Cytochrome P450 reductase (CPR) and cytochrome P450 (CP) play important roles in organic nitrate bioactivation, however, the mechanism by which they convert organic nitrate to nitric oxide (NO) remains unknown. Questions remain regarding the initial precursor of NO that serves to link organic nitrate to the activation of soluble guanylyl cyclase (sGC). To characterize the mechanism of CPP-CP-mediated organic nitrate bioactivation, Electron Paramagnetic Resonance (EPR) spectroscopy, chemiluminescence NO analyzer, NO electrode, and immunoassay studies were performed. With rat hepatic microsomes or purified CPR, the presence of NADPH triggered organic nitrate reduction to nitrite (NO2-). The CPR flavin site inhibitor diphenyleneiodonium inhibited this NO2- generation, while the CP inhibitor clotrimazole did not. However, clotrimazole greatly inhibited NO2--dependent NO generation. Therefore, CPR catalyzes organic nitrate reduction producing nitrite, while CP can mediate further nitrite reduction to NO. Nitrite-dependent NO generation contributed less than 10% of the CPR-CP-mediated NO generation from organic nitrates, thus NO2- is not the main precursor of NO. Studies suggested that organic nitrite (R-O-NO) is produced from organic nitrate reduction by CPR. Further reaction of organic nitrite with thiols leads to NO or nitrosothiol generation and thus stimulates the activation of sGC. Thus, organic nitrite is the initial product in the process of organic nitrate activation and is the precursor of NO and nitrosothiols, serving as the link between organic nitrate and sGC activation.
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