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(Circulation Research. 1996;79:363-380.)
© 1996 American Heart Association, Inc.


Articles

Nitric Oxide and Cardiac Function

Ralph A. Kelly, Jean-Luc Balligand, Thomas W. Smith

the Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass.

Correspondence to Ralph A. Kelly, MD, Cardiovascular Division, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115. E-mail rakelly@bics.bwh.harvard.edu.


Key Words: endothelial nitric oxide synthase • inducible nitric oxide synthase • signal transduction • autonomic nervous system • heart failure


*    Introduction
 
Over the past 5 years there has been an explosion of new information on the physiological and pathophysiological roles of NO within the heart as in other organ systems. In this review, we focus primarily on the regulation of cardiac contractile function by NO. We do not cite many relevant earlier articles (eg, articles on the regulation of cardiac contractility by cyclic nucleotides) that can be accessed directly from references in the manuscripts that are cited, and we ask the forbearance of colleagues whose work has not been cited because of space constraints.

We begin with a brief description of the biochemistry of NO and of each of the three NOS isoforms that have been characterized to date. This is followed by a more detailed overview of the physiological roles of iNOS (or NOS2) and eNOS (or NOS3) in cardiac muscle. We end with a brief review of the effects of pharmacological donors of NO on ICa-L and of possible physiological actions of NO and related congeners that are not thought to be mediated via activation of guanylyl cyclase.


*    NOSs
 
The free radical gas, NO, is generated by a family of enzymes known as NOSs that catalyze the conversion of the cationic amino acid L-arginine to L-citrulline in the presence of O2 and NADPH. Depending on the redox status of the cell and the availability of transition metals such as heme iron, low-molecular-weight and -protein thiols, and oxygen-derived free radicals, a number of bioactive derivatives of NO can be . . . [Full Text of this Article]




