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1 Department of Biology, Favero, Terence G., David Colter, Paul F. Hooper, and
Jonathan J. Abramson. Hypochlorous acid inhibits
Ca2+-ATPase from skeletal muscle
sarcoplasmic reticulum. J. Appl. Physiol. 84(2): 425-430, 1998.
reactive oxygen species; calcium-adenosinetriphosphatase
SKELETAL MUSCLE sarcoplasmic reticulum (SR) is an
intramembranous structure that regulates intracellular free
Ca2+. After muscle activation, the
SR releases stored Ca2+, which
diffuses into the myoplasm to activate cross-bridge cycling and
subsequent force production. When intracellular
Ca2+ is elevated, the SR
Ca2+-adenosinetriphosphatase
(ATPase) actively transports Ca2+
back into the SR and muscle relaxation ensues. The 115-kDa
Ca2+-stimulated
Mg2+-dependent ATPase is the major
SR protein that transports 2 mol of
Ca2+ across the SR bilayer
membrane with hydrolysis of 1 mol of ATP. The ATPase has been shown to
contain 26 sulfhydryl (SH)-containing cysteine residues, 6 of which
reside in a disulfide conformation, leaving 20 free SH groups (12).
Reactive SH groups have been shown to be critical for pumping activity
because oxidation or blocking of free SH groups with thiol- directed
reagents leads to both a loss of ATPase activity and
Ca2+ accumulation (12, 22). Thus
the ATPase is sensitive to oxidants that can modify its function.
Reactive oxygen species (ROS) have drawn attention for their potential
to disrupt normal muscle function by targeting specific proteins for
modification. Molecular oxygen-derived intermediates are produced
extensively in living tissues undergoing oxidative stress, such as
ischemia, reperfusion, and vitamin deficiency (11). Reactive
oxygen intermediates generated during repetitive muscle contraction
have also been shown to promote muscle fatigue (23). These ROS include
hydrogen peroxide
(H2O2),
singlet oxygen (1O2),
hypochlorous acid (HOCl), the superoxide radical, and the hydroxyl
radical (· OH).
Several recent reports have indicated that ROS are produced in the
active muscle cell (7, 23). Reid et al. (23) have shown that free
radicals alter contractile parameters of fiber bundles isolated from
rat diaphragm (23). In addition, myeloperoxidase (MPO), the enzyme
responsible for HOCl production, is significantly elevated during and
after submaximal exercise bouts (6). This growing body of work suggests
that ROS are produced as a result of exercise and may be operative in
skeletal muscle dysfunction associated with prolonged bouts of
exercise.
The effect of ROS on skeletal muscle and sarcoplasmic reticulum
function has been examined in a few studies. Peroxydisulfate and
· OH have been shown to inhibit
Ca2+ uptake into isolated SR
vesicles while peroxydisulfate also increased the
Ca2+ permeability of the SR
membrane (24). In other work describing the effect of SH oxidizing
reagents on SR Ca2+ release,
H2O2
and the highly reactive
1O2
were shown to stimulate Ca2+
release from actively loaded SR vesicles and modify ryanodine binding
to its receptor (9, 26). Similar observations have been reported in
cardiac muscle (5). Ca2+ release
induced by ROS was shown to be blocked by SH reducing agents and
ruthenium red, indicating the SR
Ca2+ release channel as a primary
target for their interaction.
HOCl is an extremely toxic oxidant that can react with a variety of
cellular components, and its concentration has been reported to reach
200 µM in some tissues (10). To begin to understand the emerging
relationship between Ca2+
regulation, ROS, and exercise, we evaluated the effects of the cellular
oxidant HOCl on catalytic and functional activity of the SR
Ca2+-ATPase.
Preparation of SR vesicles.
For all studies, SR vesicles were prepared from rabbit hind leg and
back white skeletal muscle according to the method of MacLennan (19).
The protein concentration was determined by absorption spectroscopy
(14).
HOCl treatment of SR.
HOCl is produced by the enzyme MPO, which is present in the granules of
neutrophils. Previous documentation by Winterbourne (29) indicated that
chemical analysis that used the commercial product sodium hypochlorite
yielded results identical to those obtained with HOCl produced by the
MPO system. Thus, for our assays, all concentrations of HOCl were
generated by diluting from stock concentrations of sodium hypochlorite
(6.75 M; Sigma Chemical). Before all analyses, SR membranes were
prepared and treated in the following manner: SR (100 µg/ml) were
incubated for 10 min (22°C) with various final concentrations of
HOCl (0.1, 0.2, 0.5, 1.0, and 3.0 mM).
