Abstract
Tetrahydrobiopterin (BH4) is an essential cofactor of endothelial nitric oxide (NO) synthase and when depleted, endothelial dysfunction results with decreased production of NO. BH4 is also an anti-oxidant being a good “scavenger” of oxidative species. NADPH oxidase, xanthine oxidase, and mitochondrial enzymes producing reactive oxygen species (ROS) can induce elevated oxidant stress and cause BH4 oxidation and subsequent decrease in NO production and bioavailability. In order to define the process of ROS-mediated BH4 degradation, a sensitive method for monitoring pteridine redox-state changes is required. Considering that the conventional fluorescence method is an indirect method requiring conversion of all pteridines to oxidized forms, it would be beneficial to use a rapid quantitative assay for the individual detection of BH4 and its related pteridine metabolites. To study, in detail, the BH4 oxidative pathways, a rapid direct sensitive HPLC assay of BH4 and its pteridine derivatives was adapted using sequential electrochemical and fluorimetric detection. We examined BH4 autoxidation, hydrogen peroxide- and superoxide-driven oxidation, and Fenton reaction hydroxyl radical-driven BH4 transformation. We demonstrate that the formation of the primary two-electron oxidation product, dihydrobiopterin (BH2), predominates with oxygen-induced BH4 autoxidation and superoxide-catalyzed oxidation, while the irreversible metabolites, pterin and dihydroxanthopterin (XH2), are largely produced during hydroxyl radical-driven BH4 oxidation.
Keywords: nitric oxide, superoxide, nitric oxide synthase, hydroxyl radical, reactive oxygen species, Fenton reaction
INTRODUCTION
Tetrahydrobiopterin (BH4), a molecule belonging to the pteridine family, is an essential cofactor for the aromatic amino acid hydroxylases (i.e. phenylalanine, tyrosine and tryptophan hydroxylase), which are key enzymes in the biosynthesis of several neurotransmitters, including catecholamines and serotonin [1, 2]. Another BH4-dependent enzyme, alkylglycerol monooxygenase (glyceryl-ether monooxygenase), cleaves the O-alkyl bond of ether lipids. These lipids are important in spermatogenesis, cell signaling, brain membrane structure and protection against cataracts [3]. In the skin depigmentation disorder, vitiligo, the recycling process of BH4 is disrupted due to the high levels of hydrogen peroxide which accumulate in the epidermis, deactivating the enzyme 4a-OH-BH4 dehydratase. This leads to accumulation of both 6- and 7-biopterin, imparting a characteristic fluorescence to the skin with UVA (351 nm) illumination. Photolysis of both sepiapterin and 6-biopterin in the epidermis leads to the production of pterin-6-carboxylic acid and hydrogen peroxide [4, 5].
In addition, in more recent years, BH4 has been shown to be an essential cofactor of nitric oxide synthase (NOS), involved in the endothelium-dependent control of vascular function by supporting nitric oxide (NO) production [6]. While the exact role of BH4 in NO catalysis is still debated, the mechanisms by which BH4 affects NOS catalysis include the stabilization of the enzyme active conformation, acting as an allosteric effector that enhances the substrate binding, and potentially functioning as a posttranscriptional stabilizer of NOS mRNA [2, 7]. Moreover, BH4 is involved in the formation of the activated oxo-heme moiety that is necessary for the monooxygenation of substrate necessary for NOS catalytic activity [8]. In addition, BH4 is a potent antioxidant and a scavenger for oxygen-derived free radicals [2, 9]. As such, BH4 is an essential NOS cofactor, and when BH4 levels fall to values that are insufficient to saturate eNOS, this contributes to endothelial dysfunction with decreased production of NO.
This endothelial dysfunction is considered a prognostic marker of cardiovascular diseases [10], including hypercholesterolemia, diabetes, atherosclerosis, hypertension and heart failure [11–15]. Whereas endothelial dysfunction is likely a multifactorial process [16], there is now much data suggesting that increased vascular production of reactive oxygen species (ROS) plays an important role [11, 17]. In fact excessive ROS production has been found in coronary arteries in patients with coronary disease [18]. Moreover, superoxide anion (·O2−) reacts rapidly with NO, resulting in the formation of peroxynitrite and loss of NO bioavailability. Furthermore, it has been demonstrated that increased vascular ROS production promotes the oxidative degradation of BH4 leading to eNOS “uncoupling” with reduced NO production from the enzyme [19–22]. In the blood vessel, ROS are produced by several enzymes, including xanthine oxidase (XO), cyclooxygenase and NADPH oxidase. Moreover, in vitro biochemical studies demonstrated that NOS can independently produce ·O2− when BH4 bioavailability is reduced [23]. Thus, in the presence of a suboptimal concentration of BH4, NOS activation leads to ·O2− production from the “uncoupled” enzyme.
