Effects of Nitric Oxide in Septic Shock
Top Cited Papers
- 1 June 2000
- journal article
- Published by American Thoracic Society in American Journal of Respiratory and Critical Care Medicine
- Vol. 161 (6) , 1781-1785
- https://doi.org/10.1164/ajrccm.161.6.9812004
Abstract
Nitric oxide (NO) is believed to play a key role in the pathogenesis of septic shock, although many aspects of NO's involvement remain poorly defined. Recent years have seen advances in our understanding of the production and effects of NO, but much of the work has been done in animal models and may not be directly relevant to the clinical situation. Differences between species and models can account for many of the apparently conflicting results obtained. Nevertheless, NO-directed strategies have been developed and tested clinically. However, NO can have both beneficial and detrimental effects on many organ systems in sepsis and attempts to nonselectively block all its actions may therefore not yield positive results on outcome. Further exploration and precision of the role of NO and development of techniques to assess the NO balance in individual patients is necessary before further progress can be made in this field.Keywords
This publication has 40 references indexed in Scilit:
- Intracellular ionic strength regulates the volume sensitivity of a swelling-activated anion channelAmerican Journal of Physiology-Cell Physiology, 1998
- Effects of nitric oxide on blood flow distribution and O2extraction capabilities during endotoxic shockJournal of Applied Physiology, 1997
- Endothelial dysfunction in a rat model of endotoxic shock. Importance of the activation of poly (ADP-ribose) synthetase by peroxynitrite.Journal of Clinical Investigation, 1997
- Regulation of bovine endothelial constitutive nitric oxide synthase by oxygen.Journal of Clinical Investigation, 1995
- Altered immune responses in mice lacking inducible nitric oxide synthaseNature, 1995
- Escherichia coli endotoxin inhibits agonist-mediated cytosolic Ca2+ mobilization and nitric oxide biosynthesis in cultured endothelial cells.Circulation Research, 1994
- Effects of EndotoxinIn Vivoon Endothelial and Smooth-Muscle Function in Rabbit and Rat AortaAmerican Review of Respiratory Disease, 1993
- Lipopolysaccharide Treatment in Vivo Induces Widespread Tissue Expression of Inducible Nitric Oxide Synthase mRNABiochemical and Biophysical Research Communications, 1993
- Nitric oxide protects against cellular damage and cytotoxicity from reactive oxygen species.Proceedings of the National Academy of Sciences, 1993
- Immediate release of a nitric oxide-like factor from bovine aortic endothelial cells by Escherichia coli lipopolysaccharide.Proceedings of the National Academy of Sciences, 1990