A-23187-stimulated
Ca2+-ATPase
activity.
A-23187-stimulated Ca2+-ATPase
activity was determined spectrophotometrically for untreated and
HOCl-treated SR vesicle preparations by using a procedure previously
documented (9, 18). (A-23187 is a
Ca2+ ionophore.) The standard
assay buffer contained 100 mM KCl, 20 mM
N-2-hydroxyethylpiperazine-N Measurement of
Ca2+ uptake.
Ca2+ fluxes across SR vesicles
were monitored by using a Ca2+
selective electrode interfaced to an IBM XT computer (1). The standard
procedure was as follows: Ca2+
uptake into SR vesicles (0.2 mg/ml) was carried out in a buffer containing 100 mM KCl, 20 mM HEPES, 5 mM
MgCl2, and 20 µM free Ca2+. Considering that net
Ca2+ uptake is an equilibrium
between Ca2+ entry into the
vesicles and Ca2+ efflux through
the release channel, the assays were conducted with 5 mM
Mg2+ in the uptake medium. This is
a concentration that is sufficient to inhibit oxidation-induced
Ca2+ efflux through the release
channel (1). Uptake was initiated by the addition of 0.5 mM
Mg2+-ATP. Extravesicular
Ca2+ concentration was recorded
(10 Hz) as a function of time and stored in the computer. An analysis
program displays the data as a function of time and calculates the
maximal Ca2+ uptake (nmol/mg).
ATPase and
Ca2+ uptake
recovery.
Restoration of Ca2+- ATPase
activity with dithiothreitol (DTT) and glutathione (GSH) was measured
as follows. Assays were conducted in the standard assay buffer as
described in A-23187-stimulated Ca2+-ATPase activity measurements.
SR (100 µg/ml) was treated with 3 mM HOCl for 10 min at room
temperature. After treatment, 10 mM dimethyl sulfoxide (DMSO) was added
to the incubation mixture to scavenge the remaining HOCl. The
HOCl-treated SR was then added to the ATPase reaction buffer, which
contained the reducing agents DTT or GSH (5 mM). The HOCl-treated SR
was allowed to incubate in the reaction buffer for 2 min before the
ATPase assay was initiated. The procedures for evaluating the recovery
of Ca2+ uptake by DTT and GSH were
performed in an identical manner. Note that neither the rate of ATPase
activity nor the amount of Ca2+
uptake was affected when the assays were conducted in the presence of
up to 5% DMSO.
SH analysis.
The SH content of the SR was estimated by measuring the increase in
absorbance at 412 nm after reaction with
5,5 Polyacrylamide gel electrophoresis (PAGE).
SDS-PAGE (5%) with 3% acrylamide in the stacking gel were prepared
according to the method of Laemmli (16). SR vesicles (10 µg) were suspended in 0.03 ml of buffer containing 20 mM HEPES and
100 mM KCl, pH 7.0. These samples were incubated for 10 min with HOCl
and then for 30 min in 50 µM fluorescein isothiocyanate (FITC). The
samples were then solubilized with Laemmli sample buffer containing the
reducing agent FITC labeling.
FITC labeling was conducted according to the procedures outlined by
Luckin et al. (18). After HOCl treatment, SR fractions (10 µg in 30 ml) were incubated in buffer for 30 min at room temperature with 50 µM FITC. The reaction was stopped by the addition of sample buffer,
and the proteins were electrophoresed. To visualize FITC-labeled proteins, the gels were fixed in 10% isopropanol for 1 h and then were
photographed with ultraviolet (UV) illumination.
Materials.
All reagents were analytic grade. HEPES and DTT were obtained from
Research Organics (Cincinnati, OH). All other chemicals were obtained
from Sigma Chemical.
ATPase activity.
The effect of HOCl treatment on
Ca2+-stimulated ATPase activity is
shown in Fig. 1. A significant decrease in
ATPase activity was observed at increasing HOCl concentrations, with
170 µM required to inhibit ATPase activity by 50%
(IC50).
