title: Nitric oxide and superoxide dismutase modulate endothelial progenitor cell function in type 2 diabetes mellitus.
abstract: BACKGROUND
  The function of endothelial progenitor cells (EPCs), which are key cells in vascular repair, is impaired in diabetes mellitus. Nitric oxide (NO) and reactive oxygen species can regulate EPC functions. EPCs tolerate oxidative stress by upregulating superoxide dismutase (SOD), the enzyme that neutralizes superoxide anion (O2-). Therefore, we investigated the roles of NO and SOD in glucose-stressed EPCs.
  
  
  METHODS
  The functions of circulating EPCs from patients with type 2 diabetes were compared to those from healthy individuals. Healthy EPCs were glucose-stressed, and then treated with insulin and/or SOD. We assessed O2- generation, NO production, SOD activity, and their ability to form colonies.
  
  
  RESULTS
  EPCs from diabetic patients generated more O2-, had higher NAD(P)H oxidase and SOD activity, but lower NO bioavailability, and expressed higher mRNA and protein levels of p22-phox, and manganese SOD and copper/zinc SOD than those from the healthy individuals. Plasma glucose and HbA1c levels in the diabetic patients were correlated negatively with the NO production from their EPCs. SOD treatment of glucose-stressed EPCs attenuated O2- generation, restored NO production, and partially restored their ability to form colonies. Insulin treatment of glucose-stressed EPCs increased NO production, but did not change O2- generation and their ability to form colonies. However, their ability to produce NO and to form colonies was fully restored after combined SOD and insulin treatment.
  
  
  CONCLUSIONS
  Our data provide evidence that SOD may play an essential role in EPCs, and emphasize the important role of antioxidant therapy in type 2 diabetic patients.
authors.affiliation: Department of Cardiology, Rambam Health Care Campus, Haifa, Israel. www.saher@gmail.com
authors.forename: Saher
authors.initials: S
authors.lastname: Hamed
authors.forename: Benjamin
authors.initials: B
authors.lastname: Brenner
authors.forename: Anat
authors.initials: A
authors.lastname: Aharon
authors.forename: Deeb
authors.initials: D
authors.lastname: Daoud
authors.forename: Ariel
authors.initials: A
authors.lastname: Roguin
mesh_terms: D002478:Cells, Cultured; D003924:Diabetes Mellitus, Type 2 / Q000201:enzymology / Q000378:metabolism* / Q000473:pathology*; D004730:Endothelium, Vascular / Q000201:enzymology / Q000378:metabolism* / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009569:Nitric Oxide / Q000502:physiology*; D018384:Oxidative Stress / Q000502:physiology; D013234:Stem Cells / Q000201:enzymology / Q000378:metabolism* / Q000473:pathology*; D013482:Superoxide Dismutase / Q000502:physiology*
chemical_list: D009569:Nitric Oxide; D013482:Superoxide Dismutase