Cyanide release from nitroprusside in the isolated, perfused, bloodless liver and hindlimbs of the rat

The nitric oxide/cyclic GMP pathway: a potential major regulator of cochlear physiology

The nitric oxide (NO)/cyclic guanosine monophosphate (GMP) pathway is now recognized as a major regulatory system in cell physiology and tissue homeostasis. This pathway may control processes as diverse as muscle relaxation, gut peristalsis, neurotransmission and hormonal secretion. It is also involved in the development and function of sensory systems such as vision and olfaction. This review will detail the NO/cyclic GMP pathway, evaluate studies in the auditory system and discuss its potential participation in cochlear blood flow, supporting cell physiology and excitotoxicity.

Involvement of nitric oxide in nitroprusside-induced hepatocyte cytotoxicity

Sodium nitroprusside (SNP) cytotoxicity towards rat hepatocytes was accompanied by peroxynitrite formation, lipid peroxidation, inhibition of glycolysis, cyanide (CN) release, partial inhibition of hepatocyte respiration, and ATP depletion. Antioxidants and desferoxamine prevented both cytotoxicity and lipid peroxidation induced by SNP. The CN antidote thiosulfate or the CN trapping agents dihydroxyacetone and glyceraldehyde increased SNP metabolism, SNP-induced peroxynitrite formation, cytotoxicity, and lipid peroxidation. On the other hand, addition of non-toxic concentrations of CN to hepatocytes prevented SNP metabolism and SNP-induced lipid peroxidation and cytotoxicity. SNP depleted hepatocyte GSH immediately upon addition, and GSH-depleted hepatocytes were more susceptible to SNP. The results of this study suggest that nitric oxide rather than CN mediates SNP cytotoxicity in isolated cells.

Toxicology of selected nitric oxide-donating xenobiotics, with particular reference to azide

Nitric oxide (NO) has been discovered recently to be a ubiquitous, endogenous mediator, which is responsible for a variety of normal physiological functions. However, NO also has been implicated in several pathophysiological processes. For example, the pulmonary toxicity of various nitrogen oxides, including NO, found in photochemical smog has been studied for decades; endogenous NO also is associated with bleomycin-induced lung damage, as well as other adverse effects. Recently, a variety of xenobiotics have been shown to owe their biological activity in vivo to their biotransformation to NO. Thus, the therapeutic vasodilatation produced by drugs such as nitroglycerin and sodium nitroprusside is now believed to result from their release of NO, which then mimics the effects of endogenously synthesized NO. The toxic effects of NO prodrugs are, therefore, a matter of concern, especially the extent to which, if any, NO contributes to their toxicity. As reviewed here, NO does not appear to contribute importantly to the toxicity of the NO donors nitrite, hydroxylamine, or nitroprusside. However, it is by no means clear whether or not the NO generated in vivo from sodium azide contributes in a major way to its toxicity. Azide is almost as acutely toxic as cyanide, with which it shares a number of biological effects; yet, azide also has certain cardiovascular actions in common with nitrite. Unlike either cyanide or nitrite, some evidence suggests a tendency for azide to produce low-grade cumulative toxicity. In laboratory animals, azide frequently produces nonasphyxial convulsions, whereas most human deaths appear to be the result of cardiovascular collapse. Neither of these azide-induced syndromes appears to be due to the inhibition of cytochrome c oxidase. Azide is widely used as a preservative in aqueous laboratory reagents and as the propellant in automobile air bags and aircraft escape chutes. Both of these inflable systems are generally safe, and will prevent untold numbers of injuries and deaths. However, to protect workers who handle these devices and others who may come into contact with the sodium azide propellant in these systems, our rudimentary knowledge of azide toxicity needs to be expanded.