![]()
ABSTRACT
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References
Hypochlorous acid
(HOCl) is produced by polymorphonuclear leukocytes that migrate and
adhere to endothelial cells as part of the inflammatory response to
tissue injury. HOCl is an extremely toxic oxidant that can react with a
variety of cellular components, and concentrations reaching 200 µM
have been reported in some tissues. In this study, we show that HOCl
interacts with the skeletal sarcoplasmic reticulum
Ca2+-adenosinetriphosphatase
(ATPase), inhibiting transport function. HOCl inhibits sarcoplasmic
reticulum Ca2+-ATPase activity in
a concentration-dependent manner with a concentration required to
inhibit ATPase activity by 50% of 170 µM and with complete
inhibition of activity at 3 mM. A concomitant reduction in
free sulfhydryl groups after HOCl treatment was observed, paralleling the inhibition of ATPase activity. It was also observed that HOCl inhibited the binding of the fluorescent probe fluorescein
isothiocyanate to the ATPase protein, indicating some structural damage
may have occurred. These findings suggest that the reactive oxygen
species HOCl inhibits ATPase activity via a modification of sulfhydryl groups on the protein, supporting the contention that reactive oxygen
species disrupt the normal
Ca2+-handling kinetics in muscle
cells.
![]()
INTRODUCTION
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References
![]()
MATERIALS AND METHODS
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References
-2-ethanesulfonic
acid (HEPES), 10 mM MgCl2, 1 mM
ethylene glycol-bis(
-aminoethyl
ether)-N,N,N
,N
-tetraacetic acid, 3 mM NADH, 1 mM phosphoenol pyruvate, 5 U lactate dehydrogenase, 5 U pyruvate kinase, and 0.5 mM Mg-ATP at pH 7.0 in a 1-ml volume. Ca2+-independent
(Mg2+-dependent basal activity)
ATPase activity was initiated by the addition of SR (0.1 mg) to the
cuvette, and the absorbance changes at 340 nm were recorded for 2 min
(22°C). To measure maximal
Ca2+-stimulated activity, 8 µM
Ca2+ (free) and the
Ca2+ ionophore A-23187 (2 µg/ml)
were added to the cuvette, and absorbance changes were monitored for 5 min or until the reaction was run to completion. A-23187 was added to
remove enzyme back inhibition and to reduce the influence of potential
alterations in membrane Ca2+
permeability after the HOCl treatment.
-dithiobis(2-nitrobenzoic acid) (DTNB) (15). SR (100 µg)
was pretreated with various concentrations of HOCl as described in
HOCl treatment of SR and subsequently diluted into the assay medium containing 50 mM
tris(hydroxymethyl)aminomethane (pH 7.0), 1% sodium dodecyl sulfate
(SDS), 1 mM EDTA, and 1 mM DTNB in a 1-ml cuvette.
Absorbance changes were monitored for 8 min, a time point after which
no additional absorbance changes could be observed. Free SH groups were
calculated according to the Beers-Lambert relationship by using a molar
extinction coefficient of 13,600.
-mercaptoethanol (5%) and were electrophoresed. The
gels were stained overnight in 45% methanol, 10% acetic acid, and
0.10% Coomassie blue and were destained in an identical solution
without Coomassie blue.
![]()
RESULTS
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

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Fig. 1.
Hypochlorous acid (HOCl) inhibits sarcoplasmic reticulum (SR)
Ca2+-ATPase activity. SR membranes
were exposed to various concentrations of HOCl for 3 min, and
Ca2+-ATPase activity was measured as described in
MATERIALS AND METHODS. Values are means ± SD.
Ca2+ uptake. Inhibition of Ca2+-ATPase activity resulted in a parallel reduction in the amount of Ca2+ accumulated by the SR (Fig. 2). The reduction in Ca2+ uptake closely followed the concentration-dependent inhibition of ATPase activity, with an IC50 for Ca2+ uptake of 420 µM, a value higher than that observed for ATPase activity. Although this value is in the general range of the IC50 for ATPase activity, we believe the difference can be explained by the higher protein concentrations used in the Ca2+-uptake assays. To ensure the reduction in Ca2+ uptake was due to the loss of ATPase activity, control experiments were conducted to assess the effect of HOCl on SR Ca2+ permeability. After active Ca2+ loading, the SR vesicles were exposed to increasing concentrations of HOCl, and no increase in Ca2+ permeability was noted until HOCl reached 1.6 mM, a concentration far in excess of that required to significantly inhibit Ca2+-ATPase activity and uptake. Still, at 1.6 mM, the increase in Ca2+ permeability was very slow (in min) and most likely had little effect on SR Ca2+ uptake (data not shown).
