Nitric oxide (NO), which accounts for the biological activity of endot
helium-derived relaxing factor, is now thought to play a variety of ro
les in the nervous system and in immunologic reactions. NO is synthesi
zed from L-arginine by nitric oxide synthase (NOS). There are three is
oforms of NOS; type I (neuronal), type II (inducible), and type III (e
ndothelial). The fundamental structure of the three isoforms, which co
ntain calmodulin-, FMN-, FAD-, and NADPH-binding domains, is the same.
Calmodulin is already bound to inducible NOS without requiring Ca2+,
while the others are Ca2+/calmodulin-dependent. Endothelial NOS is bou
nd to membranes by N-myristoylation, while the other isoforms are solu
ble. The human endothelial NOS gene has been cloned. It has several hi
ghly repetitive regions which could provide potential sites for DNA po
lymorphism. It might be of interest to examine the relationship betwee
n such polymorphism and cardiovascular disorders.