Abstract-Reduction of nitrite (NO 2Ϫ ) provides a major source of nitric oxide (NO) in the circulation, especially in hypoxemic conditions. Our previous studies suggest that xanthine oxidoreductase (XOR) is an important nitrite reductase in the heart and kidney. Herein, we have demonstrated that conversion of nitrite to NO by blood vessels and RBCs was enhanced in the presence of the XOR substrate xanthine (10 mol/L) and attenuated by the XOR inhibitor allopurinol (100 mol/L) in acidic and hypoxic conditions only. Whereas endothelial nitric oxide synthase (eNOS) inhibition had no effect on vascular nitrite reductase activity, in RBCs L-NAME, L-NMMA, and L-arginine inhibited nitrite-derived NO production by Ͼ50% (PϽ0.01) at pH 7.4 and 6.8 under hypoxic conditions. Western blot and immunohistochemical analysis of RBC membranes confirmed the presence of eNOS and abundant XOR on whole RBCs. Thus, XOR and eNOS are ideally situated on the membranes of RBCs and blood vessels to generate intravascular vasodilator NO from nitrite during ischemic episodes. In addition to the proposed role of deoxyhemoglobin, our findings suggest that the nitrite reductase activity within the circulation, under hypoxic conditions (at physiological pH), is mediated by eNOS; however, as acidosis develops, a substantial role for XOR becomes evident. (Circ Res. 2008;103:957-964.)Key Words: blood vessels Ⅲ cardiovascular research Ⅲ hypoxia Ⅲ nitric oxide U ntil recently, nitrite (NO 2 Ϫ ) was considered to be merely an inactive metabolite of the pleiotropic molecule nitric oxide (NO). However, recent studies have demonstrated that this view is incorrect, and, indeed, nitrite is now believed to be an important functional vascular mediator. This functionality is thought to lie in its role as an important storage form of NO 1 that is released particularly in situations where conventional NO synthesis, via the L-arginine-NO synthase (NOS) pathway, 2 has been compromised. This reduction to NO has been implicated as underlying nitrite-induced protection against ischemia/reperfusion (I/R) and hypoxic injury in the myocardial, 3-5 hepatic, 4 renal, 6 pulmonary, 7 and cerebral vasculature. 8 More recently, the functional remit of nitrite has been extended further with the proposal that it is active in physiological conditions. Indeed, nitrite causes dosedependent vasodilatation in the brachial artery of normal volunteers, 9,10 and we have recently demonstrated that dietary nitrate, via its bioconversion to nitrite, causes a marked decrease in blood pressure, inhibition of platelet aggregation, and the prevention of endothelial dysfunction following an I/R insult in the human forearm. 11 Such findings support the thesis that nitrite may have an important role in maintaining vascular homeostasis, in addition to its protective effects against cardiovascular disease.A number of distinct endogenous pathways have been identified in facilitating reduction of nitrite to NO in the circulation, over and above that achieved by simple chemical acidification. In par...
Studies of aggregation chimaeras and X-linked polymorphisms strongly suggest that liver tumours are derived from single cells (monoclonal), but the important question is, which cell? Stem cell biology and cancer are inextricably linked. In continually renewing tissues such as the gut mucosa and epidermis, where a steady flux of cells occurs from the stem cell zone to the terminally differentiated cells that are imminently to be lost, it is widely accepted that cancer is a disease of stem cells, since these are the only cells that persist in the tissue for a sufficient length of time to acquire the requisite number of genetic changes for neoplastic development. In the liver the identity of the founder cells for the two major primary tumours, hepatocellular carcinoma and cholangiocarcinoma, is more problematic. The reason for this is that no such obvious unidirectional flux occurs in the liver, although it is held that the centrilobular hepatocytes may be more differentiated (polyploid) and closer to cell senescence than those cells closest to the portal areas. Moreover, the existence of bipotential hepatic progenitor cells, along with hepatocytes endowed with longevity and long-term repopulating potential suggests there may be more than one type of carcinogen target cell. Cell proliferation at the time of carcinogen exposure is pivotal for 'fixing' any genotoxic injury into a heritable form, thus any proliferative cell in the liver can be susceptible to neoplastic transformation. Hepatocytes are implicated in many instances of hepatocellular carcinoma, direct injury to the biliary epithelium implicates cholangiocytes in some cases of cholangiocarcinoma, while hepatic progenitor cell/oval cell activation accompanies many instances of liver damage irrespective of aetiology, making such cells very likely carcinogen targets. Of course, we must qualify this assertion by stating that many carcinogens are both cytotoxic and cytostatic, and that hepatic progenitor cell proliferation may be merely a bystander effect of this toxicity. An in-depth discussion of causes of cancer in the liver is beyond the scope of this review, but infectious agents (e.g. hepatitis B and C viruses) play a major role, not just in transactivating or otherwise disrupting cellular proto-oncogenes (hepatitis B virus), but also in causing chronic inflammation (hepatitis C and B viruses). Sustained epithelial proliferation in a milieu rich in inflammatory cells, growth factors and DNA-damaging agents (reactive oxygen and nitrogen species--produced to fight infection), will lead to permanent genetic changes in proliferating cells. Up-regulation of the transcription factor NF-kappaB in transformed hepatocytes, through the paracrine action of TNF-alpha from neighbouring endothelia and inflammatory cells, may be critical for tumour progression given the mitogenic and antiapoptotic properties of proteins encoded by many of NF-kappaB's target genes.
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