Our studies have detected that treatment of mice with the heme biosynthesis precursor δ‐aminolevulinic acid (ALA, 50mg/kg/day) prevents the development of pulmonary hypertension (PH) in mice exposed to 21 days of hypoxia (10% O2). Since ALA may promote the accumulation of protoporphyrin IX, a direct activator of soluble guanylate cyclase, we investigated if the known beneficial effects of cGMP or inhibiting the actions of endothelin‐1 (ET) and Nox2 in treating PH could originate from an attenuation of ET‐elicited pulmonary arterial superoxide generation by ALA & cGMP. Organoid culture of bovine pulmonary arteries (PA) with ET (10 μM, 24hr) increased the detection of superoxide by 5uM lucigenin. This was attenuated by stimulation of protein kinase G (PKG) activation in the presence of 0.1mM ALA, 0.1mM 8‐bromo‐cGMP or 0.1mM dihydroxyepiandrosterone, or by Nox inhibition (0.1mM apocynin), respectively. ALA also activated PKG and lowered PA superoxide in mice exposed to 21D hypoxia.
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