GTP-cyclohydrolase deficiency induced peripheral and deep microcirculation dysfunction with age

Microvasc Res. 2021 Jan:133:104078. doi: 10.1016/j.mvr.2020.104078. Epub 2020 Sep 24.

Abstract

The present study assessed the impact of impaired tetrahydrobiopterin (BH4) production on vasoreactivity from conduit and small arteries along the vascular tree as seen during aging. For this purpose, the mutant hyperphenylalaninemic mouse (hph-1) was used. This model is reported to be deficient in GTP cyclohydrolase I, a rate limiting enzyme in BH4 biosynthesis. BH4 is a key regulator of vascular homeostasis by regulating the nitric oxide synthase 3 (NOS3) activity. In GTP-CH deficient mice, the aortic BH4 levels were decreased, by -77% in 12 week-middle-aged mice (young) and by -83% in 35-45 week-middle-aged mice (middle-aged). In young hph-1, the mesenteric artery ability to respond to flow was slightly reduced by 9%. Aging induced huge modification in many vascular functions. In middle-aged hph-1, we observed a decrease in aortic cGMP levels, biomarker of NO availability (-46%), in flow-mediated vasodilation of mesenteric artery (-31%), in coronary hyperemia response measured in isolated heart following transient ischemia (-27%) and in cutaneous microcirculation dilation in response to acetylcholine assessed in vivo by laser-doppler technic (-69%). In parallel, the endothelium-dependent relaxation in response to acetylcholine in conduit blood vessel, measured on isolated aorta rings, was unchanged in hph-1 mice whatever the age. Our findings demonstrate that in middle-aged GTP-CH depleted mice, the reduction of BH4 was characterized by an alteration of microcirculation dilatory properties observed in various parts of the vascular tree. Large conduit blood vessels vasoreactivity, ie aorta, was unaltered even in middle-aged mice emphasizing the main BH4-deletion impact on the microcirculation.

Keywords: Age; BH(4); Conduit blood vessel; GTP-cyclohydrolase I; Microcirculation; NO; NOS3; Resistance blood vessel.

Publication types

  • Comparative Study

MeSH terms

  • Age Factors
  • Animals
  • Aorta, Thoracic / enzymology
  • Aorta, Thoracic / physiopathology
  • Biopterins / analogs & derivatives
  • Biopterins / metabolism
  • Coronary Vessels / enzymology
  • Coronary Vessels / physiopathology
  • Disease Models, Animal
  • GTP Cyclohydrolase / deficiency*
  • GTP Cyclohydrolase / genetics
  • Male
  • Mesenteric Arteries / enzymology
  • Mesenteric Arteries / physiopathology
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Microcirculation*
  • Microvessels / enzymology*
  • Microvessels / physiopathology
  • Phenylketonurias / enzymology*
  • Phenylketonurias / genetics
  • Phenylketonurias / physiopathology
  • Skin / blood supply*
  • Vasodilation*

Substances

  • Biopterins
  • GTP Cyclohydrolase
  • sapropterin

Supplementary concepts

  • Hyperphenylalaninemia, BH4-Deficient, B