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Department of Environmental Medicine, Institute of Community Medicine, Master's Program in Environmental Sciences, Graduate School Doctoral Program in Medical Sciences, Cardiovascular Division, Department of Internal Medicine, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8575; and Department of Geriatrics, Nagoya University School of Medicine, Showa-ku, Nagoya 466, Japan
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ABSTRACT |
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Diesel exhaust particles cause an impairment of endothelium-dependent vasorelaxation and are associated with cardiopulmonary-related diseases and mortality, but the mechanistic details are poorly understood. Since we reported previously that phenanthraquinone, an environmental chemical contained in diesel exhaust particles, suppresses neuronal nitric oxide synthase (nNOS) activity by shunting electrons away from the normal catalytic pathway, it was hypothesized that phenanthraquinone inhibits endothelial NOS (eNOS) activity and affects vascular tone. Therefore, the effects of phenanthraquinone on eNOS activity, endothelium-dependent relaxation, and blood pressure were examined in the present study. Phenanthraquinone inhibited NO formation evaluated by citrulline formed by total membrane fraction of bovine aortic endothelial cells with an IC50 value of 0.6 µM. A kinetic study revealed that phenanthraquinone is a competitive inhibitor with respect to NADPH and a noncompetitive inhibitor with respect to L-arginine. Endothelium-dependent relaxation of rat aortic rings by ACh was significantly inhibited by phenanthraquinone (5 µM), whereas the endothelium-independent relaxation by nitroglycerin was not. Furthermore, an intraperitoneal injection of phenanthraquinone (0.36 mmol/kg) to rats resulted in an elevation of blood pressure (1.4-fold, P < 0.01); under this condition, plasma levels of stable NO metabolites, nitrite/nitrate, in phenanthraquinone-treated rats was reduced to 68% of control levels. The present findings suggest that phenanthraquinone has a potent inhibitory action on eNOS activity via a similar mechanism reported for nNOS, thereby causing the suppression of NO-mediated vasorelaxation and elevation of blood pressure.
quinone; nitric oxide; diesel exhaust particles
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INTRODUCTION |
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EPIDEMIOLOGIC STUDIES have suggested that exposure of humans to ambient particulate matter is associated with cardiopulmonary-related diseases and mortality (1, 7, 25). Ikeda et al. (14) reported that incubation of aortic rings of rats with suspensions of diesel exhaust particles caused suppression of endothelium-dependent vasorelaxation caused by acetylcholine. However, mechanistic details of this phenomenon still remain obscure.
Nitric oxide (NO), which is synthesized by NO synthase (NOS), plays an important role in neurotransmission, vasorelaxation, and immune response. This gas produced in endothelial cells is involved in the regulation of blood pressure, inhibition of platelet aggregation, inhibition of smooth muscle migration, and ischemic protection (22, 23, 28). Reduction of NO formation by NOS inhibitors or disruption of the gene encoding endothelial NOS (eNOS) results in vasoconstriction and increase in blood pressure (13, 26, 27). It has been shown that impairment of NO production in the endothelium is implicated in the pathophysiological actions of vascular diseases (16, 32).
We demonstrated that a variety of quinones interact with the reductase domain of neuronal NOS (nNOS), which is highly homologous with NADPH-cytochrome P-450 reductase (3) and thus inhibited NO formation by shunting the electron flow from NADPH (18). We (17) also reported that NADPH oxidation was stimulated during interaction of NADPH-cytochrome P-450 reductase with organic components extracted from diesel exhaust particles by methanol, suggesting that quinones, which are good substrates for the enzyme, are contained in diesel exhaust particles. Since it was reported that the sequence of the P-450 reductase domain of nNOS is similar to that of eNOS (3, 20), we hypothesized that quinones would inhibit enzyme activity of not only nNOS but also eNOS, thereby resulting in alteration in NO formation, which could lead to suppression of eNOS-dependent vasorelaxation and could increase blood pressure. Thus the present study was designed to evaluate the effect of phenanthraquinone on eNOS activity and NO-dependent vascular relaxation, because phenanthraquinone 1) has been found to be a relatively abundant quinone contained in diesel exhaust particles (29, 30) and 2) was the most potent inhibitor of nNOS activity among 22 quinones tested (18).
