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(Circulation. 2000;101:1234.)
© 2000 American Heart Association, Inc.


Brief Rapid Communications

Vascular Effects Following Homozygous Disruption of p47phox

An Essential Component of NADPH Oxidase

Eileen Hsich, MD; Brahm H. Segal, MD; Patrick J. Pagano, PhD; Federico E. Rey, PhD; Beverly Paigen, PhD; John Deleonardis, BS; Robert F. Hoyt, DVM, MS; Steven M. Holland, MD; Toren Finkel, MD, PhD

From the Laboratory of Molecular Biology (E.H., T.F.) and the Laboratory of Animal Medicine and Surgery (J.D., R.F.H.), National Heart, Lung, and Blood Institute, and the Laboratory of Host Defenses, National Institute of Allergy and Infectious Diseases (B.H.S., S.M.H.), National Institutes of Health, Bethesda, Md; The Jackson Laboratory, Bar Harbor, Maine (B.P.); and the Hypertension and Vascular Research Division, Henry Ford Hospital, Detroit, Mich (P.J.P, F.E.R).

Correspondence to Toren Finkel, MD, PhD, National Institutes of Health, Bldg 10-6N/240, 10 Center Drive, Bethesda, MD 20892. E-mail finkelt{at}nih.gov


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Background—Evidence suggests that the vessel wall contains an oxidase similar, if not identical, to phagocytic NADPH oxidase. We tested the contribution of this specific oxidase to the progression of atherosclerosis and the regulation of blood pressure.

Methods and Results—An examination of aortic rings from wild-type mice and mice with homozygous targeted disruptions in p47phox revealed that p47phox knockout mice had a reduction in vascular superoxide production. However, analyses of apoE -/- p47phox+/+ and apoE -/- p47phox -/- strains of mice demonstrated no significant differences in atherosclerotic lesion sizes. Similarly, analyses of wild-type and p47phox knockout mice revealed no differences in either basal blood pressure or the rise in blood pressure seen after the pharmacological inhibition of nitric oxide synthase.

Conclusions—NADPH oxidase contributes to basal vascular superoxide production. However, the absence of a functional oxidase does not significantly affect the progression of atherosclerosis in the standard mouse apoE -/- model, nor does it significantly influence basal blood pressure.


Key Words: apolipoproteins • atherosclerosis • blood pressure


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The phagocytic NADPH oxidase generates superoxide through the assembly of a multi-subunit protein complex.1 Included in this complex are the 2 membrane-bound proteins gp91phox and p22phox, the recruited cytosolic oxidase proteins p47phox and p67phox, and the small GTPase rac2. Although initially the NADPH oxidase was thought to exist solely in phagocytes, recent evidence suggests that this oxidase may also function in nonphagocytic cells. Biochemically, NADH/NADPH activity has been detected in the intact vessel wall2 3 4 5 and in a variety of cultured vascular cells.6 7 In addition, the inhibition of p22phox lowers reactive oxygen species in smooth muscle cells,8 whereas the expression of constitutively active rac proteins in nonphagocytic cells augments the levels of reactive oxygen species.9 Similarly, all NADPH oxidase components have been detected by immunohistochemical staining of the vessel wall,7 10 11 and immunodepletion of p67phox from a vessel wall lysate reduces NADPH oxidase activity.7

Evidence also suggests a role for augmented NADPH oxidase activity in vascular disease. Consistent with this, the expression of certain components of the NADPH oxidase seems to be stimulated by angiotensin II and inflammatory cytokines.12 13 In addition, recent studies have also demonstrated that levels of p22phox are increased in human atherosclerotic plaque11 and in animal models of hypertension.14 In an effort to further address the precise role of NADPH oxidase, we analyzed the vascular effects of mice containing a targeted disruption of p47phox, an essential component of the phagocytic NADPH oxidase.15


