Nitric monoxide (NO) exerts a great variety of physiological functions. L-A
rginine supplies amino groups which are transformed to NO in various NO-syn
thase-active isoenzyme complexes. NO-synthesis is stimulated under various
conditions increasing the tissue of stable NO-metabolites. The major oxidat
ion product found is nitrite. Elevated nitrite levels were reported to exis
t in a variety of diseases including HIV, reperfusion injury and hypovolemi
c shock. Denitrifying bacteria such as Paracoccus denitrificans have a memb
rane bound set of cytochromes (cyt cd(1), cyt be) which were shown to be in
volved in nitrite reduction activities. Mammalian mitochondria have similar
cytochromes which form part of the respiratory chain. Like in bacteria qui
nols are used as reductants of these types of cytochromes. The observation
of one-e(-) divergence from this redox-couple to external dioxygen made us
to study whether this site of the respiratory chain may also recycle nitrit
e back to its bioactive form NO. Thus, the aim of the present study was the
refore to confirm the existence of a reductive pathway which reestablishes
the existence of the bioregulator NO from its main metabolite NO2-. Our res
ults show that respiring mitochondria readily reduce added nitrite to NO wh
ich was made visible by nitrosylation of deoxyhemoglobin. The adduct gives
characteristic triplet-ESR-signals, Using inhibitors of the respiratory cha
in for chemical sequestration of respiratory segments we were able to ident
ify the site where nitrite is reduced. The results confirm the ubiquinone/c
yt bc(1) couple as the reductant site where nitrite is recycled. The high a
ffinity of NO to the heme-iron of cytochrome oxidase will result in an impa
irment of mitochondrial energy-production. "Nitrite tolerance" of angina pe
ctoris patients using NO-donors may be explained in that way.