Prevailing hypothesis of the NOS reaction
mechanism. O2 is reductively activated by NADPH and NOS to
oxidize Arg (14) to the proximal NOS product, ·NO (circled). A
fraction of total NADPH consumption and O2 activation is
uncoupled from Arg turnover (15), more so in the absence of
H4Bip (16), resulting in substantial O2⨪ formation
(NADPH oxidase activity of NOS). O2⨪ limits detection of
·NO by a diffusion-limited reaction to ONOO−, which
breaks down to NO3− (17, 18). Addition of
H4Bip will further stimulate NOS activity and prevent
uncoupling of NADPH consumption and O2 activation (16) but,
due to its autoxidation in aerobic solutions, also provides an
alternative source for O2⨪ (19, 20). Superoxide dismutase (SOD;
EC 1.15.1.1) enables ·NO detection (19, 21), in the absence and
presence of H4Bip, by dismutating O2⨪ to
H2O2, which does not interfere with ·NO
detection. In the absence of O2⨪, ·NO decays in a
third-order reaction with O2 to yield
NO2−. ▴ indicates required reducing
equivalents—i.e., 1.5 mol of NADPH per mol of Cit. H4Bip
is assumed to activate NOS allosterically but not to donate reducing
equivalents.