Endothelial iNOS/NOX1-generated PN impairs TRPV4EC channel activity in PH. (A, Left) Representative nonconfocal images for coumarin boronic acid (CBA, PN indicator) fluorescence in ECs from PAs of mice exposed to N, CH (3 wk; 10% O2), or Su+CH. (Right) Scatterplot of CBA fluorescence intensity in en face preparations of fourth-order PAs from mice exposed to N, CH, or Su+CH (n = 5; ***P < 0.001 versus N; one-way ANOVA). Experiments were performed in the presence of PEG-catalase (H2O2 metabolizing enzyme; 500 U/mL) and taurine (hypochlorous acid-lowering agent; 1 mmol/L). (B) TRPV4EC sparklet traces in one EC from fluo-4–loaded en face PAs (Left) and sparklet activity per site (Right; expressed as NPO per site) in the absence and presence of the 1400W (iNOS inhibitor; 1 μmol/L) in PAs from C57BL6/J mice exposed to Su+CH (n = 5; **P < 0.01; t test). (C) iNOS mRNA levels in ECs from PAs of N and Su+CH mice, expressed relative to N mice (n = 5; *P < 0.05; t test). (D) Averaged resting RVSP (millimeters of mercury) values in WT and iNOS−/− mice after exposure to Su+CH (n = 5 to 6; *P < 0.05; t test). (E) TRPV4EC sparklet activity in PAs from WT and iNOS−/− mice exposed to Su+CH and iNOS−/− mice exposed to N (n = 5; * P < 0.05; two-way ANOVA). (F) GSK101 (3–30 nmol/L)-induced vasodilation of PAs from WT and iNOS−/− mice exposed to Su+CH (n = 5; ***P < 0.001 versus WT [10 nmol/L]; two-way ANOVA). (G) Effect of the NOXA1ds (NOX1 inhibitor, 1 μmol/L) on GSK101 (10 nmol/L)-induced TRPV4EC sparklet activity in PAs from PAH patients (n = 3; *P < 0.05; t test). (H) Effect of the 1400W (1 μmol/L) on TRPV4EC sparklet activity in PAs from PAH patients (n = 3; *P < 0.05; t test).