Da. Wink et al., NITRIC-OXIDE PROTECTS AGAINST CELLULAR-DAMAGE AND CYTOTOXICITY FROM REACTIVE OXYGEN SPECIES, Proceedings of the National Academy of Sciences of the United Statesof America, 90(21), 1993, pp. 9813-9817
Nitric oxide, NO, which is generated by various components of the immu
ne system, has been presumed to be cytotoxic. However, NO has been pro
posed to be protective against cellular damage resulting during ischem
ia reperfusion. Along with NO there is often concomitant formation of
superoxide/hydrogen peroxide, and hence a synergistic relationship bet
ween the cytotoxic effects of nitric oxide and these active oxygen spe
cies is frequently assumed. To study more carefully the potential syne
rgy between NO and active oxygen species in mammalian cell cytotoxicit
y, we utilized either hypoxanthine/xanthine oxidase (a system that gen
erates superoxide/hydrogen peroxide) or hydrogen peroxide itself. NO g
eneration was accomplished by the use of a class of compounds known as
''NONOates,'' which release NO at ambient temperatures without the re
quirement of enzyme activation or biotransformation. When Chinese hams
ter lung fibroblasts (V79 cells) were exposed to hypoxanthine/xanthine
oxidase for various times or increasing amounts of hydrogen peroxide,
there was a dose-dependent decrease in survival of V79 cells as measu
red by clonogenic assays. However, in the presence of NO released from
(C2H5)2N[N(O)NO]-Na+ (DEA/NO), the cytotoxicity resulting from supero
xide or hydrogen peroxide was markedly abrogated. Similarly, primary c
ultures of rat mesencephalic dopaminergic cells exposed either to hydr
ogen peroxide or to hypoxanthine/xanthine oxidase resulted in the degr
adation of the dopamine uptake and release mechanism. As was observed
in the case of the V79 cells, the presence of NO essentially abrogated
this peroxide-mediated cytotoxic effect on mesencephalic cells.