Role of NO in Disease: Good, Bad or Ugly

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: 31 May 2024 | Viewed by 18160

Special Issue Editors


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Department of Surgical Sciences, Anaesthesiogy and Intensive Care Medicine, Uppsala University, 751 85 Uppsala, Sweden
Interests: anesthesiology; biomarkers, coagulation, cytokines, endotoxin; critical care medicine; intensive care; leptin; inflammation, intraosseous; sepsis; SAPS3; shock
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Guest Editor
Department of Medical Sciences, Clinical Chemistry, Uppsala University, 751 85 Uppsala, Sweden
Interests: endotoxin; intensive care; acute kidney injury; glomerular filtration rate markers; kidney tubular damage markers; cardiovascular risk markers; neutrophil activation markers; calprotectin
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The discovery of nitric oxide (NO), a gaseous molecule with a wide variety of physiological functions, led to award of the 1998 Nobel Prize. L-Arginine is a precursor for NO synthesis. NO is a reactive molecule with unpaired electrons, being a ubiquitous signaling molecule, able to interact with molecular oxygen and superoxide radicals. Endothelial cells are the largest source of NO production.

The antiviral effects of NO have caused considerable interest during the COVID-19 pandemic. NO impedes the binding of SARS-CoV-2 to the ACE2 receptor and counteracts viral replication. Compromised production or bioavailability of NO is associated with both arterial and venous thrombi, a frequent consequence of COVID-19.

Given the multitude of powerful biological effects of NO, several attempts have been made to utilize this radical as a therapeutic agent, mainly in pulmonary hypertension. Administration of NO has focused on inhalation, which may cause the relaxation of smooth muscle cells in the pulmonary vasculature. Vasodilation results in improved perfusion to ventilated areas of lung, thereby improving oxygenation and reducing intrapulmonary shunting.

However, NO is potentially harmful, since its oxidation products are toxic and may contribute to tissue damage in certain disorders (e.g., rheumatoid arthritis). Additional pitfalls include systemic hypotension and the extremely short half-life of NO.

The focus of this Special Issue of Biomedicines is on nitric oxide, in terms of

  • Defense;
  • Challenge;
  • Harm

i.e., the good, bad and ugly sides of NO.

Prof. Dr. Mats Eriksson
Prof. Dr. Anders O. Larsson
Guest Editors

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Keywords

  • acute respiratory syndrome coronavirus 2
  • COVID-19
  • endothelium
  • hypertension
  • nitric oxide
  • neurotransmitter
  • oxidative stress
  • pulmonary
  • reactive oxygen species
  • vasodilation

Published Papers (8 papers)

