Physiological levels of nitric oxide (NO) regulate vascular tone and p
rotect the microvasculature from injury whereas excessive NO may be ha
rmful. The present study explored the effects of NO on human endotheli
al cell apoptosis, We found that the NO donor S-nitroso-N-acetylpenici
llamine (SNAP) inhibited TNF alpha-induced endothelial apoptosis and t
hat this was mediated partly through the cGMP pathway. In contrast, hi
gh SNAP concentration induced endothelial apoptosis via cGMP-independe
nt pathways and the cGMP pathway protected against NO-induced apoptosi
s, These findings demonstrate that low NO concentrations contribute to
human endothelial cell survival, whereas higher NO concentrations are
pathological and promote destruction of endothelial cells. (C) 1998 F
ederation of European Biochemical Societies.