The nitric oxide synthases (NOS), although unrelated to the cytochromes P45
0 in terms of sequence, exhibit spectroscopic and catalytic properties stro
ngly reminiscent of those of the P450 system. One important difference is t
he requirement of the NOS enzymes for tetrahydrobiopterin. The biopterin co
factor is shown by chemical studies to bind close to pyrrole ring D of the
prosthetic heme group, a position confirmed recently for inducible NOS and
endothelial NOS by crystal structures. The only plausible role so far for t
he tetrahydrobiopterin is as a transient electron donor for the activation
of molecular oxygen. NADPH-derived electrons are provided to the heme by th
e NOS flavin domain, but the biopterin may be required to provide an electr
on at a faster rate than that supported by the flavin groups. Chimeras in w
hich the reductase domains of the isoforms have been exchanged indicate tha
t the overall rate of catalytic turnover is directly governed by the abilit
y of the flavin domain to deliver electrons. Electron transfer from the fla
vin to the heme domain, and within the flavin end heme domains, is thus a c
ritical determinant of the catalytic turnover of NOS.