“…The kinetic of NO generation from NCX-4016, however, is different from that of SNAP. In fact, the NO moiety of NCX-4016 dissociates slowly from aspirin, resulting in a lower, but sustained, release of NO; third, further supporting the view that the inhibitory activity of NCX-4016 on cytokine release was due to its NO moiety, we demonstrated that substituting the nitrooxymethyl-phenyl ester group, the NO moiety, with an hydroxymethyl-phenyl group resulted in a compound, the NCX-4017, highly cytotoxic, devoid of any pharmacological activity; fourth, NCX-4016 activates NOdependent pathways as demonstrated by the finding that incubating the cells with ODQ, to prevent guanosilyl cyclase activation, almost completely inhibited changes in [cGMP] i , although it had no effect on cytokines release (17); fifth, incubating monocytes with LPS resulted in a time-dependent activation of ICE-like endoproteases, an effect that was almost completely prevented by cotreating cells with NCX-4016, but not with aspirin or NCX-4017; sixth, inhibition of LPS-induced YVAD cleaving activities by NCX-4016 was reverted by DTT, an agent that effectively removes thiolbound NO groups from proteins (17,19,20,27,32); seventh, exposure to HgCl 2 , an agent that bind to thiol group, displaced NO from lysates obtained from NCX-4016-treated monocytes and resulted in a DTT-reversible inhibition of YVADase activity, indicating that the NO removed by HgCl 2 was bound to a cysteine group (17,19,20,27,32); and, finally, incubating LPS-challenged monocytes with NCX-4016, but not with aspirin, prevented ICE activation as measured by assessing the release of the p20 subunit (23,33). Taken together, these data demonstrated that incubating human monocytes with NCX-4016 results in intracellular NO formation and S-nitrosation/inhibition of ICE-like cysteine proteases involved in pro-IL-1 and pro-IL-18 processing (10 -12).…”