Folic Acid Prevents Nitroglycerin-Induced Nitric Oxide Synthase Dysfunction and Nitrate Tolerance
Author(s) -
Tommaso Gori,
Jason M Burstein,
Sofia B. Ahmed,
Steve Miner,
Abdul AlHesayen,
Susan Kelly,
John D. Parker
Publication year - 2001
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/hc3501.095358
Subject(s) - medicine , tetrahydrobiopterin , nitric oxide synthase , nitric oxide , pharmacology , bioavailability , placebo , vasodilation , endothelial dysfunction , biopterin , transdermal , anesthesia , endocrinology , alternative medicine , pathology
In healthy humans, continuous treatment with nitroglycerin (GTN) causes nitric oxide synthase dysfunction, probably through the reduced bioavailability of tetrahydrobiopterin. Recent studies proposed that folic acid is involved in the regeneration of tetrahydrobiopterin in different disease states. Therefore, we investigated whether folic acid administration would prevent this phenomenon. We also sought to determine if folic acid supplementation could prevent the development of tolerance to GTN.
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