2011
DOI: 10.2174/1875042701103010038
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Protective Role of Nitric Oxide Against Cardiac Arrhythmia - An Update

Abstract: Nitric oxide (NO), a ubiquitous cell signalling molecule, plays an important role in the regulation of cardiovascular function. NO is produced by all cell types in the heart and is widely implicated in vasodilation, inflammation, ischemic preconditioning and cell death. Mounting evidence now suggests that NO also provides protection against cardiac arrhythmia. Pharmacological studies using NO precursors and NO donors have observed an anti-arrhythmic effect, while inhibitors of NO biosynthesis increase arrhythm… Show more

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Cited by 4 publications
(4 citation statements)
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“…First NO-related effects on hypoxia- and reoxygenation-induced arrhythmias, especially ventricular arrhythmias, were reported in the 1970s when nitroglycerin was shown to be effective in these conditions (for review see [15]). Later several groups used NO precursor L-arginine as well as L-arginine methyl ester to cope with experimental ventricular arrhythmia [16, 17].…”
Section: Resultsmentioning
confidence: 99%
“…First NO-related effects on hypoxia- and reoxygenation-induced arrhythmias, especially ventricular arrhythmias, were reported in the 1970s when nitroglycerin was shown to be effective in these conditions (for review see [15]). Later several groups used NO precursor L-arginine as well as L-arginine methyl ester to cope with experimental ventricular arrhythmia [16, 17].…”
Section: Resultsmentioning
confidence: 99%
“…Additional consequences of the overproduction of ORF8 in Ds patients with COVID-19 are as follows: 1) the several structural similarities of this viral protein with the nitric oxide synthase can alter the serum concentrations of NO, reducing the protective function of this gas against arrhythmias ( Burger and Feng, 2011 ); 2) ORF8 can also be an important factor to aggravate the cytokine storm due its high degree of structural mimicry with immunoglobulins and their receptors ( Valcarcel et al, 2021 ), with the subsequent small protoembolic events that cause a cardiovascular damage similar to that of older Ds patients never infected with Covid-19 ( Colvin and Yeager, 2017 ; De Toma and Dierssen, 2020 ). 3) Taking into consideration that chromosome 21 also harbors multiple genes involved in the immune response, and their overexpression induces the dysregulation of interleukins IL-10, IL-22, and IL-26 prior to infection ( De Weerd and Nguyen, 2020 ), the presence of high levels of ORF8 could also be an important factor to aggravate the cytokine storm in Ds patients with COVID-19.…”
mentioning
confidence: 99%
“…Finally, Burger and Feng review current understanding and their own work on the protective role of NO in cardiac arrhythmia [7]. NO donors, nitroglycerin and sodium nitroprusside have long been known to protect the heart from ventricular arrhythmias [8,9].…”
mentioning
confidence: 99%
“…Additionally, genetic studies from animals deficient in NOS enzymes have found increased susceptibility to pharmacological or ischemiainduced arrhythmia while transgenic mice overexpressing certain NOS isozymes may be protected. The precise mechanisms of NO-mediated protection from arrhythmia are still under investigation but may include reductions in calcium overload, regulation of gap junction/connexin expression, reductions in oxidative stress, and regulation of sympathetic activity [7]. Further studies are required to determine the efficacy of specific NO donors and their effective doses before they can be tested in clinical trials in patients with cardiac arrhythmia.…”
mentioning
confidence: 99%