*    Methods
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Mouse Genotyping and Physiological Analysis
C57BL/6J apoE -/- mice were obtained from Jackson Laboratories (Bar Harbor, Maine). For studies in atherogenesis, p47phox -/- mice were first backcrossed 10 generations with C57BL/6J mice. Three backcrosses of C57BL/6J mice containing either a targeted deletion in apoE or p47phox allowed for the isolation of certain F3 mice (apoE -/- p47phox+/+ or apoE -/- p47phox -/-) that were subsequently analyzed for atherosclerotic lesion size. Genotyping of animals was done with the apoE gene-specific primers 5'-GCCTAGCCGA-GGGAGAGCCG-3' and 5'-TGTGACTTGGGAGCTCTGCAGC-3' or the p47phox-specific primers 5'-ACATCACAGGCCCCAT-CATCCTCC-3' and 5'-CAACGTCGAGCACAGCTGCGCAAG-3'. Mice were fed a standard chow diet of 18% protein and 4% fat and maintained in a pathogen-free environment, but they were not given prophylactic antibiotics.

Atherosclerotic lesion size was determined at 16 weeks of age in male mice. After formalin fixation, the heart and ascending aorta were embedded and analyzed as previously described.16 Briefly, for each of the 17 mice in each group, 10-µm sections through the aortic sinus were obtained. Mean lesion size was determined by a blinded observer using a computer analysis of Oil red-O stained areas obtained from averaging 5 sections per animal.

Cholesterol levels were obtained from blood obtained from the retro-orbital plexus and analyzed by a commercial enzymatic test according to the manufacturer’s recommendations (Boehringer Mannheim Diagnostics). Blood pressure was determined in conscious animals by inserting a pressure-transducing cannula (Micro-Med TXD-310) into the left carotid artery. Animals used for blood pressure analysis were either p47phox -/- male mice (C57/BL6x129) or their wild-type male littermates. To inhibit nitric oxide synthase activity, 10 mg/kg of NG-nitro-L-arginine methyl ester (L-NAME) was injected into the peritoneal cavity; blood pressure was then assessed over the next 60 minutes.17

Levels of vascular superoxide were determined using lucigenin (25 µmol/L) chemiluminescence.8 To inhibit cellular superoxide dismutase (SOD) activity, rings were pretreated with 10 mmol/L diethyldithiocarbamate, as previously described.7 Statistical comparisons between groups were made with a 2-tailed Student’s t test; P<0.05 was considered significant.


*    Results
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Levels of superoxide were assayed from aortic rings derived from p47phox knockout mice or their wild-type littermates. Basal superoxide levels were low, and no significant differences were observed between the wild-type and p47phox-deficient mice (Figure 1Down). Because measured levels of superoxide represent the balance between production and degradation, we thought it possible that differences in superoxide production might be more readily apparent in the absence of cellular SOD activity. Thus, we pretreated rings with diethyldithiocarbamate to selectively inhibit SOD activity, as previously described.7 Under these conditions (Figure 1Down), significant differences were observed in superoxide levels, with p47phox -/- mice having an {approx}50% decrease in superoxide levels.



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Figure 1. Superoxide levels as determined by lucigenin chemiluminescence from aortic rings of male mice. Chemiluminescence was determined from wild-type mice (black bars) or from p47phox -/- mice (open bars) under basal conditions or after treatment with 10 mmol/L diethyldithiocarbamate (DDC). Levels are mean±SD obtained from 8 mice in each group. *P<0.05.

We next sought to understand whether animals containing a targeted disruption of p47phox had altered in vivo vascular pathophysiology. Two lines of mice were analyzed: one contained a targeted disruption of apoE, and the other line contained both an apoE and p47phox disruption. Both the apoE- and p47phox-disrupted mice strains had been previously backcrossed for 10 generations into a C57BL/6J background to assure that these strains were otherwise genetically identical. The apoE -/- p47phox+/+ and apoE -/- p47phox -/- mice had equivalent serum cholesterol levels (data not shown). In addition, morphometric assessment of aortic lesion size revealed no differences between the 2 groups (Figure 2ADown).



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Figure 2. Influence of p47phox status on atherosclerosis and blood pressure. A, Mean aortic lesion size in apoE -/- p47phox+/+ mice or apoE -/- p47phox -/- mice. Determinations were at 16 weeks of age and represent mean±SD of 17 mice in each group. P=0.82. B, Levels of mean aortic blood pressure in wild-type or p47phox-deficient mice. Values represent mean±SD obtained from indicated (n) number of animals. In addition to basal levels, blood pressure was also assessed after intraperitoneal administration of L-NAME (black bars).