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SH analysis. Catalytic activity of the Ca2+-pump protein is critically dependent on free SH groups. Therefore, analysis of free SH groups was performed on SR membranes treated with HOCl. Almost 20 SH groups per ATPase molecule were measured before HOCl treatment, a value in close agreement with previously published data (Fig. 3) (15, 22). After treatment with HOCl, we observed a concentration-dependent decline in the number of free SH groups per ATPase molecule with an IC50 of ~400 µM. At 3 mM HOCl, seven free SH groups were unaffected by HOCl.
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Recovery studies. A decrease in the number of free SH groups that parallels inhibition of ATPase activity suggests that the SH groups may have been oxidized to disulfides by HOCl. Therefore, ATPase activity was measured after 3 mM HOCl exposure and subsequent incubation with the reducing agents DTT or GSH. As observed in Fig. 4A, treatment with HOCl completely inhibits ATPase activity, whereas subsequent incubation with either 5 mM DTT or 5 mM GSH resulted in a 55% recovery of the lost ATPase activity. Similarly, the loss of oxidant-induced Ca2+ uptake was partially reversed after treatment with both DTT and GSH (Fig. 4B). Control assays run in the presence and absence of DMSO or GSH/DTT did not alter the native activities of Ca2+ uptake or Ca2+-ATPase activity.
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FITC binding. Mitchinson et al. (21) and Hidalgo et al. (13) have demonstrated that the FITC binding is localized to a specific lysine residue located in the adenine nucleotide binding site. To evaluate the possibility that HOCl-induced reduction in ATPase activity was due to modification of the adenine nucleotide binding site, we analyzed the binding of the fluorescent probe FITC to control and HOCl-treated SR vesicles. SR was treated with HOCl and subsequently exposed to FITC. Visualization of the bound ligand by UV illumination provides a qualitative measurement of the integrity of the adenine nucleotide binding site after exposure to the oxidant (21). In Fig. 5, we show the SDS-PAGE and accompanying UV illumination. Figure 5A demonstrates that HOCl treatment does not significantly modify the protein concentration of the Ca2+-ATPase. However, UV illumination of the FITC-treated protein clearly shows a concentration-dependent decrease in fluorescence, and at 3 mM HOCl no fluorescence was detected (Fig. 5B).
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DISCUSSION |
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HOCl is a product of MPO, an enzyme present in the granules of
polymorphonuclear leukocytes (PMN). This peroxidase catalyzes the
conversion of
H2O2
and Cl
to HOCl, a molecule
important in microbial action of neutrophils. As part of the
inflammatory response to injury, PMN migrate and adhere to endothelial
tissues. Once localized they can penetrate and invade the tissues. HOCl
is an extremely toxic oxidant that can react with a variety of cellular
components, and its concentration has been reported to reach 200 µM
in some tissues (10). PMN have been shown to be released as a result of
exercise with a concomitant elevation in MPO. After
continuous bouts of exercise at 45, 60, and 75% of maximal
O2 uptake, plasma levels of MPO were raised almost twofold at each intensity level (6). Although the
reason(s) for neutrophil mobilization resulting from exercise remains
unresolved, it is clear MPO concentrations are elevated and thus may
factor into acute changes in muscle function during prolonged exercise.
In this study, we show that HOCl inhibits the skeletal SR
Ca2+-ATPase, a result that will
ultimately compromise myoplasmic
Ca2+ regulation, a hallmark of
muscle fatigue and a possible precursor to muscle damage (3).
The reduction in catalytic activity of the ATPase is consistent with reduction in free SH groups measured from SR vesicles. Several groups have shown the importance of SH groups in normal ATPase function (12, 15). In fact, Kawakita and Yamashita (15) demonstrated that oxidation of only two thiols significantly inhibits ATPase and Ca2+ pumping activity of this enzyme. Our results indicate a qualitative agreement with this finding. The concentration of HOCl required to inhibit ATPase activity by 50% (IC50 = 170 µM HOCl; Fig. 1) would have oxidized approximately two thiol groups on the SR protein (Fig. 3). HOCl appears to oxidize free SH groups to disulfides, which disrupts enzyme activity. This is supported by the recovery experiments that used disulfide-reducing agents. Addition of either DTT or GSH after HOCl exposure resulted in a significant recovery of ATPase activity and Ca2+ uptake (Fig. 4, A and B). Although full restoration was not observed in the presence of the reducing agent, the partial recovery indicates that HOCl treatment causes disulfide formation. It is also likely that oxidation products that are formed are insensitive to reduction by reducing agents.
