PMID- 27822383 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211103 IS - 2056-5909 (Print) IS - 2056-5909 (Electronic) IS - 2056-5909 (Linking) VI - 22 DP - 2016 TI - Neuronal nitric oxide synthase in hypertension - an update. PG - 20 LID - 20 AB - Hypertension is a prevalent condition worldwide and is the key risk factor for fatal cardiovascular complications, such as stroke, sudden cardiac death and heart failure. Reduced bioavailability of nitric oxide (NO) in the endothelium is an important precursor for impaired vasodilation and hypertension. In the heart, NO deficiency deteriorates the adverse consequences of pressure-overload and causes cardiac hypertrophy, fibrosis and myocardial infarction which lead to fatal heart failure and sudden cardiac death. Recent consensus is that both endothelial and neuronal nitric oxide synthases (eNOS or NOS3 and nNOS or NOS1) are the constitutive sources of NO in the myocardium. Between the two, nNOS is the predominant isoform of NOS that controls intracellular Ca(2+) homeostasis, myocyte contraction, relaxation and signaling pathways including nitroso-redox balance. Notably, our recent research indicates that cardiac eNOS protein is reduced but nNOS protein expression and activity are increased in hypertension. Furthermore, nNOS is induced by the interplay between angiotensin II (Ang II) type 1 receptor (AT1R) and Ang II type 2 receptor (AT2R), mediated by NADPH oxidase and reactive oxygen species (ROS)-dependent eNOS activity in cardiac myocytes. nNOS, in turn, protects the heart from pathogenesis via positive lusitropy in hypertension. Soluble guanylate cyclase (sGC)-cGMP/PKG-dependent phosphorylation of myofilament proteins are novel targets of nNOS in hypertensive myocardium. In this short review, we will endeavor to overview new findings of the up-stream and downstream regulation of cardiac nNOS in hypertension, shed light on the underlying mechanisms which may be of therapeutic value in hypertensive cardiomyopathy. FAU - Zhang, Yin Hua AU - Zhang YH AD - Department of Physiology & Biomedical Sciences, Ischemic/Hypoxic Disease Institute, Seoul National University, College of Medicine, 103 Dae Hak Ro, Chong No Gu, 110-799 Seoul Korea ; Yanbian University Hospital, Yanji, Jilin Province 133000 China ; Division of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. LA - eng PT - Journal Article PT - Review DEP - 20161103 PL - England TA - Clin Hypertens JT - Clinical hypertension JID - 101669508 PMC - PMC5093926 OTO - NOTNLM OT - Cardiomyocyte OT - Hypertension OT - Hypertrophy OT - Neuronal nitric oxide synthase (nNOS) OT - Nitric oxide EDAT- 2016/11/09 06:00 MHDA- 2016/11/09 06:01 PMCR- 2016/11/03 CRDT- 2016/11/09 06:00 PHST- 2016/07/15 00:00 [received] PHST- 2016/10/19 00:00 [accepted] PHST- 2016/11/09 06:00 [entrez] PHST- 2016/11/09 06:00 [pubmed] PHST- 2016/11/09 06:01 [medline] PHST- 2016/11/03 00:00 [pmc-release] AID - 55 [pii] AID - 10.1186/s40885-016-0055-8 [doi] PST - epublish SO - Clin Hypertens. 2016 Nov 3;22:20. doi: 10.1186/s40885-016-0055-8. eCollection 2016.