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MATERIALS AND METHODS |
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Materials. Chemicals were obtained as follows: phenanthraquinone, 1,4-benzoquinone, and 2-methyl-1,4-naphthoquinone from Nacalai Tesque (Kyoto, Japan); anthraquinone from Wako Pure Chemical Industries (Osaka, Japan); 1,4-naphthoquinone from Tokyo Kasei Industries (Tokyo, Japan); 2-methyl-1,4-benzoquinone and mitomycin C from Aldrich Chemical (Milwaukee, WI); 1,4-naphthoquinone- 2-sulfonate from Eastman Kodak (Rochester, NY); 5-hydroxy-1,4-benzoquinone, AZQ, ACh, nitrate reductase, and L-arginine from Sigma Chemical (St. Louis, MO); nitroglycerin (NG) from Nihon Kayaku (Tokyo, Japan); L-2,3-[3H]arginine from DuPont-NEN Research Products (Boston, MA). AG50W-X8 resin was obtained from Bio-Rad Laboratories (Richmond, CA). Calmodulin was purified from bovine brain by the method of Gopalakrishna and Anderson (8). All other chemicals used were of the highest grade available.
Preparation of enzyme.
Bovine aortic endothelial cells (BAEC) were obtained from Dainippon
Pharmaceutical Industrial (Tokyo, Japan). BAEC were maintained in
Dulbecco's modified Eagle's medium-nutrient mixture F-12 (1:1, vol/vol)-15% heat-inactivated fetal bovine serum-penicillin (100 U/ml)-streptomycin (100 µg/ml), fibroblast growth factor-acidic (5 ng/ml)-heparin (10 U/ml). Cells were incubated in a humidified atmosphere of 95% air-5% CO2. The medium was changed
every 2-3 days, and cells were routinely passaged by trypsin-EDTA
with a split ratio of 1:4. BAEC between passages 3 and
6 were scraped from culture plates and homogenized in 50 mM
Tris · HCl (pH 7.4)-0.1 mM EDTA-0.1 mM EGTA-1 mM
phenylmethylsulfonyl fluoride-leupeptin (1 µg/ml). The homogenate was
centrifuged at 100,000 g for 60 min. The total membrane
fractions obtained were suspended in the homogenate buffer containing
2.5 mM CaCl2 according to the method of Patel and Block
(24). Suspensions obtained were frozen under liquid
nitrogen and kept at
70°C until use.
NOS activity. Incubation mixtures (0.1 ml) consisted of suspension of the membrane fraction of BAEC (0.11-0.13 mg of protein), various concentrations of phenanthraquinone, complete medium (20 nM 2,3-[3H]arginine, 50 µM L-arginine, 100 µM NADPH, 10 µM tetrahydrobiopterin, 2 mM CaCl2, 1 µg of calmodulin), and 20 mM HEPES (pH 7.4). After the enzyme solution was preincubated with phenanthraquinone at 37°C for 5 min, reactions were initiated by the addition of the complete medium and carried out at 37°C for 30 min. Under these conditions, NO production determined by formation of citrulline was linear with time and protein concentration. Phenanthraquinone was dissolved in DMSO, and the maximal volume of DMSO was maintained at 20 µl/ml of assay mixture, because DMSO slightly affected NOS activity. Production of [3H]citrulline from L-[3H]arginine was performed by the method of Bredt and Snyder (4). Briefly, each incubation was terminated by addition of 2 ml of cold stop buffer [20 mM sodium acetate buffer (pH 5.5)-1 mM citrulline-2 mM EDTA-0.2 mM EGTA]. A portion (2 ml) of the mixture was applied to a column packed with AG50W-X8 resin (1 ml), which had been extensively equilibrated with the stop buffer, and then the column was washed with 2 ml of water. The sample (1 ml) of eluates collected was mixed with 5 ml of scintillation cocktail, and radioactivity was determined using a Beckman LS-600 scintillation counter. Protein concentration was measured by the method of Bradford (2), with bovine serum albumin as the standard. To calculate IC50 value for each quinone on eNOS activity and to determine kinetic parameters, values obtained from eNOS activity in the presence of different concentrations of quinones were analyzed by a nonlinear regression program using PRISM version 3.0 (Graph Pad Software, San Diego, CA). Data are expressed as the means ± SE, and a t-test and one-way ANOVA were performed. When statistically significant F values were obtained with the ANOVA, Bonferroni's correction was used.
