Role of nitric oxide in cell respiration. Nitric oxide (NO) synthesize
d in a constitutive manner by a cell, acts on effector cells as a phys
iological regulator of the vascular tone, of platelet inhibition and o
f neuron-neuron interaction. By contrast, the release for longer perio
ds of time of higher amounts of inducible NO, transforms NO from a phy
siological mediator into a cytostatic and cytotoxic molecule. The pres
ence of NO synthetase in mitochondria suggests that physiological smal
l amounts of NO could be involved in cellular respiration regulation b
y inhibition of cytochrome oxidase. Long exposure of cells to NO resul
ts in an irreversible inhibition of cellular respiration not dependent
on a generalized superoxide or peroxynitrite formation. Cellular resp
iration inhibition could be reverted by either analyzing complex IV al
one, by blocking Complex I or by the addition of gluthation. Therefore
, our hypothesis is that suppression of complex IV is a normal physiol
ogical effect dependent on NO concentration. When cells are exposed to
NO for longer periods of time, thiol groups are nitrosilated in compl
ex I while gluthation transnitrosilates until its level drops to criti
cal values. At this point, cellular respiration is blocked and this co
uld be the pathway by which NO is transformed from a physiological med
iator into a pathological molecule. We also believe that thiol nitrosi
lation and transnitrosilation by gluthation is a critical mechanism in
volved in oxidative stress prevention.