PMID- 32363908 OWN - NLM STAT- MEDLINE DCOM- 20211129 LR - 20231213 IS - 1557-7716 (Electronic) IS - 1523-0864 (Print) IS - 1523-0864 (Linking) VI - 34 IP - 9 DP - 2021 Mar 20 TI - Oxidative Stress, GTPCH1, and Endothelial Nitric Oxide Synthase Uncoupling in Hypertension. PG - 750-764 LID - 10.1089/ars.2020.8112 [doi] AB - Significance: Hypertension has major health consequences, which is associated with endothelial dysfunction. Endothelial nitric oxide synthase (eNOS)-produced nitric oxide (NO) signaling in the vasculature plays an important role in maintaining vascular homeostasis. Considering the importance of NO system, this review aims to provide a brief overview of the biochemistry of members of NO signaling, including GTPCH1 [guanosine 5'-triphosphate (GTP) cyclohydrolase 1], tetrahydrobiopterin (BH(4)), and eNOS. Recent Advances: Being NO signaling activators and regulators of eNOS signaling, BH(4) treatment is getting widespread attention either as potential therapeutic agents or as preventive agents. Recent clinical trials also support that BH(4) treatment could be considered a promising therapeutic in hypertension. Critical Issues: Under conditions of BH(4) depletion, eNOS-generated superoxides trigger pathological events. Abnormalities in NO availability and BH(4) deficiency lead to disturbed redox regulation causing pathological events. This disturbed signaling influences the development of systemic hypertension as well as pulmonary hypertension. Future Directions: Considering the importance of BH(4) and NO to improve the translational significance, it is essential to continue research on this field to manipulate BH(4) to increase the efficacy for treating hypertension. Thus, this review also examines the current state of knowledge on the effects of eNOS activators on preclinical models and humans to utilize this information for potential therapy. FAU - Wu, Yin AU - Wu Y AD - Center for Molecular and Translational Medicine, Georgia State University, Atlanta, Georgia, USA. FAU - Ding, Ye AU - Ding Y AD - Center for Molecular and Translational Medicine, Georgia State University, Atlanta, Georgia, USA. FAU - Ramprasath, Tharmarajan AU - Ramprasath T AD - Center for Molecular and Translational Medicine, Georgia State University, Atlanta, Georgia, USA. FAU - Zou, Ming-Hui AU - Zou MH AD - Center for Molecular and Translational Medicine, Georgia State University, Atlanta, Georgia, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200527 PL - United States TA - Antioxid Redox Signal JT - Antioxidants & redox signaling JID - 100888899 RN - 0 (Biopterins) RN - 31C4KY9ESH (Nitric Oxide) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type III) RN - EC 3.5.4.16 (GCH1 protein, human) RN - EC 3.5.4.16 (GTP Cyclohydrolase) RN - EGX657432I (sapropterin) SB - IM MH - Biopterins/analogs & derivatives/metabolism MH - GTP Cyclohydrolase/*genetics MH - Humans MH - Hypertension/*genetics/metabolism/pathology MH - Nitric Oxide/genetics/metabolism MH - Nitric Oxide Synthase Type III/*genetics/metabolism MH - Oxidative Stress/*genetics MH - Signal Transduction/genetics PMC - PMC7910417 OTO - NOTNLM OT - GTPCH1 OT - eNOS uncoupling OT - endothelial nitric oxide synthase OT - hypertension EDAT- 2020/05/05 06:00 MHDA- 2021/11/30 06:00 PMCR- 2022/03/20 CRDT- 2020/05/05 06:00 PHST- 2020/05/05 06:00 [pubmed] PHST- 2021/11/30 06:00 [medline] PHST- 2020/05/05 06:00 [entrez] PHST- 2022/03/20 00:00 [pmc-release] AID - 10.1089/ars.2020.8112 [pii] AID - 10.1089/ars.2020.8112 [doi] PST - ppublish SO - Antioxid Redox Signal. 2021 Mar 20;34(9):750-764. doi: 10.1089/ars.2020.8112. Epub 2020 May 27.