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Research

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18 pages, 5127 KiB  
Article
New Nitric Oxide-Releasing Compounds as Promising Anti-Bladder Cancer Drugs
by María Varela, Miriam López, Mariana Ingold, Diego Alem, Valentina Perini, Karen Perelmuter, Mariela Bollati-Fogolín, Gloria V. López and Paola Hernández
Biomedicines 2023, 11(1), 199; https://doi.org/10.3390/biomedicines11010199 - 12 Jan 2023
Cited by 1 | Viewed by 1697
Abstract
Bladder cancer is a worldwide problem and improved therapies are urgently needed. In the search for newer strong antitumor compounds, herein, we present the study of three nitric oxide-releasing compounds and evaluate them as possible therapies for this malignancy. Bladder cancer cell lines [...] Read more.
Bladder cancer is a worldwide problem and improved therapies are urgently needed. In the search for newer strong antitumor compounds, herein, we present the study of three nitric oxide-releasing compounds and evaluate them as possible therapies for this malignancy. Bladder cancer cell lines T24 and 253J were used to evaluate the antiproliferative, antimigratory, and genotoxic effects of compounds. Moreover, we determined the NF-κB pathway inhibition, and finally, the survivin downregulation exerted by our molecules. The results revealed that compounds 1 and 3 exerted a high antiproliferative activity against bladder cancer cells through DNA damage and survivin downregulation. In addition, compound 3 reduced bladder cancer cell migration. We found that nitric oxide donors are promising molecules for the development of a new therapeutic targeting the underlying mechanisms of tumorigenesis and progression of bladder cancer. Full article
(This article belongs to the Special Issue Role of NO in Disease: Good, Bad or Ugly)
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11 pages, 1241 KiB  
Article
Alveolar Nitric Oxide in Chronic Obstructive Pulmonary Disease—A Two-Year Follow-Up
by Marieann Högman, Andreas Palm, Johanna Sulku, Björn Ställberg, Karin Lisspers, Kristina Bröms, Christer Janson and Andrei Malinovschi
Biomedicines 2022, 10(9), 2212; https://doi.org/10.3390/biomedicines10092212 - 07 Sep 2022
Cited by 1 | Viewed by 1252
Abstract
Chronic obstructive pulmonary disease (COPD) affects the airways and gas exchange areas. Nitric oxide (NO) production from the airways is presented as FENO50 and from the gas exchange areas as alveolar NO (CANO). We aimed to evaluate, over [...] Read more.
Chronic obstructive pulmonary disease (COPD) affects the airways and gas exchange areas. Nitric oxide (NO) production from the airways is presented as FENO50 and from the gas exchange areas as alveolar NO (CANO). We aimed to evaluate, over two years, the consistency of the CANO estimations in subjects with COPD. A total of 110 subjects (45 men) who completed the study were included from primary and secondary care settings. CANO was estimated using the two-compartment model. CANO increased slightly during the two-year follow-up (p = 0.01), but FENO50 remained unchanged (p = 0.24). Among the subjects with a low CANO (<1 ppb) at inclusion, only 2% remained at a low level. For those at a high level (>2 ppb), 29% remained so. The modified Medical Research Council dyspnoea scale (mMRC) score increased at least one point in 29% of the subjects, and those subjects also increased in CANO from 0.9 (0.5, 2.1) ppb to 1.8 (1.1, 2.3) ppb, p = 0.015. We conclude that alveolar NO increased slightly over two years, together with a small decline in lung function. The increase in CANO was found especially in those whose levels of dyspnoea increased over time. Full article
(This article belongs to the Special Issue Role of NO in Disease: Good, Bad or Ugly)
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19 pages, 4140 KiB  
Article
Biological Sensing of Nitric Oxide in Macrophages and Atherosclerosis Using a Ruthenium-Based Sensor
by Achini K. Vidanapathirana, Jarrad M. Goyne, Anna E. Williamson, Benjamin J. Pullen, Pich Chhay, Lauren Sandeman, Julien Bensalem, Timothy J. Sargeant, Randall Grose, Mark J. Crabtree, Run Zhang, Stephen J. Nicholls, Peter J. Psaltis and Christina A. Bursill
Biomedicines 2022, 10(8), 1807; https://doi.org/10.3390/biomedicines10081807 - 27 Jul 2022
Cited by 5 | Viewed by 2322
Abstract
Macrophage-derived nitric oxide (NO) plays a critical role in atherosclerosis and presents as a potential biomarker. We assessed the uptake, distribution, and NO detection capacity of an irreversible, ruthenium-based, fluorescent NO sensor (Ru-NO) in macrophages, plasma, and atherosclerotic plaques. In vitro, incubation of [...] Read more.
Macrophage-derived nitric oxide (NO) plays a critical role in atherosclerosis and presents as a potential biomarker. We assessed the uptake, distribution, and NO detection capacity of an irreversible, ruthenium-based, fluorescent NO sensor (Ru-NO) in macrophages, plasma, and atherosclerotic plaques. In vitro, incubation of Ru-NO with human THP1 monocytes and THP1-PMA macrophages caused robust uptake, detected by Ru-NO fluorescence using mass-cytometry, confocal microscopy, and flow cytometry. THP1-PMA macrophages had higher Ru-NO uptake (+13%, p < 0.05) than THP1 monocytes with increased Ru-NO fluorescence following lipopolysaccharide stimulation (+14%, p < 0.05). In mice, intraperitoneal infusion of Ru-NO found Ru-NO uptake was greater in peritoneal CD11b+F4/80+ macrophages (+61%, p < 0.01) than CD11b+F4/80 monocytes. Infusion of Ru-NO into Apoe−/− mice fed high-cholesterol diet (HCD) revealed Ru-NO fluorescence co-localised with atherosclerotic plaque macrophages. When Ru-NO was added ex vivo to aortic cell suspensions from Apoe−/− mice, macrophage-specific uptake of Ru-NO was demonstrated. Ru-NO was added ex vivo to tail-vein blood samples collected monthly from Apoe−/− mice on HCD or chow. The plasma Ru-NO fluorescence signal was higher in HCD than chow-fed mice after 12 weeks (37.9%, p < 0.05). Finally, Ru-NO was added to plasma from patients (N = 50) following clinically-indicated angiograms. There was lower Ru-NO fluorescence from plasma from patients with myocardial infarction (−30.7%, p < 0.01) than those with stable coronary atherosclerosis. In conclusion, Ru-NO is internalised by macrophages in vitro, ex vivo, and in vivo, can be detected in atherosclerotic plaques, and generates measurable changes in fluorescence in murine and human plasma. Ru-NO displays promising utility as a sensor of atherosclerosis. Full article
(This article belongs to the Special Issue Role of NO in Disease: Good, Bad or Ugly)
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Review

