We have shown that ceramide, a product of neutral sphingomyelinase, (N‐SMase) causes a transition from nitric oxide (NO) to hydrogen peroxide (H2O2) as the mediator of flow‐mediated dilation (FMD) in arterioles from healthy subjects. We tested the hypothesis that the stress of an elevation in intraluminal pressure similarly alters the mediator of FMD. Human arterioles (100–200μm diameter) were prepared for videomicroscopy. L‐NAME inhibited FMD (max dilation=24.6±7.6 vs. 82.6±4.9, n=6, p<0.01, *t‐test), whereas FMD was unaffected by L‐NAME following exposure to 150mmHg of intraluminal pressure (HP) for 30 min (71.8±5.9, n=7). Under control conditions, PEG‐Catalase (500 U) did not affect FMD (74.8±8.6, n=6), but after HP, FMD was reduced (23.8±6.1, n=6, p<0.01*). Treatment with the specific N‐SMase inhibitor GW4869 (4μM; 12 hours) did not alter FMD (79.9±11.3, n=3) vs. control (82.6±4.9, n=6), however FMD was attenuated post‐HP in the presence of GW4869 (33.9±6.7, n=3). Post‐HP, in GW4869‐treated vessels, FMD was blocked by L‐NAME (12.5±6.2, n=3) but tended to improve with catalase (48.6±9.4, n=3). These data suggest that N‐SMase is capable of altering the mechanism of FMD from NO to H2O2 following acute elevation of pressure.
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