Role of endogenous hydrogen peroxide in the development of nitrate tolerance

The present study was designed to test the hypothesis that hydrogen peroxide plays a role in the development of nitrate tolerance. Isolated rat aortic rings were suspended in organ chambers for isometric tension recording. The rings were incubated with (tolerant) and without (control) nitroglycerin (10− 4 M) for 90 min, followed by repeated rinsing for 1 h. Hydrogen peroxide release in control and tolerant tissues was measured fluorimetrically using amplex red. Nitroglycerin (10− 9–10− 4 M) caused concentration-dependent relaxations in control (− logEC50 = 7.15 ± 0.1) and tolerant rings (− logEC50 = 5.83 ± 0.1) contracted with norepinephrine. Nitrate tolerance was evident by a > 20-fold rightward shift in the nitroglycerin concentration–response curve in tissues exposed previously to nitroglycerin for 90 min. Incubation of the rings with the superoxide dismutase (SOD)-mimetic, tempol (10− 4 M), during the 90-min exposure period to nitroglycerin caused a leftward shift in the nitroglycerin concentration–response curve in tolerant rings (− logEC50 = 6.84 ± 0.2), but had no effect on the response to nitroglycerin in control rings. Treatment of the rings with catalase (1200 U/ml) or ebselen (1.5 × 10− 5 M), a glutathione peroxidase-mimetic, during the 90-min exposure period to nitroglycerin resulted in a further rightward shift in the nitroglycerin concentration–response curve in tolerant rings (− logEC50 = 5.41 ± 0.1 and 4.98 ± 0.1; catalase and ebselen respectively), without altering the response to nitroglycerin in control rings. In the presence of catalase, the effect of tempol on nitrate tolerance was abolished (− logEC50 = 5.46 ± 0.1). Hydrogen peroxide release was reduced by ∼ 64% in nitrate tolerant tissues when compared to control. The decrease in hydrogen peroxide release was completely reversed by treatment with tempol, whereas treatment with ebselen caused a further decrease in hydrogen peroxide release in nitrate tolerant tissues. Addition of hydrogen peroxide (3 × 10− 5 M) to nitrate tolerant rings caused a leftward shift in the nitroglycerin concentration–response curve in tolerant rings (− logEC50 = 7.18 ± 0.3), but had no effect on the response to nitroglycerin in control rings. These results suggest that nitrate tolerance is associated with decreased endogenous formation of hydrogen peroxide, which attenuates nitrate tolerance development. SOD-mimetics may reduce nitrate tolerance, in part, by increasing the formation of hydrogen peroxide.