This work supports the results of Eley et al. (8), who perfused rat hearts with HOCl (100 µM) and observed both mechanical dysfunction and an inhibition in Ca2+-ATPase activity in isolated SR vesicles. In follow-up experiments, addition of DTT after a washout of HOCl induced a partial recovery of Ca2+-ATPase activity similar to that observed in Fig. 4. Their data suggest that HOCl is capable of penetrating cell membranes and targets SR proteins, inducing the type of damage we observe in our study.
Experiments have shown that depressions in SR ATPase activity and Ca2+ transport can be linked to conformational changes in the ATPase protein (13). Evaluation of ATPase activities after chronic stimulation and a prolonged bout of exercise has demonstrated that increased muscular activity is capable of altering the nucleotide binding site within the ATPase protein (17, 18). The reduction in FITC binding after HOCl treatment, as visualized by UV illumination, suggests that a structural change has occurred in this region of the pump protein. Thus modification of SH groups present or near the nucleotide binding site or SH groups that determine the conformation of the binding site may be altered after exposure to HOCl.
Although cysteine appears to be the likely target for modification by HOCl, it may not be the only site of action. Other amino acids, such as histidine, tyrosine, and lysine, have been shown to interact with HOCl (27). However, considering that the ATPase protein represents ~70% of the SR protein and its activity is critically dependent on SH group viability, it remains a likely candidate for attack by cellular oxidants. Second, cysteine has been shown to be 100 times more reactive to HOCl than any other amino acid (29).
Oxidation injury to cells has long been thought to be mediated by peroxidation of cell membranes and may be responsible in part for the inhibition in ATPase activity. Free radicals attack polyunsaturated fatty acids, a component of cell membranes producing hydroxy-conjugated dienes. These compounds undergo decomposition to several aldehyde products, the most common being malondialdehyde (MDA). Increases in plasma and skeletal muscle MDA levels have been noted after exhaustive exercise in rats (2, 7). However, reports have shown that disruption of cellular transport processes by oxidation may not always be associated with lipid peroxidation. Scherer and Deamer (24) were unable to correlate lipid peroxidation with oxidation-induced ATPase inhibition. In addition, Luckin et al. (18) found no difference in the rotational mobility of a lipophilic probe inserted into the bilayer membrane in SR vesicles isolated from exercised animals, whereas ATPase activity declined by 35%. This suggests that, whereas lipid peroxidation may have occurred as a result of exercise, the gross fluidity properties of the membrane appeared to be unchanged.
Attention is currently focused on proteins as the site of oxidative damage because proteins are more sensitive to oxidation and cellular damage appears to occur at lower levels of oxidative stress than does lipid peroxidation (10, 24). Because we did not measure lipid peroxidation as a function of decline in ATPase activity, we cannot totally rule it out as a contributing mechanism to the inhibition of ATPase activity. In addition, our ability to only partially restore ATPase activity after addition of reducing agents may be a result of modification of the supporting lipid membrane.
Comparisons of HOCl and H2O2 have shown the latter to be much less reactive in protein and cellular damage. Our previous work with H2O2 supported this contention because peroxide failed to inhibit ATPase activity at exposures up to 80 mM (3 min) (9). Although peroxide appears to be less reactive in the presence of iron, peroxide can generate highly toxic · OH, a species that has no physiological scavenger.
The effects of ROS on skeletal muscle function are receiving a great deal of attention. Recent reports suggest that several ROS are generated during reperfusion of ischemic muscle and during repetitive muscle contractions and exercise (7, 23). Evidence indicates that, regardless of the particular stress to the muscle cell, disruptions in its ability to effectively regulate Ca2+ may have dire consequences.
