Our findings add evidence to the role of NO in modulating
neurotransmission and the to growing list of other physiological roles
for NO. Unlike the other cellular signaling molecules, cAMP, cGMP, and
inositol 1,4,5-trisphosphate, NO diffuses across biological membranes,
which allows NO to participate in both intra- and intercellular
signaling pathways.
31 Given its labile
nature
32 and that it is not compartmentalized by cellular
boundaries,
31 the regulation of NO relies on
synthesis on demand by NOS using the substrate
l-arginine. Three distinct forms of NOS have been
identified, and of these, two isoforms are considered
constitutively expressed, and the third is considered
inducible.
33 The nomenclature for the constitutive forms
are NOSI, also known as neuronal NOS or nNOS, and NOSIII, also called
endothelial NOS or eNOS. The inducible form, iNOS, has been designated
NOSII. The cofactors, the differential regulation of the constitutive
versus inducible NOS isoforms by calcium-calmodulin, and
transcriptional regulation of NOSII have been well
established.
34 NO has been demonstrated to be involved
in vasodilation in arterial smooth muscle,
35 cytotoxicity
mediated by activated macrophages,
36 attenuation of
vascular endothelial proliferation,
37 neurotransmission,
34 and vision.
10 38 39 More
recently, upregulation of NOSII was demonstrated in the optic nerve
heads of patients with glaucoma
40 and in rats with
experimental glaucoma.
41 Both of these latter observations
suggest a potential role for NO in the pathogenesis of glaucomatous
optic neuropathy.