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H. Funakoshi, T. Kubota, N. Kawamura, Y. Machida, A. M. Feldman, H. Tsutsui, H. Shimokawa, and A. Takeshita
Disruption of Inducible Nitric Oxide Synthase Improves {beta}-Adrenergic Inotropic Responsiveness but Not the Survival of Mice With Cytokine-Induced Cardiomyopathy
Circ. Res., May 17, 2002; 90(9): 959 - 965.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
Z. Balafanova, R. Bolli, J. Zhang, Y. Zheng, J. M. Pass, A. Bhatnagar, X.-L. Tang, O. Wang, E. Cardwell, and P. Ping
Nitric Oxide (NO) Induces Nitration of Protein Kinase Cepsilon (PKCepsilon ), Facilitating PKCepsilon Translocation via Enhanced PKCepsilon -RACK2 Interactions. A NOVEL MECHANISM OF NO-TRIGGERED ACTIVATION OF PKCepsilon
J. Biol. Chem., April 19, 2002; 277(17): 15021 - 15027.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
J. Layland, J.-M. Li, and A. M Shah
Role of cyclic GMP-dependent protein kinase in the contractile response to exogenous nitric oxide in rat cardiac myocytes
J. Physiol., April 15, 2002; 540(2): 457 - 467.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
A. Huang, D. Sun, E. G. Shesely, E. M. Levee, A. Koller, and G. Kaley
Neuronal NOS-dependent dilation to flow in coronary arteries of male eNOS-KO mice
Am J Physiol Heart Circ Physiol, February 1, 2002; 282(2): H429 - H436.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
C. Moreno, A. Lopez, M. T. Llinas, F. Rodriguez, A. Lopez-Farre, E. Nava, and F. J. Salazar
Changes in NOS activity and protein expression during acute and prolonged ANG II administration
Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2002; 282(1): R31 - R37.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
A. Piech, P. E. Massart, C. Dessy, O. Feron, X. Havaux, N. Morel, J.-L. Vanoverschelde, J. Donckier, and J.-L. Balligand
Decreased expression of myocardial eNOS and caveolin in dogs with hypertrophic cardiomyopathy
Am J Physiol Heart Circ Physiol, January 1, 2002; 282(1): H219 - H231.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
L. E. Wold, D. P. Relling, J. Duan, F. L. Norby, and J. Ren
Abrogated Leptin-Induced Cardiac Contractile Response in Ventricular Myocytes Under Spontaneous Hypertension: Role of JAK/STAT Pathway
Hypertension, January 1, 2002; 39(1): 69 - 74.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. Mebazaa, G. W. De Keulenaer, X. Paqueron, L. J. Andries, P. Ratajczak, S. Lanone, C. Frelin, D. Longrois, D. Payen, D. L. Brutsaert, et al.
Activation of Cardiac Endothelium as a Compensatory Component in Endotoxin-Induced Cardiomyopathy: Role of Endothelin, Prostaglandins, and Nitric Oxide
Circulation, December 18, 2001; 104(25): 3137 - 3144.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. T. Ziolo, H. Katoh, and D. M. Bers
Expression of Inducible Nitric Oxide Synthase Depresses {beta}-Adrenergic-Stimulated Calcium Release From the Sarcoplasmic Reticulum in Intact Ventricular Myocytes
Circulation, December 11, 2001; 104(24): 2961 - 2966.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. A. MacCarthy, D. J. Grieve, J.-M. Li, C. Dunster, F. J. Kelly, and A. M. Shah
Impaired Endothelial Regulation of Ventricular Relaxation in Cardiac Hypertrophy: Role of Reactive Oxygen Species and NADPH Oxidase
Circulation, December 11, 2001; 104(24): 2967 - 2974.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
L. Dai, P. S. Brookes, V. M. Darley-Usmar, and P. G. Anderson
Bioenergetics in cardiac hypertrophy: mitochondrial respiration as a pathological target of NO{middle dot}
Am J Physiol Heart Circ Physiol, December 1, 2001; 281(6): H2261 - H2269.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
L. A. Nikolaidis, T. Hentosz, A. Doverspike, R. Huerbin, C. Stolarski, Y.-T. Shen, and R. P. Shannon
Mechanisms whereby rapid RV pacing causes LV dysfunction: perfusion-contraction matching and NO
Am J Physiol Heart Circ Physiol, December 1, 2001; 281(6): H2270 - H2281.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
M. T. Ziolo, H. Katoh, and D. M. Bers
Positive and negative effects of nitric oxide on Ca2+ sparks: influence of beta -adrenergic stimulation
Am J Physiol Heart Circ Physiol, December 1, 2001; 281(6): H2295 - H2303.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
A. L. Farre and S. Casado
Heart Failure, Redox Alterations, and Endothelial Dysfunction
Hypertension, December 1, 2001; 38(6): 1400 - 1405.
[Abstract] [Full Text] [PDF]


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CirculationHome page
W. J. Paulus, S. Frantz, and R. A. Kelly
Nitric Oxide and Cardiac Contractility in Human Heart Failure: Time for Reappraisal
Circulation, November 6, 2001; 104(19): 2260 - 2262.
[Full Text] [PDF]


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CirculationHome page
J. M. Cotton, M. T. Kearney, P. A. MacCarthy, R. M. Grocott-Mason, D. R. McClean, C. Heymes, P. J. Richardson, and A. M. Shah
Effects of Nitric Oxide Synthase Inhibition on Basal Function and the Force-Frequency Relationship in the Normal and Failing Human Heart In Vivo
Circulation, November 6, 2001; 104(19): 2318 - 2323.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
G. Gulli, R. Cemin, P. Pancera, G. Menegatti, C. Vassanelli, and A. Cevese
Evidence of parasympathetic impairment in some patients with cardiac syndrome X
Cardiovasc Res, November 1, 2001; 52(2): 208 - 216.
[Abstract] [Full Text] [PDF]


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HeartHome page
R D Rakhit and M S Marber
Nitric oxide: an emerging role in cardioprotection?
Heart, October 1, 2001; 86(4): 368 - 372.
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HypertensionHome page
M. Galderisi, G. Vitale, G. Lupoli, M. Barbieri, G. Varricchio, C. Carella, O. de Divitiis, and G. Paolisso
Inverse Association Between Free Insulin-Like Growth Factor-1 and Isovolumic Relaxation in Arterial Systemic Hypertension
Hypertension, October 1, 2001; 38(4): 840 - 845.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
B. D. Hoit
Two Faces of Nitric Oxide: Lessons Learned From the NOS2 Knockout
Circ. Res., August 17, 2001; 89(4): 289 - 291.
[Full Text] [PDF]


