“…Under physiological conditions, the endothelial lining of vessels contributes to the regulation of vascular tone via NO production by the calcium/calmodulin-dependent constitutive NO synthase (ecNOS) (Furchgott & Zawadzki, 1980;Ignarro et al, 1987;Palmer et al, 1988;Vallance et al, 1989;Rees et al, 1989;Bredt et al, 1991). There is increasing evidence, however, for a different mechanism of NO formation via the inducible and calcium-independent NO synthase (iNOS) in a variety of cells, including macrophages (Stuehr et al, 1991;Xie et al, 1992)) and vascular smooth muscle cells (Fleming et al, 1990;Beasley, 1990;Beasley et al, 1989; Busse & Mulsch, 1990). Such an endotoxin-and cytokine-inducible pathway synthesizing large amounts of NO and increasing cyclic GMP in the vasculature appears to be responsible for the hypotension, reduced responsiveness to vasoconstrictors and cardiovascular collapse associated with septic shock (Kilbourne & Belloni 1990;Kilbourne et al, 1991), as well as for the side effects of anti-tumour therapy with cytokines (Moritz et al, 1989;Hibbs et al, 1992).…”