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Opländer C, Volkmar CM, Paunel-Görgülü A, van Faassen EE, Heiss C, Kelm M, Halmer D, Mürtz M, Pallua N, Suschek CV. Whole Body UVA Irradiation Lowers Systemic Blood Pressure by Release of Nitric Oxide From Intracutaneous Photolabile Nitric Oxide Derivates. Circ Res 2009; 105:1031-40. [DOI: 10.1161/circresaha.109.207019] [Citation(s) in RCA: 111] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Rationale:
Human skin contains photolabile nitric oxide derivates like nitrite and
S
-nitroso thiols, which after UVA irradiation, decompose and lead to the formation of vasoactive NO.
Objective:
Here, we investigated whether whole body UVA irradiation influences the blood pressure of healthy volunteers because of cutaneous nonenzymatic NO formation.
Methods and Results:
As detected by chemoluminescence detection or by electron paramagnetic resonance spectroscopy in vitro with human skin specimens, UVA illumination (25 J/cm
2
) significantly increased the intradermal levels of free NO. In addition, UVA enhanced dermal
S
-nitrosothiols 2.3-fold, and the subfraction of dermal
S
-nitrosoalbumin 2.9-fold. In vivo, in healthy volunteers creamed with a skin cream containing isotopically labeled
15
N-nitrite, whole body UVA irradiation (20 J/cm
2
) induced significant levels of
15
N-labeled
S
-nitrosothiols in the blood plasma of light exposed subjects, as detected by cavity leak out spectroscopy. Furthermore, whole body UVA irradiation caused a rapid, significant decrease, lasting up to 60 minutes, in systolic and diastolic blood pressure of healthy volunteers by 11±2% at 30 minutes after UVA exposure. The decrease in blood pressure strongly correlated (
R
2
=0.74) with enhanced plasma concentration of nitrosated species, as detected by a chemiluminescence assay, with increased forearm blood flow (+26±7%), with increased flow mediated vasodilation of the brachial artery (+68±22%), and with decreased forearm vascular resistance (−28±7%).
Conclusions:
UVA irradiation of human skin caused a significant drop in blood pressure even at moderate UVA doses. The effects were attributed to UVA induced release of NO from cutaneous photolabile NO derivates.
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Affiliation(s)
- Christian Opländer
- From the Department of Plastic and Reconstructive Surgery, Hand Surgery, and Burn Center (C.O., C.M.V., N.P., C.V.S.), Medical Faculty, RWTH Aachen University, Germany; Department of Trauma and Hand Surgery (A.P.-G.), University Hospital Düsseldorf, Germany; Interface Physics (E.E.v.F.), Faculty of Sciences, Utrecht University, The Netherlands; Department of Cardiology and Vascular Medicine (C.H., M.K.), University Hospital Düsseldorf, Germany; and Institute of Laser Medicine (D.H., M.M.),
| | - Christine M. Volkmar
- From the Department of Plastic and Reconstructive Surgery, Hand Surgery, and Burn Center (C.O., C.M.V., N.P., C.V.S.), Medical Faculty, RWTH Aachen University, Germany; Department of Trauma and Hand Surgery (A.P.-G.), University Hospital Düsseldorf, Germany; Interface Physics (E.E.v.F.), Faculty of Sciences, Utrecht University, The Netherlands; Department of Cardiology and Vascular Medicine (C.H., M.K.), University Hospital Düsseldorf, Germany; and Institute of Laser Medicine (D.H., M.M.),
| | - Adnana Paunel-Görgülü
- From the Department of Plastic and Reconstructive Surgery, Hand Surgery, and Burn Center (C.O., C.M.V., N.P., C.V.S.), Medical Faculty, RWTH Aachen University, Germany; Department of Trauma and Hand Surgery (A.P.-G.), University Hospital Düsseldorf, Germany; Interface Physics (E.E.v.F.), Faculty of Sciences, Utrecht University, The Netherlands; Department of Cardiology and Vascular Medicine (C.H., M.K.), University Hospital Düsseldorf, Germany; and Institute of Laser Medicine (D.H., M.M.),
