide (ANP) exerts beneficial effects on the cardiovascular system in part by exerting antioxidant activity. Given that oxidant stress is a key cause of endothelial dysfunction in diabetes, we investigated whether ANP improves endothelial function in rats with diabetes. Rats were injected with streptozotocin (55 mg/kg iv) to induce type 1 diabetes or the citrate vehicle as controls (n=12). After 4 weeks the diabetic rats were treated with ANP (10 pmol/kg/min sc, n=12) or the antioxidant tempol (1.5 mmol/kg/day sc, n=11), both by osmotic minipump, ramipril (1 mg/kg per day in the drinking water) or remained untreated (n=11). After a further 4 weeks, anaesthetised rats were killed by exsanguination and the thoracic aortae collected for examination of vascular activity and measurement of superoxide generation. Diabetic rats showed elevated plasma glucose concentration (45+/-3 mM) compared to controls (10+/-1 mM) and this was not affected by ANP (43+/-3 mM), ramipril (41+/-2 mM) or tempol (43+/-2 mM). Endothelium-dependent relaxation ex vivo in response to acetylcholine was impaired in diabetic rats (Rmax=66+/-4%) compared to control rats (Rmax=94+/-1%) but treatment with ANP (Rmax=80+/-4%), ramipril (Rmax=88+/-2%) or tempol (Rmax=81+/-5%) significantly improved those responses. Relaxant responses to the endothelium-independent vasodilator sodium nitroprusside were enhanced by treatment of diabetic rats with ANP or ramipril and their combination; but not by tempol. Superoxide generation was significantly elevated in aorta from untreated diabetic rats (649+/-146% of control). In diabetic rats, superoxide generation was significantly attenuated by ANP (to 229+/-78%) or tempol (to 186+/-64%). This study demonstrates that ANP improves vascular oxidant stress in concert with endothelial function, independent of any effect on plasma glucose levels. These studies may lead to new therapies, based on natriuretic peptide and/or antioxidant approaches, for ameliorating the vascular complications of diabetes. Australia. owen.woodman@rmit.edu.au

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Targets by SciMiner Summary

HUGO ID Symbol Target Name #Occur ActualStr
7939NPPAnatriuretic peptide precursor A49atrial natriuretic peptide | ANP | ANP-mediated |
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 111ACE | angiotensin converting enzyme |
14874NOX5NADPH oxidase, EF-hand calcium binding domain 510nadph oxidase |
7876NOS3nitric oxide synthase 3 (endothelial cell)8eNOS |
4823HBA1hemoglobin, alpha 14HbA |
7873NOS2Anitric oxide synthase 2A (inducible, hepatocytes)3NOS | iNOS | nitric oxide synthase |
6081INSinsulin3insulin |
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)3angiotensin ii | ang ii |
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)1gp91 phox |
12805XDHxanthine dehydrogenase1xanthine oxidase |

 


Targets by SciMiner Full list

HUGO ID Symbol Name ActualStr Score FlankingText
7939NPPAnatriuretic peptide precursor AANP0.9Atrial natriuretic peptide (ANP) ANP exerts beneficial effects on the cardiovascular system in part by
7939NPPAnatriuretic peptide precursor AANP0.9key cause of endothelial dysfunction in diabetes we investigated whether ANP improves endothelial function in rats with diabetes
7939NPPAnatriuretic peptide precursor AANP0.9After 4_amp_#xa0 weeks the diabetic rats were treated with ANP (10_amp_#xa0;pmol/kg/min 10_amp_#xa0 pmol kg min sc n = 12 or
7939NPPAnatriuretic peptide precursor AANP0.910 _amp_#xb1 1_amp_#xa0 mM and this was not affected by ANP (43 43 _amp_#xb1 3_amp_#xa0 mM ramipril (41 41 _amp_#xb1 2_amp_#xa0
7939NPPAnatriuretic peptide precursor AANP0.9(R R max = 94 _amp_#xb1 1% but treatment with ANP (R R max = 80 _amp_#xb1 4% ramipril (R R
7939NPPAnatriuretic peptide precursor AANP0.9sodium nitroprusside were enhanced by treatment of diabetic rats with ANP or ramipril and their combination but not by tempol
7939NPPAnatriuretic peptide precursor AANP0.9In diabetic rats superoxide generation was significantly attenuated by ANP (to to 229 _amp_#xb1 78% or tempol (to to 186
