PMID- 27313889 OWN - NLM STAT- MEDLINE DCOM- 20170309 LR - 20181113 IS - 2090-1844 (Electronic) IS - 2090-1836 (Print) IS - 2090-1844 (Linking) VI - 2016 DP - 2016 TI - Long-Term Chronic Intermittent Hypobaric Hypoxia in Rats Causes an Imbalance in the Asymmetric Dimethylarginine/Nitric Oxide Pathway and ROS Activity: A Possible Synergistic Mechanism for Altitude Pulmonary Hypertension? PG - 6578578 LID - 10.1155/2016/6578578 [doi] LID - 6578578 AB - Chronic intermittent hypoxia (CIH) and chronic hypoxia (CH) are associated with high-altitude pulmonary hypertension (HAPH). Asymmetric dimethylarginine (ADMA), a NO synthase (NOS) inhibitor, may contribute to HAPH. This study assessed changes in the ADMA/NO pathway and the underlying mechanisms in rat lungs following exposure to CIH or CH simulated in a hypobaric chamber at 428 Torr. Twenty-four adult Wistar rats were randomly assigned to three groups: CIH2x2 (2 days of hypoxia/2 days of normoxia), CH, and NX (permanent normoxia), for 30 days. All analyses were performed in whole lung tissue. L-Arginine and ADMA were analyzed using LC-MS/MS. Under both hypoxic conditions right ventricular hypertrophy was observed (p < 0.01) and endothelial NOS mRNA increased (p < 0.001), but the phosphorylated/nonphosphorylated vasodilator-stimulated phosphoprotein (VASP) ratio was unchanged. ADMA increased (p < 0.001), whereas dimethylarginine dimethylaminohydrolase (DDAH) activity decreased only under CH (p < 0.05). Although arginase activity increased (p < 0.001) and L-arginine exhibited no changes, the L-arginine/ADMA ratio decreased significantly (p < 0.001). Moreover, NOX4 expression increased only under CH (p < 0.01), but malondialdehyde (MDA) increased (up to 2-fold) equally in CIH2x2 and CH (p < 0.001). Our results suggest that ADMA and oxidative stress likely reduce NO bioavailability under altitude hypoxia, which implies greater pulmonary vascular reactivity and tone, despite the more subdued effects observed under CIH. FAU - Luneburg, Nicole AU - Luneburg N AD - Department of Clinical Pharmacology and Toxicology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany. FAU - Siques, Patricia AU - Siques P AD - Institute of Health Studies, Arturo Prat University, Iquique, Chile. FAU - Brito, Julio AU - Brito J AD - Institute of Health Studies, Arturo Prat University, Iquique, Chile. FAU - Arriaza, Karem AU - Arriaza K AD - Institute of Health Studies, Arturo Prat University, Iquique, Chile. FAU - Pena, Eduardo AU - Pena E AD - Institute of Health Studies, Arturo Prat University, Iquique, Chile. FAU - Klose, Hans AU - Klose H AD - Department of Pneumology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany. FAU - Leon-Velarde, Fabiola AU - Leon-Velarde F AD - Department of Biological and Physiological Sciences, Faculty of Sciences and Philosophy/IIA, Cayetano Heredia University, Lima, Peru. FAU - Boger, Rainer H AU - Boger RH AD - Department of Clinical Pharmacology and Toxicology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany. LA - eng PT - Journal Article DEP - 20160530 PL - Egypt TA - Pulm Med JT - Pulmonary medicine JID - 101558762 RN - 31C4KY9ESH (Nitric Oxide) RN - 63CV1GEK3Y (N,N-dimethylarginine) RN - 94ZLA3W45F (Arginine) RN - EC 1.14.13.39 (Nitric Oxide Synthase) RN - EC 3.5.- (Amidohydrolases) RN - EC 3.5.3.18 (dimethylargininase) RN - Pulmonary edema of mountaineers SB - IM MH - *Altitude Sickness/metabolism/physiopathology MH - Amidohydrolases/metabolism MH - Animals MH - Arginine/*analogs & derivatives/metabolism MH - Disease Models, Animal MH - *Hypertension, Pulmonary/metabolism/physiopathology MH - *Hypoxia/metabolism/physiopathology MH - *Lung/blood supply/metabolism/physiopathology MH - Male MH - Nitric Oxide/*metabolism MH - Nitric Oxide Synthase/antagonists & inhibitors MH - Oxidative Stress MH - Pulmonary Circulation MH - Rats MH - Rats, Wistar MH - Signal Transduction MH - Time Factors MH - Vascular Resistance PMC - PMC4904121 EDAT- 2016/06/18 06:00 MHDA- 2017/03/10 06:00 PMCR- 2016/05/30 CRDT- 2016/06/18 06:00 PHST- 2016/03/07 00:00 [received] PHST- 2016/05/08 00:00 [accepted] PHST- 2016/06/18 06:00 [entrez] PHST- 2016/06/18 06:00 [pubmed] PHST- 2017/03/10 06:00 [medline] PHST- 2016/05/30 00:00 [pmc-release] AID - 10.1155/2016/6578578 [doi] PST - ppublish SO - Pulm Med. 2016;2016:6578578. doi: 10.1155/2016/6578578. Epub 2016 May 30.