Cited by 863Nitric Oxide and Endothelin EffectsCardiovascular Health and Disease PreventionEicosanoids and Hypertension Pharmacology

The discovery of nitric oxide and its role in vascular biology

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Moncada, S, Higgs, E A·2006·British Journal of Pharmacology

Abstract

Nitric oxide (NO) is a relative newcomer to pharmacology, as the paper which initiated the field was published only 25 years ago. Nevertheless its impact is such that to date more than 31,000 papers have been published with NO in the title and more than 65,000 refer to it in some way. The identification of NO with endothelium‐derived relaxing factor and the discovery of its synthesis from L‐arginine led to the realisation that the L‐arginine: NO pathway is widespread and plays a variety of physiological roles. These include the maintenance of vascular tone, neurotransmitter function in both the central and peripheral nervous systems, and mediation of cellular defence. In addition, NO interacts with mitochondrial systems to regulate cell respiration and to augment the generation of reactive oxygen species, thus triggering mechanisms of cell survival or death. This review will focus on the role of NO in the cardiovascular system where, in addition to maintaining a vasodilator tone, it inhibits platelet aggregation and adhesion and modulates smooth muscle cell proliferation. NO has been implicated in a number of cardiovascular diseases and virtually every risk factor for these appears to be associated with a reduction in endothelial generation of NO. Reduced basal NO synthesis or action leads to vasoconstriction, elevated blood pressure and thrombus formation. By contrast, overproduction of NO leads to vasodilatation, hypotension, vascular leakage, and disruption of cell metabolism. Appropriate pharmacological or molecular biological manipulation of the generation of NO will doubtless prove beneficial in such conditions. British Journal of Pharmacology (2006) 147, S193–S201. doi:10.1038/sj.bjp.0706458

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  1. CELLEK, S. (1997). Nitrergic and noradrenergic interaction in dually innervated organs of the genitourinary tract. PhD Thesis. University of London.
  2. Vanhoutte, P.M., pp. 401-414. New York: Raven Press.
  3. Vanhoutte, P.M., pp. 427-436. New York: Raven Press.
  4. S200 S. Moncada & E.A. Higgs The discovery of nitric oxide and its role in vascular biology MONCADA, S. & HIGGS, E.A. (2000). Nitric oxide in cardiovascular function and disease. In: Atherosclerosis XII, Proceedings of the XIIth International Symposium on Atherosclerosis, eds.
  5. Stemme, S. & Olsson, A.G., pp. 81-89. Stockholm, The Netherlands: Elsevier.
  6. Colman, R.W., Hirsch, J., Marder, V.J., Clowes, A.W. & George, N.J., pp. 673-682. Lippincott Williams & Wilkins: Philadelphia.

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Authors
Moncada, S., & Higgs, E. A.
Affiliations
University College London (GB)
Corresponding author
Moncada, S
Venue
British Journal of Pharmacology
Publisher
Wiley
Published
2006-01
Volume
147
Issue
S1
Pages
S193-201
ISSN
  • 0007-1188 (ISSN-L)
  • 1476-5381
OpenAlex
W1537911503
Cited by
863
References
39
Citations by year
2026: 16 · 2025: 32 · 2024: 36 · 2023: 33 · 2022: 35 · 2021: 44 · 2020: 35 · 2019: 39 · 2018: 44 · 2017: 35 · 2016: 45 · 2015: 39 · 2014: 56 · 2013: 59 · 2012: 49
FWCI
35.44
Type
journal article
Language
en
Open access
Locations
  • British Journal of Pharmacology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Eicosanoids and Hypertension Pharmacology
Keywords
nitric oxide, endothelium-derived relaxing factor, L-arginine, nitric oxide synthase, vascular tone, vasodilation, platelet aggregation, smooth muscle cell proliferation, cardiovascular disease, hypertension, thrombosis, reactive oxygen species, mitochondrial respiration, endothelial dysfunction
MeSH terms
Animals, Arginine, Blood Vessels, Cardiovascular Diseases, Endothelium, Vascular, Free Radicals, Humans, Mitochondria, Nitric Oxide, History, 20th Century, History, 21st Century

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