GTP cyclohydrolase I/BH4 pathway protects EPCs via suppressing oxidative stress and thrombospondin-1 in salt-sensitive hypertension

Hypertension. 2010 Dec;56(6):1137-44. doi: 10.1161/HYPERTENSIONAHA.110.160622. Epub 2010 Nov 8.

Abstract

Endothelial progenitor cells (EPCs) are both reduced and dysfunctional in hypertension that correlates inversely with its mortality, but the mechanisms are poorly understood. Endothelial nitric oxide synthase (eNOS) critically regulates EPC mobilization and function but is uncoupled in salt-sensitive hypertension because of the reduced cofactor tetrahydrobiopterin (BH4). We tested the hypothesis that GTP cyclohydrolase I (GTPCH I), the rate-limiting enzyme of BH4 de novo synthesis, protects EPCs and its function in deoxycorticosterone acetate (DOCA)-salt mice. EPCs were isolated from peripheral blood and bone marrow of wild-type (WT), WT DOCA-salt, endothelial-specific GTPCH transgenic (Tg-GCH), GTPCH transgenic DOCA-salt, and BH4-deficient hph-1 mice. In WT DOCA-salt and hph-1 mice, EPCs were significantly decreased with impaired angiogenesis and adhesion, which were restored in Tg-GCH DOCA-salt mice. Superoxide (O₂⁻) and nitric oxide (NO) levels in EPCs were elevated and reduced, respectively, in WT DOCA-salt and hph-1 mice; both were rescued in Tg-GCH DOCA-salt mice. eNOS(-/-)/GCH(+/-) hybrid mice demonstrated that GTPCH preserved the circulating EPC number, reduced intracellular O₂⁻ in EPCs, and ameliorated EPC dysfunction independent of eNOS in DOCA-salt hypertension. Secreted thrombospondin-1 (TSP-1; a potent angiogenesis inhibitor) from EPCs was elevated in WT DOCA-salt and hph-1 but not DOCA-salt Tg-GCH mice. In vitro treatment with BH4, polyethylene glycol-superoxide dismutase (PEG-SOD), or Nomega-nitro-L-arginine (L-NNA) significantly augmented NO and reduced TSP-1 and O₂⁻ levels from EPCs of WT DOCA-salt mice. These results demonstrated, for the first time, that the GTPCH/BH4 pathway critically regulates EPC number and function in DOCA-salt hypertensive mice, at least in part, via suppressing TSP-1 expression and oxidative stress.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiogenesis Inhibitors / metabolism
  • Animals
  • Biopterins / analogs & derivatives*
  • Biopterins / metabolism
  • Cell Adhesion / drug effects
  • Desoxycorticosterone / adverse effects*
  • GTP Cyclohydrolase / metabolism*
  • Hypertension / chemically induced
  • Hypertension / metabolism*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Neovascularization, Physiologic / drug effects
  • Nitric Oxide / analysis
  • Nitric Oxide Synthase Type III / metabolism
  • Nitroarginine / metabolism
  • Oxidative Stress / drug effects
  • Polyethylene Glycols / metabolism
  • Stem Cells / drug effects
  • Stem Cells / metabolism*
  • Superoxide Dismutase / metabolism
  • Superoxides / analysis
  • Thrombospondin 1 / antagonists & inhibitors*
  • Thrombospondin 1 / metabolism

Substances

  • Angiogenesis Inhibitors
  • Thrombospondin 1
  • Superoxides
  • Nitroarginine
  • Biopterins
  • Nitric Oxide
  • Polyethylene Glycols
  • Desoxycorticosterone
  • Nitric Oxide Synthase Type III
  • Superoxide Dismutase
  • polyethylene glycol-superoxide dismutase
  • GTP Cyclohydrolase
  • sapropterin