Peroxynitrite: biochemistry, pathophysiology and development of therapeutics
Abstract
Peroxynitrite--the product of the diffusion-controlled reaction of nitric oxide with superoxide radical--is a short-lived oxidant species that is a potent inducer of cell death. Conditions in which the reaction products of peroxynitrite have been detected and in which pharmacological inhibition of its formation or its decomposition have been shown to be of benefit include vascular diseases, ischaemia-reperfusion injury, circulatory shock, inflammation, pain and neurodegeneration. In this Review, we first discuss the biochemistry and pathophysiology of peroxynitrite and then focus on pharmacological strategies to attenuate the toxic effects of peroxynitrite. These include its catalytic reduction to nitrite and its isomerization to nitrate by metalloporphyrins, which have led to potential candidates for drug development for cardiovascular, inflammatory and neurodegenerative diseases.
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O2− may be neurotoxic by fueling formation of hydroxyl free radical or peroxynitrite.
“O 2 ⅐Ϫ may be neurotoxic by fueling the formation of highly pro-oxidant hydroxyl free radical or peroxynitrite (Halliwell, 2006;Szabo ´et al., 2007).”
From Neurotoxic Activation of Microglia Is Promoted by a Nox1-Dependent NADPH Oxidase (2008) · cites this paper as Szabo ´et al., 2007
Coactivation of NADPH oxidase and iNOS promotes a reaction between O2− and NO that gives rise to peroxynitrite.
“Coactivation of NADPH oxidase and iNOS promote a reaction between O 2 ⅐Ϫ and NO⅐, which gives rise to highly pro-oxidant peroxynitrite (ONOO Ϫ ) (Szabo ´et al., 2007).”
From Neurotoxic Activation of Microglia Is Promoted by a Nox1-Dependent NADPH Oxidase (2008) · cites this paper as Szabo ´et al., 2007
The fate of NO is dramatically changed in the presence of other free radicals such as superoxide.
“Biologically, this means that the fate of NO is dramatically changed in the presence of other free radicals such as superoxide (O2˙̄) (2, 20–22).”
From What Part of NO Don't You Understand? Some Answers to the Cardinal Questions in Nitric Oxide Biology (2010) · cites this paper as [21]
The best studied reaction of NO with other free radicals is the very rapid reaction of NO with superoxide to form peroxynitrite.
“The best studied of these reactions is the very rapid reaction of NO with superoxide to form peroxynitrite (2, 21, 22, 24).”
From What Part of NO Don't You Understand? Some Answers to the Cardinal Questions in Nitric Oxide Biology (2010) · cites this paper as [21]
Superoxide combines rapidly with nitric oxide at an approximately diffusion-limited rate (k=6.7×10^9 M^-1 S^-1) to form peroxynitrite.
“Superoxide is known to combine rapidly with nitric oxide (NO·) at an approximately diffusion-limited rate (k=6.7×109 M−1S−1) to form peroxynitrite”
From Redox regulation of mitochondrial function (2012) · cites this paper as [410]
In the injured or diseased gut, inflammation leads to increased production of reactive oxygen species such as superoxide, hydrogen peroxide and hydroxyl radicals and reactive nitrogen oxides such as peroxynitrite, dinitrogen trioxide and nitrogen dioxide.
“In the injured or diseased gut, inflammation leads to increased production of reactive oxygen species such as superoxide, hydrogen peroxide and hydroxyl radicals and reactive nitrogen oxides such as peroxynitrite, dinitrogen trioxide and nitrogen dioxide[320].”
From Enterosalivary nitrate metabolism and the microbiome: Intersection of microbial metabolism, nitric oxide and diet in cardiac and pulmonary vascular health (2017) · cites this paper as [320]
The presence of free radicals such as superoxide changes the fate of NO: once reacted, it forms peroxynitrite and can no longer bind to ferrous heme.
“The presence of free radicals such as superoxide (O2.−) [82-85] changes the fate of NO: once reacted, it forms peroxynitrite [82, 84, 85] and can no longer bind to ferrous heme [86].”
From Regulation of obesity and insulin resistance by nitric oxide (2014) · cites this paper as [84]
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References 319 · Cited by 2,134
- Authors
- Szabó, C., Ischiropoulos, H., & Radi, R.
- Affiliations
- University of Medicine and Dentistry of New Jersey (US)
- Children's Hospital of Philadelphia (US)
- Corresponding author
- Szabó, Csaba
- Venue
- Nature Reviews Drug Discovery
- Published
- 2007-08
- Volume
- 6
- Issue
- 8
- Pages
- 662-680
- ISSN
- 1474-1776 (ISSN-L)
- 1474-1784
- OpenAlex
- W2018076136
- Cited by
- 2,134
- References
- 319
- Citations by year
- 2026: 85 · 2025: 112 · 2024: 99 · 2023: 120 · 2022: 121 · 2021: 136 · 2020: 104 · 2019: 114 · 2018: 130 · 2017: 108 · 2016: 107 · 2015: 107 · 2014: 135 · 2013: 127 · 2012: 116
- FWCI
- 10.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nature Reviews Drug Discovery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Universidad de la República Uruguay
- National Institutes of Health
- National Institute on Aging (AG 13966, R01AG013966)
- National Heart, Lung, and Blood Institute (HL54926, R01HL054926)
- National Institute of General Medical Sciences (R01GM060915)
- National Institute of Environmental Health Sciences (ES013508, P30ES013508)
- Topics
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Keywords
- peroxynitrite, nitric oxide, superoxide, cell death, nitrite, nitrate, metalloporphyrins, ischemia-reperfusion injury, shock, inflammation, pain, neurodegeneration, cardiovascular disease, drug development, reactive oxygen species
- MeSH terms
- Animals, Cardiovascular Diseases, Humans, Metalloporphyrins, Models, Biological, Molecular Structure, Apoptosis, Neurodegenerative Diseases, Peroxynitrous Acid
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