Highly reactive, potentially toxic gas produced by the partial oxidation of atmospheric nitrogen. Major air pollutant along with its oxidative by-products (NOx) resulting from incomplete combustion of fossil fuels. Also found ubiquitously in animals; generated in vivo from arginine, q.v., by nitric oxide synthase (NOS). Increases guanylate cyclase activity to produce cyclic GMP, q.v. Involved in a wide range of physiological functions, including vasodilation, neurotransmission, cytotoxicity of macrophages, and inhibition of platelet aggregation. Laboratory prepn: Blanchard, Inorg. Synth. 2, 126 (1946); Schenk in Handbook of Preparative Inorganic Chemistry vol. 1, G. Brauer, Ed. (Academic Press, New York, 2nd ed., 1963) pp 485-487. General reviews: Beattie, “Nitric Oxide” in Mellor's Vol. VIII, supplement II, Nitrogen (part 2) 216-240 (1967); Jones in Comprehensive Inorganic Chemistry vol. 2, J. C. Bailar, Jr. et al., Eds. (Pergamon Press, Oxford, 1973) pp 323-334. Role in cGMP production: W. P. Arnold et al., Proc. Natl. Acad. Sci. USA 74, 3203 (1977). Identification of endothelium dependent vasorelaxation: R. F. Furchgott, J. V. Zawadzki, Nature 288, 373 (1980). Identity of NO and EDRF: L. J. Ignarro et al., Proc. Natl. Acad. Sci. USA 84, 9265 (1987). Reviews of physiological role: S. Moncada et al., Pharmacol. Rev. 43, 109-142 (1991); A. R. Butler, D. L. H. Williams, Chem. Soc. Rev. 22, 233-242 (1993). Role in airway function: R. J. Martin et al., Semin. Perinatol. 26, 432 (2002). Clinical trial of inhaled NO in neonatal respiratory failure: G. M. Sokol, R. A. Ehrenkranz, ibid. 27, 311 (2003). Review of pharmacology and therapeutic potential of inhaled NO: F. Ichinose et al., Circulation 109, 3106-3111 (2004). Review of chemistry: D. L. H. Williams, Org. Biomol. Chem. 1, 441-449 (2003); of coordination chemistry in bio-inorganic systems: J. A. McCleverty, Chem. Rev. 104, 403-418 (2004).
Vasodilator (pulmonary); in treatment of neonatal cardiorespiratory failure.