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Nitric oxide can function as either a killer molecule or an antiapoptotic effector in cardiomyocytes

C Stefanelli1, C Pignatti, B Tantini

  • 1Department of Biochemistry 'G. Moruzzi', University of Bologna, Via Irnerio, 48, 40126, Bologna, Italy. cstefan@biocfarm.unibo.it

Insights

Nitric oxide (NO) inhibits caspase activity, crucial for apoptosis. However, NO is also toxic. N-Acetylcysteine (NAC) reduces NO toxicity, allowing NO to act as an antiapoptotic agent by inhibiting caspases.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Pharmacology

Background:

  • Caspase enzymes are key regulators of apoptosis.
  • Nitric oxide (NO) can S-nitrosylate and inhibit caspases.
  • The dual role of NO in cell death and survival requires further investigation.

Purpose of the Study:

  • To investigate the effect of NO donors on caspase activity and cell viability in chick embryo heart cells (CEHC).
  • To determine if N-Acetylcysteine (NAC) can mitigate NO-induced cytotoxicity without affecting its caspase inhibitory properties.
  • To explore the potential of NO as an antiapoptotic agent under specific redox conditions.

Main Methods:

  • Treatment of CEHC with NO donors (SNAP, S-nitrosoglutathione, spermine-NO, sodium nitroprusside).
  • Assessment of caspase activity and cellular glutathione levels.
  • Evaluation of cell viability and death.
  • Co-treatment with NO donors and N-Acetylcysteine (NAC).

Main Results:

  • NO donors inhibited caspase activity in both basal and staurosporine-treated CEHC.
  • NO donor treatment resulted in parallel cytotoxic effects, masking potential antiapoptotic actions.
  • NAC (10 mM) prevented glutathione depletion and cell death in SNAP-treated cells.
  • NAC did not significantly inhibit SNAP's effect on caspase activity.
  • In the presence of NAC, SNAP inhibited both caspase activity and cell death in staurosporine-treated CEHC.

Conclusions:

  • Modulating the cellular redox environment with NAC can decouple NO's toxicity from its caspase-inhibitory effects.
  • This suggests NO can be repurposed from a cytotoxic molecule to an antiapoptotic agent.
  • Targeting redox balance may enhance the therapeutic potential of NO in conditions involving apoptosis.

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