Nitric oxide can inhibit apoptosis or switch it into necrosis
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Updated: Oct 10, 2026

Activation of Apoptosis by Cytoplasmic Microinjection of Cytochrome c
Published on: June 29, 2011
G Melino1, M V Catani, M Corazzari
1IDI-IRCCS, Department of Experimental Medicine, University of Rome Tor Vergata, Italy. gerry.melino@uniroma2.it
Abstract:
Nitric oxide (NO) and its related molecules are important messengers that play central roles in pathophysiology. Redox modulation of thiol groups on protein cysteine residues by S-nitrosylation can modulate protein function. NO has emerged as a potent regulator of apoptosis in many cell types, either preventing cell death or driving an apoptotic response into a necrotic one. NO protects neuroblastoma cells from retinoid- and cisplatin-induced apoptosis, without significantly increasing necrotic cell damage. Nitrosylation of thiol groups of several critical factors may be important for cell survival. Indeed, S-nitrosylation of the active-site cysteine residue of apoptotic molecules, such as caspases and tissue transglutaminase, results in the inhibition of their catalytic activities and has important implications for the regulation of apoptosis by NO. On the other hand, NO is able to shift the anti-CD95- and ceramide-triggered apoptotic response of Jurkat T cells into necrotic cell death. In these apoptotic models, NO is therefore unable to solely inhibit cell death, indicating that it may act below the point of no return elicited by CD95-ligation and ceramide stimulation.
Insights
Nitric oxide (NO) regulates cell death by S-nitrosylation, modulating protein function to either prevent apoptosis or promote necrosis. This signaling molecule impacts neuroblastoma and T-cell survival pathways.
Area of Science:
- Biochemistry
- Molecular Biology
- Cell Biology
Background:
- Nitric oxide (NO) acts as a crucial signaling molecule in various physiological and pathological processes.
- S-nitrosylation, a redox modification of protein thiols, influences protein function and cellular signaling.
- NO's role in apoptosis is complex, capable of both inhibiting cell death and inducing necrosis.
Purpose of the Study:
- To investigate the dual role of nitric oxide (NO) in regulating apoptosis and necrosis in different cell types.
- To explore the mechanism of NO-mediated cell death regulation through S-nitrosylation of key proteins.
Main Methods:
- Utilized neuroblastoma and Jurkat T cell models to study apoptosis and necrosis.
- Investigated the effects of NO on retinoid-, cisplatin-, anti-CD95-, and ceramide-induced cell death.
- Examined the S-nitrosylation of critical apoptotic factors like caspases and tissue transglutaminase.
Main Results:
- NO protected neuroblastoma cells from apoptosis induced by retinoids and cisplatin, without increasing necrosis.
- S-nitrosylation of active-site cysteines in caspases and tissue transglutaminase inhibited their catalytic activity, suggesting a role in cell survival.
- In Jurkat T cells, NO shifted anti-CD95- and ceramide-triggered apoptosis towards necrotic cell death, indicating context-dependent effects.
Conclusions:
- Nitric oxide exhibits context-dependent regulation of cell death, acting as a survival factor in some instances and promoting necrosis in others.
- S-nitrosylation of key apoptotic proteins by NO is a significant mechanism for modulating cell fate.
- NO's influence on cell death pathways may depend on the specific apoptotic stimulus and cellular context, potentially acting downstream of critical signaling events.
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