Therapeutic potential of tetrahydrobiopterin for treating vascular and cardiac disease.

Abstract:

:Tetrahydrobiopterin is the reduced unconjugated pterin that serves as an essential cofactor for the normal enzymatic function of the aromatic amino acid hydroxylases and for the nitric oxide synthases (NOS). Its role in the latter biochemistry is being increasing appreciated, as depletion or oxidation of BH4 results in a condition of NOS uncoupling, resulting in a nitroso-oxidative imbalance. Recent experimental studies support an important pathophysiologic role of BH4 deficiency as well as the therapeutic potential of BH4 repletion for hypertension, endothelial dysfunction, atherosclerosis, diabetes, cardiac hypertrophic remodeling, and heart failure. In addition to BH4, studies are also examining the potential role of folic acid therapy, because folic acid can enhance BH4 levels and the NOS coupling state. This review summarizes these recent studies focusing on the biochemistry and pharmacology of BH4 and its potential role for treating cardiovascular disease.

journal_name

J Cardiovasc Pharmacol

authors

Moens AL,Kass DA

doi

10.1097/FJC.0b013e318123f854

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

238-46

issue

3

eissn

0160-2446

issn

1533-4023

pii

00005344-200709000-00003

journal_volume

50

pub_type

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