Tempol-nebivolol therapy potentiates hypotensive effect increasing NO bioavailability and signaling pathway

Abstract

Nebivolol is a third generation beta blocker with endothelial nitric oxide synthase (eNOS) agonist properties. Considering the role of reactive oxygen species (ROS) in the uncoupling of eNOS, we hypothesized that the preadministration of an antioxidant as tempol, could improve the hypotensive response of nebivolol in normotensive animals increasing the nitric oxide (NO) bioavailability by a reduction of superoxide (O₂^•−) basal level production in the vascular tissue.

Male Sprague Dawley rats were given tap water to drink (control group) or tempol (an antioxidant scavenger of superoxide) for 1 week. After 1 week, Nebivolol, at a dose of 3 mg/kg, was injected intravenously to the control group or to the tempol-treated group. Mean arterial pressure, heart rate, and blood pressure variability were evaluated in the control, tempol, nebivolol, and tempol nebivolol groups, as well as, the effect of different inhibitor as Nβ-nitro-l-arginine methyl ester (L-NAME, a Nitric oxide synthase blocker) or glybenclamide, a K_ATP channel inhibitor. Also, the expression of α,β soluble guanylate cyclase (sGC), phospho-eNOS, and phospho-vasodilator-stimulated phosphoprotein (P-VASP) were evaluated by Western Blot and cyclic guanosine monophosphate (cGMP) levels by an enzyme-linked immunosorbent assay (ELISA) commercial kit assay.

We showed that pretreatment with tempol in normotensive rats produces a hypotensive response after nebivolol administration through an increase in the NO bioavailability and sGC, improving the NO/cGMP/protein kinase G (PKG) pathway compared to that of the nebivolol group.

We demonstrated that tempol preadministration beneficiates the response of a third-generation beta blocker with eNOS stimulation properties, decreasing the basal uncoupling of eNOS, and improving NO bioavailability. Our results clearly open a possible new strategy therapeutic for treating hypertension.

Keywords::

• antioxidants
• cardiovascular therapeutic
• endothelial nitric oxide
• nitric oxide
• oxidative stress
• third generation beta blockers

Acknowledgments

We are truly indebted to Dr. Monica Galleano, Dr. Cesar G. Fraga, Dr. Mariela M. Gironacci and Maria C. Litterio for their help in conducting the experiments and Diego Chiapetta for the nebivolol solution. This work was supported by grants from Secretaría de Ciencia y Técnica, Universidad de Buenos Aires, Argentina and from the Agencia Nacional de Promoción Científica (Préstamo BID PICT 00994). Ariel H Polizio, Karina B Balestrasse and Carlos A Taira are Career Investigators from CONICET, Argentina.

Declaration of interest

The authors report no declarations of interest. The authors alone are responsible for the content and writing of the paper.