Skip to main content

Inhibition of Nitric Oxide Production in Clinical Septic Shock

  • Chapter
Role of Nitric Oxide in Sepsis and ADRS

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 24))

  • 55 Accesses

Abstract

There is now an increasing body of evidence which strongly suggests that excess production of nitric oxide (NO) is responsible for the severe hypotension commonly seen in septic shock. Very recently, Gomez-Jimenez et al. [1] have shown that plasma nitrite and nitrate levels were not different between a control group of patients and those with sepsis, but the values in both these groups were significantly lower than in a group of patients with septic shock. In addition, they were able to show a correlation between nitrite and nitrate levels and cardiac output and plasma endotoxin levels in the septic group.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Gómez-Jiménez J, Salgado A, Mourelle M, et al (1995) L-arginine: Nitric oxide pathway in endotoxemia and human septic shock. Crit Care Med 23:253–258

    Article  PubMed  Google Scholar 

  2. Cobb JP, Cunnion RE, Danner RL (1993) Nitric oxide as a target for therapy in septic shock. Crit Care Med 21:1261–1263

    Article  PubMed  CAS  Google Scholar 

  3. Cobb JP, Natanson C, Hoffman WD, et al (1992) N-amino-L-arginine, an inhibitor of nitric oxide synthase, raises vascular resistance but increases mortality in canines challenged with endotoxin. J Exp Med 176:1175–1182

    Article  PubMed  CAS  Google Scholar 

  4. Biliar TR, Curran RD, Harbrecht BG, et al (1990) Modulation of nitrogen oxide synthesis in vivo: N mono-methyl-L-arginine inhibits endotoxin-induced nitrite/nitrate biosynthesis while promoting hepatic damage. J Leukoc Biol 48:565–569

    Google Scholar 

  5. Petros A, Bennett D, Vallance P (1991) Effect of nitric oxide synthase inhibition on hypotension in patients with septic shock. Lancet 338:1557–1558

    Article  PubMed  CAS  Google Scholar 

  6. Lorente JA, Landín L, De Pablo R, et al (1993) L-arginine pathway in the sepsis syndrome. Crit Care Med 21:1287–1285

    Article  PubMed  CAS  Google Scholar 

  7. Petros A, Lamb, Leone A, et al (1994) Effects of a nitric oxide synthase inhibitor in humans with septic shock. Cardiovasc Res 28:34–39

    Article  PubMed  CAS  Google Scholar 

  8. Preiser JC, Lejeune P, Roman A, et al (1995) Methylene blue administration in septic shock: A clinical trial. Crit Care Med 23:259–264

    Article  PubMed  CAS  Google Scholar 

  9. Brüssel T, Meyer J (1995) Nitric oxide synthesis inhibition in septic shock. Crit Care Med 23:412 (Letter)

    Article  PubMed  Google Scholar 

  10. Cobb JP, Cunnion RE, Danner RL (1995) Nitric oxide synthesis inhibition in septic shock. Crit Care Med 23:413–414 (Letter)

    Article  Google Scholar 

  11. Lorente J A Landin, Renes E, Liste D (1995) Nitric oxide synthesis inhibition in septic shock. Crit Care Med 23:414–415 (Letter)

    Article  Google Scholar 

  12. Yu M, Tomasa G (1993) A double blind, prospective, randomized trial ketoconazole, a thromboxane synthetase inhibitor, in the prophylaxis of adult respiratory distress syndrome. Crit Care Med 21:1635–1642

    Article  PubMed  CAS  Google Scholar 

  13. Bogle RG, Whitley GS, Soo SC, et al (1994) Effect of anti-fungal imidazoles on mRNA levels and enzyme activity of inducible nitric oxide synthase. Br J Pharmacol 111: 1257–1261

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Bennett, E.D. (1995). Inhibition of Nitric Oxide Production in Clinical Septic Shock. In: Fink, M.P., Payen, D. (eds) Role of Nitric Oxide in Sepsis and ADRS. Update in Intensive Care and Emergency Medicine, vol 24. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79920-4_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-79920-4_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-79922-8

  • Online ISBN: 978-3-642-79920-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics