J Biol Chem, Vol. 274, Issue 36, 25218-25226, September 3, 1999
L-Arginine Binding to Nitric-oxide Synthase
THE ROLE OF H-BONDS TO THE NONREACTIVE GUANIDINIUM
NITROGENS*
Boga Ramesh
Babu,
Christopher
Frey, and
Owen W.
Griffith
From the Department of Biochemistry, Medical College of
Wisconsin, Milwaukee, Wisconsin 53226
 |
ABSTRACT |
Nitric-oxide synthase (NOS) catalyzes the
oxidation of L-arginine to nitric oxide and
L-citrulline. Because overproduction of nitric oxide causes
tissue damage in neurological, inflammatory, and autoimmune disorders,
design of NOS inhibitors has received much attention. Most inhibitors
described to date include a guanidine-like structural motif and
interact with the guanidinium region of the L-arginine-binding site. We report here studies with
L-arginine analogs having one or both terminal guanidinium
nitrogens replaced by functionalities that preserve some, but not all,
of the molecular interactions possible for the -NH2, =NH,
or =NH2+ groups of L-arginine. Replacement
groups include -NH-alkyl, -alkyl, =O, and =S. Binding of
L-canavanine, an analog unable to form hydrogen bonds
involving a N5-proton, was also examined. From
our results and previous work, we infer the orientation of these
compounds in the L-arginine-binding site and use
IC50 or Ki values and optical
difference spectra to quantitate their affinity relative to
L-arginine. We find that the non-reactive guanidinium
nitrogen of L-arginine binds in a pocket that is relatively
intolerant of changes in the size or hydrogen bonding properties of the
group bound. The individual H-bonds involved are, however, weaker than
expected (<2 versus 3-6 kcal). These findings elucidate
substrate binding forces in the NOS active site and identify an
important constraint on NOS inhibitor design.
 |
INTRODUCTION |
Nitric-oxide synthase
(NOS)1 catalyzes the two-step
oxidation of L-arginine to L-citrulline and
nitric oxide (NO). Oxygen and NADPH are co-substrates, and
N
-hydroxy-L-arginine (NOH-Arg) is
a tightly bound intermediate (1, 2). The enzyme is active as a
homodimer, and each monomer is comprised of a heme- and
tetrahydrobiopterin-containing oxygenase domain that binds and oxidizes
L-arginine and a FAD- and FMN-containing reductase domain
that delivers electrons from NADPH to heme. Once reduced, the heme
cofactor binds and activates O2, which in turn reacts with
a terminal guanidinium nitrogen of the substrate L-arginine that is bound ~4 Å from the heme iron (3). That reactive,
"proximal" nitrogen is first hydroxylated, forming NOH-Arg, and
then oxidized further to NO. The other, previously equivalent
guanidinium nitrogen is bound farther away from the heme cofactor and
does not react; that "distal" nitrogen becomes the terminal
-NH2 group of the product L-citrulline.
There are three major isoforms of NOS in mammals (1, 2, 4). Two
constitutive, Ca2+/calmodulin-regulated isoforms were
initially identified in neurons (nNOS) and vascular endothelial cells
(eNOS). An inducible, transcriptionally regulated isoform (iNOS) was
initially identified in macrophages but can be expressed in response to
inflammatory cytokines and endotoxin in many cell types. Neuronal NOS
has a role in neurotransmission and/or neuromodulation (5, 6), whereas
eNOS produces NO that has an important role in controlling
vasorelaxation and blood pressure (7, 8). Nitric oxide derived from
iNOS plays both regulatory and cytotoxic roles in the immune response
(9, 10). In addition to these physiological roles, NOS is known to
contribute to several pathological processes, typically when nNOS is
overstimulated or iNOS is induced inappropriately or in excess. For
example, nNOS is implicated in stroke (11) and migraine headache (12), and iNOS is implicated in septic shock (13, 14), inflammatory bowel
disease (15), uveitis (16), and arthritis (17, 18). The possibility of
treating these and other conditions by inhibiting NOS has elicited
intense efforts to identify or design NOS inhibitors, preferably
isoform-selective NOS inhibitors. To date well over 100 inhibitors have
been reported (19-22). Almost all of these compounds contain a
guanidine-like structural motif, and their initial binding is
competitive with L-arginine, observations that suggest they
are interacting with the guanidinium region of the L-arginine-binding site.
In the present studies we have designed and synthesized several novel
L-arginine analogs (Fig. 1) in order to "map" the
guanidinium region of the substrate-binding site. We have confirmed and
extended previous work showing that the binding site for the reactive
(i.e. oxidizable) guanidinium nitrogen can accommodate a
variety of alternative groups including those much larger than
-NH2 and =NOH. In contrast, the binding site for the
non-reactive, distal guanidinium nitrogen does not accommodate larger
groups (1, 23, 24). We have exploited this difference in size
specificity to predictably direct the binding orientation of novel
L-arginine analogs. We find that analogs bind poorly if the
binding site for the non-reactive guanidinium nitrogen of
L-arginine must be occupied by =O, =S, -CH3 or
larger groups. These results extend insights gained from recently
reported mutagenesis and x-ray crystallographic studies of NOS and have
implications for the design of NOS inhibitors.
 |
EXPERIMENTAL PROCEDURES |
Materials
Reagents for organic synthesis were obtained from Aldrich and
biochemicals were obtained from Sigma, respectively.
(6R)-5,6,7,8-Tetrahydrobiopterin was purchased from Alexis
(La Jolla, CA). L-[U-14C]Arginine was from
NEN Life Science Products Inc. (Boston, MA). N5-(1-Iminoethyl)-L-ornithine
(L-NIO) (25) and
N5-acetyl-L-ornithine (26) were
prepared by the general methods indicated.
Rat nNOS for most studies was isolated from stably transfected kidney
293 cells as described (27). Bovine eNOS (28, 29) and mouse iNOS (30),
both expressed in Escherichia coli, were generous gifts from
Dr. Kirkwood Pritchard (Department of Pathology, Medical College of
Wisconsin, Milwaukee, WI) and Drs. Linda J. Roman and Bettie S. S. Masters (Department of Biochemistry, University of Texas Health Science
Center, San Antonio, TX), respectively. The latter investigators also
provided rat nNOS isolated from transfected E. coli
(31).
Methods for Synthesis of Arginine Analogs
1H and 13C NMR spectra were obtained
using a Bruker AC 300 MHz spectrometer. High-resolution, electron
impact (EI), chemical ionization, and FAB mass spectral analyses were
generously carried out by Dr. Frank Laib at the Department of
Chemistry, University of Wisconsin, Milwaukee, WI.