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Cardiovasc ResHome page
U. K.M. Decking, J. P. Williams, R. Dahmann, T. Stumpe, M. Kelm, and J. Schrader
The nitric oxide-induced reduction in cardiac energy supply is not due to inhibition of creatine kinase
Cardiovasc Res, August 1, 2001; 51(2): 313 - 321.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
Y. Imai, B. Jiang, and A. J Pappano
Mechanism for muscarinic inhibition of ICa(L) is determined by the path for elevating cyclic AMP in cardiac myocytes
Cardiovasc Res, August 1, 2001; 51(2): 331 - 343.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
Y. Kumagai, T. Hayashi, T. Miyauchi, A. Endo, A. Iguchi, M. Kiriya-Sakai, S. Sakai, K. Yuki, M. Kikushima, and N. Shimojo
Phenanthraquinone inhibits eNOS activity and suppresses vasorelaxation
Am J Physiol Regulatory Integrative Comp Physiol, July 1, 2001; 281(1): R25 - R30.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
G. Vandecasteele, I. Verde, C. Rucker-Martin, P. Donzeau-Gouge, and R. Fischmeister
Cyclic GMP regulation of the L-type Ca2+ channel current in human atrial myocytes
J. Physiol., June 1, 2001; 533(2): 329 - 340.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
R. Rastaldo, N. Paolocci, A. Chiribiri, C. Penna, D. Gattullo, and P. Pagliaro
Cytochrome P-450 metabolite of arachidonic acid mediates bradykinin-induced negative inotropic effect
Am J Physiol Heart Circ Physiol, June 1, 2001; 280(6): H2823 - H2832.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
A. Sener and F. G. Smith
Nitric oxide modulates arterial baroreflex control of heart rate in conscious lambs in an age-dependent manner
Am J Physiol Heart Circ Physiol, May 1, 2001; 280(5): H2255 - H2263.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
A. Godecke, T. Heinicke, A. Kamkin, I. Kiseleva, R. H Strasser, U. K M Decking, T. Stumpe, G. Isenberg, and J. Schrader
Inotropic response to {beta}-adrenergic receptor stimulation and anti-adrenergic effect of ACh in endothelial NO synthase-deficient mouse hearts
J. Physiol., April 1, 2001; 532(1): 195 - 204.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
A.C. Mendes Ribeiro, T.M.C. Brunini, J.C. Ellory, and G.E. Mann
Abnormalities in L-arginine transport and nitric oxide biosynthesis in chronic renal and heart failure
Cardiovasc Res, March 1, 2001; 49(4): 697 - 712.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
K. Abe, M. Tokumura, T. Ito, T. Murai, A. Takashima, and N. Ibii
Involvement of iNOS in postischemic heart dysfunction of stroke-prone spontaneously hypertensive rats
Am J Physiol Heart Circ Physiol, February 1, 2001; 280(2): H668 - H673.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
Y.-P. Wang, H. Xu, K. Mizoguchi, M. Oe, and H. Maeta
Intestinal ischemia induces late preconditioning against myocardial infarction: a role for inducible nitric oxide synthase
Cardiovasc Res, February 1, 2001; 49(2): 391 - 398.
[Abstract] [Full Text] [PDF]


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PerfusionHome page
D B. Sanders, D. F Larson, K. Hunter, M. Gorman, and B. Yang
Comparison of tumor necrosis factor-effect on the expression of iNOS in macrophage and cardiac myocytes
Perfusion, January 1, 2001; 16(1): 67 - 74.
[Abstract] [PDF]


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Postgrad. Med. J.Home page
M T Kearney, J M Cotton, P J Richardson, and A M Shah
Viral myocarditis and dilated cardiomyopathy: mechanisms, manifestations, and management
Postgrad. Med. J., January 1, 2001; 77(903): 4 - 10.
[Abstract] [Full Text]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Y.-T. Xuan, X.-L. Tang, Y. Qiu, S. Banerjee, H. Takano, H. Han, and R. Bolli
Biphasic response of cardiac NO synthase isoforms to ischemic preconditioning in conscious rabbits
Am J Physiol Heart Circ Physiol, November 1, 2000; 279(5): H2360 - H2371.
[Abstract] [Full Text] [PDF]