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3.3.2 Reactions with transition metals and metalloproteins<br />

<strong>The</strong> biological chemistry <strong>of</strong> NO is strongly mediated through reaction with transition metals.<br />

<strong>The</strong> reaction is with catalytic metal centres such as iron (Fe) in both haem and nonhaem<br />

proteins (Tsai 1994). <strong>The</strong> high affinity <strong>of</strong> NO for the ferrous iron (Fe2+ in the reduced state) in<br />

haemoglobin leads to a key interaction (Sharma, Traylor et al. 1987; Eich, Li et al. 1996). In<br />

vivo, this reaction <strong>of</strong> NO and oxyhaemoglobin to form methaemoglobin and nitrate (NOl)<br />

represents the major pathway for scavenging the endogenous NO production and is a<br />

significant route <strong>of</strong> NO removal (Lancaster, Langrehr et al. lgg2). While this reaction is<br />

rapid, in fact it would be too rapid to allow NO to interact with the subendothelial layer in the<br />

vascular compartment (Lancaster, Langrehr et al. 1992). However, it is now known that when<br />

the haemoglobin is in erythrocytes, the reaction with NO is limited by diffusion into the cell<br />

and the half life is increased (Liu, Miller et al. 1998). Studies have shown that 70Vo <strong>of</strong>the NO<br />

in humans is recovered as NO3- excreted through the urine (Westfelt, Benthin et al. 1995).<br />

Oxyhaemoglobin can also directly oxidase NOz and NO3 forming methaemoglobin.<br />

NO reaction with other Fe containing proteins can lead to either activation or inactivation<br />

depending on the protein. For example, the reaction with soluble guanylyl cyclase (sGC) leads<br />

to a conformational change which results in up to a 300 times increase in activation <strong>of</strong> the<br />

enzyme. Activation <strong>of</strong> sCG results in the formation <strong>of</strong> cyclic quanosine monophosphate<br />

(cGMP) from guanosine 5-triphosphate (GTp) (Ignarro, Degnan et al. l9g2) and accounts for<br />

major signal transduction activity <strong>of</strong> NO. It is likely to be this mechanism that is the primary<br />

one mediating vessel relaxation and the inhibition <strong>of</strong> platelet aggregation (Moncada and<br />

Higgs l99l),In contrast, formation <strong>of</strong> a nitrosyl complex with cytochrome c oxidase leads to<br />

reversible inhibition which is competitive with 02 binding @iserich, Patel et al. 1998).<br />

NO also interacts with other metals such as zinc and copper. Formation <strong>of</strong> nitrosyl<br />

compounds with co-ordinating cysteine residues results in release <strong>of</strong> zinc (Kroncke, Fehsel et<br />

al. 1994). Formation <strong>of</strong> nitrosyl compounds with copper also occurs, and is particularly<br />

important in copper containing enzymes such as the cytochrome c oxidase (Radi 1996). It is<br />

through this type <strong>of</strong> interaction with metal ion containing proteins (metalloproteins) that NO<br />

effects the enzymes <strong>of</strong> mitochondrial respiration and this is also a mechanism <strong>of</strong> the<br />

macrophage mediated defence and involves, for example, cytochrome c oxidase and catalases<br />

(Cleeter, Cooper et al. 1994; Torres, Darley-Usmar et al. 1995). Part <strong>of</strong> this is an NO and Oz<br />

competition at the cytochrome c oxidase binding site for 02 and therefore NO inhibition is<br />

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