A close link between ·O2− production and BH4 depletion with increased levels of dihydrobiopterin (BH2) and biopterin (B) has been demonstrated in endothelial cells from diabetic biobreeding (BB) rats [24] and in the aortas from an insulin resistant rat model induced on a high-fructose diet [25]. In addition, BH4 oxidation has been demonstrated in vessels from mice with deoxycorticosterone (DOCA)-salt hypertension [15] and in the aortas from diet-induced hypercholesterolemic rabbits [20]. From examination of these experiments, it was clear that elevated oxidative stress caused enhanced BH4 oxidation, and, consequently, vascular tissue levels of BH2 and B increased. Moreover, it was proposed that the oxidative stress produced “uncoupling” of eNOS with a decrease of endothelial NO bioavailability, not only due to decreased BH4 levels, but also because of an increased ratio of BH2/BH4 [19]. However, impaired endothelial function with irreversible BH4 oxidation was observed in the ischemic heart. The BH4 degradation was likely caused by the oxidative effect of oxygen free radicals that are enhanced during myocardial ischemia. The observed loss of BH4 in the ischemic heart was accompanied by a rise in the metabolite dihydroxanthopterin (XH2) which cannot be enzymatically converted back to BH4, and no formation of the potentially reversible oxidation product BH2 was detected [26].
In the present paper, a sensitive method is described and validated for direct measurement of BH4 and its main metabolites, BH2, B, pterin (P) and XH2, with sequential electrochemical and fluorimetric detection [27]. This method has major advantages over the commonly used indirect method in which BH2 and BH4 are oxidized to the fully aromatic form, B, by iodine and then detected by fluorescence HPLC; along with differential oxidation using acidic and alkaline pH medium in order to calculate the BH4 and BH2 concentrations [28]. With direct detection, each related compound can be directly quantitated providing more specific information on each, eliminating the need for separate reactions. We utilized the direct detection method to investigate the action of oxidative stress on BH4 degradation with particular regard to the identification and quantitation of the oxidized forms of BH4 produced from different oxidants. An HPLC method that utilizes post-separation electrochemical oxidation and subsequent fluorescence determination was developed and utilized as modified from the approach described by Hyland [27]. This assay can be used to clarify, through the evaluation of the individual BH4 pteridine derivatives, how BH4 catabolism is affected in a variety of vascular dysfunctions whose pathogenesis is ROS related.
MATERIALS AND METHODS
Reagents
Acetonitrile (ACN), iron(II) sulfate heptahydrate, citric acid, octyl sulphate sodium salt (OSA), diethylenetriaminepentaacetic acid (DTPA), DL-Dithiothreitol (DTT), nitrilotriacetic acid (nta), dimethylthiourea (DMTU), dimethyl sulfoxide (DMSO) anhydrous, (±)-α-Tocopherol phosphate disodium salt (Trolox), catalase from bovine liver (CAT), superoxide dismutase from bovine liver (SOD), potassium dioxide (KO2), cytochrome c from equine heart and ascorbic acid were from Sigma (St. Louis, MO). Tetrahydro-L-biopterin hydrochloride (BH4) and 7,8 dihydro-L-biopterin (BH2) were from Cayman Chemical and dihydroxanthopterin (XH2), pterin (P) and 6-biopterin (B) were from Schircks Lab (Jone, Switzerland). All other reagents used in this work were from Sigma (St. Louis, MO).
HPLC analysis of pteridines
The HPLC analysis of pteridines was carried out using a Waters Atlantis dC-18 5 μM reverse phase column (4.6 × 100 mm) with flow rate set at 1.3 ml/min and an isocratic elution consisting of 6.5 mM NaH2P04, 6 mM citric acid, 1 mM OSA, 2.5 mM DTPA, 1 mM DTT and 2% ACN, pH=3.0. The OSA was used in the mobile phase as an ion-pairing reagent which acts as an anionic counterion for the separation and resolution of positively charged analytes [29]. The DTPA was added to chelate transition metals to prevent oxidation of the analytes, and the DTT was used as a reductant to further stabilize the reduced forms of the pteridines [26, 27, 30]. A block diagram of the instrument configuration is shown in Figure 1. The HPLC system as purchased from ESA, Inc. is comprised of a Model 5600A CoulArray System controlled by the CoulArray Data Station Program V3.10 to coordinate all system modules including a Model 584 Solvent Delivery Module, a Model 542 Autosampler, a Model 5020 Guard Cell, and both the electrochemical and fluorescence detectors. The Model 6210 four-sensor electrochemical cell was routinely operated at +50 mV, +100 mV, +450 mV and +800 mV. The Model 530 Fluorescence Detector was set for an excitation wavelength of 348 nm and an emission wavelength of 444 nm. The electrochemical guard cell was set at a potential of +800 mV to oxidize any contaminants in the mobile phase. The +450 mV channel provided the most sensitive response for measuring both BH4 and XH2 while the fluorescence detector, positioned just after the 4-channel electrochemical cell, was used for measuring B, P and BH2.
