In recent years it has become apparent that peroxynitrite, which is on
e of the toxic metabolites originating from the reaction of nitric oxi
de and superoxide presents a number of pathologic states in which free
radicals are thought to be involved. Peroxynitrite is capable of oxid
izing a wide variety of biomolecules including plasma, proteins, lipid
s, carbohydrates and nucleic acids. Peroxynitrite is involved in the h
ydroxylation of aromatic compounds and acts as a nitrating agent. It m
odifies free or protein-associated tyrosine residues to give nitrotyro
sines, leaving a marker detectable in vivo. Peroxynitrite has been imp
licated in the pathophysiology of a variety of diseases including infl
ammation, atherosclerosis, arthritis, endotoxemia, ischaemia-reperfusi
on injury, or acute respiratory distress syndrome. Development of spec
ific per oxynitrite scavengers may provide new approaches for the effe
ctive treatment of these disease states.