Target intelligence / Profile preview

Inducible nitric oxide synthase and neuronal nitric oxide synthase (iNOS and nNOS)

Target
iNOS and nNOS
Molecular classification
Enzyme, Oxidoreductase, Nitric oxide synthase family
01

Overview

Inducible nitric oxide synthase (iNOS, also called NOS2) and neuronal nitric oxide synthase (nNOS, also called NOS1) are two isoforms of the nitric oxide synthase enzyme family, responsible for catalyzing the conversion of L-arginine to nitric oxide (NO) and citrulline[3][4]. iNOS is primarily expressed in immune cells like macrophages and generates large amounts of NO as a defense response to inflammatory signals (such as cytokines and bacterial products), playing a key role in immune modulation and host defense but also contributing to inflammatory tissue damage and septic shock when dysregulated[1][4][6]. nNOS is constitutively expressed in neurons and select peripheral tissues, where it modulates synaptic signaling, neuroprotection, learning, memory, and central/peripheral neurotransmission and vascular tone; dysregulation of nNOS is implicated in neurodegenerative, psychiatric, and cardiovascular diseases[2][5][7]. Both enzymes require cofactors such as NADPH, FAD, FMN, heme, and tetrahydrobiopterin for activity, but they differ in regulation, with iNOS being calcium-independent after induction, while nNOS activity is regulated by calcium/calmodulin binding[3][4]. Selective inhibitors for each isoform are under investigation as therapeutics for pathologies driven by excessive or deficient NO signaling, but broad blockade carries safety risks due to NO’s pleiotropic physiological roles.

Other names
iNOS (NOS2)nNOS (NOS1)inducible NOSneuronal NOSNOS type II (for iNOS)NOS type I (for nNOS)
02

Mechanism of action

Inhibition of nitric oxide production by blocking L-arginine conversion; Inhibition of NO-mediated vasodilation; Suppression of immune cell-mediated NO response (iNOS); Modulation of synaptic signaling in CNS (nNOS)

03

Biological functions

Nitric oxide synthesisSignal transductionImmune response (iNOS)Neurotransmission (nNOS)Regulation of vascular toneModulation of synaptic plasticity (nNOS)Cytostatic response to pathogens (iNOS)
04

Disease associations

Inflammation (iNOS)Cardiovascular disease (nNOS, iNOS)Neurodegenerative disease (nNOS)Septic shock (iNOS)Psychiatric and neurological disorders (nNOS)Cancer (iNOS)Erectile dysfunction (nNOS)
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Safety considerations

Nonspecific inhibition can impair normal neuronal signaling (nNOS) or normal immune response (iNOS)Excessive iNOS activity can cause tissue damage, septic shock, and inflammatory injuryInhibition of nNOS may impact learning, memory, and other CNS functionsLong-term blockade may cause cardiovascular effects, immune suppression, or neuropsychiatric symptoms
06

Interacting drugs

L-NAME (non-selective NOS inhibitor)

5 more in the full profile.

07

Biomarkers

Nitric oxide levelsCitrulline levelsiNOS/nNOS mRNA or protein expression

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