Fig. 1.

Instrument configuration for HPLC with electrochemical and fluorimetric detection.
Aerobic autoxidation and superoxide-mediated oxidation of BH4
BH4 (100 μM) in 0.1 M sodium phosphate buffer pH 7.4 containing 0.4 mM DTPA was incubated at 25°C in air. After 15, 30, and 60 min of incubation the reaction was stopped by adding ascorbic acid to a final concentration of 1 mg/ml and by acidification to pH 3 with phosphoric acid, ortho 85%. The main pteridines, BH4, BH2, B, P and XH2 (Fig. 2) derived from BH4 autoxidation were separated by HPLC and measured with electrochemical (BH4 and XH2) and fluorescence (B, P, BH2) detectors.
Fig. 2.

Molecular structures of the detected pteridines.
Oxidation of 100 μM BH4 in 0.1 M sodium phosphate buffer pH 7.4 containing 0.4 mM DTPA was performed in the presence of KO2. Serial aliquots of KO2 in DMSO anhydrous solution, corresponding to ·O2− -released at final concentrations of 100, 50, and 25 μM, as calculated from the reduction of ferricytochrome c (50 μM) using an extinction coefficient of 21 mM−1cm−1 at 550 nm [31], were added to BH4 solutions. After 5 min, SOD (1,000 U/ml), CAT (200 U/ml), ascorbic acid (1 mg/ml), and H3PO4 85% (0.85%) were added to the medium. A blank in which SOD (20,000 U/ml) and CAT (200 U/ml) were present together with KO2 was used. The reaction medium was loaded into Centricon filters (5,000 M.W. cutoff) and centrifuged for 60 min at 10,000 × g at 4°C. The filtrate was then injected into the HPLC column and analysed using electrochemical and fluorescence detectors.
BH4 oxidation by hydrogen peroxide
To measure BH4 oxidation by hydrogen peroxide (H2O2), BH4 (100 μM final concentration) was dissolved in 0.1 M sodium phosphate buffer pH 7.4 containing 0.4 mM DTPA and treated with H2O2 at 25° C in air for 15 min. The oxidative effect was studied with an increasing concentration of H2O2 (0.5, 1.0, 2.0, 4.0, 8.0 and 16.0 mM). To stop the BH4 oxidation, ascorbic acid (1mg/ml), 200 U/ml CAT, and phosphoric acid, ortho 85% were added to the medium. Also, samples in which CAT was added before the addition of 4 mM H2O2, were evaluated. The reaction medium was treated as described above.
BH4 oxidation by hydroxyl radical generated via the Fenton reaction
The hydroxyl radical generation from the Fenton reaction was performed using the iron chelate Fe(III) NTA as previously described [32] which occurs via the 2 step reaction below:
| (1) |
| (2) |
This Fe(III) chelate was prepared from addition of ferrous sulfate to nitrilotriacetic acid (nta) at a ratio of 1:2 in air at pH 5.5. Since BH4 is unstable in air over prolonged time, these reactions measuring the time course of BH4 oxidation were performed under anaerobic conditions under argon gas and initiated by adding H2O2 (0.4 mM) to 10 mM sodium phosphate buffer, pH 7.4, containing BH4 (100 μM) and 0.1 mM Fe(III)-NTA2.
After an incubation at 25°C for 15, 30, and 60 min, the reactions were stopped by adding CAT (200 U/ml), DTPA (0.4 mM), and ascorbic acid (1 mg/ml).
Measurement of hydroxyl radical generated by the Fenton reaction
The Fenton reaction was carried out in the presence of 5.0 mM D-Phenylalanine (D-Phe) as described previously [33]. The yield of hydroxylation products was obtained by HPLC separation as described by Biondi et al [34].
Statistical analysis
Data are presented as mean ± S.E.M., unless otherwise specified. Means for each of the measured variables were by one-way ANOVA and differences were considered significant at a P level of <0.05. Linear correlation was performed with use of GraphPad Prism 4.
