Tags

Type your tag names separated by a space and hit enter

Nitric oxide synthase inhibition and oxidative stress in cardiovascular diseases: possible therapeutic targets?
Pharmacol Ther. 2013 Dec; 140(3):239-57.P&T

Abstract

Nitric oxide (NO) is synthetized enzymatically from l-arginine (l-Arg) by three NO synthase isoforms, iNOS, eNOS and nNOS. The synthesis of NO is selectively inhibited by guanidino-substituted analogs of l-Arg or methylarginines such as asymmetric dimethylarginine (ADMA), which results from protein degradation in cells. Many disease states, including cardiovascular diseases and diabetes, are associated with increased plasma levels of ADMA. The N-terminal catalytic domain of these NOS isoforms binds the heme prosthetic group as well as the redox cofactor, tetrahydrobiopterin (BH(4)) associated with a regulatory protein, calmodulin (CaM). The enzymatic activity of NOS depends on substrate and cofactor availability. The importance of BH(4) as a critical regulator of eNOS function suggests that BH(4) may be a rational therapeutic target in vascular disease states. BH(4) oxidation appears to be a major contributor to vascular dysfunction associated with hypertension, ischemia/reperfusion injury, diabetes and other cardiovascular diseases as it leads to the increased formation of oxygen-derived radicals due to NOS uncoupling rather than NO. Accordingly, abnormalities in vascular NO production and transport result in endothelial dysfunction leading to various cardiovascular disorders. However, some disorders including a wide range of functions in the neuronal, immune and cardiovascular system were associated with the over-production of NO. Inhibition of the enzyme should be a useful approach to treat these pathologies. Therefore, it appears that both a lack and excess of NO production in diseases can have various important pathological implications. In this context, NOS modulators (exogenous and endogenous) and their therapeutic effects are discussed.

Authors+Show Affiliations

Laboratoire de Physiopathologie et Pharmacologies Cardio-Métaboliques (LPPCM), France. Electronic address: luc.rochette@u-bourgogne.fr.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

