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Circulation Research. 2001;88:e12-e13

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(Circulation Research. 2001;88:e12.)
© 2001 American Heart Association, Inc.


Letter to the Editor

Peroxynitrite: Toxic or Protective in the Heart?

Péter Ferdinandy1


1 Cardiovascular Research Group, Department of Biochemistry, University of Szeged, Szeged, Hungary

Richard Schulz2


2 Cardiovascular Research Group, Departments of Pediatrics and Pharmacology, University of Alberta, Edmonton, Alberta, Canada, richard.schulz@ualberta.ca


*    Peroxynitrite: Toxic or Protective in the Heart?
 
To the Editor:

The literature is somewhat controversial as to whether peroxynitrite (ONOO) is either cytotoxic or cytoprotective. An Editorial by Vinten-Johansen1 recently suggested that deleterious effects of ONOO in the heart are predominantly observed in in vitro or ex vivo crystalloid buffer–perfused systems; however, ONOO is cardioprotective if applied in vivo. Does the exogenous administration of ONOO accurately reflect pathological conditions in which the endogenous generation of ONOO within cells is enhanced?

Because of the short half-life of ONOO at physiological pH, it has very little chance to reach its cellular targets when it is applied via the blood, as it rapidly reacts with plasma proteins and thiols such as glutathione and cysteine. Thus, ONOO is likely to be detoxified before it has a chance to reach tissues downstream of the injection site, let alone the intracellular compartment.2 ONOO forms S-nitrosothiols when it combines with thiol groups,3 which then act as nitric oxide (NO) donors. Because NO itself is a cardioprotective and antioxidant molecule,4 protection from noxious stimuli may result when exogenous ONOO is administered intravenously. Accordingly, exogenously administered ONOO was shown to inhibit leukocyte-endothelial cell interactions and to protect against ischemia/reperfusion injury in rats in vivo.5 Intraventricular infusion of ONOO reduced myocardial infarct size and preserved coronary endothelium after ischemia and reperfusion in cats,6 an effect that was mediated by the intermediate formation of S-nitrosothiols.7

Exogenously applied ONOO, however, has been shown to be detrimental to cellular functions when it was applied in crystalloid . . . [Full Text of this Article]




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