Syntheses of
N5-Thioacyl-L-ornithines--
N5-Thioacetyl-L-ornithine
(TAO) was synthesized by reaction of an appropriately protected
L-ornithine with ethyl dithioacetate. Thus,
N
-(tert-butyloxycarbonyl)-L-ornithine
tert-butyl ester (2.9 g, 10 mmol) was dissolved in 50 ml of
chloroform and added to a solution of 2.5 g of CaCO3
and 1.20 ml of ethyl dithioacetate dissolved in 50 ml of water. The
mixture was stirred vigorously for 20 h and filtered. The
chloroform layer was separated, and the aqueous layer was extracted
with chloroform (2 × 50 ml). The combined chloroform extracts
were dried with anhydrous Na2SO4 and evaporated under reduced pressure. The residue was dissolved in a small amount of
ethyl acetate (5 ml) and chromatographed over a silica gel column
(3 × 50 cm) eluted with ethyl acetate and petroleum ether (1:4).
Fractions (5 ml) were collected and the product was identified by TLC
on silica plates developed in the same solvent (RF = 0.8). Product-containing fractions were pooled and solvent was evaporated under reduced pressure to give
N
-(tert-butyloxycarbonyl)-N5-(thioacetyl)-L-ornithine
tert-butyl ester as an oily liquid in 25% yield. That
intermediate was dissolved in ~10 ml of dioxane and added to ~20 ml
of ice-cold dioxane containing 6 N HCl. After stirring on
ice for 4 h and at room temperature overnight, evaporation of the
solvent under reduced pressure yielded 0.4 g of TAO (m.p. 75-78 °C): 1H NMR (D2O):
1.75-2.1 (m,
4H), 2.5 (s, 3H), 3.67 (t, 2H) and 4.09 (t, 1H); 13C NMR
(D2O):
25.36, 29.89, 35.01, 47.88, 55.51, 174.98 and
203.75; MS (70 eV, EI): m/e 190 (M+);
high resolution MS, m/e,
C7H14N2O2S, Calculated:
190.0776, Found: 190.0763.
N5-Thiobutyryl-L-ornithine
(TBO) was synthesized by reaction of Lawesson's reagent with
N5-butyryl-L-ornithine, which was
obtained by reacting butyryl chloride with protected
L-ornithine. Thus, butyryl chloride (2.13 g, 20 mmol) was
added to a solution of
N
-(tert-butyloxycarbonyl)-L-ornithine
tert-butyl ester (5.8 g, 20 mmol) in 100 ml of methylene
chloride containing 2.0 ml of triethylamine. The reaction mixture was
stirred at room temperature for 20 h, and the solvent was then
evaporated under reduced pressure. The residue was chromatographed over
silica gel as described for TAO.
N
-(tert-Butyloxycarbonyl)-N5-(butyryl)-L-ornithine
tert-butyl ester (3.2 g, 45%) was obtained as an oily
liquid. That product (8.0 mmol) was dissolved in benzene (50 ml),
Lawesson's reagent (1.82 g, 4.5 mmol) was added, and the mixture was
refluxed for 3 h. After cooling, the mixture was filtered, and the
filtrate was washed with water (3 × 50 ml). The benzene layer was
dried over anhydrous Na2SO4 and evaporated to
give an oily liquid that was chromatographed over silica gel as
described previously. Product-containing fractions were determined by
TLC (RF = 0.8) and evaporated to give
N
-(tert-butyloxycarbonyl)-N5-(thiobutyryl)-L-ornithine
tert-butyl ester (2.5 g, 85%) as an oily liquid.
Deprotection of that intermediate in dioxane-dry HCl as described above
gave 1.1 g of TBO (80% yield) as colorless crystalline solid
(m.p. 225-227 °C): 1H NMR (D2O):
0.87 (t, 3H), 1.72 (q, 2H), 1.76-2.05 (m, 4H), 2.62 (t, 2H), 3.66 (t, 2H)
and 4.07 (t, 1H); 13C NMR (D2O):
14.99, 25.04, 25.49, 29.95, 47.56, 50.18, 55.48, 174.86 and 208.36; MS (70 eV,
EI): m/e 218 (M+); high resolution
MS, m/e
C9H18N2O2S, Calculated:
218.1089, Found: 218.1089.
N5-Thiohexanoyl-L-ornithine
(THO) was synthesized as described for TBO except hexanoyl chloride was
used in place of butyryl chloride (m.p. 200-205 °C): 1H
NMR (D2O)
0.87 (t, 3H), 1.30 (m, 4H), 1.71 (m, 2H),
1.71-2.1 (m, 4H), 2.67 (t, 2H), 3.68 (t, 2H) and 4.09 (t, 1H);
13C NMR (D2O):
15.85, 24.35, 25.43, 29.97, 31.25, 32.78, 38.47, 47.69, 55.48, 175.10 and 208.30; MS (70 eV, EI):
m/e 246 (M+); high resolution MS,
m/e C11H22N2O2S, Calculated:
246.1402, Found: 246.1402.
Synthesis of
N5-(1-Iminoalkyl)-L-ornithines--
The
following compounds, which are homologs of L-NIO, were
synthesized by the general procedure reported previously for
N5-(1-iminopropyl)-L-ornithine
(methyl-L-NIO) (32).
N5-(1-Iminobutyl)-L-ornithine
(ethyl-L-NIO): m.p. 144-147 °C (dec); 1H
NMR (D2O):
0.93 (t, 3H), 1.6-2.0 (m, 6H), 2.43 (t,
2H), 3.3 (t, 2H) and 3.75 (t, 1H); 13C NMR
(D2O):
14.94, 22.64, 25.37, 30.33, 37.07, 44.01, 56.90, 170.72, and 176.99; FAB-MS: m/e 202 (M + H).
N5-(1-Iminohexyl)-L-ornithine
(butyl-L-NIO): m.p. 130-134 °C (dec); 1H
NMR (D2O):
0.90 (t, 3H), 1.30 (m, 4H), 1.5-2.05 (m,
6H), 2.5 (t, 2H), 3.33 (t, 2H) and 3.8 (t, 1H); 13C NMR
(D2O):
15.76, 24.20, 25.39, 28.85, 32.71, 37.30, 44.03, 56.89, 61.12, 171.01 and 176.92; FAB-MS: m/e 230 (M + H).
Synthesis of
N5-Acyl-L-ornithines--
These derivatives
were synthesized by dioxane-HCl deprotection of the corresponding
N
-(tert-butyloxycarbonyl)-N5-acyl-L-ornithine
tert-butyl esters which were in turn prepared from
N
-(tert-butyloxycarbonyl)-L-ornithine
tert-butyl ester and the appropriate acyl chloride as
described above for
N
-(tert-butyloxycarbonyl)-N5-butyryl-L-ornithine
tert-butyl ester.
N5-Butyryl-L-ornithine: m.p.
65-69 °C; 1H NMR (D2O):
0.90 (t, 3H),
1.5-2.09 (m, 6H), 2.25 (t, 2H), 3.25 (t, 2H), and 4.07 (t, 1H);
13C NMR (D2O):
15.34, 21.68, 26.82, 29.59, 41.02, 55.48, 69.23, 174.53, and 180.10; MS (chemical ionization):
m/e 203 (M + H).
N5-Hexanoyl-L-ornithine: m.p.
78-80 °C; 1H NMR (D2O):
0.85 (t, 3H),
1.26 (m, 4H), 1.5-2.05 (m, 6H), 2.2 (t, 2H), 3.23 (t, 2H), and 4.09 (t, 1H); 13C NMR (D2O):
15.85, 24.32, 27.76, 28.78, 33.10, 38.44, 41.38, 55.19, 69.22, 174.53, and 180.12; MS
(chemical ionization): m/e 231 (M + H).
Methods for Enzymatic Studies
Nitric-oxide Synthase Assays--
Nitric-oxide synthase activity
was routinely determined based on the oxidation of oxyhemoglobin to
methemoglobin by NO (33). Sample cuvettes at 25 °C contained in a
final volume of 0.5 ml, 50 mM Hepes buffer, pH 7.4, 0.1 mM EDTA, 50 µM tetrahydrobiopterin, 10 µg/ml calmodulin, 0.2 mM CaCl2, 0.1 mM glutathione, 1.0 µM FAD, 1.0 µM FMN, 1 mg/ml bovine serum albumin, 0.5 mM
NADPH, 20 µM L-arginine, and 5 µM bovine oxyhemoglobin (prepared by reduction with
sodium dithionite followed by gel filtration). Formation of
methemoglobin was monitored at 401 nm (
= 0.038 µM
1) (33); the reference cuvette contained
a similar mixture without enzyme.
IC50 and Ki Determinations--
For
determination of most inhibition constants NOS activity was measured by
following the conversion of L-[14C]arginine
to L-[14C]citrulline (32). Reaction mixtures
contained in a final volume of 50 µl, 50 mM
Na+ Hepes buffer, pH 7.4, 100 µM EDTA, 0.2 mM CaCl2, 10 µg/ml calmodulin, 100 µM dithiothreitol, 50 µM
tetrahydrobiopterin, 1.0 µM FAD, 1.0 µM
FMN, 100 µg/ml bovine serum albumin, 500 µM NADPH, and various concentrations of L-[14C]arginine and
inhibitor. Reaction was initiated by the addition of NOS, and mixtures
were maintained at 25 °C for 4 min. Reaction mixtures were then
quenched by addition of 200 µl of stop buffer (100 mM
Na+ Hepes buffer, pH 5.5, and 5 mM EGTA). After
heating in a boiling water bath for 1 min, the samples were chilled and
centrifuged. A portion (225 µl) of the supernatant was applied to
small Dowex 50 columns (Na+ form, 1 ml of resin), and the
product L-[14C]citrulline was eluted with 2 ml of water and quantitated by liquid scintillation counting. Where
inhibition was determined to be competitive with
L-arginine, Ki values were estimated from measured IC50 values using Ki = IC50(KmArg/(KmArg + [Arg])). For purpose of calculation,
KmArg values for nNOS, eNOS, and
iNOS were estimated as 1.8, 3.6, and 12.5 µM,
respectively, based on the present and earlier (32) work.
Optical Difference Spectroscopy--
Interaction of inhibitors
with nNOS was determined spectrally using a Shimadzu or Perkin-Elmer
dual beam UV/visible spectrophotometer (32). Typically 1.5-2.0
µM nNOS in 0.5 ml of 50 mM Tris-HCl buffer,
pH 7.5, 10% glycerol, and 0.1 mM EDTA was placed in the sample and reference cuvettes at 15 °C, and the baseline was
adjusted to zero. Inhibitor was then added to the sample cuvette, an
equal volume of the same buffer was added to reference cuvette, and the
difference spectrum was obtained. Spectra were normalized using the
isosbestic point at 410 nm.
 |
RESULTS |
Binding Orientation of
N
-Substituted-L-Arginines--
It has
previously been shown that
N
-methyl-L-arginine
(L-NMA), the prototypic NOS inhibitor (23), is a
pseudo-substrate that is hydroxylated on the methyl-substituted
guanidinium nitrogen (34-36). It is also reported that asymmetrical
N
,N
-dimethyl-L-arginine,
in which one guanidinium nitrogen is dimethyl-substituted, binds as an
effective iNOS inhibitor, but that symmetrical
N
,N
'-dimethyl-L-arginine,
in which each guanidinium nitrogen is monosubstituted, is a poorly
bound, weak inhibitor (23, 37). We have confirmed the latter results
with nNOS (data not shown), and from these observations infer (i) that
L-NMA binds with its unsubstituted guanidinium nitrogen in
the distal, non-reactive guanidinium nitrogen pocket, (ii) that the
binding region for the proximal, reactive guanidinium nitrogen can
accommodate both monomethyl- and dimethyl-substitution, and (iii) that
the distal pocket cannot accommodate even monomethyl-substitution.
As shown in Table I,
N
-monoalkyl-L-arginines with
ethyl and propyl substituents are also moderately strong inhibitors,
whereas the monobutyl derivative is less well bound, especially to
iNOS.2 These results suggest
that the binding region for the guanidinium nitrogen near heme can
accommodate substituents extending about 4-5 Å from the guanidinium
carbon. Note that the selectivity of N
-propyl-L-arginine for
inhibition of nNOS has been previously reported by Zhang et
al. (38), although our results do not confirm the very large
selectivity factors seen in their studies.
View this table:
[in this window]
[in a new window]
|
Table I
Inhibition of NOS isoforms by arginine analogs
Inhibition of individual, purified NOS isoforms was determined using
the L-[14C]arginine assay as described under
"Experimental Procedures." Final L-arginine
concentrations were 20, 100, and 30 µM for nNOS, iNOS,
and eNOS, respectively. These values are each ~10× the
KmArg for the individual isoform
assayed (see "Experimental Procedures"), and it is thus possible
compare values among isoforms as well as among L-arginine
analogs.
|
|
Binding Orientation of L-NIO--
In L-NIO
one guanidinium -NH2 group of L-arginine is
replaced by -CH3; the resulting amidine side chain has a
pKa of ~12, assuring its protonation at
physiological pH. In principle, L-NIO could bind to NOS
with either the =NH2+ or -CH3 group in the
binding region proximal to the heme cofactor. Based on our results with
L-NMA homologs and the observation that inhibition by
L-NIO is competitive with L-arginine (Fig.
2A), we anticipated that L-NIO homologs
containing alkyl groups larger than -CH3 would be forced
to bind with their alkyl groups near heme and their
=NH2+ group in the sterically constrained distal
guanidinium pocket. Binding affinity would be expected to fall off as
the alkyl group became larger than 4-5 carbons. As shown in Table I,
these expectations were realized; ethyl-L-NIO with a
3-carbon alkyl group inhibits nearly as well as L-NIO, but
butyl-L-NIO with a 5-carbon alkyl group is poorly bound. In
earlier studies we showed with all three NOS isoforms that
methyl-L-NIO exhibits Ki values that are
intermediate between those seen with L-NIO and
ethyl-L-NIO (32). This smooth progression in
Ki values as alkyl group size increases suggests
that, as expected, L-NIO as well as its higher homologs
binds with the amidine alkyl group positioned near heme and
=NH2+ in the distal guanidinium nitrogen binding pocket.
N5-Thioacyl-L-Ornithines as NOS
Inhibitors--
L-TAO is a novel L-NIO analog
in which =NH2+ is replaced by =S. Higher homologs of
L-TAO were also prepared. With respect to alkyl chain
length, L-TBO corresponds to ethyl-L-NIO and
L-THO corresponds to butyl-L-NIO (Fig.
1). As shown in Fig.
2B, L-TAO-mediated inhibition of nNOS is competitive with respect to
L-arginine, suggesting that interaction is with the
L-arginine-binding site. The Ki for
L-TAO is 34.8 µM, a value ~20-fold higher than that observed in similar studies with L-NIO (Fig.
2A). As shown in Table I, with nNOS the IC50
value for L-TBO is ~1.4-fold higher than that for
L-TAO, and inhibition by L-THO is too weak to
be usefully quantitated. With iNOS and eNOS, L-TAO and the higher N5-thioacyl-L-ornithines
inhibit very poorly at accessible concentrations.

View larger version (33K):
[in this window]
[in a new window]
|
Fig. 2.
Lineweaver-Burk plot showing that binding of
L-NIO (panel A), L-TAO
(panel B), and L-canavanine (panel
C) to nNOS is competitive with L-arginine.
Product formation was determined using the
L-[14C]arginine assay (panels A
and B) or the hemoglobin NO capture assay (panel
C) as described under "Experimental Procedures." The
insets in each panel show replots of the data indicating
that the Ki values for L-NIO,
L-TAO, and L-canavanine are 1.7, 34.8, and 11.1 µM, respectively.
|
|
N5-Acyl-L-Ornithines as NOS
Inhibitors--
N5-Acetyl-L-ornithine,
N5-butyryl-L-ornithine, and
N5-hexanoyl-L-ornithine are analogs
of L-NIO, ethyl-L-NIO, and
butyl-L-NIO, respectively, in which the
=NH2+ group of the NIO derivatives is replaced by =O
(Fig. 1). When tested as NOS inhibitors in studies similar to those
shown in Table I, none was an effective inhibitor and all exhibited
IC50 values
1 mM (data not shown).
L-Canavanine as a NOS
Inhibitor--
L-Canavanine is an L-arginine
antagonist in which the
-methylene group is replaced by oxygen. The
resulting hydroxyguanidine has a pKa of 7.0 and
adopts the imino structure wherein the guanidinium double bond is
orientated toward the N5 nitrogen (Fig. 1) (39).
In consequence, the L-canavanine side chain is not fully
protonated at neutral pH and the N5 nitrogen
does not bear a proton. Although L-canavanine is reported to be an iNOS selective inhibitor (40, 41), we find it inhibits all
three isoforms (data for iNOS and eNOS not shown); Fig. 2C shows that inhibition of nNOS is competitive with
L-arginine and characterized by a Ki of
11.1 µM at pH 7.4.
To assess the effects of L-canavanine side chain
protonation on binding, we determined Ki values for
L-canavanine and L-NMA and also determined
KmArg as a function of pH (Fig.
3). As shown, affinity for
L-arginine, L-canavanine, and L-NMA
all decrease with decreasing pH. Although L-canavanine
ranges from 24% protonated at pH 7.5 to 90% protonated at pH 6.0, its
binding affinity closely tracks that of L-arginine and
L-NMA, both of which remain >99.9% protonated over this
pH range. At pH values >7.5, nNOS shows decreased affinity for
L-canavanine but little change in affinity for
L-arginine and L-NMA.

View larger version (17K):
[in this window]
[in a new window]
|
Fig. 3.
Plot showing the Ki
values for L-canavanine and L-NMA and
KmArg
as a function of pH. Ki values for
L-canavanine and L-NMA were determined at the
pH values indicated using the hemoglobin assay to measure NO formation.
Ki values and
KmArg were determined from
Lineweaver-Burk plots of rate data obtained at the pH values
indicated.
|
|
Possible Direct Interaction between Heme Iron and
L-Arginine Analogs--
As isolated, about 80% of nNOS
contains high-spin pentavalent heme iron (i.e. 4 bonds to
the pyrrole nitrogens of protoporphyrin IX and 1 bond to the sulfur of
Cys-415); the remainder of nNOS as isolated contains low-spin,
hexavalent heme iron in which an unknown ligand occupies the sixth
axial position that is occupied by O2 during the NOS
catalytic cycle (42, 43). When L-arginine, L-NMA, and most amino acid inhibitors bind to NOS, they
displace the unknown sixth axial ligand but do not themselves bind to
heme iron; the transition to 100% high spin NOS is detected as a type I optical difference spectrum (42-45). As shown in Fig.
4A, L-NIO binds in
this manner, giving a type I difference spectrum. In contrast, other
inhibitors interact covalently with heme iron, increasing the fraction
of low-spin heme and producing a type II optical difference spectrum
(46, 47). One such inhibitor is L-thiocitrulline, for which
one binding mode includes a bond between its thioureido sulfur and heme
iron (47).

View larger version (20K):
[in this window]
[in a new window]
|
Fig. 4.
Optical difference spectra of nNOS with
L-NIO and L-TAO. Panel A, a
sample of nNOS (~2 µM) in 50 mM Tris-HCl
buffer, pH 7.4, 10% glycerol, and 0.1 mM EDTA was titrated
by adding L-NIO to final concentrations of 10, 20, 30, 40, and 50 µM. The inset shows a double-reciprocal
plot of absorbance difference (390-420 nm) versus
L-NIO concentration and indicates a spectral dissociation
constant (Ks) of 3.6 µM. Panel
B, in an experiment similar to that in panel A, nNOS
was titrated with L-TAO to final concentrations of 33, 66, 99, and 132 µM. The inset indicates a spectral
dissociation constant (Ks) of 57.0 µM.
|
|
L-TAO is a structural analog of
L-thiocitrulline as well as L-NIO (Fig. 1).
Whereas steric constraints force the higher homologs of
L-TAO (i.e. L-TBO and
L-THO) to bind with their sulfur in the guanidinium-binding
region distal to heme, L-TAO might bind in the reverse
orientation with -CH3 in the distal pocket and =S near
heme. If so, the sulfur of L-TAO, like the sulfur of
L-thiocitrulline, might bind as a sixth axial heme iron
ligand and produce a type II optical difference spectrum. However, as
shown in Fig. 4B, addition of L-TAO to nNOS
produces a type I difference spectrum. The similarity in the spectra
for L-TAO and L-NIO, which also has a
-CH3 group in the proximal guanidinium-binding region, is evident. This result is consistent with the view that L-TAO
binds with its -CH3 group rather than =S in the
guanidinium-binding region near heme; the distal, non-reactive
guanidinium pocket thus favors =S over -CH3.
L-Citrulline is an extraordinarily weak inhibitor of iNOS
(46) and eNOS (Kd > 200 mM) (48) but,
when bound, it causes a type II optical difference spectrum (46, 48).
