title: Effect of intravenous nitroglycerin therapy on erythrocyte antioxidant enzymes.
abstract: Intravenous nitroglycerin (GTN) has been used as an anti-ischemic agent for the therapy of unstable and post-infarction angina. Nitric oxide (NO) and S-nitrosothiols constitute the biologically active species formed via nitroglycerin bioactivation. Increased levels of reactive oxygen species can diminish the therapeutic action of organic nitrates by scavenging donated NO and oxidizing tissue thiols important in nitrate biotransformation. Studies reported here show that the red cell activity of antioxidant enzymes, catalase and glutathione peroxidase, are significantly decreased after intravenous nitroglycerin treatment. Catalase activity (739.6 +/- 92.3 k/gHb) decreased to 440.1 +/- 111.9 and 459.8 +/- 130.7 k/gHb after 1 and 24 hr GTN infusion, respectively. Similarly, glutathione peroxidase activity (5.8 +/- 1.8 U/gHb) decreased to 3.2 +/- 1.7 and 3.8 +/- 1.1 U/g Hb after 1 and 24 hr GTN infusion, respectively. The reported decrease in antioxidant enzyme activities can lead to an oxidant milieu and contribute to the generation of nitrate tolerance.
authors.affiliation: Department of Biochemistry, Akdeniz University Medical School, Antalya, Turkey. yakup@akdeniz.edu.tr
authors.forename: Yakup
authors.initials: Y
authors.lastname: Alicigüzel
authors.forename: Serpil
authors.initials: S
authors.lastname: Aktaş
authors.forename: Hayri
authors.initials: H
authors.lastname: Bozan
authors.forename: Mutay
authors.initials: M
authors.lastname: Aslan
mesh_terms: D000975:Antioxidants / Q000378:metabolism / Q000494:pharmacology*; D002374:Catalase / Q000097:blood; D004912:Erythrocytes / Q000201:enzymology*; D005260:Female; D005979:Glutathione Peroxidase / Q000097:blood / Q000378:metabolism; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D009566:Nitrates / Q000378:metabolism; D005996:Nitroglycerin / Q000008:administration & dosage / Q000494:pharmacology*; D013438:Sulfhydryl Compounds / Q000378:metabolism
chemical_list: D000975:Antioxidants; D009566:Nitrates; D013438:Sulfhydryl Compounds; D002374:Catalase; D005979:Glutathione Peroxidase; D005996:Nitroglycerin