WO2000028076A1 - Regulation of nitric oxide synthase activity - Google Patents
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- WO2000028076A1 WO2000028076A1 PCT/AU1999/000968 AU9900968W WO0028076A1 WO 2000028076 A1 WO2000028076 A1 WO 2000028076A1 AU 9900968 W AU9900968 W AU 9900968W WO 0028076 A1 WO0028076 A1 WO 0028076A1
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- This invention relates to the regulation of the activity of the enzyme nitric oxide synthase, and in particular to regulation of activity of endothelial and neuronal nitric oxide synthases .
- nitric oxide synthase nitric oxide synthases
- endothelial and neuronal nitric oxide synthases phosphorylation of endothelial and neuronal nitric oxide synthases by several protein kinases, including protein kinase C and the AMP-activated protein kinase, regulates their activity .
- Nitric oxide has recently been recognised as an important mediator of a very wide variety of cellular functions, and is present in most if not all mammalian cells (Moncada, S. and Higgs, A., 1993). It is implicated in a range of disorders, hypertension, hypocholesterolaemia, diabetes, heart failure, aging, inflammation, and the effects of cigarette smoking, and is especially important in vascular biology. It regulates systemic blood pressure as well as vascular remodelling (Rudic et al . , 1998) and angiogenesis in response to tissue ischaemia (Murohara et al . , 1998).
- NO is synthesised from the amino acid L-arginine by the enzyme nitric oxide synthase (NOS) .
- NOS nitric oxide synthase
- Three isoforms of NOS have been identified: neuronal NOS (nNOS) , which is found in neuronal tissues and skeletal muscle (nNOS ⁇ isoform) ; inducible NOS (iNOS) , found in a very wide variety of mammalian tissues including activated macrophages, cardiac myocytes, glial cells and vascular smooth muscle cells; and endothelial NOS (eNOS), found in vascular endothelium, cardiac myocytes and blood platelets. Endothelial cells produce NO in response to shear stress generated by the streaming of blood on the endothelial layer.
- the three isoforms of NO synthase have an amino acid sequence identity of approximately 55%, with strong sequence conservation in regions involved in catalysis.
- the mechanism of NO synthesis involves binding of the ubiquitous calcium regulatory protein calmodulin (CaM) to the enzyme.
- CaM ubiquitous calcium regulatory protein calmodulin
- the conditions under which CaM is bound appear to be different for iNOS, at least insofar as calcium concentration is concerned.
- These three NOS enzymes have been intensively studied, and the field has been recently reviewed; see for example Michel and Feron (1997); Harrison (1997); and Mayer and Hellens (1997) .
- AMP-activated protein kinase is a metabolic stress-sensing protein kinase which is known to play an important role in the regulation of acetyl-CoA carboxylase, leading to the acceleration of fatty acid oxidation during vigorous exercise or ischaemia.
- AMPK is well known as a regulator of lipid metabolism, and in particular is known to have a role in cholesterol synthesis, as reviewed in Hardie and Carling (1997) .
- the AMPK is also considered to play an important role in exercise-enhanced glucose transport (Hayashi et al . , (1998) which is distinct from the insulin-mediated glucose uptake mechanism.
- AMPK has mainly been studied in the liver, heart and skeletal muscle.
- AMPK has been purified, and the genes encoding the enzyme subunits were cloned (See International Patent Applications numbersPCT/GB94/01093and PCT/US97/00270 and publication W097/25341) .
- the mammalian AMPK (Mitchelhill et al , 1994) is related to the Saccharomyces cereviseae SNF1 protein kinase.
- ⁇ heterotrimers consisting of either ⁇ l or ⁇ 2 catalytic sub-units (Stapleton et al , 1996; Stapleton et al , 1997a) , together with the non-catalytic subunits ⁇ and ⁇ (Mitchelhill et al , 1994; Carling et al , 1994; Stapleton et al , 1994) , which are related to the yeast siplp and snf4p respectively.
- the AMPK ⁇ 2 sub-unit gene is on chromosome 1 (Beri et al .
- the ⁇ l sub-unit gene is on chromosome 5
- the ⁇ l and ⁇ l sub-unit genes are on chromosome 12
- the ⁇ 2 sub-unit gene is on chromosome 1
- the ⁇ 2 sub-unit gene is localised on chromosome 7 (Stapleton et al , 1997).
