Nitric oxide is a gas radical regulating cell, behaviour in the cardiovascu
lar, immune, and central nervous systems. It has now been established as an
important signalling molecule in bone, However, the effects of this gas ra
dical on osteoblastic function are still unclear; in fact, while NO seems t
o be involved in anabolic processes mediated by mechanical strain, sex horm
ones and fracture healing, it also mediates catabolic processes in response
to inflammation. We show here that a slow and moderate release of nitric o
xide stimulates the replication of primary rat osteoblasts and alkaline pho
sphatase activity, while a rapid release and high concentrations of NO inhi
bit proliferation and induce apoptosis. We demonstrate that both the stimul
atory and apoptosis-inducing effects of NO on primary osteoblasts are media
ted by the second messenger cGMP, since both are abolished by the guanylate
cyclase inhibitor ODQ. (C) 2000 Academic Press.