RESULTS
Chromatographic analysis of pteridines
We utilized a method for the separation and direct detection of BH4, BH2, biopterin and pterin (B,P) and XH2 by an isocratic HPLC method that was a modification of the Hyland method [27]. Figure 3 shows a representative fluorescence and electrochemical chromatogram of an injected standard mixture of pteridine species. Biopterin and pterin (B and P) are naturally fluorescent, whereas BH2 has been converted to the fluorescent form by post-column electrochemical oxidation with the analytical electrode set to +800 mV [27]. BH4 and XH2 are not converted to a fluorescent species following electrochemical oxidation, therefore these were detected using an analytical electrode set to +450 mV. To validate this HPLC analysis for the determination of the pteridines, limit of detection (LOD) was evaluated. With regard to the limit of detection (LOD), XH2, B, P, BH2 and BH4 values were 120, 80, 160, 100 and 60 fmol, respectively. High reproducibility of chromatographic separation was confirmed by a reproducibility of retention times (CV = 0.52 ± 0.04 %, recorded for all pteridines) and peak areas (CV= 1.71 ± 0.8 %, recorded for all pteridines) determined on seven standard mixtures measured on seven consecutive days.
Fig. 3.

HPLC chromatograms of a mixture of 25 μM XH2, 50 μM B, 50 μM P, 100 μM BH2 and 25 μM BH4. FLUO is the spectrofluorimeter detector channel with excitation and emission set at 348 and 444 nm, respectively; 450 mV and 800 mV electrochemical detector channels are also shown. The limits of detection (LOD) are 120, 80, 160, 100 and 60 fmol for XH2, B, P, BH2 and BH4, respectively.
BH4 autoxidation
Figure 4 (left) shows a series of chromatograms of BH4 oxidation in air as a function of incubation time. A marked trend of BH4 oxidation by oxygen was detected with a decrease that was proportional to the incubation time. This was detected as a decrease in the peak area. The observed decrease in BH4 was accompanied by the appearance of a peak corresponding to BH2 detected as early as 15 min after the initiation, and its rise was proportional to the incubation time. B and P were detected as minor products. The quantitative time course of BH4 air oxidation is depicted as histograms in Figure 4 (A–D, right), where the significant changes observed for BH4 and for BH2 are evident. The BH4 level dropped by 14.5 ± 1.9 % after 15 min of incubation (Fig. 4B), and the trend continued after 30 min of incubation (55.3 ± 1.0 % decrease, Fig. 4C) reaching the final value of 11.5 ± 2.1 μM at the end of incubation (60 min, Fig. 4D). An opposite trend was noted for BH2 with an increase after 15 min of incubation of +7.0 ± 0.5 %, and up to +45.3 ± 1.3 % after 30 min; reaching a final value of 67.6 ± 4.5 μM at the end of incubation. A significant correlation was detected between these two pteridines with r2 = 0.9606. The other pteridines (B, P and XH2) were slightly increased during the air incubation time with values ranging between 3.3 – 5.5 %. We examined the inhibitory effect of SOD toward BH4 autoxidation using the incubation time of 60 min. In order to quench ·O2− and H2O2, we used SOD (1,000 U/ml) and CAT (200 U/ml) and we observed an inhibition of BH4 autoxidation by a factor of five versus samples not incubated with SOD/CAT (data not shown). The overall sample recovery was in the range of 95%–98% for five experiments.
Fig. 4.

Time-dependent series of BH4 autoxidation HPLC chromatograms (left); quantitative determination of pteridines, produced from BH4 autoxidation (right). Columns are the means of five experiments and the S.E.M. Recovery in the range of 94.8–98.3% for the series. A,B,C and D represent the incubation times of reaction in minutes at 25°C, corresponding to 0,15,30 and 60 min, respectively.
BH4 oxidation by superoxide
Figure 5 shows the process of BH4 oxidation as a function of the amount of KO2– released ·O2−. After treatment with 25 μM ·O2− the BH4 level (73.3 ± 3.6 μM) decreased significantly (P= 0.005) with respect to the “0 μM ·O2−” control (sample in which BH4 undergoes 5 min of autoxidation) value of 95.6 ± 2.3 μM (a decrease of approximately 24%). This trend continued after 50 μM ·O2− addition (52.6 ± 2.4 μM) and decreased to a concentration of 19.5 ± 2.5 μM at 100 μM ·O2− treatment (a decrease of approximately 45% and 80%, respectively). As BH4 decreased, a concomitant increase in BH2 was observed. In fact, the BH2 concentration increased to 22.6 ± 2.1 after addition of 25 μM ·O2− and 42.5 ± 1.5 % after addition of 50 μM ·O2− reaching a value of 73.8 ± 2.6 μM at the 100 μM ·O2− concentration (an increase of approximately 77%). The other pteridines (B and P) did not change significantly with respect to control after ·O2− treatment. The overall sample recovery was in the 94%–97% range for five experiments.