As shown in Fig. 5A,
L-citrulline also causes a type II difference spectrum when
bound to nNOS, a result suggesting that the ureido oxygen is bound to
heme iron as a sixth axial ligand. Because N5-acetyl-L-ornithine can be viewed
as a L-citrulline analog in which -CH3
replaces -NH2 (Fig. 1), we determined if exposure of nNOS
to high concentrations of
N5-acetyl-L-ornithine would cause a
type II spectrum. As shown in Fig. 5B, type I spectra are
obtained, suggesting that the analog binds with its -CH3
moiety rather than =O near iron. Confirming this result,
N5-butyryl-L-ornithine also gives a
type I difference spectrum (Fig. 5C), and its
Ks (0.28 mM) is similar to that for the acetyl derivative (Ks = 0.36 mM).

View larger version (20K):
[in this window]
[in a new window]
|
Fig. 5.
Optical difference spectra of nNOS with
L-citrulline and
N5-acyl-L-ornithines.
Panel A, a sample of nNOS (~2 µM) in 50 mM Tris-HCl buffer, pH 7.4, 10% glycerol, and 0.1 mM EDTA was titrated by adding L-citrulline to
final concentrations of 2, 2.5, 3.0, and 3.5 mM. The
inset shows a double-reciprocal plot of absorbance
difference (390-420 nm) versus L-citrulline
concentration and indicates a spectral dissociation constant
(Ks) of 25 mM. Panel B, in an
experiment similar to that in panel A, nNOS was titrated
with N5-acetyl-L-ornithine to final
concentrations of 0.17, 0.33, 0.66, and 1.33 mM. The
inset indicates a spectral dissociation constant
(Ks) of 0.36 mM. Panel C, in an
experiment similar to that in panel A, nNOS was titrated
with N5-butyryl-L-ornithine to final
concentrations of 0.25, 0.33, 0.49, 0.88, 1.07, and 1.33 mM. The inset indicates a spectral dissociation
constant (Ks) of 0.28 mM.
|
|
 |
DISCUSSION |
High resolution x-ray crystallographic structures for the
oxygenase domains of all 3 mammalian NOS isoforms have now been reported in publications (49-51) or at meetings. As expected, the active sites show a high degree of homology, but there are subtle differences (49-52). Consistent with conclusions from substrate specificity (20, 37) and ENDOR (3) studies, the distal, non-reactive
guanidinium nitrogen of L-arginine is found to bind >4 Å from heme iron in a sterically constrained
pocket3; a conserved
enzymatic glutamate residue, identified earlier in mutagenesis studies
(53, 54), forms H-bonds to protons on the distal guanidinium nitrogen
and the N5 nitrogen of L-arginine.
Unanticipated from earlier work, binding of the distal guanidinium
nitrogen of L-arginine is also stabilized by an H-bond to
the backbone carbonyl of a conserved tryptophan residue (Fig.
6) (49-51). The present studies further
elucidate the importance of these interactions to substrate and
inhibitor binding.

View larger version (39K):
[in this window]
[in a new window]
|
Fig. 6.
Proposed binding interactions of
L-arginine and its analogs with the NOS active site.
The top line shows the normal NOS reaction (49),
and the structures in the second and third
lines show H-bonds possible in different binding
conformations of selected inhibitors.
|
|
Although protonation state cannot be determined by x-ray
crystallography, Crane et al. (49) plausibly propose that
L-arginine (pKa ~ 12) initially binds
as a protonated species; proton donation to heme-bound O2
by the proximal, reactive guanidinium nitrogen of
L-arginine then facilitates conversion of O2 to
water and the oxo-heme species required for substrate hydroxylation. The product formed, NOH-Arg, has a much lower pKa
(~7) and is presumed to remain unprotonated, thus facilitating
reaction of the second heme-bound O2 as a peroxo rather
than as an oxo species (Fig. 6). Because the double bond in NOH-Arg is
directed toward the hydroxylated nitrogen (39, 49), the distal
guanidinium pocket is occupied throughout the catalytic cycle by an
-NH2 or =NH2+ group rather than an =NH
group; both hydrogens are involved in H-bonds.
As shown in Fig. 6, all of the tightly bound L-arginine
analogs can be oriented in the active site so as to place
-NH2 or =NH2+ in the distal guanidinium
nitrogen pocket (e.g. the shorter
N
-alkyl-L-arginines and
L-NIO derivatives all have IC50 values indicating binding comparable to or tighter than L-arginine
(Table I) and L-thiocitrulline binds to nNOS and iNOS with
Ki values of 0.06 and 3.6 µM,
respectively (47)). The presence or absence of charge is apparently of
little consequence since both the cationic amidines (i.e.
L-NIO and its derivatives) and neutral
L-thiocitrulline bind tightly. Similarly, cationic
L-arginine and neutral NOH-Arg have similar
Km values with iNOS and, more importantly,
kcat/Km is only ~50%
higher for L-arginine than for NOH-Arg (55). At the typical
assay pH of 7.4, L-canavanine possesses a mostly uncharged
side chain (pKa ~ 7.0) and binds somewhat less
tightly than L-arginine despite being isosteric and able to
form all of the H-bonds characteristic of the distal guanidinium pocket
(Fig. 6). However, presence of oxygen adjacent to
N5 is known to orient the guanidinium double
bond into the side chain (39), and consequent loss of the
N5 proton abolishes the H-bond between
N5 and the enzymatic glutamate
residue.4 The modestly
decreased binding affinity of nNOS for L-canavanine is
attributed to loss of this H-bond. Comparison of the
Ki value of L-canavanine with
KmArg (viewed as a
"kinetic" binding constant) suggests that the difference in
free energy of binding between these species is ~1.1
kcal/mol.5 This value is much
smaller than the average H-bond energy measured in vacuo
(3-19 kcal/mol (57)), but is within the range of values typically
observed in enzyme-substrate and enzyme-inhibitor interactions where
H-bond formation to a ligand is balanced by the loss of H-bonds with
water. Such bonds typically contribute 0.5-1.5 kcal/mol of binding
energy when uncharged groups are involved and 3-6 kcal/mol when at
least one charged group is involved (58). Because the H-bond lost in
L-canavanine involves a presumably unprotonated, anionic
glutamate residue (49) (Fig. 6), the observed change in binding
affinity is ~2 kcal/mol less than predicted, but we are reluctant to
invoke specific compensating factors with the limited data available.
Interestingly, at lower pH the Ki values for
L-canavanine and L-NMA and
KmArg all increase, but there is
no improvement in the relative affinity of L-canavanine
(Fig. 3). This result suggests that protonation of
L-canavanine does not restore the missing H-bond between
N5 of the inhibitor and the enzymatic glutamate
residue but rather, as predicted by Boyar and Marsh (39),
L-canavanine protonates on a terminal nitrogen.
Furthermore, the similarity in the shapes of the Ki
or Km versus pH profiles for
L-canavanine, L-NMA, and L-arginine
at low pH suggests that the enzymatic glutamate residue does not
protonate even at pH 6 to restore an H-bond with N5 of
L-canavanine.6
The apparent loss of affinity for L-canavanine at pH > 8 is distinct from what is seen with L-NMA and
L-arginine and is not presently understood in terms of
specific interactions.
