Nitrix oxide (NO) is a highly reactive and short-lived radical (half-I
ife time: 10-12 s), which is derived from L-arginine by the NO synthas
es (NOS) in several organ systems. The release of NO by endothelial ce
lls leads to rapid relaxation of vascular smooth muscle cells, whereas
release by several neuronal cells causes neurotransmission. When NOS
is actively Induced in immune cells or certain epithelia it causes cyt
otoxicity and/or apoptosis of these cells. In the reproductive organs
NO is now considered to be an important trigger molecule for several p
hysiological mechanisms. Follicular synthesized NO is involved in rupt
ure of the follicle during ovulation. Moreover, NO participates in the
acrosome reaction of spermatozoa during capacitation. Apoptosis and c
ollagenolysis of the functional endometrium may be involved in endomet
rial shedding during menstruation. Since NO induces both apoptosis and
collagenolysis, the newly discovered production of NO in late secreta
ry endometrium could act as a key mechanism in the process of menstrua
l disintegration of the endometrium. Additionally, NO is necessary to
support and maintain the decidualization process and plays a pivotal r
ole in implantation.