Nitric oxide can have both pro-oxidant and antioxidant effects on low-
density lipoprotein. Nitric oxide does not appear to react directly wi
th components of LDL. However, in the presence of oxygen (through NO2
and N2O3 formation) or superoxide (through peroxynitrite formation) ni
tric oxide may cause oxidation of the lipid, protein and antioxidant c
omponents of LDL. Conversely nitric oxide is a potent inhibitor of LDL
oxidation when initiated by copper ions or by ate-initiators. The pos
sible implications of these observations to vascular pathology are dis
cussed.