- a ⁇ 3 gene has been detected using an expressed sequence tag (EST) generated by genome sequencing (Accession No AA178898) .
- EST expressed sequence tag
- One of the genes encoding eNOS is on chromosome 7, close to the gene for the ⁇ 2 sub-unit of AMPK.
- Another gene encoding nNOS is found on chromosome 12.
- AMPK- ⁇ l isoform occurs in cardiac myocytes and vessels.
- the presence of AMPK in endothelial cells led us to test bacterially- expressed eNOS as a substrate, and we found that it is readily phosphorylated by either AMPK- ⁇ l or AMPK- ⁇ 2.
- AMP-activated protein kinase phosphorylates and regulates endothelial NO synthase.
- Ser-1177 in the human sequence, and Ser-1179 for the bovine sequence is phosphorylated in the COOH-terminal tail of the enzyme, causing activation of eNOS by shifting the calmodulin-dose dependence.
- phosphorylation also occurs at Thr-495 in the eNOS calmodulin-binding sequence, and inhibits the enzyme.
- Ischaemia of the heart causes activation of the AMPK and of eNOS, mimicking the effects of phosphorylation at Ser-1177.
- Phosphopeptide- specific antibodies to phosphorylated Ser-1177 were used to confirm that this site was phosphorylated during ischaemia.
- the invention provides a method of identifying modulators of AMPK- mediated activation of a nitric oxide synthase enzyme selected from the group consisting of eNOS, nNOS and nNOS ⁇ , comprising the step of testing the ability of putative modulators to increase or decrease phosphorylation of the enzyme; said increase or decrease depending on the calmodulin and calcium ion concentrations .
- the specific phosphorylation of Ser-1177 is assessed in the presence of calcium and calmodulin.
- the invention provides a method of identifying modulators of AMPK-mediated inhibition of eNOS, comprising the step of testing a putative modulator for its ability to decrease or increase AMPK-mediated phosphorylation of eNOS in the presence of limiting calcium ions.
- specific phosphorylation of Thr-495 is assessed.
- Compounds able to increase phosphorylation of Ser-1177 or decrease phosphorylation of Thr-495 are referred to herein as activators, and compounds able to decrease phosphorylation of Ser-1177 or increase phosphorylation of Thr-495 are referred to as inhibitors.
- one or more of the following activities may optionally be additionally assessed for each putative activator or inhibitor identified by the method of the invention: (a) Effect on smooth muscle contraction; (b) Effect on inotropic activity of the heart ,- (c) Effect on chronotropic activity of the heart ; and (d) Effect on platelet function. It is expected that because the phosphorylation site equivalent to Thr-495 in the eNOS calmodulin-binding site is absent from the neuronal form of NOS, inhibitors and activators identified by the method of the invention will have at least some degree of tissue specificity.
- Figure 1 shows immunofluorescence localization of AMPK- ⁇ 2 in the heart and in the tibialis anterior muscle.
- Panel A shows a negative control section of rat heart stained with control rabbit IgG and control mouse IgG, together with anti-rabbit-FITC and anti-mouse-Texas Red.
- Panel B shows a section of rat heart stained with affinity-purified rabbit polyclonal antibody against AMPK- ⁇ 2 (491-514) and anti-rabbit-FITC.
- Panel C shows the same section as Panel B, stained with a monoclonal antibody against rat endothelium recA-1 and anti-mouse-Texas Red.
- Panel D shows the overlay of Panels B and C.
- Panel E shows a negative control section of rat tibialis anterior muscle stained with control rabbit IgG and control mouse-IgG, together with anti-rabbit-FITC and anti-mouse-Texas Red.
- Panel F shows a section stained with affinity- purified rabbit polyclonal antibody against AMPK- ⁇ 2 (491-514) and anti-rabbit-FITC.
- Panel G shows the same section as in Panel B, stained with a monoclonal antibody against rat endothelium recA-1 and anti -mouse-Texas Red.
- Panel H shows the overlay of Panels E and F.
- FIG. 2 illustrates phosphorylation of recombinant eNOS by AMPK.
- Top panel eNOS was incubated with rat liver AMPK- ⁇ l and [ ⁇ - 32 P] ATP.
- Lane 1 Coomassie-stained SDS-PAGE; Lane 2 : Autoradiograph .
