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Publication : Circulating tetrahydrobiopterin as a novel biomarker for abdominal aortic aneurysm.

First Author  Siu KL Year  2014
Journal  Am J Physiol Heart Circ Physiol Volume  307
Issue  11 Pages  H1559-64
PubMed ID  25260610 Mgi Jnum  J:220800
Mgi Id  MGI:5636145 Doi  10.1152/ajpheart.00444.2014
Citation  Siu KL, et al. (2014) Circulating tetrahydrobiopterin as a novel biomarker for abdominal aortic aneurysm. Am J Physiol Heart Circ Physiol 307(11):H1559-64
abstractText  Rupture of abdominal aortic aneurysm (AAA) is unpredictable and lethal. A clinically valid biomarker to monitor the disease has not been available. Based on our recent discoveries that uncoupled endothelial nitric oxide synthase (eNOS)/tetrahydrobiopterin deficiency plays a causal role in various models of AAA, the present study examined the relationship between circulating and tissue levels of tetrahydrobiopterin (H4B) in angiotensin II-infused hyperphenylalaninemia (hph-1) and apoE null mice. For apoE null mice, tissue and plasma H4B levels decreased time dependently, to 2.69 +/- 0.15 and 1.99 +/- 0.06 pmol/mg, respectively (from 4.86 +/- 0.32 and 3.31 +/- 0.13 pmol/mg at baseline) by week 3, when aneurysms developed. For hph-1 mice, tissue and plasma H4B levels decreased significantly to 1.02 +/- 0.10 and 0.98 +/- 0.09 pmol/mg, respectively (from 1.84 +/- 0.18 and 1.48 +/- 0.12 pmol/mg at baseline), by week 1, when aneurysms developed. Oral folic acid administration, which has been shown to improve aortic H4B levels to completely prevent or markedly decrease the incidence of AAA, significantly increased tissue and plasma H4B levels in both animal models starting at week 1. The two H4B measurements at all conditions showed significant linear correlation, suggesting that plasma H4B accurately predicts its tissue levels when H4B is either reduced or enhanced. Together, these data demonstrate that H4B levels decrease with AAA development and increase with folic acid treatment in two different murine models of AAA and that plasma H4B levels accurately reflect H4B levels in the tissue, suggesting that circulating H4B levels may be used clinically as a novel and powerful biomarker for the development and response to treatment of AAA.
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