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13 pages, 820 KiB  
Review
Kidney Renin Release under Hypoxia and Its Potential Link with Nitric Oxide: A Narrative Review
by Weiwei Kong, Yixin Liao, Liang Zhao, Nathan Hall, Hua Zhou, Ruisheng Liu, Pontus B. Persson and Enyin Lai
Biomedicines 2023, 11(11), 2984; https://doi.org/10.3390/biomedicines11112984 - 06 Nov 2023
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Abstract
The renin–angiotensin system (RAS) and hypoxia have a complex interaction: RAS is activated under hypoxia and activated RAS aggravates hypoxia in reverse. Renin is an aspartyl protease that catalyzes the first step of RAS and tightly regulates RAS activation. Here, we outline kidney [...] Read more.
The renin–angiotensin system (RAS) and hypoxia have a complex interaction: RAS is activated under hypoxia and activated RAS aggravates hypoxia in reverse. Renin is an aspartyl protease that catalyzes the first step of RAS and tightly regulates RAS activation. Here, we outline kidney renin expression and release under hypoxia and discuss the putative mechanisms involved. It is important that renin generally increases in response to acute hypoxemic hypoxia and intermittent hypoxemic hypoxia, but not under chronic hypoxemic hypoxia. The increase in renin activity can also be observed in anemic hypoxia and carbon monoxide-induced histotoxic hypoxia. The increased renin is contributed to by juxtaglomerular cells and the recruitment of renin lineage cells. Potential mechanisms regulating hypoxic renin expression involve hypoxia-inducible factor signaling, natriuretic peptides, nitric oxide, and Notch signaling-induced renin transcription. Full article
(This article belongs to the Special Issue Role of NO in Disease: Good, Bad or Ugly)
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15 pages, 1173 KiB  
Review
The Multiple Faces of Nitric Oxide in Chronic Granulomatous Disease: A Comprehensive Update
by Juan Agustín Garay, Juan Eduardo Silva, María Silvia Di Genaro and Roberto Carlos Davicino
Biomedicines 2022, 10(10), 2570; https://doi.org/10.3390/biomedicines10102570 - 14 Oct 2022
Cited by 2 | Viewed by 1818
Abstract
Nitric oxide (NO), a signaling molecule, regulates multiple biological functions, including a variety of physiological and pathological processes. In this regard, NO participates in cutaneous inflammations, modulation of mitochondrial functions, vascular diseases, COVID-19, neurologic diseases, and obesity. It also mediates changes in the [...] Read more.
Nitric oxide (NO), a signaling molecule, regulates multiple biological functions, including a variety of physiological and pathological processes. In this regard, NO participates in cutaneous inflammations, modulation of mitochondrial functions, vascular diseases, COVID-19, neurologic diseases, and obesity. It also mediates changes in the skeletal muscle function. Chronic granulomatous disease (CGD) is a primary immunodeficiency disorder characterized by the malfunction of phagocytes caused by mutations in some of the genes encoding subunits of the superoxide-generating phagocyte NADPH (NOX). The literature consulted shows that there is a relationship between the production of NO and the NADPH oxidase system, which regulates the persistence of NO in the medium. Nevertheless, the underlying mechanisms of the effects of NO on CGD remain unknown. In this paper, we briefly review the regulatory role of NO in CGD and its potential underlying mechanisms. Full article
(This article belongs to the Special Issue Role of NO in Disease: Good, Bad or Ugly)
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20 pages, 1964 KiB  
Review
Enhancement of Nitric Oxide Bioavailability by Modulation of Cutaneous Nitric Oxide Stores
by Christoph V. Suschek, Dennis Feibel, Maria von Kohout and Christian Opländer
Biomedicines 2022, 10(9), 2124; https://doi.org/10.3390/biomedicines10092124 - 29 Aug 2022
Cited by 6 | Viewed by 2284
Abstract
The generation of nitric oxide (NO) in the skin plays a critical role in wound healing and the response to several stimuli, such as UV exposure, heat, infection, and inflammation. Furthermore, in the human body, NO is involved in vascular homeostasis and the [...] Read more.
The generation of nitric oxide (NO) in the skin plays a critical role in wound healing and the response to several stimuli, such as UV exposure, heat, infection, and inflammation. Furthermore, in the human body, NO is involved in vascular homeostasis and the regulation of blood pressure. Physiologically, a family of enzymes termed nitric oxide synthases (NOS) generates NO. In addition, there are many methods of non-enzymatic/NOS-independent NO generation, e.g., the reduction of NO derivates (NODs) such as nitrite, nitrate, and nitrosylated proteins under certain conditions. The skin is the largest and heaviest human organ and contains a comparatively high concentration of these NODs; therefore, it represents a promising target for many therapeutic strategies for NO-dependent pathological conditions. In this review, we give an overview of how the cutaneous NOD stores can be targeted and modulated, leading to a further accumulation of NO-related compounds and/or the local and systemic release of bioactive NO, and eventually, NO-related physiological effects with a potential therapeutical use for diseases such as hypertension, disturbed microcirculation, impaired wound healing, and skin infections. Full article
