Pathogenetic role of eNOS uncoupling in cardiopulmonary disorders

Copyright © 2010. Published by Elsevier Inc..

The homodimeric flavohemeprotein endothelial nitric oxide synthase (eNOS) oxidizes l-arginine to l-citrulline and nitric oxide (NO), which acutely vasodilates blood vessels and inhibits platelet aggregation. Chronically, eNOS has a major role in the regulation of blood pressure and prevention of atherosclerosis by decreasing leukocyte adhesion and smooth muscle proliferation. However, a disturbed vascular redox balance results in eNOS damage and uncoupling of oxygen activation from l-arginine conversion. Uncoupled eNOS monomerizes and generates reactive oxygen species (ROS) rather than NO. Indeed, eNOS uncoupling has been suggested as one of the main pathomechanisms in a broad range of cardiovascular and pulmonary disorders such as atherosclerosis, ventricular remodeling, and pulmonary hypertension. Therefore, modulating uncoupled eNOS, in particular eNOS-dependent ROS generation, is an attractive therapeutic approach to preventing and/or treating cardiopulmonary disorders, including protective effects during cardiothoracic surgery. This review provides a comprehensive overview of the pathogenetic role of uncoupled eNOS in both cardiovascular and pulmonary disorders. In addition, the related therapeutic possibilities such as supplementation with the eNOS substrate l-arginine, volatile NO, and direct NO donors as well as eNOS modulators such as the eNOS cofactor tetrahydrobiopterin and folic acid are discussed in detail.

Medienart:

E-Artikel

Erscheinungsjahr:

2011

Erschienen:

2011

Enthalten in:

Zur Gesamtaufnahme - volume:50

Enthalten in:

Free radical biology & medicine - 50(2011), 7 vom: 01. Apr., Seite 765-76

Sprache:

Englisch

Beteiligte Personen:

Gielis, Jan F [VerfasserIn]
Lin, Judy Y [VerfasserIn]
Wingler, Kirstin [VerfasserIn]
Van Schil, Paul E Y [VerfasserIn]
Schmidt, Harald H [VerfasserIn]
Moens, An L [VerfasserIn]

Links:

Volltext

Themen:

31C4KY9ESH
935E97BOY8
94ZLA3W45F
Arginine
Biopterins
EC 1.14.13.39
EGX657432I
Folic Acid
Journal Article
NOS3 protein, human
Nitric Oxide
Nitric Oxide Donors
Nitric Oxide Synthase Type III
Oxygen
Reactive Oxygen Species
Research Support, Non-U.S. Gov't
Review
S88TT14065
Sapropterin

Anmerkungen:

Date Completed 01.08.2011

Date Revised 13.12.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.freeradbiomed.2010.12.018

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM20448636X