Ca2+-ATPase activity is obligatory for precise control of intracellular Ca2+, and regulation of free Ca2+ levels are required for maintaining structural integrity and functional viability in most cell types. This is especially true in skeletal muscle cells, where contraction and relaxation of myofibrillar proteins are critically dependent on Ca2+ concentrations. Intracellular free Ca2+ has been shown to rise during muscle fatigue induced by low-frequency electrical stimulation in single mouse fibers (28). Analysis of the SR Ca2+ pump after this fatigue protocol showed a twofold reduction in pumping capacity, a result that has also been observed after exhaustive exercise in animals (18).
Loss of Ca2+ homeostasis has been suggested to contribute to a decline in muscle function via several processes (3). With regard to metabolism, increases in resting free Ca2+ levels would stimulate glucose transport into skeletal muscle (30), inhibit glycogenolysis, stimulate pyruvate dehydrogenase, and depress mitochondrial function (20). Structural and morphological degradation after exercise has also been proposed to be the result of increases in the cytosolic Ca2+ concentration. Several Ca2+-dependent proteases have been found to be activated after exercise (3), and myofibrillar proteins have been degraded by lysosomal proteases (25).
The effects of oxidants on cellular and, in particular, muscle cell function are still being determined and described. Reperfusion of ischemic skeletal muscle and exercise-induced oxidative stress are two areas in which oxidant research may be fruitful. With regard to exercise, HOCl appears to induce modification of the SR Ca2+-ATPase, consistent with what is observed after prolonged exercise.
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ACKNOWLEDGEMENTS |
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We acknowledge the support of the Medical Research Foundation of Oregon (to T. G. Favero), the Beta Beta Beta Undergraduate Research Fund (to P. F. Hooper), and the American Heart Association, Oregon Affiliate (to D. Colter).
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FOOTNOTES |
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Address for reprint requests: T. G. Favero, Dept. of Biology, Univ. of Portland, 5000 N. Willamette Blvd., Portland, OR 97203.
Received 30 July 1997; accepted in final form 17 September 1997.
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A. R. Tupling, A. O. Gramolini, T. A. Duhamel, H. Kondo, M. Asahi, S. C. Tsuchiya, M. J. Borrelli, J. R. Lepock, K. Otsu, M. Hori, et al. HSP70 Binds to the Fast-twitch Skeletal Muscle Sarco(endo)plasmic Reticulum Ca2+-ATPase (SERCA1a) and Prevents Thermal Inactivation J. Biol. Chem., December 10, 2004; 279(50): 52382 - 52389. [Abstract] [Full Text] [PDF] |
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T. G. Favero, J. Webb, M. Papiez, E. Fisher, R. J. Trippichio, M. Broide, and J. J. Abramson Hypochlorous acid modifies calcium release channel function from skeletal muscle sarcoplasmic reticulum J Appl Physiol, April 1, 2003; 94(4): 1387 - 1394. [Abstract] [Full Text] [PDF] |
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A. Rawlingson, K. Shendi, S. A. Greenacre, T. G. England, A. M. Jenner, R. N. Poston, B. Halliwell, and S. D. Brain Functional Significance of Inducible Nitric Oxide Synthase Induction and Protein Nitration in the Thermally Injured Cutaneous Microvasculature Am. J. Pathol., April 1, 2003; 162(4): 1373 - 1380. [Abstract] [Full Text] [PDF] |
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T. Adachi, R. Matsui, S. Xu, M. Kirber, H. L. Lazar, V. S. Sharov, C. Schoneich, and R. A. Cohen Antioxidant Improves Smooth Muscle Sarco/Endoplasmic Reticulum Ca2+-ATPase Function and Lowers Tyrosine Nitration in Hypercholesterolemia and Improves Nitric Oxide-Induced Relaxation Circ. Res., May 31, 2002; 90(10): 1114 - 1121. [Abstract] [Full Text] [PDF] |
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T. Adachi, R. Matsui, R. M. Weisbrod, S. Najibi, and R. A. Cohen Reduced Sarco/Endoplasmic Reticulum Ca2+ Uptake Activity Can Account for the Reduced Response to NO, but Not Sodium Nitroprusside, in Hypercholesterolemic Rabbit Aorta Circulation, August 28, 2001; 104(9): 1040 - 1045. [Abstract] [Full Text] [PDF] |
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N. Ortenblad, G. Sjogaard, and K. Madsen Impaired sarcoplasmic reticulum Ca2+ release rate after fatiguing stimulation in rat skeletal muscle J Appl Physiol, July 1, 2000; 89(1): 210 - 217. [Abstract] [Full Text] [PDF] |
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