- Lower panel 32 P-tryptic phosphopeptide map of eNOS .
- Figure 3 shows the effect of phosphorylation of eNOS by the AMPK with or without added Ca 2 + -CaM.
- Rat heart eNOS purified by 2 ' , 5 ' -ADP-Sepharose affinity chromatography was phosphorylated by AMPK in the presence of 0.8 ⁇ M CaM/3.2 ⁇ M Ca 2+ (closed circles) , in the absence of Ca 2+ -CaM (closed triangles) and without AMPK (open squares) .
- samples were diluted and eNOS activity was measured.
- the lower panels show phosphopeptide maps for rat heart eNOS phosphorylated in the presence and absence of added Ca 2+ -CaM.
- Figure 4 shows the effect of ischaemia on the activities of AMPK- ⁇ l, AMPK- ⁇ 2 and eNOS.
- Panel B shows eNOS activity measured at 500 nM CaM.
- Panel C shows eNOS activities with full CaM-dose responses for a representative experiment. Ischaemia time points: 0 min (open squares), 1 min (closed diamonds) , 10 min (closed circles) and 20 min (open triangles) . The results of 4 replicates were the same, except that in one case the 20 min ischaemia eNOS CaM-dependence remained the same as for 10 min.
- Figure 5 shows a comparison of NOS sequences .
- Phosphorylation site sequences for eNOS and nNOS are indicated in a schematic model of NOS. Sequences from the CaM-binding region (around the Thr-495 phosphorylation site in eNOS) and for the COOH-terminal tail (around the Ser-1177 phosphorylation site in eNOS) are shown.
- Figure 6 shows the effect of treatment of bovine aortic endothelial cells with phorbol ester (PMA) and okadaic acid on eNOS activity (upper pane) and the phosphorylation at Ser-1177 and Thr-495 (lower panel) .
- PMA phorbol ester
- Figure 7 shows the effect of treatment of bovine aortic endothelial cells with 3-isobutyl-l-methylxanthine (IBMX) and calyculin A on the phosphorylation at Ser-1177 and Thr-495.
- Figure 8 shows a summary illustration of the regulation of eNOS by phosphorylation at Thr-495 and Ser- 1177, mediated by protein kinases PKC, AMPK and Akt . Reversal of the phosphorylation at these sites is mediated by protein phosphatases PPl and PP2A in response to treating the cells with IBMX and PMA respectively.
- Figure 9 shows the effect of a 30 second bicycle sprint exercise on nNOS phosphorylation in human muscle. The nNOS was extracted from biopsy material and probed for phosphorylation at Ser-1417 using an anti-phosphopeptide antibody. The left panel shows an immunoblot, and the right panel shows quantitative analysis of 5 individuals.
- AMPK may operate an "inside-out" signalling pathway that leads to arterial vasodilation and reduced myocardial contraction, so coupling the metabolic status of endothelial cells and myocytes with the vascular supply and mechanical activity.
- Example 1 Immunofluorescence Localisation of AMPK- ⁇ 2 in Heart and Skeletal Muscle Confocal immunofluorescence microscopy using affinity-purified rabbit polyclonal antibody directed against AMPK- ⁇ 2 (antibody 491-414. Staining with fluorescence-labelled anti-rabbit antibody showed that the ⁇ 2 isoform is found predominantly in capillary endothelial cells in both cardiac muscle and skeletal muscle, while cardiac myocytes and blood vessels showed intense but diffuse staining for the ⁇ l AMPK isoform. In skeletal muscle, the ⁇ 2 isoform was found in endothelial cells of capillaries, and in fast-twitch muscle fibres, whereas the ⁇ l isoform was found in Type I aerobic fibres . Localisation of AMPK- ⁇ 2 in capillary endothelial cells in both cardiac and skeletal muscle is illustrated in Figure 1.
- Example 2 AMPK Phosphorylates Recombinant eNOS Bacterially expressed eNOS, coexpressed with CaM by the method of Rodriguez-Crespo et al (1996) , was phosphorylated by either AMPK- ⁇ l, as shown in Figure 2 top panel, or AMPK- ⁇ 2. Recombinant eNOS phosphorylation by immunoprecipitated AMPK- ⁇ 2 was detected. Since we have been unable to purify high specific activity AMPK- ