RT Journal Article SR Electronic T1 Sustained Formation of Nitroglycerin-Derived Nitric Oxide by Aldehyde Dehydrogenase-2 in Vascular Smooth Muscle Without Added Reductants. Implications for the Development of Nitrate Tolerance JF Molecular Pharmacology JO Mol Pharmacol FD American Society for Pharmacology and Experimental Therapeutics SP mol.117.110783 DO 10.1124/mol.117.110783 A1 Marissa Opelt A1 Gerald Wolkart A1 Emrah Eroglu A1 Markus Waldeck-Weiermair A1 Roland Malli A1 Wolfgang F. Graier A1 Alexander Kollau A1 John T. Fassett A1 Astrid Schrammel A1 Bernd Mayer A1 Antonius C. F. Gorren YR 2018 UL http://molpharm.aspetjournals.org/content/early/2018/01/22/mol.117.110783.abstract AB According to current views, oxidation of aldehyde dehydrogenase-2 (ALDH2) in the course of glyceryltrinitrate (GTN) biotransformation is essentially involved in vascular nitrate tolerance and explains the dependence of the reaction on added thiols. Using a novel fluorescent intracellular NO probe expressed in vascular smooth muscle cells (VSMC) we observed ALDH2-catalyzed formation of nitric oxide (NO) from GTN in the presence of exogenously added dithiothreitol (DTT), whereas only a short burst of NO, corresponding to a single turnover of ALDH2, occurred in the absence of DTT. This short burst of NO that is associated with oxidation of the reactive C302 residue in the active site was followed by formation of low nanomolar NO even without added DTT, indicating slow recovery of ALDH2 activity by an endogenous reductant. In addition to the thiol-reversible oxidation of ALDH2, thiol-refractive inactivation was observed, particularly under high-turnover conditions. Organ bath experiments with rat aortas showed that relaxation by GTN lasted longer than that caused by the NO donor diethylamine/NONOate, in line with the long-lasting nanomolar NO generation from GTN observed in VSMC. Our results suggest that an endogenous reductant with low efficiency allows sustained generation of GTN-derived NO in the low nanomolar range that is sufficient for vascular relaxation. On a longer time scale, mechanism-based, thiol-refractive irreversible inactivation of ALDH2, and possibly depletion of the endogenous reductant, will render blood vessels tolerant to GTN. Accordingly, full reactivation of oxidized ALDH2 may not occur in vivo and may not be necessary to explain GTN-induced vasodilation.