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1 Laboratory of Cerebrovascular
Biology and Stroke,
Recent evidence indicates that elevated
plasma levels of homocysteine are a risk factor for ischemic
cerebrovascular diseases. However, little is known about
cerebrovascular effects of homocysteine. Homocysteine could impair
cerebrovascular function by metal-catalyzed production of activated
oxygen species. We studied whether homocysteine, in the presence of
Cu2+, alters reactivity of
cerebral circulation and, if so, whether this effect depends on
O
2 generation. In
halothane-anesthetized rats the parietal cortex was exposed and
superfused with Ringer solution. Cerebrocortical blood flow (CBF) was
monitored by a laser-Doppler probe. With Ringer solution superfusion,
CBF increased with hypercapnia (+134 ± 7%;
PCO2 = 50-60 mmHg) and topical application of 10 µM ACh (+35 ± 3%), the NO donor
S-nitroso-N-acetylpenicillamine (SNAP, 500 µM; +66 ± 6%), or 1 mM papaverine (+100 ± 6%;
n = 5). Superfusion with
40 µM Cu2+ alone
did not perturb resting CBF or responses to hypercapnia, ACh, SNAP, or
papaverine (P > 0.05, n = 5). However, superfusion of
homocysteine-Cu2+ reduced resting
CBF (
28 ± 4%) and attenuated
(P < 0.05) responses to hypercapnia
(
31 ± 9%), ACh (
73 ± 6%), or SNAP (
48 ± 4%), but not papaverine. The effect was observed only at 1 mM
homocysteine. Cerebrovascular effects of
homocysteine-Cu2+ were prevented
by coadministration of superoxide dismutase (SOD; 1,000 U/ml;
n = 5). SOD alone did not affect
resting CBF or CBF reactivity (n = 5).
The observation that
homocysteine-Cu2+ attenuates the
response to hypercapnia, ACh, and SNAP, but not the NO-independent
vasodilator papaverine, suggests that
homocysteine-Cu2+ selectively
impairs NO-related cerebrovascular responses. The fact that SOD
prevents such impairment indicates that the effect of homocysteine is
O
2 dependent. The data support the
conclusion that O
2, generated by the
reaction of homocysteine with
Cu2+, inhibits NO-related
cerebrovascular responses by scavenging NO, perhaps through
peroxynitrite formation. O
2-mediated scavenging of NO might be one of the mechanisms by which
hyperhomocysteinemia predisposes to cerebrovascular diseases.
rat; cerebral circulation; nitric oxide; vasodilation
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