Review Article

Tetrahydrobiopterin Improves Endothelial Function in Cardiovascular Disease: A Systematic Review

Table 2

Effects of BH4 supplementation in human vascular disease.

Study, yearDiseaseOutcomeAdministration

Maier et al., 2000 [13] Ischemia reperfusion injuryPrevents endothelial dysfunction6R-BH4 (Alexis Corp.) intracoronary 10−2 M, for 2 min
Setoguchi et al., 2001 [22] Coronary artery diseaseImproves endothelium-dependent vasodilatation6R-BH4 (Clinalfa) intracoronary infusion 4 mg/min for 2 min
Nyström et al., 2004 [23] Type 2 diabetic and coronary heart diseaseHad no effect on endothelial-dependent vasodilation6R-BH4 (Schircks) intra-arterial infusion 500 g/min
Worthley et al., 2007 [24] Atherosclerotic diseaseDoes not improve endothelial function6R-BH4 (Clinalfa) infusion 250 μg/min and 500 μg/min for 6 min
Settergren et al., 2009 [25] Diabetes (type II) and coronary artery diseaseImproves endothelial dysfunction6R-BH4 (Clinalfa) intra-arterial infusion 500 μg/min
Cunnington et al., 2012 [26] Coronary artery diseaseHas no net effect on vascular redox state or endothelial function6R-BH4 (Schircks) 400 mg/d or 700 mg/d per oral for 2 to 6 weeks
Stroes et al., 1997 [27] HypercholesterolemiaRestored NO-dependent vasodilatation6R-BH4 (Alexis Corp.) infusion 500 μg/min
Fukuda et al., 2002 [30] HypercholesterolemiaImproves coronary endothelial function6R-BH4 (Sigma) intracoronary 1 mg/min for 2 min
Wyss et al., 2005 [28] HypercholesterolemiaRestores flow reserve utilization6R-BH4 (Schircks) infusion 10 mg kg−1 over 30 min
Holowatz and Kenney, 2011 [29] HypercholesterolemiaAugmented NO-dependent vasodilatation6R-BH4 (Sigma) 10 mM
Cosentino et al., 2008 [14]HypercholesterolemiaRestores NO bioavailability and endothelial function6R-BH4 (Schircks) 400 mg twice daily orally for 4 weeks
Higashi et al., 2002 [31] HypertensionAugments endothelium-dependent vasodilatation6R-BH4 (Sigma) infusion 500 μg/min
Porkert et al., 2008 [12] HypertensionSignificant improvement in endothelial function in higher doses6R-BH4 (Schircks) oral 5/10 mg kg−1 day for 8 weeks and 200/400 mg for 4 weeks
Heitzer et al., 2000 [15] Diabetes (type II)Improves endothelium-dependent vasodilatation6R-BH4 (Schircks) intra-arterial infusion 500 μg/min