Free radicals are chemical species with an unpaired electron in the ou
ter valence orbitals. The unpaired electron makes them paramagnetic (p
hysics) and relatively reactive (chemistry). The free radicals that ar
e normal metabolites in aerobic biological systems have varied reactiv
ities, ranging from the high reactivity of hydroxyl radical (t(1/2) =
10(-9) s) to the low reactivity of melanins (t(1/2) = days). The univa
lent reduction of oxygen that takes place in mammalian organs produces
superoxide radicals at a rate of about 2% of the total oxygen uptake.
The primary production of superoxide radicals sustains a free radical
chain reaction involving a series of reactive oxygen species (hydroge
n peroxide, hydroxyl and peroxyl radical and singlet oxygen). Nitric o
xide is almost unreactive as free radical except for its termination r
eaction with superoxide radical to yield the strong oxidant peroxynitr
ite. Nitric oxide also reacts with ubiquinol in a redox reaction, with
cytochrome oxidase competitively with oxygen, and oxymyoglobin and ox
yhemoglobin displacing oxygen. Septic shock and endotoxemia produce mu
scle dysfunction and oxidative stress due to increased steady state co
ncentrations of reactive oxygen and nitrogen species.