(This article belongs to the Special Issue Role of NO in Disease: Good, Bad or Ugly)
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17 pages, 1047 KiB  
Review
Endothelial Nitric Oxide Synthase in the Perivascular Adipose Tissue
by Andy W. C. Man, Yawen Zhou, Ning Xia and Huige Li
Biomedicines 2022, 10(7), 1754; https://doi.org/10.3390/biomedicines10071754 - 21 Jul 2022
Cited by 15 | Viewed by 2541
Abstract
Perivascular adipose tissue (PVAT) is a special type of ectopic fat depot that adheres to most vasculatures. PVAT has been shown to exert anticontractile effects on the blood vessels and confers protective effects against metabolic and cardiovascular diseases. PVAT plays a critical role [...] Read more.
Perivascular adipose tissue (PVAT) is a special type of ectopic fat depot that adheres to most vasculatures. PVAT has been shown to exert anticontractile effects on the blood vessels and confers protective effects against metabolic and cardiovascular diseases. PVAT plays a critical role in vascular homeostasis via secreting adipokine, hormones, and growth factors. Endothelial nitric oxide synthase (eNOS; also known as NOS3 or NOSIII) is well-known for its role in the generation of vasoprotective nitric oxide (NO). eNOS is primarily expressed, but not exclusively, in endothelial cells, while recent studies have identified its expression in both adipocytes and endothelial cells of PVAT. PVAT eNOS is an important player in the protective role of PVAT. Different studies have demonstrated that, under obesity-linked metabolic diseases, PVAT eNOS may be even more important than endothelium eNOS in obesity-induced vascular dysfunction, which may be attributed to certain PVAT eNOS-specific functions. In this review, we summarized the current understanding of eNOS expression in PVAT, its function under both physiological and pathological conditions and listed out a few pharmacological interventions of interest that target eNOS in PVAT. Full article
(This article belongs to the Special Issue Role of NO in Disease: Good, Bad or Ugly)
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20 pages, 687 KiB  
Review
Therapeutic Effects of Inhaled Nitric Oxide Therapy in COVID-19 Patients
by Nikolay O. Kamenshchikov, Lorenzo Berra and Ryan W. Carroll
Biomedicines 2022, 10(2), 369; https://doi.org/10.3390/biomedicines10020369 - 03 Feb 2022
Cited by 20 | Viewed by 3627
Abstract
The global COVID-19 pandemic has become the largest public health challenge of recent years. The incidence of COVID-19-related acute hypoxemic respiratory failure (AHRF) occurs in up to 15% of hospitalized patients. Antiviral drugs currently available to clinicians have little to no effect on [...] Read more.
The global COVID-19 pandemic has become the largest public health challenge of recent years. The incidence of COVID-19-related acute hypoxemic respiratory failure (AHRF) occurs in up to 15% of hospitalized patients. Antiviral drugs currently available to clinicians have little to no effect on mortality, length of in-hospital stay, the need for mechanical ventilation, or long-term effects. Inhaled nitric oxide (iNO) administration is a promising new non-standard approach to directly treat viral burden while enhancing oxygenation. Along with its putative antiviral affect in COVID-19 patients, iNO can reduce inflammatory cell-mediated lung injury by inhibiting neutrophil activation, lowering pulmonary vascular resistance and decreasing edema in the alveolar spaces, collectively enhancing ventilation/perfusion matching. This narrative review article presents recent literature on the iNO therapy use for COVID-19 patients. The authors suggest that early administration of the iNO therapy may be a safe and promising approach for the treatment of COVID-19 patients. The authors also discuss unconventional approaches to treatment, continuous versus intermittent high-dose iNO therapy, timing of initiation of therapy (early versus late), and novel delivery systems. Future laboratory and clinical research is required to define the role of iNO as an adjunct therapy against bacterial, viral, and fungal infections. Full article
(This article belongs to the Special Issue Role of NO in Disease: Good, Bad or Ugly)
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Planned Papers

The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.

article type: review
title: Endothelial nitric oxide synthase in the perivascular adipose tissue
authors: Huige Li, etc.

article type: Article
title: Biological sensing of nitric oxide in atherosclerosis using a Ruthenium-based sensor​
authors: Achini K Vidanapathirana, Jarrad M Goyne, Anna Williamson, Benjamin J Pullen, Pich Chhay, Lauren Sandeman, Julien Bensalem, Timothy J Sargeant, Randall Grose, Run Zhang, Stephen J Nicholls,  Peter J Psaltis and Christina A Bursill

article type: Review
title: Alveolar nitric oxide in COPD – a 2-year follow-up
authors: Marieann Högman, etc.


article type: review
title: Enhancement of nitric oxide bioavailability by modulation of cutaneous nitric oxide stores
authors: Christian Opländer and Christoph V. Suschek

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