Although earlier mutagenesis studies identified Glu-371 of iNOS (53)
and Glu-361 of eNOS (54) as important for L-arginine binding, those results could not be unambiguously interpreted until
x-ray crystallographic studies established that H-bonds to that residue
stabilize the
-amino, distal guanidinium and N5-nitrogens of L-arginine (49-51).
For both iNOS and eNOS, replacement of the glutamate residue with
alanine (iNOS) or leucine (eNOS) completely abolished
L-arginine binding (53, 54), a result indicating the
critical importance of the H-bonds made to that residue.7 In the present
studies we have modified the substrate rather than the enzyme and have
been able to selectively probe the importance of specific H-bonds. Our
results suggest that H-bonds to the distal guanidinium nitrogen or to
the N5-nitrogen are likely to be important in
establishing guanidinium group orientation, but they are relatively
weak (<2 kcal) and therefore not individually essential to binding
per se. Thus, by taking advantage of the unique ability of
the proximal, reactive guanidinium nitrogen-binding site to accommodate
n-alkyl substituents as large as 3-4 carbons, we have
designed L-arginine analogs that can bind only if the
distal guanidinium pocket is occupied by groups other than
-NH2 or =NH2+. We have shown that some of
those analogs bind despite being unable to form H-bonds to the
enzymatic glutamate and tryptophan residues identified by x-ray
crystallography (49-51). Because we have spectral data only with nNOS,
we limit our detailed analysis to that isoform and then comment briefly
on differences with iNOS and eNOS.
L-TAO is a weak competitive inhibitor of nNOS; its
Ki is 34.8 µM, 21-fold higher than
KmArg. As shown in Fig. 6,
L-TAO might bind in either or both of two conformations.
Conformation B, in which -CH3 occupies the distal guanidinium nitrogen pocket and =S occupies the region near heme, is
analogous to the preferred binding mode of L-thiocitrulline (47, 49, 59). Because L-thiocitrulline
(Ki = 0.06 µM (47)) binds much more
tightly than L-arginine (Km = 1.8 µM), L-NIO (Ki = 1.7 µM (this work and Ref. 32)), or L-citrulline
(Ks ~ 25 mM (this work)), it is clear that occupancy of the region near heme by =S rather than
-NH2, -CH3, or =O is energetically favorable.
That said, optical difference spectroscopy with L-TAO (Fig.
4B) provides no evidence for the sulfur-heme interaction
seen with L-thiocitrulline. Although that finding argues
against binding in conformation B, we note that sulfur-heme bonds are
seen for only 10-20% of the L-thiocitrulline bound to
nNOS and are not seen with L-homothiocitrulline, which is
nonetheless thought to bind analogously (47, 59). It is thus possible
that some L-TAO binds in conformation B but with its sulfur
atom sufficiently far from heme iron to prevent covalent interaction.
If that is the mode of binding, the loss of binding energy attributable
to placing -CH3 rather than -NH2 in the distal guanidinium nitrogen pocket can be calculated from the difference in
Ki values between L-TAO and
L-thiocitrulline (34.8 µM versus
0.06 µM (47)). The
G difference is ~3.8
kcal/mol, somewhat lower than the 6-12 kcal/mol expected for the loss
of two H-bonds involving charged groups (Fig. 6).
Conformation A for L-TAO (Fig. 6) places =S in the distal
guanidinium nitrogen pocket and -CH3 near heme; in this
conformation L-TAO can be viewed as an analog of
L-NIO in which =S replaces =NH2+. If the
observed loss of binding affinity is fully attributed to this
structural difference, then comparison of Ki values
(34.8 µM versus 1.7 µM) suggests
a
G difference of ~1.8 kcal/mol. This is again a
surprisingly small value considering two H-bonds involving charged
groups are lost (i.e. the enzymatic glutamate is thought to
be ionized and the amidinium group of L-NIO is certainly
cationic). Thus, independent of binding conformation, the
L-TAO results suggest that the H-bonds involving residues in the distal guanidinium pocket are relatively weak.
For the higher homologs of L-TAO, there is no ambiguity in
binding conformation; the size of the alkyl substituent precludes conformer B-type binding. Calculating Ki values from the data in Table I, the affinity of nNOS for L-TBO
(Ki = 31 µM) compared with
ethyl-L-NIO (Ki = 5.2 µM
(Table I) or 5.3 µM (32)) suggests that binding energy
decreased ~1.05 kcal/mol in L-TBO. This value is again
substantially smaller than would be expected for loss of two H-bonds
involving charged groups. However, the relatively close similarity
between this value and ~1.8 kcal/mol estimated for L-TAO
binding in conformation A supports the view that conformation A does,
in fact, best represent L-TAO binding. Although we cannot
rigorously exclude the possibility that some L-TAO binds in
conformation B, the simplest interpretation of our results is that it
is energetically more favorable to place =S rather than
-CH3 in the distal guanidinium binding pocket. This
selectivity is unlikely to be attributable to the small difference in
van der Waals radii between the groups (1.85 Å for =S
versus 2.0 Å for -CH3 (60)), but may reflect
the much greater polarizability of sulfur and its ability to form bonds
based on dispersion forces.
Electron spin resonance studies by Salerno et al. (61)
showed that L-citrulline binds as a sixth axial ligand to
heme iron in nNOS; the major interaction is through =O but a minority
species shows iron bonded to the -NH2 group. That result,
coupled with the poor overall affinity for L-citrulline
(Ks ~ 25 mM (Fig. 5A)),
suggests (i) that the binding energy for L-citrulline bound
with =O near heme is similar to the binding energy with =O in the
distal guanidinium binding pocket, and (ii) that =O is very poorly
bound at either site.
N5-Acetyl-L-ornithine is a
L-citrulline analog and, like L-citrulline, is
weakly bound. However,
N5-acetyl-L-ornithine binding
apparently favors =O in the distal pocket since we observed a type I
optical difference spectrum with the compound (Fig. 5B).
Confirming that view,
N5-butyryl-L-ornithine, which for
steric reasons must bind with =O in the distal pocket, also gives a
type I spectrum (Fig. 5C), and the Ks
values for the acetyl and butyryl compounds are comparable (0.37 and
0.28 mM, respectively). Comparison of these values to the
Ki values for L-NIO and
ethyl-L-NIO (or the Ks for
L-NIO) indicates that binding affinity is decreased by
2.7-3.2 kcal/mol
(N5-acetyl-L-ornithine
versus L-NIO) or 2.4 kcal/mol
(N5-butyryl-L-ornithine
versus ethyl-L-NIO). These are again
unexpectedly low values considering two H-bonds involving charged
groups were lost. Taken together with the similar findings for the
corresponding sulfur derivatives (TAO and TBO), our results suggest
that the two H-bonds involving the distal guanidinium nitrogen of
L-arginine are much weaker (0.9-1.5 kcal/mol each) than
would have been predicted for such bonds (3-6 kcal/mol each). Such
relative weakness may reflect an unfavorable H-bond length or very
favorable interactions of glutamate and tryptophan with water or other
residues that are then lost on binding L-arginine or its
analogs. Although bond lengths are not yet reported for nNOS, the
corresponding bonds in eNOS are 3.19 Å (Glu-363. . . . .
