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Cardiovascular Research 43 (1999) 562–571 www.elsevier.com / locate / cardiores www.elsevier.nl / locate / cardiores Review Interactions between NO and reactive oxygen species: pathophysiological importance in atherosclerosis, hypertension, diabetes and heart failure ab, Georg Kojda , David Harrison ¨¨ , Dusseldorf, Germany Institut f ur Pharmakologie Emory University School of Medicine, 1639 Pierce Drive, 319 WMB, Atlana, GA 30322, USA Received 3 February 1999; accepted 3 May 1999 1. Background: the concept of ‘endothelial dysfunc- deficiency of either the substrate for the enzyme NO tion’ synthase or one of its critical co-factors. Alterations of endothelial cell signaling may impair appropriate activa- tion of the NO synthase in response to neurohumoral or Soon after the discovery of EDRF (endothelium derived mechanical stimuli. In very advanced atherosclerosis, relaxins factor) it became apparent that certain diseases are expression of NO synthase in the endothelium declines, associated with an impairment of endothelium dependent almost certainly reducing endothelium-dependent vascular vasorelaxation. In hypercholesterolemic rabbits and mon- relaxation. Finally, there is substantial evidence that in keys, vasorelaxation to acetylcholine is almost absent (Fig. certain disease conditions, NO production is not altered, 1) or changed into vasoconstriction [1,2]. Similar observa- but its bioavailability is reduced because of
Cardiovascular Research – Oxford University Press
Published: Aug 15, 1999
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