title: The adverse cardiopulmonary phenotype of caveolin-1 deficient mice is mediated by a dysfunctional endothelium.
abstract: Recently generated caveolin-1 deficient mice (cav-1(-/-)) display several physiological alterations such as severe heart failure and lung fibrosis. The molecular mechanisms how the loss of caveolin-1 (cav-1) mediates these alterations are currently under debate. A plethora of studies support a role of cav-1 as a negative regulator of endothelial nitric oxide synthase (eNOS). Accordingly, constitutive eNOS hyperactivation was observed in cav-1(-/-). Given the hyperactivated eNOS enzyme we hypothesized that disturbed eNOS function is involved in the development of the cardiopulmonary pathologies in cav-1(-/-). The present study argues that loss of cav-1 results in enhanced eNOS activity but not in increased vascular tetrahydrobiopterin (BH(4)) levels (which acts as an essential eNOS cofactor) thereby causing a stoichiometric discordance between eNOS activity and BH(4) sufficient to cause dysfunctional eNOS signaling. The resultant oxidative stress is largely responsible for major cardiac and pulmonary defects observed in cav-1(-/-). BH(4) donation to cav-1(-/-) led to a normalized BH(4)/BH(2) ratio, to reduced oxidant stress, to substantial improvements of both systolic and diastolic heart function and to marked amelioration of the impaired lung phenotype. Notably, the antioxidant tetrahydroneopterin which is not essential for eNOS function showed no relevant effect. Taken together these novel findings indicate that dysfunctional eNOS is of central importance in the genesis of the cardiopulmonary phenotype of cav-1(-/-). Additionally, these findings are generally of paramount importance since they underline the deleterious role of an uncoupled eNOS in cardiovascular pathology and they additionally suggest BH(4) as an effective cure.
authors.affiliation: University of Technology Dresden, Department of Medicine and Cardiology, Medical Clinic, Fetscherstr. 76, Dresden 01307, Germany. carstenwunderlich@gmx.de
authors.forename: Carsten
authors.initials: C
authors.lastname: Wunderlich
authors.forename: Kristin
authors.initials: K
authors.lastname: Schober
authors.forename: Alexander
authors.initials: A
authors.lastname: Schmeisser
authors.forename: Christian
authors.initials: C
authors.lastname: Heerwagen
authors.forename: Anne-Kathrin
authors.initials: AK
authors.lastname: Tausche
authors.forename: Nadine
authors.initials: N
authors.lastname: Steinbronn
authors.forename: Aljoscha
authors.initials: A
authors.lastname: Brandt
authors.forename: Michael
authors.initials: M
authors.lastname: Kasper
authors.forename: Carsten
authors.initials: C
authors.lastname: Schwencke
authors.forename: Ruediger C
authors.initials: RC
authors.lastname: Braun-Dullaeus
authors.forename: Ruth H
authors.initials: RH
authors.lastname: Strasser
mesh_terms: D000818:Animals; D001708:Biopterins / Q000031:analogs & derivatives / Q000494:pharmacology; D002318:Cardiovascular Diseases / Q000150:complications* / Q000503:physiopathology*; D002404:Catheterization; D051242:Caveolin 1 / Q000172:deficiency*; D019587:Dietary Supplements; D004730:Endothelium, Vascular / Q000187:drug effects / Q000201:enzymology / Q000473:pathology / Q000503:physiopathology*; D004789:Enzyme Activation / Q000187:drug effects; D006334:Heart Function Tests; D006976:Hypertension, Pulmonary / Q000503:physiopathology; D017380:Hypertrophy, Right Ventricular / Q000503:physiopathology; D008168:Lung / Q000187:drug effects / Q000473:pathology / Q000503:physiopathology; D008171:Lung Diseases / Q000150:complications* / Q000473:pathology / Q000503:physiopathology*; D051379:Mice; D018345:Mice, Knockout; D009569:Nitric Oxide / Q000378:metabolism; D052250:Nitric Oxide Synthase Type III / Q000378:metabolism; D018384:Oxidative Stress / Q000187:drug effects; D010641:Phenotype
chemical_list: D051242:Caveolin 1; D001708:Biopterins; C023455:tetrahydroneopterin; D009569:Nitric Oxide; D052250:Nitric Oxide Synthase Type III; C003402:sapropterin