23859953

Citation

Rochette, Luc, et al. "Nitric Oxide Synthase Inhibition and Oxidative Stress in Cardiovascular Diseases: Possible Therapeutic Targets?" Pharmacology & Therapeutics, vol. 140, no. 3, 2013, pp. 239-57.
Rochette L, Lorin J, Zeller M, et al. Nitric oxide synthase inhibition and oxidative stress in cardiovascular diseases: possible therapeutic targets? Pharmacol Ther. 2013;140(3):239-57.
Rochette, L., Lorin, J., Zeller, M., Guilland, J. C., Lorgis, L., Cottin, Y., & Vergely, C. (2013). Nitric oxide synthase inhibition and oxidative stress in cardiovascular diseases: possible therapeutic targets? Pharmacology & Therapeutics, 140(3), 239-57. https://doi.org/10.1016/j.pharmthera.2013.07.004
Rochette L, et al. Nitric Oxide Synthase Inhibition and Oxidative Stress in Cardiovascular Diseases: Possible Therapeutic Targets. Pharmacol Ther. 2013;140(3):239-57. PubMed PMID: 23859953.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nitric oxide synthase inhibition and oxidative stress in cardiovascular diseases: possible therapeutic targets? AU - Rochette,Luc, AU - Lorin,Julie, AU - Zeller,Marianne, AU - Guilland,Jean-Claude, AU - Lorgis,Luc, AU - Cottin,Yves, AU - Vergely,Catherine, Y1 - 2013/07/13/ PY - 2013/06/13/received PY - 2013/06/14/accepted PY - 2013/7/18/entrez PY - 2013/7/19/pubmed PY - 2014/5/20/medline KW - 6-pyruvoyl tetrahydropterin synthase KW - 7,8-dihydroneopterin 30 triphosphate KW - 8-Oxoguanine DNA glycosylase KW - ADMA KW - AF KW - AGXT2 KW - AP-1 KW - ARE KW - AT KW - ApoE-KO KW - AscH(−) KW - BH(3) KW - BH(4) KW - CAAs KW - CAT KW - CATs KW - CR KW - CV KW - CaM KW - Cardiovascular disease KW - DDAHs KW - DHFR KW - DHPR KW - DM KW - DMA KW - DMGV KW - DNTP KW - ERK KW - FAD KW - FMN KW - FOS KW - FOXO KW - Finkel–Biskis–Jinkins osteosarcoma KW - Free radicals KW - GP KW - GPx KW - GSH KW - GTP KW - GTP cyclohydrolase 1 KW - GTP-CH KW - HIF KW - HSP KW - JNK KW - LDL KW - LTL KW - MAO KW - MAPK KW - MDA KW - MT KW - N(G)-monomethyl-l-arginine KW - N-nitro-l-arginine KW - N-omega-hydroxy-l-arginine KW - NADPH KW - NADPH oxidase KW - NF-κB KW - NO KW - NO inhibitors KW - NO synthases KW - NOHA KW - NOX KW - NTPH KW - Nrf2 KW - OGG1 KW - OS KW - PAH KW - PCD KW - PRMT KW - PTPS KW - Prx KW - RNS KW - ROS KW - Ref-1 KW - S-adenosyl-l-homocysteine KW - S-adenosyl-l-methionine KW - SAH KW - SAM KW - SDMA KW - SOD KW - SR KW - TH KW - TocH KW - Trx KW - UA KW - activator protein 1 KW - alanine-glyoxylate aminotransferase 2 KW - angiotensin KW - antioxidant response element KW - apolipoprotein E knockout KW - ascorbate anion KW - asymmetric dimethylarginine KW - atrial fibrillation KW - c-Jun N-terminal kinase KW - calmodulin KW - carbonyl reductase KW - cardiovascular KW - catalases KW - cationic amino acid transporters KW - cationic amino acids KW - diabetes mellitus KW - dihydrofolate reductase KW - dihydropteridine reductase KW - dimethylamines KW - dimethylarginine dimethylaminohydrolases KW - eGFR KW - estimated glomerular filtration rate KW - extracellular signal-regulated kinase KW - flavin adenine dinucleotide KW - flavin mononucleotide KW - forkhead protein KW - glutathione KW - glutathione peroxidases KW - glutathioneperoxidase KW - guanosine triphosphate KW - heat shock protein KW - hypoxia-inducible factor KW - l-Arg KW - l-NMMA KW - l-NNA KW - l-arginine KW - leukocyte telomere length KW - low-density lipoprotein KW - malondialdehyde KW - metallothionein KW - mitogen-activated protein kinase KW - monoamine oxidase KW - neuronal tryptophan hydroxylase KW - nicotinamide dinucleotide phosphate KW - nitric oxide KW - nuclear factor erythroid 2-related factor 2 KW - nuclear factor κB KW - oxidative stress KW - peroxyredoxin KW - phenylalanine hydroxylase KW - protein arginine methyl transferase KW - pterin-4a-carbinolamine dehydratase KW - reactive nitrogen species KW - reactive oxygen species KW - redox factor-1 KW - sepiapterin reductase KW - siRNAs KW - small interfering ribonucleic acids KW - superoxide dismutase KW - symmetric dimethylarginine KW - tHcy KW - tetrahydrobiopterin KW - thioredoxin KW - tocopherol KW - total plasma homocysteine KW - trihydrobiopterin radical KW - tyrosine hydroxylase KW - uric acid KW - y+L AA KW - y+LAT transporters KW - α-keto-δ-(N(G),N(G)-dimethylguanidino)valeric acid SP - 239 EP - 57 JF - Pharmacology & therapeutics JO - Pharmacol Ther VL - 140 IS - 3 N2 - Nitric oxide (NO) is synthetized enzymatically from l-arginine (l-Arg) by three NO synthase isoforms, iNOS, eNOS and nNOS. The synthesis of NO is selectively inhibited by guanidino-substituted analogs of l-Arg or methylarginines such as asymmetric dimethylarginine (ADMA), which results from protein degradation in cells. Many disease states, including cardiovascular diseases and diabetes, are associated with increased plasma levels of ADMA. The N-terminal catalytic domain of these NOS isoforms binds the heme prosthetic group as well as the redox cofactor, tetrahydrobiopterin (BH(4)) associated with a regulatory protein, calmodulin (CaM). The enzymatic activity of NOS depends on substrate and cofactor availability. The importance of BH(4) as a critical regulator of eNOS function suggests that BH(4) may be a rational therapeutic target in vascular disease states. BH(4) oxidation appears to be a major contributor to vascular dysfunction associated with hypertension, ischemia/reperfusion injury, diabetes and other cardiovascular diseases as it leads to the increased formation of oxygen-derived radicals due to NOS uncoupling rather than NO. Accordingly, abnormalities in vascular NO production and transport result in endothelial dysfunction leading to various cardiovascular disorders. However, some disorders including a wide range of functions in the neuronal, immune and cardiovascular system were associated with the over-production of NO. Inhibition of the enzyme should be a useful approach to treat these pathologies. Therefore, it appears that both a lack and excess of NO production in diseases can have various important pathological implications. In this context, NOS modulators (exogenous and endogenous) and their therapeutic effects are discussed. SN - 1879-016X UR - https://www.unboundmedicine.com/medline/citation/23859953/Nitric_oxide_synthase_inhibition_and_oxidative_stress_in_cardiovascular_diseases:_possible_therapeutic_targets DB - PRIME DP - Unbound Medicine ER -