7939NPPAnatriuretic peptide precursor AANP0.9This study demonstrates that ANP improves vascular oxidant stress in concert with endothelial function independent
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS3.2NADPH oxidase xanthine oxidase cyclooxygenase nitric oxide synthase (both both eNOS and iNOS isoforms and mitochondrial oxidative phosphorylation ( Schulz and
7873NOS2Anitric oxide synthase 2A (inducible, hepatocytes)iNOS2.7xanthine oxidase cyclooxygenase nitric oxide synthase (both both eNOS and iNOS isoforms and mitochondrial oxidative phosphorylation ( Schulz and Keaney 2003
7873NOS2Anitric oxide synthase 2A (inducible, hepatocytes)NOS2.7In diabetes upregulation of NADPH oxidase and uncoupling of endothelial NOS (eNOS) eNOS are major contributors to endothelial dysfunction ( Wendt
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS3.2upregulation of NADPH oxidase and uncoupling of endothelial NOS (eNOS) eNOS are major contributors to endothelial dysfunction ( Wendt et al.
7939NPPAnatriuretic peptide precursor AANP0.9We have recently reported that atrial natriuretic peptide (ANP) ANP is able to exert an antihypertrophic effect in rat cardiomyocytes
7939NPPAnatriuretic peptide precursor AANP0.9Further evidence for antioxidant ANP effects has been provided from attenuated oxidative damage in liver
7939NPPAnatriuretic peptide precursor AANP0.9It should be noted however that ANP has also been reported to increase generation of reactive oxygen
7939NPPAnatriuretic peptide precursor AANP0.9aim of this study was to determine whether treatment with ANP prevents endothelial dysfunction in a rat model of type 1
7939NPPAnatriuretic peptide precursor AANP0.9We compared the effects of ANP with the antioxidant tempol which functions as a superoxide spintrap
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1ACE0.6the effect of treatment with the angiotensin converting enzyme (ACE) ACE inhibitor ramipril either alone or in combination with ANP
7939NPPAnatriuretic peptide precursor AANP0.9(ACE) ACE inhibitor ramipril either alone or in combination with ANP
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1ACE0.6ACE inhibitors are considered first line treatment in diabetic patients with
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1ACE0.6(Ang Ang II stimulates NADPH oxidase activity and that consequently ACE inhibitors can reduce vascular synthesis of superoxide anions ( Cai
7939NPPAnatriuretic peptide precursor AANP0.9The potential for ANP to modulate beneficial effects of ACE inhibition in the diabetic
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1ACE0.6The potential for ANP to modulate beneficial effects of ACE inhibition in the diabetic vasculature in either a positive or
7939NPPAnatriuretic peptide precursor AANP0.9assigned to receive no treatment or to be treated with ANP ramipril ANP plus ramipril (to to determine whether the 2
7939NPPAnatriuretic peptide precursor AANP0.9receive no treatment or to be treated with ANP ramipril ANP plus ramipril (to to determine whether the 2 treatments had
7939NPPAnatriuretic peptide precursor AANP0.9ANP (10 10 pmol/kg pmol kg per min and tempol (1.5_amp_#xa0;mmol/kg
4823HBA1hemoglobin, alpha 1HbA0.3rats for subsequent biochemical analyses (plasma plasma glucose glycated haemoglobin HbA 1c Alfred Hospital Pathology Service Melbourne Australia
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS3.2Western analysis of eNOS
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS3.2For western analysis of eNOS protein level (monoclonal monoclonal antibody Transduction Laboratories Australia membranes were
4823HBA1hemoglobin, alpha 1HbA0.3final body weight non-fasting plasma glucose and glycated haemoglobin (HbA HbA 1c arterial pressures and heart rates for all animals in
7939NPPAnatriuretic peptide precursor AANP0.9Treatment with ANP or ramipril (alone alone or in combination or with tempol
4823HBA1hemoglobin, alpha 1HbA0.3All of the streptozotocin-treated rats exhibited increased plasma glucose and HbA 1c that were not affected by any of the treatments
7939NPPAnatriuretic peptide precursor AANP0.9ANP and tempol significantly reduced the generation of superoxide by the