Fig. 5.

Histograms representing the pteridine levels derived from BH4 oxidation by graduated concentrations of KO2- released ·O2−. The mean of five experiments are shown with S.E.M.
BH4 oxidation by hydrogen peroxide
Figure 6A shows the HPLC chromatograms of the BH4 oxidation products resulting from H2O2 treatment for a 15 min period at 25°C as a function of H2O2 concentration. At “0 mM H2O2” a small BH2 signal was observed as the result of BH4 autoxidation over this time. A gradual decrease in BH4 peak area was apparent with increasing H2O2 concentration, with an opposite trend in BH2 and XH2 peak area. The B and P peaks also increased but were minor products. Analyzing the quantitative conversion of BH4 to B and P in response to the H2O2 oxidant strength, changes in concentration were clearly evident (Fig. 6B). In particular, the BH4 level was seen to decrease significantly (P<0.001) only at H2O2 concentrations of 1 mM and higher. At 1 mM H2O2, little oxidation was seen with 95.4 μM BH4 remaining; while at 16 mM H2O2, the BH4 level dropped to 24.8 ± 1.8 μM (a decrease of approximately 74%). Concomitant with the fall in BH4, there was a significant increase in B and P levels with the increase in H2O2 concentration. The measured XH2 at 1 mM H2O2 was 1.9±0.2 μM. The appearance of XH2 significantly increased, correlating well with increasing H2O2 concentration (r2=0.9948). Figure 7A shows the time course of BH4 oxidation by 4 mM H2O2 under anaerobic conditions (Argon). The observed BH4 concentration dropped by 22.4 ± 0.7 μM after 15 min of incubation and an additional drop of 19.5 ± 2.5 μM was seen after 30 min. At the end of the 60 min incubation period, the concentrations of the other oxidation products were (in μM): 24.5 ± 1.5 for BH2, 9.8 ± 1.5 for B, 10.9 ± 1.1 for P, and 22.7 ± 1.5 for XH2. These observed increases in oxidation product concentrations were correlated with the incubation time with r2 values of 0.955, 0.912, 0.991 and 0.912 for BH2, B, P and XH2, respectively. The specificity of the conversion of BH4 to these other products due to H2O2 was verified by adding CAT to the reaction medium, where it caused a complete inhibition of the observed H2O2 – induced oxidation of BH4 (Fig. 7B). The overall sample recovery was in the 92%–96% range for five experiments.
Fig. 6.

A) Series of H2O2 concentration-dependent BH4 oxidation HPLC chromatograms; BH4 (100 μM) in 0.1 M sodium phosphate buffer pH 7.4 containing 0.4 mM DTPA reacted with H2O2 of 0, 2, 4, 8 and 16 mM for 15 min at 25°C. B) H2O2 concentration effect on BH4 oxidation. Results are expressed as pteridine concentration (μM). The columns are the means of five experiments and the bars are S.E.M. Recovery 94.2–97.3%.
Fig. 7.

A) 4 mM H2O2 effect on BH4 oxidation in relation to incubation time under anaerobic conditions (Argon); B) A control sample (labelled Control), in which BH4 solution was incubated only in air, sample labelled H2O2 showing 4 mM H2O2-driven BH4 oxidation, and sample H2O2 + CAT showing that the oxidation of BH4 is due to the H2O2 with catalase inhibiting the oxidation. The columns are the means of three experiments and the bars are S.E.M. Recovery was 92–96 % in both experiments.