Measurement of vascular relaxation. A total of eight male Wistar rats (8-10 wk old), weighing 200-250 g, were obtained from Kitayama Rabbis (Ina, Nagano, Japan). The rats were killed by exsanguination after being anesthetized with pentobarbital sodium (50 mg/kg ip). The thoracic aortas were removed carefully to protect the endothelial lining, cleared of adhering fat and connective tissue, and cut into 2-mm-wide transverse rings (12). The optimal passive load was determined as the contractile response to 122 mM KCl as described previously (11). Before experiments, the rings were stretched to their predetermined optimal tension, mounted on stainless-steel hooks in 20 ml-capacity muscle chambers, and bathed in oxygenated (95% O2-5% CO2) Krebs-Henseleit solution (in mM: 118 NaCl, 4.7 KCl, 1.5 CaCl2, 1.2 MgSO4, 1.2 KH2PO4, 25 NaHCO3, 11 glucose, and 2 µM EDTA, pH 7.4) at 37°C for 1 h. Tension was measured isometrically using a force-displacement transducer (model DSA-603, Minebea, Tokyo, Japan). Experiments were conducted to determine the responsiveness of endothelium-intact aortic rings to an endothelium-dependent vasodilator, ACh. Then endothelium-dependent relaxation by ACh was done after preincubation with phenanthraquinone (5 µM) for 30 min. After washing the organ bath with Krebs-Henseleit solution three times, the endothelium-dependent relaxation by ACh was carried out with or without preincubation of L-arginine (1 mM). The responsiveness of endothelium-denuded aortic rings to the endothelium-independent vasodilator NG was also measured. In these experiments, phenylephrine (0.1 µM) initially induced submaximal tension (10). In some cases, indomethacin (5 µM) was added to muscle chambers for 60 min to rule out the contribution of prostanoids. Relaxation was measured as the percentage of decrease in tension below the tension evoked by phenylephrine in arterial rings. Values are expressed as means ± SE for vascular responses, and they represent unpaired measurements. Means were compared by ANOVA with repeated measurements. If a significant F value was found, Scheffé's test for multiple comparisons was used to identify differences among groups.
Measurement of blood pressure.
Rats were anesthetized with urethane (750 mg/kg) and
-chloralose (80 mg/kg). A polyethylene catheter (SP-31, Natsume, Tokyo, Japan) was
inserted into the right carotid artery to measure arterial blood
pressure. Hemodynamic measurements were recorded by means of a
polygraph system (AP-601G amplifier and WT-687G thermal pen recorder,
Nihon Koden, Tokyo, Japan). Phenanthraquinone (0.36 mmol/kg), dissolved
in corn oil (3 ml/kg), was administered to rats by intraperitoneal
injection; subsequently, blood pressure was measured for 30 min. In
control rats, vehicle (corn oil) was injected. After hemodynamic
measurements, a blood sample was collected from the right carotid artery.
Determination of NO metabolites.
The plasma level of nitrite (NO





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RESULTS |
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Inhibition of eNOS activity.
NO production determined by citrulline formation from
L-arginine by membrane fraction of BAEC was suppressed by
phenanthraquinone in a concentration-dependent manner.
Phenanthraquinone (1 µM) inhibited the eNOS activity by ~80%. When
the effects of other quinones on eNOS activity were examined, it was
found that 2-methyl-1,4-benzoquinone, AZQ,
5-hydroxy-1,4-naphthoquinone, 1,4-naphthoquinone-2-sulfonate, and
mitomycin C were also potent inhibitors of eNOS activity, with
IC50 values ranging from 0.8 to 68.8 µM, whereas
1,4-benzoquinone and anthraquinone at concentrations up to even 100 µM did not affect NO formation by membrane fraction of BAEC.
Inhibition potencies of AZQ, phenanthraquinone,
5-hydroxy-1,4-naphthoquinone, and 1,4-naphthoquinone-2-sulfonate on
eNOS activity were significantly greater than those on nNOS. Because
our previous findings indicated that inhibition potency of NO formation
by quinones by rat cerebellar enzyme preparation for nNOS was
associated with their one-electron potentials (18), IC50 values of quinones tested vs. their one-electron
potential values obtained by pulse radiolysis studies (15, 31,
34) were plotted as shown in Fig.
