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Circulation. 2002;106:1652-1658
Published online before print September 9, 2002, doi: 10.1161/01.CIR.0000029925.18593.5C
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Right arrow Endothelium/vascular type/nitric oxide

(Circulation. 2002;106:1652.)
© 2002 American Heart Association, Inc.


Clinical Investigation and Reports

Resveratrol, a Polyphenolic Phytoalexin Present in Red Wine, Enhances Expression and Activity of Endothelial Nitric Oxide Synthase

Thomas Wallerath, PhD; Göran Deckert; Thomas Ternes, PhD; Henrik Anderson; Huige Li, MD; Klaus Witte, MD; Ulrich Förstermann, MD, PhD

From the Department of Pharmacology, Johannes Gutenberg University, Mainz, Germany (T.W., G.D., H.L., U.F.); ESWE-Institute for Water Research and Water Technology GmbH, Wiesbaden, Germany (T.T., H.A.); and the Institute of Pharmacology and Toxicology, Faculty of Clinical Medicine Mannheim, Ruprecht Karls University Heidelberg, Mannheim, Germany (K.W.).

Correspondence to Dr Ulrich Förstermann, Department of Pharmacology, Johannes Gutenberg University, Obere Zahlbacher Strasse 67, D-55101 Mainz, Germany. E-mail ulrich.forstermann{at}uni-mainz.de

Background— Estrogens can upregulate endothelial nitric oxide synthase (eNOS) in human endothelial cells by increasing eNOS promoter activity and enhancing the binding activity of the transcription factor Sp1. Resveratrol, a polyphenolic phytoalexin found in grapes and wine, has been reported to act as an agonist at the estrogen receptor. Therefore, we tested the effect of this putative phytoestrogen on eNOS expression in human endothelial cells.

Methods and Results— Incubation of human umbilical vein endothelial cells (HUVEC) and HUVEC-derived EA.hy 926 cells with resveratrol for 24 to 72 hours upregulated eNOS mRNA expression in a time- and concentration-dependent manner (up to 2.8-fold). eNOS protein expression and eNOS-derived NO production were also increased after long-term incubation with resveratrol. Resveratrol increased the activity of the eNOS promoter (3.5-kb fragment) in a concentration-dependent fashion, with the essential trans-stimulated sequence being located in the proximal 263 bp of the promoter sequence. In addition, eNOS mRNA was stabilized by resveratrol. The effect of resveratrol on eNOS expression was not modified by the estrogen receptor antagonists ICI 182780 and RU 58668. In electrophoretic mobility shift assays, nuclear extracts from resveratrol-incubated EA.hy 926 cells showed no enhanced binding activity of the eNOS promoter-relevant transcription factors Sp1, GATA, PEA3, YY1, or Elf-1. In addition to its long-term effects on eNOS expression, resveratrol also enhanced the production of bioactive NO in the short-term (after a 2-minute incubation).

Conclusions— In concert with other effects, the stimulation of eNOS expression and activity may contribute to the cardiovascular protective effects attributed to resveratrol.


Key Words: endothelium • nitric oxide synthase • cardiovascular diseases




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