BH4 oxidation by ·OH produced from the Fenton Reaction
As demonstrated in Fig. 8, ·OH produced from the Fenton reaction under anaerobic conditions transformed the BH4 into biopterins and pterins. A rapid fall of the BH4 peak area was seen with the parallel increase in area of the XH2 peak. These changes were related to incubation time. Quantitative measurements (Fig. 9A) confirmed the prominent decrease of BH4 to 21.5 ± 0.7 μM, a value almost five times less with respect to the starting concentration (100.3 ± 2.8 μM), at 15 min of incubation. With increasing incubation time the decrease continued, dropping to a level of 3.4 ± 0.5 μM after 30 min and after 60 min BH4 was completely consumed. XH2 showed the opposite trend, appearing after 15 min of incubation followed by a continued increase reaching levels of 30.0 ± 1.6 μM at the end of the incubation. BH2 was prominent after 15 min of incubation with a value of 50.4 ± 2.7 μM. However, after 30 min of incubation, BH2 concentration was not markedly increased (55.5 ± 1.2 μM), indicating that the rate of BH2 appearance was not linear with respect to incubation time; the BH2 level started to decrease to a value of 37.9 ± 1.9 μM at the end of incubation (perhaps due to the complete consumption of BH4 and slower conversion of BH2 to XH2). Both P and B appeared after 15 min of incubation (15.3 ± 2.2 μM for P and 8.1 ± 1.3 μM for B), and the rate of appearance of these oxidation products was also not linear with respect to time. In fact the P level increased significantly after 30 min of incubation (P=0.008) and then the levels did not change during the rest of the incubation period. B showed a similar trend, but the incubation time at which it reached its maximum was 15 min with a value of 8.1 ± 0.26 μM (Fig. 9A). The time course of ·OH production over the course of the experiment presented in Fig. 8A was evaluated by D-Phe hydroxylation. The specificity of the ·OH-driven oxidation of BH4 was confirmed using the ·OH scavenger, DMTU, that when added to the reaction medium before starting the ·OH production at a concentration of 0.6 M, was able to completely inhibit the biopterin and pterin formation. The same results were obtained when another ·OH scavenger was used (Trolox at 2.5 mM, see Fig. 9B). The overall sample recovery was in the 93%–97% range for five experiments.
Fig. 8.

Series of HPLC chromatograms depicting BH4 oxidation induced by the Fenton reaction ·OH generating system under anaerobic conditions at 15 min intervals over the course of one hour.
Fig. 9.

A) Effect of ·OH on BH4 oxidation in relation to incubation time., and the total ·OH exposure. The total ·OH, evaluated by D-Phe hydroxylation as shown on the abscissa. B) DMTU 0.6 M and Trolox 2.5 mM inhibition effects on 60 min ·OH driven - BH4 oxidation; Control is the sample, in which BH 4 solution was incubated for 60 min under argon. Results are expressed as pteridine concentration (mM). The columns are the means of five experiments and the bars are S.E.M. Recovery was 93–97 %.
DISCUSSION
Pteridine concentrations have typically been determined in the fully aromatic form (B) by HPLC using fluorescence via pre-column I2 oxidation of the reduced forms (BH4, BH2). In this oxidation method, originally described by Fukushima and Nixon [28], the oxidation of BH4 and BH2 in acidic media resulted in a quantitative conversion to the fully oxidized biopterin. Conversely, the oxidation of BH4 at strongly alkaline pH caused a side–chain cleavage while BH2 remained oxidized to B. Thus, the net yield of B from acidic vs. alkaline oxidation was used to calculate the tetrahydro- form. The indirect nature of this assay for the determination of the original oxidation state of B is a potential pitfall of this technique. Hyland [27] described a direct estimation of the main pteridines (BH4, BH2, P, B and XH2) using HPLC with sequential electrochemical and fluorimetric detection. BH4 and XH2 were detected by electrochemical oxidation, while BH2 by fluorescence following post-column electrochemical oxidation; fully oxidized pteridines (P and B) were detected by their natural fluorescence. A mobile phase consisting of KH2PO4 0.1 M, EDTA 0.05 mM, DTT 0.16 mM and OSA 0.05 mM pH 2.5 and a 250 × 4.6 mm Apex 5μm HPLC column with flow-rate of 1.0 ml/min was employed. Using 20% methanol as elution reagent and degassing the mobile phase to prevent BH4 autoxidation, the minimum detection limits for all examined pteridines were in the range of 300–540 fmol. A chromatography run time of 30 min was necessary. This assay was recently employed by our group to determine the biopterin and pterin content in ischemic rat hearts [26]; however, this approach had some limitations in terms of BH4 stability and detection limit of the pteridines. Accordingly, in the present study we sought to further improve BH4 chemical stability during the chromatographic run as well as sensitivity of the assay. Several modifications were thus introduced in the method. In particular, we chose a mobile phase consisting of 6.5 mM NaH2PO4, 6 mM citric acid, 1 mM OSA, pH 3.01, and substituted DTPA 2.5 mM for EDTA and 2% acetonitrile (ACN) for 20% methanol; DTT concentration was also increased to 1 mM. The higher concentrations of thiol (DTT) and chelating reagent (DTPA) decreased the autoxidation rate of BH4 (0.001 μM/min) and also proved suitable in an extraction buffer for biological samples [34, 35]. ACN, used as eluting reagent, improved BH2, P, and B detection limits. With these changes, the analyte detection limits reached levels between 60–120 fmol. Furthermore, use of an Atlantis dC18 reverse phase column 5 μM (4.6 × 100 mm) (Waters) with flow rate set at 1.3 ml/min reduced the chromatographic elution time to 10 min.
