Is nitric oxide good or bad for the body?

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Discussion Overview

The discussion revolves around the role of nitric oxide (NO) in the body, particularly its effects on cellular respiration, ATP production, and its potential benefits and drawbacks in medical contexts. Participants explore the dual nature of NO, considering both its positive effects on blood circulation and longevity, as well as its inhibitory effects on ATP production.

Discussion Character

  • Exploratory
  • Debate/contested
  • Technical explanation

Main Points Raised

  • One participant notes that NO can inhibit an important enzyme in the electron transport chain, potentially leading to reduced ATP production, which raises concerns about its effects.
  • Another participant emphasizes that there is no straightforward answer regarding whether NO is good or bad, as it depends on various circumstances, including patient reactions and specific medical contexts.
  • A participant points out the confusion between nitric oxide (NO) and nitrous oxide (N2O), clarifying that NO is a biological signaling molecule.
  • It is suggested that the effects of NO are dose-dependent and context-specific, with potential toxic effects under certain conditions.
  • NO is described as a potent vasodilator, which can be beneficial in specific medical situations, such as ischemic attacks, but may not be universally good.

Areas of Agreement / Disagreement

Participants express uncertainty about categorizing NO as strictly good or bad, indicating that multiple competing views remain regarding its role and effects in the body.

Contextual Notes

The discussion highlights the complexity of biological systems and the importance of context in evaluating the effects of nitric oxide, noting that the quality of studies can influence conclusions drawn about its use.

fog37
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Hello,

I am learning about cellular respiration, and ATP. I was reading how nitric oxide (NO) can inhibit an important enzyme that is part of the electron transport chain and lead to less ATP production. That seems to give a bad rap to NO. But I also read how good NO is for longevity and blood circulation...

Does anyone have some clarifications to offer on this topic? Is NO good or bad? It seems bad if it affects ATP production. I am confused.

Thank you!
 
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It would help to give you a better answer if you let us know where you got the information you cited.

1. I can say is that there have been studies (random controlled trials) on several different aspects of Nitrous Oxide use in medical and dental procedures.
Try this google search: random controlled trial on nitrous oxide
There is one trial now on for treatment of cardiovascular disease which has really positive results.

2. There is no perfect good or bad answer to a lot of medical questions. Why? Because circumstances surrounding a proposed treatment make some options completely unacceptable, like patient allergies/reactions to medications and anesthetics. I think that is what you are seeing.

3. Unless the study is of very high quality (usually an RCT (Random Controlled Trial)) you really cannot derive anything more than a good maybe about the conclusions. Sometimes the lower quality study is all we have. That can leave the reader in exactly the quandary you seem to have.
 
Last edited:
jim mcnamara said:
I can say is that there have been studies (random controlled trials) on several different aspects of Nitrous Oxide use in medical and dental procedures.

You seem to be confusing nitric oxide (NO), an important biological signaling molecule, with nitrous oxide (N2O), an anesthetic.
 
Yes, I did mix things. Thank you. I did not get what what NO was supposed to be obviously.
 
fog37 said:
Does anyone have some clarifications to offer on this topic? Is NO good or bad? It seems bad if it affects ATP production. I am confused.

As with most things in a complex living system its about balance and WHERE in the body they appear.. And as with most drugs, they are good in some cases in the right dose, while they can be toxic during other conditions. So one can say that NO is categoritcally good or bad, this is the wrong question.

https://en.wikipedia.org/wiki/Biological_functions_of_nitric_oxide

NO is a known potent vasodilator, and exist both naturally in the body (autoregulation from mechanoreceptors produce NO locally), and its also released from nitroglycerin which is a potent vasodilator drug typically used with ischemia. So nitroglycerin may be "good" if you have an ischemic attack, but not otherwise!

There also seems to be toxic effects, but they are dose dependent.
The Toxicology of Inhaled Nitric Oxide
https://academic.oup.com/toxsci/article/59/1/5/1658774

/Fredrik
 
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