Effects of temperature, oxygen, heme ligands and sulfhydryl alkylation on the reactions of nitroprusside and nitroglycerin with hemoglobin

Nitrovasodilators react with hemoglobin (Hb) to form heme(III) and nitric oxide (NO)Hb. These reactions can be exploited as models for events that take place at the cellular level leading to the biological effects of the prodrugs. Sodium nitroprusside (SNP) is known to undergo a one-electron reduction in its reaction with heme(II), resulting in the labilization of the cyanide ligand trans to the NO ligand. This reduced form is here called "penta." Upon dissociation of the trans-cyanide, the resulting species is here called "tetra." Dissociation of the trans-cyanide is obligatory for transfer of the NO to a heme(II) group. NO release from penta is blocked by excess free cyanide in solution, which prevents the formation of tetra. As reported here, both penta and tetra had unique EPR signals when frozen at -196 degrees, but only tetra gave an EPR signal at 22 degrees. NOHb also has a unique EPR signal, but it could not be detected when SNP was incubated with Hb in air or 10 or 5% oxygen. NOHb was detected in similar incubations under 1% oxygen, but the levels were 3- to 10-fold lower than those found under 100% nitrogen. The concentration of tetra was also much lower under 1% oxygen and penta was not detectable, suggesting that oxygen may either shift the penta-tetra equilibrium towards tetra or that penta may be susceptible to oxidation by molecular oxygen. Nitroglycerin (GTN) also generated much less NOHb but more heme(III) under 1% oxygen than under nitrogen. Carbon monoxide (CO), which binds to heme(II), completely blocked the reactions of SNP and GTN with Hb, whereas N-ethylmaleimide (NEM) alkylation of globin sulfhydryl groups increased both NOHb and heme(III) formation. 13C NMR studies on uniformly 13C-labeled SNP suggested that oxygen had little effect on the concentrations of the NMR-detectable species in the reaction. In summary, the most oxygen-sensitive step in the nitrosylation of Hb by SNP was probably the transfer of NO to heme(II). However, the penta-tetra equilibrium was affected by oxygen, temperature and cyanide. No evidence was found for the involvement of the globin sulfhydryl groups in either the GTN or the SNP reaction with Hb.

Decomposition and specific exchange of the trans-cyanide ligand on nitroprusside is facilitated by hemoglobin

Most investigators agree that sodium nitroprusside (SNP) undergoes biotransformation in vivo to release free cyanide (CN-). Despite a demonstrated reactivity of SNP toward oxyhemoglobin (HbO2) in vitro, that reaction is probably not the major cause for CN- release in vivo. An unknown reaction in various vascular beds inactivates SNP more rapidly than the reaction in blood, but both result in the release of free CN-. Recently it has been claimed that SNP is stable in blood and that the apparent CN- release is an artifact due to photodecomposition of SNP during CN- analyses. In this study the release of free CN- from SNP was followed over 3 hr of incubation in plain buffer, in suspensions of red blood cells (RBC), in lysates, and in solutions of HbO2 purified by isoelectric focusing and shown to be free of methemoglobin (MetHb), valency hybrid species, and reduced glutathione (GSH). In each case the mixtures containing HbO2 released significantly more CN- than plain buffer where CN- release was at the limit of sensitivity of the method. Moreover, in the order of RBC, purified HbO2 solutions and lysates, each preparation released significantly more CN- in 1 hr than the preceding one. In lysates the reaction had gone to completion by 3 hr. Using 13C nuclear magnetic resonance (NMR) spectroscopy, SNP was shown to be inert to CN- exchange in solutions of Na13CN, but when GSH or MetHb was added, an exchange reaction occurred between the trans-CN- of SNP and 13CN- in solution. The same reaction proceeded even more rapidly in the presence of HbO2. The results of this study show that in the presence of GSH, MetHb and particularly in the presence of HbO2, SNP readily exchanges its trans-CN- ligand with excess free CN-. This reaction is believed to represent an obligatory precursor step in the total decomposition of SNP which occurs in the absence of free CN-, but in the presence of RBC, solutions of HbO2, and lysates. It appears that excess free CN- halts total decomposition at the stage of trans-CN- labilization.