7939NPPAnatriuretic peptide precursor AANP0.9aortae but whilst ramipril in the absence or presence of ANP tended to decrease superoxide generation the levels were not significantly
7939NPPAnatriuretic peptide precursor AANP0.9Fig 3 shows the effect of ANP tempol and ramipril in the absence and presence of ANP
7939NPPAnatriuretic peptide precursor AANP0.9ANP tempol and ramipril in the absence and presence of ANP on endothelium-dependent relaxation
7939NPPAnatriuretic peptide precursor AANP0.9relaxation was significantly enhanced by treatment of diabetic rats with ANP or ramipril and their combination (as as evidenced by the
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS3.2Aortic expression of eNOS
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS3.2Expression of eNOS protein tended to be lower in vehicle-treated diabetic rats compared
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS3.2None of the treatments significantly affected eNOS expression in comparison to control or vehicle-treated diabetic rats (
7939NPPAnatriuretic peptide precursor AANP0.9This study has demonstrated that ANP prevents endothelial dysfunction assessed by relaxant responses to ACh in
7939NPPAnatriuretic peptide precursor AANP0.9The ability of ANP to enhance endothelium-dependent relaxation was associated with a decrease in
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS3.2but there was no change in the vascular expression of eNOS
7939NPPAnatriuretic peptide precursor AANP0.9Surprisingly ANP treatment also significantly enhanced endothelium-independent relaxation in response to SNP
7939NPPAnatriuretic peptide precursor AANP0.9The antioxidant tempol mimicked the ability of ANP to improve endothelium-dependent relaxation and decrease vascular superoxide levels but
7939NPPAnatriuretic peptide precursor AANP0.9Thus whilst the antioxidant activity of ANP likely contributes to its protection against the diabetes-induced vascular dysfunction
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1ACE0.6The ACE inhibitor ramipril also improved endothelium-dependent relaxation without affecting responses to
7939NPPAnatriuretic peptide precursor AANP0.9relaxation without affecting responses to SNP but when combined with ANP endothelium-independent relaxation was again potentiated suggesting an ANP-mediated action
7939NPPAnatriuretic peptide precursor AANP-mediated0.9combined with ANP endothelium-independent relaxation was again potentiated suggesting an ANP-mediated action
4823HBA1hemoglobin, alpha 1HbA0.3in rats caused the expected elevation of plasma glucose and HbA 1c and impairment of ACh-induced endothelium-dependent relaxation without affecting responses
7939NPPAnatriuretic peptide precursor AANP0.9We also provide evidence that ANP treatment preserved endothelial function associated with a reduction in oxidant
7939NPPAnatriuretic peptide precursor AANP0.9We have previously reported that ANP reduces superoxide generation by isolated cardiomyocytes and cardiac fibroblasts and
7939NPPAnatriuretic peptide precursor AANP0.9superoxide generation by isolated cardiomyocytes and cardiac fibroblasts and that ANP is able to prevent the upregulation of the gp91 phox
7939NPPAnatriuretic peptide precursor AANP0.9Thus it appears likely that ANP also inhibits NADPH oxidase activity in the aorta to reduce
7939NPPAnatriuretic peptide precursor AANP0.9It should be noted that the dose of ANP (10 10 pmol/kg/min) pmol kg min used in this study
7939NPPAnatriuretic peptide precursor AANP0.9generation of superoxide by the aorta in comparison to either ANP or tempol
7939NPPAnatriuretic peptide precursor AANP0.9however just as effective at preserving endothelium-dependent relaxation as either ANP or tempol
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1ACE0.6production of superoxide through the stimulation of NADPH oxidase and ACE inhibitors are reported to reduce vascular oxidant stress by preventing
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1ACE0.6There is evidence however indicating that the beneficial actions of ACE inhibitors on endothelial function are not limited to antioxidant activity
