Nitric oxide (NO) is an important signalling molecule that plays a relevant
role in different cell systems, among them the adult heart. The effects of
NO are primarily mediated through modulation of Ca2+ homeostasis, myofibri
llar contractility, and metabolic regulation in cardiomyocytes. Recent evid
ence also suggests an important role of NO for cardiomyogenesis by modulati
ng proliferation and differentiation and regulating cardiac function. In th
e embryonic, but also the healthy and diseased, adult mammalian heart, the
inducible (iNOS) and the endothelial (eNOS) nitric oxide synthases (NOS) ar
e detected. However, the expression pattern of NO and its function differ d
uring development. Furthermore, under pathophysiological conditions NOS exp
ression can also change and cause impairment of cardiac performance and cyt
otoxic effects. The present review focuses on the role and function of NO d
uring cardiomyogenesis, the mechanisms responsible for eNOS availability, a
nd the paracrine effects of NO generated by cardiomyocytes. (C) 2001 Wiley-
Liss, Inc.