It is well known that BH4 is prone to autoxidation in the presence of molecular oxygen (O2). The nature of the products formed after the autoxidation of BH4 depends on several factors, including pH, temperature, buffer type and concentration [36]. When oxidation in air for 30 min at 25°C was carried out, approximately one third of the BH4 was converted to BH2, using the Fukushima and Nixon method [28, 37]. When BH4 aerobic oxidation was studied using UV/VIS spectral changes, BH2 was considered the predominant product but its formation did not proceed directly. Indeed, BH4 oxidation initially produces an intermediate compound, quinonoid 5,6-dihydrobiopterin (qBH2) that, because of its instability, undergoes a rearrangement to dihydropterin (PH2) [36]. By means of two specific assays (eliciting luminescence from lucigenin and ESR-spectrometric detection of the DEPMPO-OOH radical adduct), the kinetics of the autoxidation process were established. This reaction occurred between BH4 and O2 and caused a release of ·O2− that served as an initiation reaction for the further, rapid reaction of the ·O2− with BH4; thereby, very likely establishing a chain reaction process involving the reduction of O2 by the intermediary H3B· radical. The final product, resulting from the BH4 autoxidation process, was BH2 [38–40]. Of note, for applications to biological samples, this autoxidation must be considered. Prophylactic measures to avoid BH4 oxidation during sample handling and preparation are required. In preliminary experiments with heart tissue, cells and plasma, we have found that adding 1 mM ascorbic acid, 1 mM DTT and 0.1 mM DTPA to de-aerated samples with addition of anaerobic low-pH buffer (2.5–3.0) can prevent BH4 autoxidation.
Our results using the direct measurement of pteridines by HPLC confirmed, in part, the previous studies of BH4 autoxidation. We confirmed that the major product of BH4 oxidation in air was BH2 with a value of 46.3 ± 1.3% after 30 min of incubation but that autoxidation also produces small amounts of P, B and XH2 with values of 5.5 ± 0.3%, 3.7 ± 0.2% and 3.3 ± 0.1%, respectively (see Figure 4, A–D). Using EPR spin trapping competition experiments with DEPMPO, it was reported that a chain reaction process involving a BH4·+ radical is an intermediate product in the reaction between BH4 and ·O2 − generated with the xanthine/xanthine oxidase system [41]. The HPLC assay used here also showed that BH2 was the stable product generated from ·O2− -dependent autoxidation, as shown in Figure 5.
We also confirmed the ·O2− production during the BH4 autoxidation process by means of the inhibitory effect of SOD on the air-induced BH4 transformation. A reduction of BH2 formation was observed, with its generation inhibited by 80.0 ± 0.2% with respect to the value obtained after 60 min incubation with no SOD present. Moreover, the direct exposure of 100 μM BH4 to ·O2−, released from KO2 in aqueous solution, demonstrated that ·O2− plays a role as a modulator in BH4 aerobic autoxidation. Indeed, we found that direct addition of 50 μM ·O2− caused formation of 42.5 ± 1.5 μM BH2 (see Figure 5). The oxidative effect of ·O2−, formed during the BH4 autoxidation, may explain the extreme susceptibility of BH4 to degrade to BH2. Therefore, we can well understand the beneficial vascular effect of molecules such as ascorbic acid that, by preventing the ·O2− induced BH4 oxidation, maintain the physiological level of BH4 and so maintain an optimal NO bioavailability thus preventing endothelial dysfunction in both in vitro and in vivo conditions [42, 43].
