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The Nobel Prize in Physiology or Medicine 1998. "for their discoveries concerning nitric oxide as a signaling molecule in the cardiovascular system". Group 6 B9502002 王元欽 B9502013 吳明諴 B9502016 呂宗哲 B9502040 徐鴻麟 B9502042 屠冠翔 B9502049 莊千儀. The Introduction of Nitric oxide.
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The Nobel Prize in Physiology or Medicine 1998 "for their discoveries concerning nitric oxide as a signaling molecule in the cardiovascular system" Group 6 B9502002 王元欽 B9502013 吳明諴 B9502016 呂宗哲 B9502040 徐鴻麟 B9502042 屠冠翔 B9502049 莊千儀
NO Is Harmful to Our Body • Free radical • The combination with hemoglobin
The Nobel Prize in Medicine 1998 Robert F. Furchgott
Research • Factors Influencing Contractility of Cardiac Muscle • Endothelium-dependent Relaxation
Discovery • EDRF(endothelium-derived relaxing factor) • Actually EDRF is NO (by 1986 Louis J. Ignarro)
The paradox of ACh • 1953 paper contradictive (Reactions of strips of rabbit aorta to epinephrine, isoproterenol, sodium nitrite and other drugs) • Ach In vivorelax In vitro contract • 1980 an accidental finding (EDRF) In vitrorelax
Sandwich Experiment(1980) with endothelium ‘sandwich’: ACh relaxation With no endothelium: ACh contraction
Ferid MuradThe Nobel Prize in Physiology or Medicine 1998 Discovery of Some of the Biological Effects of Nitric Oxide and Its Role in Cell Signaling
The structure of GC (guanylyl cyclase) • Heterodimer with α and β subunits • α1, α2 , β1 andβ2
NO & GC • (A) ferrous heme <--------> histidine • (B) NO binds to ferrous heme ion • (C) ferrous heme <----X----> histidine
The Nobel Prize in Medicine 1998 Louis J.Ignarro • A series of experiments were designed to test the unpublished hypothesis that EDRF might be NO
First Experiment • Purpose: determine whether EDRF released from artery and vein could activate guanylate cyclase
GC arterial & venous rings Procedure: acetylcholine & bradykinin methylene blue GC activated responses blocked
Second Experiment • Purpose:determine whether the activation of guanylate cyclase by EDRF was heme-dependent as in enzyme activation by NO
intrapulmonary arterial rings with endothelium Intrapulmonary arterial rings without endothelium Procedure and result: tissue baths tissue baths Heme-containing GC Heme-deficient GC Heme-containing GC Heme-deficient GC Ach & NO Ach & NO Ach:activity of GC NO:activity of GC Ach:activity of GC NO:activity of GC Ach:activity of GC NO:activity of GC Ach:activity of GC NO:activity of GC
Ignarro's spectral analysis • Hemoglobin (yellow) exposed to endothelial cells that were stimulated to produceEDRF (green) • Hemoglobin (yellow) directly exposed to NO (green)
NO&cardiovascular system • NO is a signal molecule of key importance for the cardiovascular system • Known as the 'endothelium-derived relaxing factor', or 'EDRF'
Function • Turns off the contraction, results in a dilatation of the arteries • Controls the blood pressure and its distribution • Prevents the formation of thrombi
Production of NO • NO is biosynthesised from L-arginine and oxygen by various nitric oxide synthase (NOS) enzymes
The Generation of NO in Our Bodies • In synapse • In endothelium of blood vessels • In macrophages & neutrophils
NOS (Notric oxide synthetase) • nNOS(neural NOS) • eNOS(endothelial NOS) • iNOS (inducible NOS)
Viagra -against impotence • cGMP is regulated by a enzyme called PDE(Phosphodiesterase) • PDE5(type 5)will accelerate the consumption of cGMP of cavernous body of penis. As the amount of cGMP is not enough,the penis will not erect • Viagra decreases the consumption of cGMP of cavernous body of penis by inhibiting PDE5, enhancing the function of NO and making the penis erect
stimulation cavernous body of penis NANC NO Endothelial cells Guanylate cyclase cGMP GTP Penile erection X GMP PDE5 Viagra
Shock • Septic shock、 Hemorrhagic Shock • iNOS • excessive production of NO • Dilation of blood vessels Down of blood pressure Shock
Sickle Cell Anaemia • When sickle hemoglobin (HbS) gives up its oxygen to the tissues, it sticks together to form long rods inside the red blood cells, making these cells rigid and sickle-shaped.
The latest breakthrough • Discovered by Dr. C.A.Head • Result: NO will increase the affinity between hemoglobin and oxygen of patients, but no effect on normal people 「It may be one of the most important medical developments during the ten years!!」