1. A bell-shaped dependency of the inhibition potencies of quinones on enzyme activity of eNOS, similar to
nNOS, was found. Inhibition potencies of quinones, which have one-electron potential values ranging between
348 and
124 mV on
eNOS activity increased with the increase in their one-electron reduction potentials (r = 0.959, P < 0.05). A maximal inhibition potency by quinones was seen with
phenanthraquinone (IC50 value = 0.6 µM),
corresponding to a one-electron reduction potential of
124 mV in the
case of both nNOS and eNOS. In contrast, quinones with one-electron
reduction potentials more positive than
60 mV were shown to deviate
from the correlation in either case.
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Alterations in vasorelaxation.
In all experimental groups, ACh produced a concentration-dependent
relaxation of precontracted aortic rings with phenylephrine under
intact endothelium (Fig. 3A).
The magnitude of the relaxation of aortic rings preincubated with
phenanthraquinone (5 µM), however, was significantly diminished (Fig.
3A). Phenanthraquinone impaired the maximum response of
relaxation by ACh (control, 78.8 ± 2.9%; + phenanthraquinone, 51.8 ± 4.3%, P < 0.01)
without affecting the EC50 values significantly
(control, 0.21 ± 0.16 µM; + phenanthraquinone, 2.72 ± 1.58 µM). No significant differences in
endothelium-dependent relaxation were observed among the aortic rings
obtained from the control groups or from the recovery arteries
(EC50 value = 0.23 ± 0.22 µM, maximum
response = 69.3 ± 4.4%), indicating a reversible decrease
in the endothelium-dependent relaxation by phenanthraquinone.
Pretreatment with L-arginine (1 mM) did not significantly restore the suppressed endothelium-dependent
relaxation by phenanthraquinone (EC50 value = 0.70 ± 0.17 µM, maximum response = 68.3 ± 3.7%).
In contrast, phenanthraquinone did not affect the
endothelium-independent relaxation caused by NG under the same
conditions (Fig. 3B).
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DISCUSSION |
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It was suggested that exposure of humans to ambient particulate
matter was associated with cardiopulmonary-related diseases and
mortality (1, 7, 25). Diesel exhaust particles have been
shown to suppress endothelium-dependent relaxation of rat aorta
(14). Cheng and Kang (5) reported recently
that chemical components extracted from motorcycle exhaust particles
inhibit endothelium-dependent relaxation of rat aorta by ACh. From
these findings it is suggested that component(s) in these urban air particles play a critical role in the impairment of vasorelaxation. The
findings presented here indicate that phenanthraquinone, a component of
diesel exhaust particles (29, 30), inhibits constitutive NOS isozymes with different potency. Phenanthraquinone was a more potent inhibitor of eNOS (IC50 = 0.6 µM) than nNOS
(IC50 = 10 µM). We showed previously that
IC50 values of quinones on nNOS activity were well
correlated with one-electron reduction potentials of these quinones for
molecules having these values ranging from
240 and
100 mV
(18). In the present study, the inhibition potencies of
anthraquinone, mitomycin C, AZQ, and phenanthraquinone on eNOS activity
increased with the increase in their one-electron reduction potentials.
The IC50 values for AZQ, phenanthraquinone, 5-hydroxy-1,4-naphthoquinone, and 1,4-naphthoquinone-2-sulfonate on
eNOS activity were significantly smaller than those on nNOS. These
observations suggest that quinones are more potent inhibitors of eNOS
than of nNOS and, thus, attention must be given to cardiovascular alterations by quinones in vivo.
