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ABSTRACT
The discovery of nitric oxide (NO) in the last decade opened a new and important research field that has provided new insights on communication and regulation mechanisms taking place in different cellular populations, including animals and plants. In humans, this molecule participates in the physiology of almost all bodily systems such as cardiovascular, nervous, respiratory, and reproductive tracts. This means that alterations in its synthesis originate various pathological modifications, including hypertension, impotence, vascular complications, diabetes, asthma, and neurodegeneration.
In the nervous system, nitric oxide acts as a cellular messenger, and together with carbon monoxide forms the gaseous neurotransmitter family. It is considered an atypical neurotransmitter since it is not stored in synaptic vesicles. Once synthetized, it diffuses through the cellular membrane reaching different target molecules within a 40-100 μm radius, lacking a specific receptor molecule. One of its best known target molecules is guanylate cyclase, which is activated to produce the necessary cyclic GMP to relax blood vessels.
Among its properties is that of being a free radical, which means that it has an unpaired electron, making it highly reactive with other molecules such as the radicals superoxide, hemeproteins, thiol and amino groups, as well as oxygen. Thus, NO participates in various signaling mechanisms regulating the activity of several proteins and gene expression. Besides, NO can be released from nervous terminals, axons, and neuronal cell bodies.
In all cellular types of animal and plants where NO has been detected, it has been found that its precursor is the
aminoacid Larginine, and its by-product is
L-citrulline. The synthesis reaction takes place thanks to a family of isoenzymes known as
nitric oxide synthases (NOS). These were named, depending on their isolation and cloning site, as endothelial, neuronal, and inducible. Although these enzymes have similar molecular characteristics, the synthetic activity of each one of them depends on various factors such as the NO amount produced on the tissue of the organ where the enzyme was found, the interaction with other molecules, and the role of NO in that tissue.
In neurons, NO synthesis is produced by a glutamic acid release that binds to NMDA receptors and/or metabotropic molecules activating Ca
++ entrance into the cell, where this ion acts upon calmodulin molecules, which in turn bind to NO synthase oxidating its substrate, arginine, and producing both NO and the by-product citrulline. This post-synaptic synthetic mechanism and its presynaptic action producing the release of glutamic acid form a feedback loop that originated the hypothesis stating that NO is one of the molecules responsible for long term potentiation, one of memory storing mechanisms.
In its role as a free radical, NO produces direct and indirect effects upon reacting. The former are related to processes associated with cellular signaling mechanisms present in normal conditions such as guanylate cyclase activation to produce cGMP. On the other hand, indirect NO effects occur when this compound reacts with other molecules having activity per se, such as superoxide radicals (O
2), which upon reaction originate peroxynitrite (ONOO-) capable of producing oxidative stress, cellular damage, and even death, when found in high concentrations. These NO effects are related to nitric oxide synthases, since endothelial and neuronal NOS produce NO in nanomolar concentrations, while inducible NOS synthesizes micromolar concentrations of this compound.
When a cerebral lesion or an infection is present, different molecules associated with inflammmatory processes are synthetized, such as cytokines, that are known to induce iNOS expression. This synthase is capable of originating high NO concentrations for long periods. Infections produced by hepatitis virus, choriomeningitis and AIDS virus activate iNOS expression in astrocytes. Similarly, this enzyme has been detected in glia in diseases such as Parkinson and Alzheimer, as well as in cerebral ischemia. However, it is not known whether NO could be a neurodegenerative agent or a protector of the nervous system, for although high NO concentrations originate indirect effects participating in oxidative stress, there is evidence showing that this molecule could be associated with neuroprotection.
Understanding of the NO synthetic pathway and the availability of different NO inhibitory or donating molecules, as well as studies carried out in mice lacking one of the NO synthases due to genetic manipulations, have provided information on the physiology of this cellular messenger on different bodily systems. Nevertheless, its effects on various nervous pathologies in which NO is associated have yet to be clarified. It is also necessary to have specific synthase inhibitors for each of the enzymes.
The aim of this paper is to review different aspects related to NO cellular physiology in the nervous system. Special emphasis will be drawn to its participation as an atypical cellular messenger, as well as regulation of NO synthesis by the three different synthases.
In addition, NO effects as a free radical, NO regulation on neurotransmitter release, and the interaction of this molecule with target proteins will be discussed. Finally, its role in neurodegenerative diseases will be briefly addressed.
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