1. Reduces the NOS substrate L-arginine, leading to decreased NO production and increased production of O2˙− by uncoupled NOS. |
For eNOS - results in reduced blood flow, enhanced platelet aggregation and leukostasis with resultant tissue dysfunction and inflammation.
For nNOS - results in reduced production of NO in nitrinergic nerves and vascular smooth muscle in response to hypoxia and thus impairs ability of vessel to maintain blood flow with hypoxia-induced sympathetic nerve activity. Inflammation.
For iNOS – results in limited production of otherwise high levels of NO, reducing nitrosylation of NF-κβ (subunits p65/p50) and suppression of its function. The result is uncontrolled iNOS expression and enhanced cytokine production / inflammation.
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2. Increased levels of arginase products – ornithine, polyamines and proline. |
Ornithine – immediate product of arginase, a cationic amino acid that completes with L-arginine for entry into cells, which can reduce availability of L-arginine to NOS.
Polyamines – produced from ornithine by ODC, can cause cell proliferation.
Proline – produced from ornithine by OAT pathway and is critical component of collagen production.
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Results – pathological vascular growth and fibrosis. |