Nitric oxide (NO) is a widely recognized mediator of physiological and path
ophysiological signal transmission. Its generation through L-arginine metab
olism is relevant in the mesangium of the kidney where NO is produced by co
nstitutive and inducible NO-synthase isoenzymes. Signaling is achieved thro
ugh target interactions via redox and additive chemistry. In mesangial cell
s (MC), the outcome of these modifications promote on one side activation o
f soluble guanylyl cyclase while on the other side cytotoxicity is elicited
. These contrasting situations are characterized by: 1) cGMP formation and
signal propagation towards myosin light chain kinase, the effector system t
hat regulates F-actin assembly, thereby affecting reversible relaxation/con
traction of mesangial cells; and 2) initiation of morphological and biochem
ical alterations that are reminiscent of apoptosis such as chromatin conden
sation, p53 or Bar accumulation as well as caspase-3 activation. Off note,
NO formation with concomitant initiation of apoptosis is efficiently antago
nized by the simultaneous presence of superoxide (O-2(-)) We will recall, t
he consequences that stem from a diffusion controlled NO/O-2(-) interaction
thereby redirecting the apoptotic initiating activity of either NO or O-2(
-) towards protection. The crosstalk between cell destructive and protectiv
e signaling pathways, their activation or inhibition under the modulatory i
nfluence of NO will be discussed. Here we give examples of how NO elicits p
hysiological and pathophysiological signal transmission in rat MC.