| | - Ernst E. van Faassen
- From the Department of Plastic and Reconstructive Surgery, Hand Surgery, and Burn Center (C.O., C.M.V., N.P., C.V.S.), Medical Faculty, RWTH Aachen University, Germany; Department of Trauma and Hand Surgery (A.P.-G.), University Hospital Düsseldorf, Germany; Interface Physics (E.E.v.F.), Faculty of Sciences, Utrecht University, The Netherlands; Department of Cardiology and Vascular Medicine (C.H., M.K.), University Hospital Düsseldorf, Germany; and Institute of Laser Medicine (D.H., M.M.),
| | - Christian Heiss
- From the Department of Plastic and Reconstructive Surgery, Hand Surgery, and Burn Center (C.O., C.M.V., N.P., C.V.S.), Medical Faculty, RWTH Aachen University, Germany; Department of Trauma and Hand Surgery (A.P.-G.), University Hospital Düsseldorf, Germany; Interface Physics (E.E.v.F.), Faculty of Sciences, Utrecht University, The Netherlands; Department of Cardiology and Vascular Medicine (C.H., M.K.), University Hospital Düsseldorf, Germany; and Institute of Laser Medicine (D.H., M.M.),
| | - Malte Kelm
- From the Department of Plastic and Reconstructive Surgery, Hand Surgery, and Burn Center (C.O., C.M.V., N.P., C.V.S.), Medical Faculty, RWTH Aachen University, Germany; Department of Trauma and Hand Surgery (A.P.-G.), University Hospital Düsseldorf, Germany; Interface Physics (E.E.v.F.), Faculty of Sciences, Utrecht University, The Netherlands; Department of Cardiology and Vascular Medicine (C.H., M.K.), University Hospital Düsseldorf, Germany; and Institute of Laser Medicine (D.H., M.M.),
| | - Daniel Halmer
- From the Department of Plastic and Reconstructive Surgery, Hand Surgery, and Burn Center (C.O., C.M.V., N.P., C.V.S.), Medical Faculty, RWTH Aachen University, Germany; Department of Trauma and Hand Surgery (A.P.-G.), University Hospital Düsseldorf, Germany; Interface Physics (E.E.v.F.), Faculty of Sciences, Utrecht University, The Netherlands; Department of Cardiology and Vascular Medicine (C.H., M.K.), University Hospital Düsseldorf, Germany; and Institute of Laser Medicine (D.H., M.M.),
| | - Manfred Mürtz
- From the Department of Plastic and Reconstructive Surgery, Hand Surgery, and Burn Center (C.O., C.M.V., N.P., C.V.S.), Medical Faculty, RWTH Aachen University, Germany; Department of Trauma and Hand Surgery (A.P.-G.), University Hospital Düsseldorf, Germany; Interface Physics (E.E.v.F.), Faculty of Sciences, Utrecht University, The Netherlands; Department of Cardiology and Vascular Medicine (C.H., M.K.), University Hospital Düsseldorf, Germany; and Institute of Laser Medicine (D.H., M.M.),
| | - Norbert Pallua
- From the Department of Plastic and Reconstructive Surgery, Hand Surgery, and Burn Center (C.O., C.M.V., N.P., C.V.S.), Medical Faculty, RWTH Aachen University, Germany; Department of Trauma and Hand Surgery (A.P.-G.), University Hospital Düsseldorf, Germany; Interface Physics (E.E.v.F.), Faculty of Sciences, Utrecht University, The Netherlands; Department of Cardiology and Vascular Medicine (C.H., M.K.), University Hospital Düsseldorf, Germany; and Institute of Laser Medicine (D.H., M.M.),
| | - Christoph V. Suschek
- From the Department of Plastic and Reconstructive Surgery, Hand Surgery, and Burn Center (C.O., C.M.V., N.P., C.V.S.), Medical Faculty, RWTH Aachen University, Germany; Department of Trauma and Hand Surgery (A.P.-G.), University Hospital Düsseldorf, Germany; Interface Physics (E.E.v.F.), Faculty of Sciences, Utrecht University, The Netherlands; Department of Cardiology and Vascular Medicine (C.H., M.K.), University Hospital Düsseldorf, Germany; and Institute of Laser Medicine (D.H., M.M.),
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