Introduction: Previous studies indicate that calcium/calmodulin (Ca 2+ /CaM) mediates the phosphorylation and activation of NADPH oxidase (NOX). In endothelial cells, elevation of intracellular Ca 2+ concentration ([Ca 2+ ] i ) level consists of two components, mobilization of Ca 2+ from intracellular stores and subsequent store-operated Ca 2+ entry (SOCE). However, little is known which component is required to regulate NOX-derived ROS production via Ca 2+ /CaM dependent pathway in endothelial cells. Hypothesis: We hypothesized that Ca 2+ mobilization from endoplasmic reticulum (ER), but not SOCE, is required to regulate NOX-derived ROS via Ca 2+ /CaM dependent pathway in porcine aortic endothelial cells (PAECs). Methods: We evaluated the association between Ca 2+ /CaM mediated NOX-derived ROS production and Ca 2+ mobilization from ER. We measured [Ca 2+ ] i by fura-2/AM a production of ROS by C-DCDHF-DA and in primary cultured PAECs with a fluorescence imaging and analysis system. Results: (1) In the presence of 1mM extracellular Ca 2+ ([Ca 2+ ] o ), BK induced a rapid increase [Ca 2+ ] i and followed by a sustained increase. However, in the absence of [Ca 2+ ] o (0mM with EGTA 1mM), BK caused only a small and transient increase [Ca 2+ ] i which was cause by Ca 2+ mobilization from ER. (2) BK (1μM) rapidly increased fluorescence intensity of C-DCDHF-DA compared with control. (150.2±51.3% and 107.2±5.6% of the baseline, respectively, p<0.05). (3) BK-induced ROS production was inhibited by an inhibitor of NOX (VAS2870: 50μM) (125.5±9.9% of the baseline, respectively, p<0.05). (4) When cells were exposed to BK with or without [Ca 2+ ] o , there was no difference in BK-induced ROS production. (5) In the absence of [Ca 2+ ] o , BK-induced ROS production is inhibited by an inhibitor of calmodulin (W-7: 100μM) (121.3±13.1% of the baseline, p<0.05). Thapsigargin (an inhibitor of ER calcium ATPase: 1μM) and BAPTA/AM (100μM) eliminated BK-induced ROS production (110.0±5.1% and 115.7±9.5% of the baseline, respectively, p<0.05 vs 1mM [Ca 2+ ] o ). Conclusions: The NOX-derived ROS production by BK is mediated via Ca 2+ /CaM dependent pathway. This was strictly regulated by Ca 2+ mobilization from ER.
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