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1ACE0.6In STZ-induced diabetic rats the ACE inhibitor enalapril and the angiotensin AT 1 receptor antagonist L-158809
7939NPPAnatriuretic peptide precursor AANP0.9Our data indicating that ramipril has less antioxidant activity than ANP or tempol but is as effective at improving endothelial function
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1ACE0.6is as effective at improving endothelial function suggests that the ACE inhibitor has a beneficial action on endothelial function through more
7939NPPAnatriuretic peptide precursor AANP0.9A surprising finding from this study was that treatment with ANP either alone or in combination with ramipril significantly enhanced the
7939NPPAnatriuretic peptide precursor AANP0.9Evidence in the literature largely suggests that ANP which activates particulate guanylate cyclase (pGC), pGC might either elicit
7939NPPAnatriuretic peptide precursor AANP0.9Our findings from this study however suggest that ANP and SNP may elicit additive effects on vasodilatation
7939NPPAnatriuretic peptide precursor AANP0.9Alternatively one might propose that improved endothelium-independent vasodilatation with ANP might simply reflect a natriuretic peptide-mediated reduction in vascular remodelling
7939NPPAnatriuretic peptide precursor AANP0.9Regardless ANP clearly offers additional protective influence on endothelium-independent vasodilatation and is
7939NPPAnatriuretic peptide precursor AANP0.9large and small vessels suggesting that the beneficial effects of ANP treatment observed in the aorta are also likely to be
7939NPPAnatriuretic peptide precursor AANP0.9long-term treatment with a non-hypotensive dose of the natriuretic peptide ANP offers protective actions on endothelium-dependent and -independent vasodilatation and this
7939NPPAnatriuretic peptide precursor Aatrial natriuretic peptide1.0atrial natriuretic peptide anp exerts beneficial effects on the cardiovascular system in part by exerting antioxidant activity.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0potential sources of oxidant stress in the vasculature include nadph oxidase xanthine oxidase cyclooxygenase nitric oxide synthase both enos and inos isoforms and mitochondrial oxidative phosphorylation [schulz and keaney 2003] and [landmesser et al. 2006] .
7873NOS2Anitric oxide synthase 2A (inducible, hepatocytes)nitric oxide synthase1.0potential sources of oxidant stress in the vasculature include nadph oxidase xanthine oxidase cyclooxygenase nitric oxide synthase both enos and inos isoforms and mitochondrial oxidative phosphorylation [schulz and keaney 2003] and [landmesser et al. 2006] .
12805XDHxanthine dehydrogenasexanthine oxidase1.0potential sources of oxidant stress in the vasculature include nadph oxidase xanthine oxidase cyclooxygenase nitric oxide synthase both enos and inos isoforms and mitochondrial oxidative phosphorylation [schulz and keaney 2003] and [landmesser et al. 2006] .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0in diabetes upregulation of nadph oxidase and uncoupling of endothelial nos enos are major contributors to endothelial dysfunction [wendt et al. 2005] and [guzik and harrison 2006] .
7939NPPAnatriuretic peptide precursor Aatrial natriuretic peptide1.0we have recently reported that atrial natriuretic peptide anp is able to exert an antihypertrophic effect in rat cardiomyocytes at least in part due to inhibition of nadph oxidase and superoxide generation laskowski et al. 2006 .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0we have recently reported that atrial natriuretic peptide anp is able to exert an antihypertrophic effect in rat cardiomyocytes at least in part due to inhibition of nadph oxidase and superoxide generation laskowski et al. 2006 .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0it should be noted however that anp has also been reported to increase generation of reactive oxygen species ros in human endothelial cells by activating nadph oxidase furst et al. 2005 .