H2+N=) and 2.88 Å (Trp-358. . . . .
H2+N=)8;
at least the former is too long for maximum strength.
Taken together our results indicate that the distal guanidinium
nitrogen binding pocket of nNOS has highest affinity for
-NH2 and =NH2+, moderate affinity for =S,
substantially less affinity for =O, and very little affinity for
-CH3. The binding region near heme (i.e. the
proximal guanidinium nitrogen site) has highest affinity for =S (and
-S-alkyl (45, 62)), very little affinity for =O, and moderate affinity
for alkyl, -NH-alkyl, and -NH2 or =NH2+
(approximately in that order). The results shown in Table I suggest
iNOS and eNOS differ from nNOS in several respects. Most dramatically,
iNOS is less able to bind N-alkyl groups larger than ethyl
near heme, and eNOS and, to a lesser extent, iNOS do not accommodate =S
in the distal guanidinium pocket as well as nNOS does. Fan et
al. (52) similarly concluded from resonance Raman studies that the
nNOS L-arginine-binding site is more open than that of iNOS
and eNOS (52).
Finally, we note that most NOS inhibitors designed or discovered
to date bind competitively with L-arginine and are
therefore presumed to occupy at least part of the
L-arginine-binding site. With the exception of certain
aromatic compounds (e.g. 7-nitroindazole), almost all such
inhibitors include Structure I as a
structural motif. The present results strongly suggest that the
=NH2+ moiety of that motif is bound in the distal
guanidinium pocket. Although that binding region will accommodate other
groups as long as they are not larger than =NH2+, even
the best of the surrogates (e.g. =S for nNOS) is bound with
substantially less affinity. We conclude that inhibitors targeting the
guanidinium region of the L-arginine-binding site should
include a guanidine, amidine, thiourea, or isothiourea motif.
 |
ACKNOWLEDGEMENTS |
We thank Michael A. Hayward for expert
technical assistance and Drs. K. Pritchard, L. J. Roman, and
B. S. S. Masters for generous gifts of purified NOS isoforms.
We thank Dr. C. S. Raman for providing detailed information on the
eNOS structure and helpful discussions on L-canavanine binding.
 |
FOOTNOTES |
*
This work was supported in part by National Institutes of
Health Grant DK48423.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
To whom correspondence should be addressed: Dept. of Biochemistry,
Medical College of Wisconsin, Milwaukee, WI 53226. Tel.: 414-456-8435;
Fax: 414-456-6510; E-mail: griffith@mcw.edu.
2
Interestingly,
N
-alkyl-L-arginines with
n-alkyl substituents of 12-16 carbons are also potent
inhibitors. Such compounds do not bind competitively with
L-arginine and do not cause type I or type II optical
difference spectra (B. R. Babu and O. W. Griffith, unpublished). The mechanism by which long chain
N
-alkyl-L-arginines inhibit will
be the subject of a separate report.
3
In eNOS the distance between heme iron and the
distal guanidinium and the N5 nitrogens are 4.7 and 4.9 Å, respectively (Ref. 50, and C. S. Raman, personal communication).
4
Absence of the N5 proton
and H-bond has been independently described based on an x-ray
crystallographic structure of L-canavanine bound to the
eNOS oxygenase domain (C. S. Raman, H. Li, P. Martásek, V. Král, B. S. S. Masters, and T. L. Poulos,
submitted for publication).
5
Free energy changes were estimated from the
van't Hoff equation,
G = -2.3 RT
log(KEq1/KEq2).
In most cases 1/Ki were used as surrogate
KEq values, but comparable results were obtained
using 1/Ks or, for L-arginine,
1/Km. It has earlier been shown the
KsArg is similar to
KmArg (0.7 versus 1.8 µM, respectively) (J. C. Salerno, personal
communication). We also limit our analysis to comparison of reasonably
isosteric amino acids where differences in binding energy can be
confidently attributed to the presence or absence of specific H-bonds.
Other classes of inhibitors (e.g. the non-amino acid
isothioureas) include compounds that bind with high affinity and yet
form few H-bonds (50, 56). The affinity of NOS for such compounds
depends on interactions not present in the amino acids studied here,
and differences in binding affinities cannot therefore be attributed to
gain or loss of specific H-bonds.
6
That is, if the glutamate residue were to
protonate as the pH decreased from 7.5 to 6.0, then the missing H-bond
could be restored, forming between the glutamate proton and the
unprotonated N5 of L-canavanine;
affinity for L-canavanine would be expected to improve at
lower pH relative to L-NMA or L-arginine. This
is not observed. Similarly, if the glutamate residue were protonated even at neutral pH, the missing proton on L-canavanine
would not affect the number of H-bonds stabilizing binding, and the
affinity for L-canavanine would be expected to match that
for L-arginine. It does not.
7
In eNOS replacement of Glu-361 with glutamine
also abolished activity (54). Since glutamine could form as many
H-bonds as glutamate, we tentatively attribute loss of activity in the
E361Q mutant to a conformational misalignment of the glutamine residue. Loss of charge interaction with the protonated guanidinium group of
L-arginine is an alternative explanation favored by P-F.
Chen et al. (54), but, as discussed above, native NOS binds
both cationic and neutral L-arginine analogs and we think
this explanation is less likely. It would be interesting to know if the
E361Q mutant binds
N
-nitro-L-arginine, a tightly
bound, but uncharged inhibitor.
8
C. S. Raman, personal communication.
 |
ABBREVIATIONS |
The abbreviations used are:
NOS, nitric-oxide
synthase;
nNOS, neuronal NOS;
eNOS, endothelial NOS;
iNOS, inducible
NOS;
NO, nitric oxide;
NOH-Arg, N
-hydroxy-L-arginine;
L-NMA, N
-methyl-L-arginine;
L-NIO, N5-(1-iminoethyl)-L-ornithine;
ethyl-L-NIO, N5-(1-iminobutyl)-L-ornithine;
butyl-L-NIO, N5-(1-iminohexyl)-L-ornithine;
TAO, N5-thioacetyl-L-ornithine;
L-TBO, N5-thiobutyryl-L-ornithine;
L-THO, N5-thiohexanoyl-L-ornithine;
Ks, dissociation constant determined from spectral
studies;
EI, electron impact;
FAB-MS, fast atom bombardment-mass
spectroscopy.
 |
REFERENCES |
| 1.
|
Griffith, O. W.,
and Stuehr, D. J.
(1995)
Annu. Rev. Physiol.
57,
707-736[CrossRef][Medline]
[Order article via Infotrieve]
|
| 2.
|
Stuehr, D. J.
(1997)
Annu. Rev. Pharmacol. Toxicol.