Given the known role of superoxide in regulating the bioactivity of nitric oxide and, potentially, blood pressure, we next determined whether we could detect differences in blood pressure between p47phox-deficient mice and their wild-type counterparts. As shown in Figure 2BUp, basal blood pressure was indistinguishable between the 2 strains of mice. Similarly, treatment with L-NAME produced a similar increase in blood pressure in both wild-type and p47phox knockout mice.


*    Discussion
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Our results demonstrate that the disruption of p47phox lowers vascular superoxide production. These results are, therefore, similar to those recently described in vascular preparations obtained from gp91phox-deficient mice.18 However, our data also suggest that the absence of a functional phagocytic NADPH oxidase does not significantly affect the progression of atherosclerosis in the apoE -/- mouse model, nor does it alter basal blood pressure.

This study may, therefore, seem to be in potential conflict with previous studies indicating that superoxide levels rise in early atherosclerosis and in models of hypertension.5 19 20 21 22 One possible explanation for this discrepancy is that the vessel wall may contain >1 NADPH oxidase system. It is important to remember that almost all studies that have demonstrated an increase in superoxide production attributable to vascular NADPH oxidase activity have relied on biochemical assays or pharmacological inhibitors. These approaches cannot define the molecular components of the oxidase under study. Indeed, the existence of >1 NADPH oxidase is strongly supported by the recent isolation of mox1, a nonphagocytic homologue of gp91phox that seems to generate superoxide without requiring p47phox.23 In addition, although our results (Figure 1Up) suggest that an oxidase requiring p47phox contributes to vascular superoxide production, this contribution was only evident after inhibiting SOD activity. As such, under basal physiological conditions, levels of superoxide were unchanged and, therefore, it is perhaps not as surprising that no effect on blood pressure or atherogenesis was evident. Similarly, the observation that superoxide levels were only reduced by 50% in p47phox knockout animals strongly suggests the existence of additional vascular oxidases. Potential sources include enzymes such as xanthine oxidases, lipoxygenases, and novel NADPH oxidases that do not require p47phox for activity. The use of knockout animals represents a particularly promising approach to elucidate the relative contribution of these multiple superoxide-generating enzymes in vascular pathophysiology.

Received November 2, 1999; revision received December 29, 1999; accepted January 24, 1999.


*    References
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*References
 
1. DeLeo FR, Quinn MT. Assembly of the phagocyte NADPH oxidase: molecular interaction of oxidase proteins. J Leukoc Biol. 1996;60:677–691.[Abstract]

2. Mohazzabh KM, Wolin MS. Properties of a superoxide anion-generating microsomal NADH oxidoreductase, a potential pulmonary-artery P-O2 sensor. Am J Physiol. 1994;11:L823–L831.

3. Rajagopalan S, Kurz S, Munzel T, Tarpey M, Freeman BA, Griendling KK, Harrison DG. Angiotensin II-mediated hypertension in the rat increases vascular superoxide production via membrane NADH/NADPH oxidase activation: contribution to alterations of vasomotor tone. J Clin Invest. 1996;97:1916–1923.[Medline] [Order article via Infotrieve]

4. Pagano PJ, Ito Y, Tornheim K, Gallop PM, Tauber AI, Cohen RA. An NADPH oxidase superoxide-generating system in the rabbit aorta. Am J Physiol.. 1995;37:H2274–H2280.

5. Griendling KK, UshioFakai M. NADPH/NADPH oxidase and vascular function. Trends Cardiovasc Med. 1997;7:301–307.

6. Griendling KK, Minieri CA, Ollerenshaw JD, Alexander RW. Angiotensin-II stimulates NADH and NADPH oxidase activity in cultured vascular smooth-muscle cells. Circ Res. 1994;74:1141–1148.[Abstract/Free Full Text]

7. Pagano PJ, Clark JK, Cifuentes-Pagano ME, Clark SM, Callis GM, Quinn MT. Localization of constitutively active, phagocyte-like NADPH oxidase in rabbit aortic adventitia: enhancement by angiotensin II. Proc Natl Acad Sci U S A.. 1997;94:14483–14488.[Abstract/Free Full Text]

