Targeting endothelial and myocardial dysfunction with tetrahydrobiopterin.

Abstract:

:Tetrahydrobiopterin (BH(4)) is an essential cofactor for aromatic amino acid hydroxylases and for all three nitric oxide synthase (NOS) isoforms. It also has a protective role in the cell as an antioxidant and scavenger of reactive nitrogen and oxygen species. Experimental studies in humans and animals demonstrate that decreased BH(4)-bioavailability, with subsequent uncoupling of endothelial NOS (eNOS) plays an important role in the pathogenesis of endothelial dysfunction, hypertension, ischemia-reperfusion injury, and pathologic cardiac remodeling. Synthetic BH(4) is clinically approved for the treatment of phenylketonuria, and experimental studies support its capacity for ameliorating cardiovascular pathophysiologies. To date, however, the translation of these studies to human patients remains limited, and early results have been mixed. In this review, we discuss the pathophysiologic role of decreased BH(4) bioavailability, molecular mechanisms regulating its metabolism, and its potential therapeutic use as well as pitfalls as an NOS-modulating drug. This article is part of a special issue entitled ''Key Signaling Molecules in Hypertrophy and Heart Failure.''

journal_name

J Mol Cell Cardiol

authors

Moens AL,Kietadisorn R,Lin JY,Kass D

doi

10.1016/j.yjmcc.2011.03.009

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

559-63

issue

4

eissn

0022-2828

issn

1095-8584

pii

S0022-2828(11)00121-0

journal_volume

51

pub_type

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