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1angiotensin converting enzyme1.0in addition we investigated the effect of treatment with the angiotensin converting enzyme ace inhibitor ramipril either alone or in combination with anp.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0further it is well established that angiotensin ii ang ii stimulates nadph oxidase activity and that consequently ace inhibitors can reduce vascular synthesis of superoxide anions cai et al. 2003 .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0further it is well established that angiotensin ii ang ii stimulates nadph oxidase activity and that consequently ace inhibitors can reduce vascular synthesis of superoxide anions cai et al. 2003 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)angiotensin ii1.0further it is well established that angiotensin ii ang ii stimulates nadph oxidase activity and that consequently ace inhibitors can reduce vascular synthesis of superoxide anions cai et al. 2003 .
6081INSinsulininsulin1.0diabetic rats are given sucrose supplemented 15_amp_#xa0;g/l drinking water for the first 48_amp_#xa0;h following injection to limit early mortality as the stores of insulin are released from damaged pancreatic cells.
6081INSinsulininsulin1.0blood glucose was monitored weekly by tail prick and when blood glucose exceeded 32_amp_#xa0;mm insulin ultratard hm was administered 2_amp_#xa0;u sc/day to prevent death due to diabetes.
6081INSinsulininsulin1.0at the end of 8_amp_#xa0;weeks of insulin deficient diabetes or sham tail vein blood was collected from conscious rats for subsequent biochemical analyses plasma glucose glycated haemoglobin hba 1c alfred hospital pathology service melbourne
7939NPPAnatriuretic peptide precursor Aatrial natriuretic peptide1.0the following drugs and chemicals were used: acetylcholine perchlorate bdh chemicals atrial natriuretic peptide rat anp 28 bachem feinchemikalien ag bubendorf switzerland _amp_#x3b2; nicotinamide adenine dinucleotide phosphate nadph sigma ramipril gift from sanofi aventis frankfurt germany sodium nitroprusside
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0xidant stress is an important cause of endothelial dysfunction in diabetes [de vriese et al. 2000] and [rask madsen and king 2007] and that this might arise due to an increase in activity of vascular nadph oxidase hink et al. 2001 .
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)gp91 phox1.0we have previously reported that anp reduces superoxide generation by isolated cardiomyocytes and cardiac fibroblasts and that anp is able to prevent the upregulation of the gp91 phox subunit of nadph oxidase.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0we have previously reported that anp reduces superoxide generation by isolated cardiomyocytes and cardiac fibroblasts and that anp is able to prevent the upregulation of the gp91 phox subunit of nadph oxidase.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0thus it appears likely that anp also inhibits nadph oxidase activity in the aorta to reduce superoxide generation.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii is an important stimulus for the vascular production of superoxide through the stimulation of nadph oxidase and ace inhibitors are reported to reduce vascular oxidant stress by preventing that activa
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0ang ii is an important stimulus for the vascular production of superoxide through the stimulation of nadph oxidase and ace inhibitors are reported to reduce vascular oxidant stress by preventing that activation of nadph oxidase as well as increasing endogenous antioxidant enzyme activity landmesser et al. 2006 .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0 and ace inhibitors are reported to reduce vascular oxidant stress by preventing that activation of nadph oxidase as well as increasing endogenous antioxidant enzyme activity landmesser et al. 2006 .
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1angiotensin converting enzyme1.0angiotensin converting enzyme inhibitors|antioxidants|blood glucose|cyclic n oxides|spin labels|vasodilator agents|superoxides|nitroprusside|tempol|atrial natriuretic factor|ramipril|nitric oxide synthase type iii|nadph oxidase|