8. UshioFukai M, Zafari AM, Fukui T, Ishizaka N, Griendling KK. P22(phox) is a critical component of the superoxide-generating NADH/NADPH oxidase system and regulates angiotensin II-induced hypertrophy in vascular smooth muscle cells. J Biol Chem. 1996;271:23317–23321.[Abstract/Free Full Text]

9. Sundaresan M, Yu ZX, Ferrans VJ, Sulciner DJ, Gutkind JS, Irani K, Godlschmidt-Clermont PJ, Finkel T. Regulation of reactive-oxygen-species generation in fibroblasts by Rac1. Biochem J. 1996;318:379–382.

10. Patterson C, Ruef J, Madamanchi NR, Barry-Lane P, Hu ZY, Horaist C, Ballinger CA, Grasier AR, Bode C, Runge MS. Stimulation of a vascular smooth muscle cell NAD(P)H oxidase by thrombin: evidence that p47(phox) may participate in forming this oxidase in vitro and in vivo. J Biol Chem. 1999;274:19814–19822.[Abstract/Free Full Text]

11. Azumi H, Inoue N, Takeshita S, Rikitake Y, Kawashima S, Hayashi Y, Itoh H, Yokoyama M. Expression of NADH/NADPH oxidase p22phox in human coronary arteries. Circulation. 1999;100:1494–1498.[Abstract/Free Full Text]

12. DeKeulenaer GW, Alexander RW, Ushio-Fukai M, Ishizaka N, Griendling KK. Tumor necrosis factor alpha activities a p22(phox)-based NADH oxidase in vascular smooth muscle. Biochem J. 1998;329:653–657.

13. Pagano PJ, Chanock SJ, Siwik DA, Colucci WS, Clark JK. Angiotensin II induces p67(phox) mRNA expression and NADPH oxidase superoxide generation in rabbit aortic adventitial fibroblasts. Hypertension. 1998;32:331–337.[Abstract/Free Full Text]

14. Fukui T, Ishizaka N, Rajagopalan S, Lauren JB, Capers Q, Taylor WR, Harrison DG, deLeon H, Wilcox JN, Griendling KK. p22phox mRNA expression and NADPH oxidase activity are increased in aortas from hypertensive rats. Circ Res. 1997;80:45–51.[Abstract/Free Full Text]

15. Jackson SH, Gallin JI, Holland SM. The P47(phox) mouse knock-out model of chronic granulomatous-disease. J Exp Med. 1995;182:751–758.[Abstract/Free Full Text]

16. Paigen B, Morrow A, Holmes PA, Mitchell D, Williams RA. Quantitative assessment of atherosclerotic lesions in mice. Atherosclerosis. 1987;68:231–240.[Medline] [Order article via Infotrieve]

17. Kurihara N, Alfie ME, Sigmon DH, Rhaleb NE, Shesely EG, Carretero OA. Role of nNOS in blood pressure regulation in eNOS null mutant mice. Hypertension. 1998;32:856–861.[Abstract/Free Full Text]

18. Archer SL, Reeve HL, Michelakis E, Puttagunta L, Waite R, Nelson DP, Dinauer MC, Weir EK. O-2 sensing is preserved in mice lacking the gp91 phox subunit of NADPH oxidase. Proc Natl Acad Sci U S A.. 1999;96:7944–7949.[Abstract/Free Full Text]

19. Harrison DG, Ohara Y. Physiological consequences of increased vascular oxidant stresses in hypercholesterolemia and atherosclerosis: implications for impaired vasomotion. Am J Cardiol. 1995;75:B75–B81.

