13: Nitric oxide and H2S Flashcards

1
Q

why is NO highly reactive

A

it’s a free radical

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2
Q

what forms NO

A

L arg and O2

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3
Q

what is EDRG

A

endothelial derived relaxing factor (NO)

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4
Q

vasodilation by ACh, bradykinin, histamine, ATP due to

A

EDRF

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5
Q

3 isoforms of NO

A

eNOS
nNOS
iNOS

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6
Q

where are eNOS found

A

endothelial cells

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7
Q

where are nNOS ofund

A

neurons

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8
Q

where are iNOS found

A

macrophages

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9
Q

which isoform of NOS is inducible

A

iNOS

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10
Q

which isoform of NOS produces the least NO

A

eNOS and nNOS

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11
Q

the rate of production of NO is determined by

A

the enzyme rather than the amount of substrate

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12
Q

NOS homodimers are inactive or active

A

active

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13
Q

what facilitates dimer formation for NOS

A

TH4 and heme

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14
Q

what group do NOS belong to

A

oxidoreductases

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15
Q

bound Ca2+ calmodulin facilitates transfer of electrons from

A

NADPH to flavin to heme

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16
Q

what does eNOS and nNOS require as cofactors that iNOS doesn’t

A

Ca2+/ calmodulin

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17
Q

cGMP independent effects

A

bind other heme containing enzymes
S-nitrosylation of thiol groups
deamination of DNA bases

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18
Q

what can cGMP affect

A
ion channels
protein kinases (PKG)
phosphodiesterases (PDE)
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19
Q

what is cGMP broken down by? into what?

A

PDE5 into 5’GMP

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20
Q

3 major pathways for NO inactivation

A

binding hemoglobin
formation of nitrate and nitrite
formation of peroxynitrite

21
Q

eNOS is regulated by

A

phosphorylation

22
Q

what can eNOS be activated by

A

Ca-calmodulin

sheer stress - Akt

23
Q

which NOS inhibits platelet adhesion and aggregation + tonically active in resistance vessels

24
Q

what decerases periperal vascular resistance and bp

25
what leads to NO production by nNOS
NMDA receptor activation
26
NO is a ___ in the CNS important for_____
NT | learning and memory formation
27
NO is a ___ in the PNS
NANC NT
28
what does NO do in the PNS
neurogenic vasodilation GI, resp, genitourinary functions autonomic innervation of SM
29
what regulates. influences neuroendocrine function
NO from nNOS
30
iNOS is regulated by
transcription
31
iNOS is _______ host defence
nonspecific
32
what is expressed in response to endotoxins, IL1, IFN, TNF
iNOS
33
what is activated against bacteria, viruses, fungi, protozoa, parasites, tumor cells
iNOS
34
what does iNOS cause
nitrosylation of NA binds heme enzymes binds mitochondrial enzymes responsible for respiration
35
what inhibits iNOS
glucocorticoids
36
excess production of NO results in
hypotension excitotoxicity inflammatory conditions- no drugs for this
37
inadequate NO results in
atherogenesis, thrombosis, hypertrophic pyloric stenosis, erectile dysfunction, pulmonary hypertension in newborn
38
nitroglycerin treats
angina
39
nitroprusside treats
hypertensive crisis
40
nebivolol effect
increases NOS
41
statins effect
increase in iNOS and decrease cholesterol
42
PDE5 inhibitors do what
block breakdown of cAMP
43
sidenafil and tadarafil do what
ehnance actions of NO
44
what to give to newborn with pulmonary hypertension
inhaled NO
45
other gases as chemical mediators
CO and H2S
46
how is CO produced
endogenous by heme oxygenase
47
effect of CO and H2S at low conc
both are vasodilators | H2S has antiinflammatory effects
48
H2S is produced from __ by
cysteine | cystathionine gamma lyase or cystathionine beta synthase
49
H2S is excreted as
thiosulfate, sulfite/ sulfate in urine