(Circulation. 1997;96:3593-3601.)
© 1997 American Heart Association, Inc.
Articles |
From the Department of Medicine (Cardiology Division), University of Washington, Seattle (B.C.B.), and the Departments of Medicine (Andreas Gruentzig Cardiovascular Center) (G.L.N., K.R., A.K., S.B.K.) and Pathology (D.S.S.), Emory University School of Medicine, Atlanta, Ga. Dr Nunes is now at Dante Pazzanese Cardiology Institute, São Paolo, Brazil.
Correspondence to Bradford C. Berk, MD, PhD, Division of Cardiology, 357710, University of Washington, Seattle, WA 98195. E-mail bcberk{at}u.washington.edu
Background We previously found in a pig coronary balloon injury model that vitamins C and E as well as probucol had beneficial effects on the vessel response to injury measured by morphometry. These effects correlated with an inhibition in the ability to oxidize LDLs ex vivo, suggesting that the morphological response was due to the antioxidant effect of the treatments.
Methods and Results In the present study, the
production of O2- by vessels 14 days
after balloon injury was determined and correlated with circulating and
tissue levels of vitamins C and E. Twenty-five domestic pigs were
divided into four groups: control (n=7), vitamin C (500 mg/d, group C,
n=6), vitamin E (1000 IU/d, group E, n=6), and vitamins C and E (500
mg/d and 1000 IU/d, group C+E, n=6). Vitamins were administered 7 days
before oversized balloon injury of the left anterior descending
coronary artery (LAD) and continued for 14 days after injury.
Vitamin C and E concentrations were determined in plasma and
lymphocytes as an index for tissue levels. Vessels were harvested after
animals were killed, and O2-
production was measured by lucigenin chemiluminescence.
O2- production by the injured LAD was
2.5-fold greater than O2- production
by the uninjured LAD or right coronary artery (RCA). The
increase in O2- was caused primarily by cells
present in the media and neointima. All vitamin-treated
groups showed significantly decreased O2-
production in both the RCA and LAD (
45% inhibition)
relative to vessels in the control, untreated group. There was a
significant correlation between LAD O2-
production and lymphocyte vitamin E levels.
Conclusions The present study is the first to show increased O2- production in injured vessels and to demonstrate that antioxidant vitamins reduce O2- production. These results suggest that beneficial effects of antioxidant vitamins in coronary artery disease are related, in part, to alterations in vessel redox state.
Key Words: antioxidants restenosis free radicals vasculature
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