37,
339-359[CrossRef][Medline]
[Order article via Infotrieve]
|
| 3.
|
Tierney, D. L.,
Martasek, P.,
Doan, P. E.,
Masters, B. S. S.,
and Hoffman, B. M.
(1998)
J. Am. Chem. Soc.
120,
2983-2984[CrossRef]
|
| 4.
|
Sessa, W. C.
(1994)
J. Vasc. Res.
31,
131-143[Medline]
[Order article via Infotrieve]
|
| 5.
|
Garthwaite, J.,
and Boulton, C. L.
(1995)
Annu. Rev. Physiol.
57,
683-706[CrossRef][Medline]
[Order article via Infotrieve]
|
| 6.
|
Zhang, J.,
and Snyder, S. H.
(1995)
Annu. Rev. Phamacol. Toxicol.
35,
213-233
[CrossRef][Medline]
[Order article via Infotrieve] |
| 7.
|
Aisaka, K.,
Gross, S. S.,
Griffith, O. W.,
and Levi, R.
(1989)
Biochem. Biophys. Res. Commun.
160,
881-886[CrossRef][Medline]
[Order article via Infotrieve]
|
| 8.
|
Umans, J. G.,
and Levi, R.
(1995)
Annu. Rev. Physiol.
57,
771-790[CrossRef][Medline]
[Order article via Infotrieve]
|
| 9.
|
Clancy, R. M.,
Amin, A. R.,
and Abramson, S. B.
(1998)
Arthritis Rheum.
41,
1141-1151[CrossRef][Medline]
[Order article via Infotrieve]
|
| 10.
|
Nathan, C. F.,
and Hibbs, J. B., Jr.
(1991)
Curr. Opin. Immunol.
3,
65-70[CrossRef][Medline]
[Order article via Infotrieve]
|
| 11.
|
Huang, Z.,
Huang, P. L.,
Panahian, N.,
Dalkara, T.,
Fishman, M. C.,
and Mosowitz, M. A.
(1994)
Science
265,
1883-1885[Abstract/Free Full Text]
|
| 12.
|
Lassen, L. H.,
Ashina, M.,
Christiansen, I.,
Ulrich, V.,
and Olesen, J.
(1997)
Lancet
349,
401-402[CrossRef][Medline]
[Order article via Infotrieve]
|
| 13.
|
Kilbourn, R. G.,
and Griffith, O. W.
(1992)
J. Natl. Cancer Inst.
84,
827-831[Free Full Text]
|
| 14.
|
Kilbourn, R. G.,
Junran, A.,
Gross, S. S.,
Griffith, O. W.,
Levi, R.,
Adams, J.,
and Lodato, R. F.
(1990)
Biochem. Biophys. Res. Commun.
172,
1132-1138[CrossRef][Medline]
[Order article via Infotrieve]
|
| 15.
|
Guslandi, M.
(1998)
Eur. J. Clin. Invest.
28,
904-907[CrossRef][Medline]
[Order article via Infotrieve]
|
| 16.
|
Goureau, O.,
Belot, J.,
Thillaye, B.,
Courtois, Y.,
and de Kozak, Y.
(1995)
J. Immunol.
154,
6518-6523[Abstract]
|
| 17.
|
McCartney-Francis, N.,
Allen, J. B.,
Mizel, D. E.,
Albina, J. E.,
Xie, Q-W.,
Nathan, C. F.,
and Wahl, S. M.
(1993)
J. Exp. Med.
178,
749-754[Abstract/Free Full Text]
|
| 18.
|
Stefanovic-Racic, M.,
Stadler, J.,
and Evans, C. H.
(1993)
Arthritis Rheum.
36,
1036-1044[Medline]
[Order article via Infotrieve]
|
| 19.
|
Griffith, O. W.,
and Gross, S. S.
(1996)
in
Methods in Nitric Oxide Research
(Feelisch, M.
, and Stamler, J. S., eds)
, pp. 187-208, John Wiley & Sons Ltd., New York
|
| 20.
|
Babu, B. R.,
and Griffith, O. W.
(1998)
Curr. Opin. Chem. Biol.
2,
491-500
[CrossRef][Medline]
[Order article via Infotrieve] |
| 21.
|
Southan, G. J.,
and Szabó, C.
(1996)
Biochem. Pharmacol.
51,
383-394[CrossRef][Medline]
[Order article via Infotrieve]
|
| 22.
|
Fukuto, J. M.,
and Chaudhuri, G.
(1995)
Annu. Rev. Pharmacol. Toxicol.
35,
165-194[CrossRef][Medline]
[Order article via Infotrieve]
|
| 23.
|
Hibbs, J. B., Jr.,
Vavrin, Z.,
and Taintor, R. R.
(1987)
J. Immunol.
138,
550-565[Abstract]
|
| 24.
|
Griffith, O. W.,
and Kilbourn, R. G.
(1997)
Adv. Enzymol. Regul.
37,
171-194
[CrossRef][Medline]
[Order article via Infotrieve] |
| 25.
|
Scannell, J. P.,
Ax, H. A.,
Pruess, D. L.,
Williams, T.,
Demny, T. C.,
and Stempel, A.
(1972)
J. Antibiot.
25,
179-184[Medline]
[Order article via Infotrieve]
|
| 26.
|
Neuberger, A.,
and Sanger, F.
(1943)
Biochem. J.
37,
515-518
|
| 27.
|
McMillan, K.,
Bredt, D. S.,
Hirsch, D. J.,
Snyder, S. H.,
Clark, J. E.,
and Masters, B. S. S.
(1992)
Proc. Natl. Acad. Sci. U. S. A.
89,
11141-11145[Abstract/Free Full Text]
|
| 28.
|
Martásek, P.,
Liu, Q.,
Liu, J.,
Roman, L. J.,
Gross, S. S.,
Sessa, W. C.,
and Masters, B. S. S.
(1996)
Biochem. Biophys. Res. Commun.
219,
359-365[CrossRef][Medline]
[Order article via Infotrieve]
|
| 29.
|
Vásquez-Vivar, J.,
Kalyanaraman, B.,
Martásek, P.,
Hogg, N.,
Masters, B. S. S.,
Karoui, H.,
Tordo, P.,
and Pritchard, K. A., Jr.
(1998)
Proc. Natl. Acad. Sci. U. S. A.
95,
9220-9225[Abstract/Free Full Text]
|
| 30.
|
Xia, Y.,
Roman, L. J.,
Masters, B. S. S.,
and Zweier, J. L.
(1998)
J. Biol. Chem.
273,
22635-22639[Abstract/Free Full Text]
|
| 31.
|
Roman, L. J.,
Sheta, E. A.,
Martásek, P.,
Gross, S. S.,
Liu, Q.,
and Masters, B. S. S.
(1995)
Proc. Natl. Acad. Sci. U. S. A.
92,
8428-8432[Abstract/Free Full Text]
|
| 32.
|
Babu, B. R.,
and Griffith, O. W.
(1998)
J. Biol. C |