Using the direct method and selecting an incubation time of 15 min to minimize the effect of autoxidation, the H2O2 oxidative-dependent molecular pathway of BH4 degradation has been clarified. H2O2 caused BH4 oxidation to XH2 as a final and stable product when the concentration was greater than 1 mM and the oxidant conversion was proportional to the concentration of H2O2, as shown in Figure 6. BH4, despite its high sensitivity to air oxidation, was decomposed only with H2O2 concentrations of 1 mM and higher. Since the physiological concentration of H2O2 is in the micromolar range, H2O2-mediated oxidation of BH4 in vivo would be minimal. In fact, it has been demonstrated that while H2O2, peroxynitrite (ONOO−), ·O2 − and ·OH all have inhibitory effects on NOS-related NO production, only ·O2− and ONOO− inhibit at pathophysiological levels. Subsequent addition of BH4 fully restored activity after ·O2− exposure, while BH4 only partially restored the activity decrease induced by the other three oxidants [44]. Interestingly, in the skin depigmentation disorder, vitiligo, the concentration of H2O2 has been reported as high as the millimolar range in the epidermis accompanied by low catalase levels and high concentrations of both 6- and 7-biopterin [45, 46]. At this H2O2 concentration level, our experimental results predict that BH4 would be oxidized first to BH2 which would then be further oxidized to XH2 with increasing H2O2 concentration. As shown in Figure 6B, after a 15 min incubation at 16 mM H2O2, the initial BH4 has been oxidized by approximately 75% mainly to BH2 and XH2. In a related study, the oxidation of BH2 by H2O2 was shown to generate XH2 with a bimolecular rate constant, k, of (2.7 +/− 0.2) × 10−2 M−1s−1 at pH 7.0 and 37° C. XH2 was shown to be oxidized to xanthopterin (X) by H2O2 at a rate two orders of magnitude slower than that for BH2 to XH2, implying that it is possible that X might accumulate in vivo, albeit rather slowly [47].
Major cardiovascular risk factors including hypercholesterolemia, diabetes mellitus, chronic smoking as well as hypertension, increase the vascular production of ROS, through the increased activity of enzymes such as NADPH oxidase and xanthine oxidase [15, 17, 18, 20, 48, 49]. This oxidative stress may result in BH4 oxidation with a subsequent decrease of vascular bioavailability of NO. Another reported function of BH4 is that it acts as a ROS scavenger [50]. In fact, it has been shown that BH4 is able to protect various types of cells, including vascular endothelial cells, against the toxic effects of ROS [50, 51]. Therefore, BH4 appears to be not only a critical cofactor for NOS but also a non-specific protective factor for vascular endothelial cells against oxidative stress, when it is in a free unbound form. To examine this function, we performed an experiment in which BH4 was exposed to ·OH. This oxygen radical was chosen because, among all ROS, the ·OH is by far the most reactive and plays a relevant role in the pathogenesis of disease states such as ischemia [52] and ischemia-reperfusion [48, 53]. The ·OH, produced by the Fenton reaction under anaerobic conditions, caused depletion of BH4 with rapid conversion to BH2 that was then apparently oxidized to XH2 with side-chain cleavage at the C6 position (see Figures 8 and 9A). Therefore, it seems that BH2 can be an intermediate in the ·OH-generated end products, mainly XH2 but also a small amount of B. As shown in Figure 9B, BH4 was found to be a highly potent scavenger, exceeding the potency of the highly effective ·OH scavenger DMTU commonly used in cellular systems to protect against ·OH [54]. Substantial differences were found on BH4 chemical oxidation due to ·O2− and ·OH. The Fenton anaerobic reaction with ·OH formation caused BH4 transformation to the irreversible forms, P and XH2, while the ·O2− reaction stopped at the reversible and partially oxidized form, BH2.
In conclusion, a highly sensitive HPLC analytic method is reported that permitted simultaneous direct measurement of BH4 and its pteridine derivates using sequential electrochemical and fluorimetric detection. This assay was utilized to demonstrate that the formation of the primary two-electron oxidation product, BH2, was predominant during BH4 autoxidation. Direct participation of ·O2−, as demonstrated by the SOD inhibiting effect, during air-mediated BH4 oxidation was shown. The irreversible metabolite, XH2, was produced during ·OH-driven BH4 oxidation. This improved HPLC method, would be applicable to measure BH4 and its metabolites including, BH2, B, P and XH2 as an aid to diagnose diseases and pathological states like hypercholesterolemia, diabetes mellitus, heart failure, atrial fibrillation, alterations with chronic smoking, as well as hypertension, in which an increase in vascular ROS production is observed [17, 19, 20, 22, 55, 56]. This method would also be useful to monitor the plasma BH4 level of patients under oral BH4 therapy aimed to improve endothelial dysfunction to reduce the progression of atherosclerosis or other vascular diseases [57]. Application to biological samples requires prophylactic measures to avoid BH4 oxidation during sample handling and preparation.
Highlights.
A sensitive direct HPLC method is adapted to measure BH4 and its metabolites.
The effect of oxidants on BH4 is determined and resulting metabolites measured.
The primary product of BH4 autoxidation is BH2.
The primary product of superoxide-catalyzed oxidation of BH4 is BH2.
Hydroxyl radical driven BH4 oxidation results primarily in dihydroxanthopterin.
Acknowledgments
The authors wish to thank Carmen Ghita, Marco Bettini, and Livio Bottiglieri M.D. for their excellent technical assistance.
Footnotes
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