Abstract

The discovery that mammalian cells have the ability to synthesize the free radical nitric oxide (NO) has stimulated an extraordinary impetus for scientific research in all the fields of biology and medicine. Since its early description as an endothelial-derived relaxing factor, NO has emerged as a fundamental signaling device regulating virtually every critical cellular function, as well as a potent mediator of cellular damage in a wide range of conditions. Recent evidence indicates that most of the cytotoxicity attributed to NO is rather due to peroxynitrite, produced from the diffusion-controlled reaction between NO and another free radical, the superoxide anion. Peroxynitrite interacts with lipids, DNA, and proteins via direct oxidative reactions or via indirect, radical-mediated mechanisms. These reactions trigger cellular responses ranging from subtle modulations of cell signaling to overwhelming oxidative injury, committing cells to necrosis or apoptosis. In vivo, peroxynitrite generation represents a crucial pathogenic mechanism in conditions such as stroke, myocardial infarction, chronic heart failure, diabetes, circulatory shock, chronic inflammatory diseases, cancer, and neurodegenerative disorders. Hence, novel pharmacological strategies aimed at removing peroxynitrite might represent powerful therapeutic tools in the future. Evidence supporting these novel roles of NO and peroxynitrite is presented in detail in this review.

Keywords

PeroxynitriteNitric oxideSuperoxideMediatorPeroxynitrous acidCell biologyChemistryOxidative stressOxidative phosphorylationApoptosisPharmacologyImmunologyBiochemistryMedicineBiologyEnzyme

Affiliated Institutions

Related Publications

Publication Info

Year
2007
Type
review
Volume
87
Issue
1
Pages
315-424
Citations
6093
Access
Closed

External Links

Social Impact

Social media, news, blog, policy document mentions

Citation Metrics

6093
OpenAlex

Cite This

Pál Pacher, Joseph S. Beckman, Lucas Liaudet (2007). Nitric Oxide and Peroxynitrite in Health and Disease. Physiological Reviews , 87 (1) , 315-424. https://doi.org/10.1152/physrev.00029.2006

Identifiers

DOI
10.1152/physrev.00029.2006