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1 Duke University Medical Center
2 Duke University
* To whom correspondence should be addressed. E-mail: barry.w.allen{at}duke.edu.
Recent investigations have elucidated some of the diverse roles played by reactive oxygen and nitrogen species (ROS and RNS) in events that lead to oxygen toxicity and defend against it. The focus of this review is on toxic and protective mechanisms in hyperoxia that have been investigated in our laboratories, with an emphasis on interactions of nitric oxide (NO) with other endogenous chemical species and with different physiological systems. It is now emerging from these studies that the anatomical localization of NO release, which depends in part on whether the oxygen exposure is normobaric or hyperbaric, strongly influences whether toxicity emerges and what form it takes-for example acute lung injury, CNS excitation, or both. Spatial effects also contribute to differences in the susceptibility of different cells in organs at risk from hyperoxia, especially in the brain and lungs. As additional nodes are identified in this interactive network of toxic and protective responses, future advances may open up the possibility of novel pharmacologic interventions to extend both the time and partial pressures of oxygen exposures that can be safely tolerated. The implications of a better understanding of the mechanisms by which NO contributes to CNS oxygen toxicity may include new insights into the pathogenesis of seizures of diverse etiologies. Likewise, improved knowledge of NO-based mechanisms of pulmonary oxygen toxicity may enhance our understanding of other types of lung injury associated with oxidative or nitrosative stress.
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