It was reported that an anthraquinone derivative aclarubicin (5.9 µM)
suppressed endothelium-dependent relaxation by ACh but this quinone had
no effect on NO donor-mediated endothelium-independent relaxation under
those conditions (33). Lee et al. (21)
recently reported that 2-methyl-1,4-naphthoquinone (menadione) was
capable of suppressing endothelium-dependent, but not
endothelium-independent, relaxation of the aortic ring in rats by
either ACh or histamine. Consistent with these observations,
phenanthraquinone (5 µM) showed the same pharmacological action on
the vasorelaxation of the rat aorta (Fig. 3). The alteration in the
concentration-dependent curve for ACh-mediated vasodilation by
phenanthraquinone exhibited the suppression of the maximum response
without changing the EC50 value, suggesting that the
pharmacological action of phenanthraquinone does not involve
competition at the acetylcholine receptor of the rat aorta. In our
previous study, we demonstrated that menadione (100 µM) inhibited NO
formation of >90% by purified nNOS (18) and that this
quinone was a noncompetitive inhibitor with regard to
L-arginine, with a Ki value of 27.3 µM (19). The present kinetic study revealed that the
inhibition of eNOS by phenanthraquinone was noncompetitive with respect
to L-arginine and competitive with respect to NADPH, as
observed with nNOS enzyme preparation (18). Taken
together, it is suggested that phenanthraquinone binds to the
P-450 reductase domain of eNOS as well as nNOS, thereby inhibiting NO production by shunting electrons away from the normal catalytic pathway: as a consequence, quinoid compounds such as aclarubicin, menadione, and now phenanthraquinone appear to act as
modulators in the vasorelaxation conducted by NO formed from constitutive NOS isozymes. Furthermore, in vivo experiments have indicated that intraperitoneal administration of phenanthraquinone (0.36 mmol/kg) to rats elevated the mean blood pressure by 1.4 times
the control level; under identical conditions, the plasma level of
NO

In conclusion, the present findings indicate that phenanthraquinone may be a candidate for the diesel exhaust particles-mediated dysfunction of vasodilation. Since it was reported that a variety of quinones were contained in diesel exhaust particles (29, 30), identification of the quinones, which are potent inhibitors of eNOS activity and impair cardiovascular functions, is in progress in our laboratory.
Perspectives
From the viewpoint of environmental medicine, diesel exhaust particles generated by motor vehicles are a social problem related to human health, because epidemiologic studies have shown that exposure of humans to these particles has an associated risk of cardiopulmonary-related diseases and mortality (1, 7, 25). The present study was designed to explore the mechanism of the etiology of cardiopulmonary-related diseases and mortality caused by diesel exhaust particles. Although Schuetzle (29) showed that phenanthraquinone was a relatively abundant quinone contained in the particles, no information about the effect of phenanthraquinone on NO-mediated vascular tone has been reported. The present study demonstrated, for the first time, that phenanthraquinone inhibits eNOS activity through the similar mechanism reported for nNOS (18) using biochemical studies, and that the phenanthraquinone-induced decrease in eNOS activity is accompanied by suppression of NO-mediated vasorelaxation and increase in blood pressure by physiological and pharmacological tests. Therefore, the inhibitory action of phenanthraquinone on eNOS activity may provide useful information on the etiology of cardiopulmonary-related diseases or mortality by exposure to diesel exhaust particles.To our knowledge, no study has reported an elevated blood pressure by exposure to diesel exhaust particle or determination of plasma levels of phenanthraquinone in humans exposed to diesel exhaust particles. In the present study, it was shown that an intraperitoneal administration of phenanthraquinone (0.36 mmol/kg) to rats resulted in the significant elevation of blood pressure (Table 1). In our preliminary study, we found that the plasma level of phenanthraquinone 1 h after the injection of phenanthraquinone (0.36 mmol/kg) to rats was ~0.3 µM (Kumagai et al., unpublished observation); under the concentration of phenanthraquinone, the enzyme activity of eNOS in the total membrane fraction of BAEC is inhibited by 30% of control level. However, it is uncertain whether phenanthraquinone is ever elevated to the level used in the present study during exposure of animals or humans to diesel fumes. Further study is required to address this issue.
Injection of phenanthraquinone to rats decreased plasma levels of
NO



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ACKNOWLEDGEMENTS |
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This research was supported in part by Grant-in-Aid 11877398 (to Y. Kumagai) for scientific research from the Ministry of Education, Science and Culture of Japan, by the Naito Foundation (to Y. Kumagai), and by funding (University Research Project) from the University of Tsukuba (to Y. Kumagai).
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FOOTNOTES |
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Address for reprint requests and other correspondence: Y. Kumagai, Dept. of Environmental Medicine, Institute of Community Medicine, Univ. of Tsukuba, Tsukuba, Ibaraki 305-8575, Japan (E-mail: yk-em-tu{at}md.tsukuba.ac.jp).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 28 August 2000; accepted in final form 19 February 2001.
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