20. Miller FJ, Gutterman DD, Rios CD, Heistad DD, Davidson BL. Superoxide production in vascular smooth muscle contributes to oxidative stress and impaired relaxation in atherosclerosis. Circ Res. 1998;82:1298–1305.[Abstract/Free Full Text]

21. Warnholtz A, Nickenig G, Schulz E, Macharzina R, Brasen JH, Skatchkov M, Heitzer T, Stasch JP, Griendling KK, Harrison DG, Bohm M, Meinertz T, Munzel T. Increased NADH-oxidase-mediated superoxide production in the early stages of atherosclerosis: evidence for involvement of the renin-angiotensin system. Circulation. 1999;99:2027–2033.[Abstract/Free Full Text]

22. Kerr S, Brosnan MJ, McIntyre M, Reid JL, Dominiczak AF, Hamilton CA. Superoxide anion production is increased in a model of genetic hypertension: role of the endothelium. Hypertension. 1999;33:1353–1358.[Abstract/Free Full Text]

23. Suh YA, Arnold RS, Lassegue B, Shi J, Xu XX, Sorescu D, Chung AB, Griendling KK, Lambeth JD. Cell transformation by the superoxide-generating oxidase Mox1. Nature. 1999;401:79–82.[Medline] [Order article via Infotrieve]




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K. Y. Stokes, E. C. Clanton, J. M. Russell, C. R. Ross, and D. N. Granger
NAD(P)H Oxidase-Derived Superoxide Mediates Hypercholesterolemia-Induced Leukocyte-Endothelial Cell Adhesion
Circ. Res., March 16, 2001; 88(5): 499 - 505.
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Arterioscler. Thromb. Vasc. Bio.Home page
P. J. Pagano
NAD(P)H Oxidase: Marker of the Dedifferentiated Neointimal Smooth Muscle Cell?
Arterioscler Thromb Vasc Biol, February 1, 2001; 21(2): 175 - 177.
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Arterioscler. Thromb. Vasc. Bio.Home page
N. E. J. West, T. J. Guzik, E. Black, and K. M. Channon
Enhanced Superoxide Production in Experimental Venous Bypass Graft Intimal Hyperplasia : Role of NAD(P)H Oxidase
Arterioscler Thromb Vasc Biol, February 1, 2001; 21(2): 189 - 194.
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P. J. Pagano
Vascular gp91phox : Beyond the Endothelium
Circ. Res., July 7, 2000; 87(1): 1 - 3.
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T. J. Guzik, N. E. J. West, E. Black, D. McDonald, C. Ratnatunga, R. Pillai, and K. M. Channon
Vascular Superoxide Production by NAD(P)H Oxidase : Association With Endothelial Dysfunction and Clinical Risk Factors
Circ. Res., May 12, 2000; 86 (9): e85 - e90.
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ASH Education BookHome page
M. C. Dinauer, J. A. Lekstrom-Himes, and D. C. Dale
Inherited Neutrophil Disorders: Molecular Basis and New Therapies
Hematology, January 1, 2000; 2000(1): 303 - 318.
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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
S. S. Brar, T. P. Kennedy, A. B. Sturrock, T. P. Huecksteadt, M. T. Quinn, T. M. Murphy, P. Chitano, and J. R. Hoidal
NADPH oxidase promotes NF-kappa B activation and proliferation in human airway smooth muscle
Am J Physiol Lung Cell Mol Physiol, April 1, 2002; 282(4): L782 - L795.
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Am. J. Physiol. Heart Circ. Physiol.Home page
S. P. Didion and F. M. Faraci
Effects of NADH and NADPH on superoxide levels and cerebral vascular tone
Am J Physiol Heart Circ Physiol, February 1, 2002; 282(2): H688 - H695.
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H. D. Wang, S. Xu, D. G. Johns, Y. Du, M. T. Quinn, A. J. Cayatte, and R. A. Cohen
Role of NADPH Oxidase in the Vascular Hypertrophic and Oxidative Stress Response to Angiotensin II in Mice
Circ. Res., May 9, 2001; 88(9): 947 - 953.
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F. E. Rey, M. E. Cifuentes, A. Kiarash, M. T. Quinn, and P. J. Pagano
Novel Competitive Inhibitor of NAD(P)H Oxidase Assembly Attenuates Vascular O2- and Systolic Blood Pressure in Mice
Circ. Res., August 31, 2001; 89(5): 408 - 414.
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CirculationHome page
D. Sorescu, D. Weiss, B. Lassegue, R. E. Clempus, K. Szocs, G. P. Sorescu, L. Valppu, M. T. Quinn, J. D. Lambeth, J. D. Vega, et al.
Superoxide Production and Expression of Nox Family Proteins in Human Atherosclerosis
Circulation, March 26, 2002; 105(12): 1429 - 1435.
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