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Dusikov oksid i njegove funkcije

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Dušikov <strong>oksid</strong> i <strong>njegove</strong> <strong>funkcije</strong> B. Straus<br />

ZAKLJUČAK<br />

Dušikov se <strong>oksid</strong> stvara u raznim tkivima iz L-arginina katalitičkim<br />

djelovanjem konstitutivne ili inducibilne NO-sintaze. Tako stvoreni NO<br />

je važan medijator homeostatskih procesa i mehanizama obrane od<br />

mikroorganizama.<br />

Dušikov <strong>oksid</strong> izaziva relaksaciju krvnih žila, smanjuje debljinu<br />

intime u aterosklerozi, smanjuje krvni tlak i proliferaciju stanica glatkih<br />

mišića u hipertenziji.<br />

Promjene u stvaranju NO uzrok su raznih patoloških stanja. Arginin<br />

kao supstrat za nastanak NO kao i medikamentozni nitrovazodilatatori<br />

su terapija u slučaju nedovoljnog stvaranja NO, a vjerojatno će se<br />

primjenjivati u terapiji i inhibitori sinteze NO u slučaju prekomjernog<br />

stvaranja NO.<br />

Za očekivati je da će u skoroj budućnosti određivanje koncentracija<br />

nitrita, nitrata i arginina, a možda i citrulina u biološkom materijalu<br />

postati uobičajeno za praćenje određenih patoloških stanja vezanih za<br />

poremećaje stvaranja NO kao i praćenje uspjeha njihove terapije.<br />

NITRIC OXIDE AND ITS FUNCTIONS<br />

SUMMARY — The nitric oxide radical (NO) is an important intra- and<br />

extracellular messenger. Its discovery and understanding of its metabolism<br />

are considered one of the paramount achievements in physiology and biochemistry<br />

of the last decade. In-depth research performed in recent years has considerably<br />

clarified the metabolism of NO and its many functions in the body.<br />

Nitric oxide is formed in various tissues from L-arginine, under the influence<br />

of agonists and physical stimulants, by the catalytic activity of constitutive or<br />

inducible NO-synthase. Thus formed NO is an important mediator of homeostatic<br />

processes and mechanisms of defense against microorganisms. Presentation<br />

is made of the role of NO in the regulation of vascular tone and blood<br />

pressure, in the prevention of platelet aggregation, as a neurotransmitter in<br />

the regulation of gastrointestinal, respiratory and urogenital functions, as ivell<br />

as in nonspecific immunity due to its cytotoxic action on microorganisms and<br />

tumor cells. An account is also given of the possibilities of treatment of<br />

various pathologic states by activation or inhibition of NO formation.<br />

LITERATURA<br />

1. Green LC, Tannenbaum SR, Goldman<br />

P. Science 1981; 212:56.<br />

2. Stuehr DJ, Marletta MA. Proc Natl<br />

Acad Sci USA 1985; 82:7738-42.<br />

3. Hibbs JB, Vavrin Z, Taintor RR, J.<br />

Immunol 1987; 138:550-65.<br />

4. Ijengar R, Stuehr DJ, Marletta MA.<br />

Proc Natl Acad Sci USA 1987; 84:<br />

6369.<br />

5. Marletta MA, Yoon PS, Ivengar R,<br />

Leaf CD, Wishnok JS. Biochemistry<br />

1988; 27:8706-11.<br />

20 BIOCHEMIA MEDICA god. 6, br. 1, 1996.

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