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Figure 1.

L/E-interactions analysed by intravital microscopy.

The number of rolling, transiently adherent and firmly adherent leukocytes was significantly increased in the common carotid artery of apoE−/−/eNOS−/− (n = 16), vs. apoE−/− controls (n = 23), a) *p<0.01; b) ***p<0.0001; c) **p<0.001).

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Figure 1 Expand

Figure 2.

eNOS deletion increases VCAM-1 expression.

a) Real time PCR analysis showed four fold increased expression of VCAM-1 mRNA in apoE−/−/eNOS−/− (n = 9) carotids, compared to apoE−/− (n = 20, *p<0.01). b) Immunohistochemistry confirmed increased endothelial VCAM-1 expression in carotid arteries of apoE−/−/eNOS−/−, compared to apoE−/−. Arrows indicate positive DAB staining (internal carotid artery, location of IVM). c) Double immunofluorescence staining of VCAM-1 protein in atherosclerotic lesions. Sections of the aortic arch of apoE−/− and apoE−/−/eNOS−/− animals were incubated with anti-VCAM-1 antibody (red) and anti-CD31 antibody (endothelial cells, green). Arrows indicate localization of VCAM-1 in endothelial cells in the overlay (yellow). Increased endothelial expression of VCAM-1 was observed in apoE−/−/eNOS−/− compared to apoE−/−. d) Increased medial smooth muscle cell expression of VCAM-1 was observed in advanced plaques in the aortic arch in apoE−/−/eNOS−/− compared to apoE−/−, as shown in yellow (arrows) by the double immunofluorescence staining of VCAM-1 (red) and smooth muscle cells (green).

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Figure 2 Expand

Figure 3.

NO from eNOS influences macrophage infiltration in the vascular wall.

a) Real time PCR analysis of CD14 showed significantly increased expression of CD14 mRNA in apoE−/−/eNOS−/− (n = 12) carotids, compared to apoE−/− (n = 17, *p<0.00002). b) Immunohistochemistry for MOMA-2 showed elevated vascular macrophage infiltration in carotid arteries of apoE−/−/eNOS−/− (n = 10), compared to apoE−/− (n = 9, *p<0.05).

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Figure 3 Expand

Figure 4.

Unaltered vascular resistance index in eNOS deficiency.

a) Representative picture of duplex ultrasonography in carotid arteries. b) Equal resistance index of carotid arteries from apoE−/−, n = 17, vs. apoE−/−/eNOS−/−, n = 10, p = 0.88, by duplex ultrasonography. NS denotes non-significance.

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Figure 4 Expand

Figure 5.

eNOS is a significant source of vascular wall NO production and circulating NO.

a) ESR spectrum of NO-Fe-(DETC)2 in aortas of apoE−/− and apoE−/−/eNOS−/−. Bold lines indicate apoE−/−, stripped lines apoE−/−/eNOS−/− and patterned lines buffer/spin trap alone. Arrows show the typical 3 peaks NO-Fe-(DETC)2 signal. b) Vascular NO production in C57BL/6J (n = 12), eNOS−/− (n = 8), apoE−/− (n = 14) and apoE−/−/eNOS−/− (n = 15), *p≤0.01, **p<0.001, ***p<0.0001). c) Vascular NO production with NOS inhibition using L-NAME in apoE−/− (n = 11) and apoE−/−/eNOS−/− mice (n = 16), *p<0.01, ***p<0.0001. d) Nitrosyl hemoglobin concentration of blood samples from apoE−/−/eNOS−/− (n = 11) vs. apoE−/− controls (n = 13, *p = 0.01).

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Figure 5 Expand

Figure 6.

eNOS is uncoupled and contributes to vascular production of superoxide in apoE−/− mice.

a) HPLC measurements showed lower levels of superoxide production in apoE−/−/eNOS−/− (n = 13) vs. apoE−/− (n = 23). Superoxide levels were higher in apoE−/− (n = 23) compared to C57BL/6J (n = 14). Interestingly, superoxide levels were significantly lower in apoE−/−/eNOS−/− (n = 13) compared to eNOS−/− (n = 12). b) L-NAME inhibited superoxide production in apoE−/− (n = 15) but not in C57BL/6J (n = 17) and apoE−/−/eNOS−/− (n = 12) aortas. c) Specific inhibition of eNOS using L-NIO resulted in significant reduction of superoxide production in apoE−/− (n = 19). d) Total ROS production using ESR showed a significant increase in ROS levels in apoE−/− (n = 23) compared to C57BL/6J (n = 12) and apoE−/−/eNOS−/− (n = 15). e) Consistently, SOD inhibitable superoxide production measured by ESR also showed significant increase in superoxide levels in apoE−/− (n = 23) compared to C57BL/6J (n = 12) and apoE−/−/eNOS−/− (n = 15). §p<0.05, *p<0.01, **p<0.001, ***p<0.0001, NS denotes non-significance. f) Uncoupling of eNOS in apoE−/− compared to C57BL/6J aorta shown by western blot of eNOS protein dimer/monomer.

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Figure 6 Expand

Figure 7.

Vascular expression of NOS isoforms.

Significantly increased expression of iNOS protein in the aorta of apoE−/−/eNOS−/− (n = 10) compared to apoE−/− mice (n = 10). The protein levels of nNOS did not differ between apoE−/− (n = 10) apoE−/−/eNOS−/− (n = 11). * p<0.05, NS denotes non-significance.

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Figure 7 Expand