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(Circulation. 2005;111:2973-2980.)
© 2005 American Heart Association, Inc.
Molecular Cardiology |
From the Department of Medicine, Divisions of Cardiology and Pulmonary, Emory University, Atlanta, Ga.
Correspondence to Dr Dean P. Jones, Department of Medicine, 205 Whitehead Research Center, Emory University, Atlanta, GA 30322. E-mail dpjones{at}emory.edu
Received July 2, 2004; de novo received October 18, 2004; revision received January 13, 2005; accepted January 20, 2005.
Background Oxidative stress, a contributing factor to atherosclerosis, causes oxidation of biological thiols, which can be quantified in terms of the thiol/disulfide redox. The major thiol/disulfide redox couple in human plasma is cysteine (Cys) and its disulfide, cystine (CySS). Although atherosclerosis has previously been associated with Cys/CySS oxidation, whether oxidation of Cys/CySS contributes in a causal way to atherosclerosis development is not known. We examined the function of extracellular Cys/CySS redox potential (Eh) in the regulation of early events of atherosclerosis using cultured aortic endothelial cells and monocytes as a vascular model system.
Methods and Results To determine the range of thiol/disulfide redox state in human plasma, we analyzed levels of Cys, CySS, glutathione (GSH), and glutathione disulfide (GSSG) and calculated Eh according to the Nernst equation. Eh of Cys/CySS and GSH/GSSG was 120 to 20 and 200 to 50 mV, respectively. To approximate this range, endothelial cells were exposed to initial Eh from 150 mV (most reduced) to 0 mV (most oxidized). Compared with more reduced Eh, oxidized Eh of Cys/CySS stimulated H2O2 but not nitric oxide production, activated nuclear factor-
B, increased expression of adhesion molecules (intercellular adhesion molecule-1, platelet endothelial cell adhesion molecule-1, P-selectin), and stimulated monocytes binding to endothelial cells. Extracellular Eh regulated thiol/disulfide redox states of extracellular membrane proteins and H2O2 production, indicating that variation in extracellular Eh is detected and signaled at the cell surface.
Conclusions The extracellular thiol/disulfide Eh of the Cys/CySS couple plays a key role in regulating early events of atherosclerosis and could be useful as a potential marker for vascular disease risk.
Key Words: atherosclerosis cell adhesion molecules endothelium inflammation plasma
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