Hypertension, Vol 16, 477-483, Copyright © 1990 by American Heart Association
LJ Ignarro
Nitric oxide first captured the interest of biologists when this inorganic
molecule was found to activate cytosolic guanylate cyclase and stimulate
cyclic guanosine monophosphate (GMP) formation in mammalian cells. Further
studies led to the finding that nitric oxide causes vascular smooth muscle
relaxation and inhibition of platelet aggregation by mechanisms involving
cyclic GMP and that several clinically used nitrovasodilators owe their
biological actions to nitric oxide. Nitric oxide possesses physicochemical
and pharmacological properties that make it an ideal candidate for a short-
term regulator or modulator of vascular smooth muscle tone and platelet
function. Nitric oxide is synthesized by various mammalian tissues
including vascular endothelium, macrophages, neutrophils, hepatic Kupffer
cells, adrenal tissue, cerebellum, and other tissues. Nitric oxide is
synthesized from endogenous L-arginine by a nitric oxide synthase system
that possesses different cofactor requirements in different cell types. The
nitric oxide formed diffuses out of its cells of origin and into nearby
target cells, where it binds to the heme group of cytosolic guanylate
cyclase and thereby causes enzyme activation. This interaction represents a
novel and widespread signal transduction mechanism that links extracellular
stimuli to the biosynthesis of cyclic GMP in nearby target cells. The small
molecular size and lipophilic nature of nitric oxide enable communication
with nearby cells containing cytosolic guanylate cyclase. The extent of
transcellular communication is limited by the short half-life of nitric
oxide, thereby ensuring a localized response. Labile nitric oxide-
generating molecules such as S-nitrosothiols may be involved as precursors
or effectors. Further research will provide a deeper understanding of the
biology of nitric oxide and the nature of associated pathophysiological
states.
ARTICLES
Nitric oxide. A novel signal transduction mechanism for transcellular communication
Department of Pharmacology, University of California, School of Medicine, Los Angeles 90024.
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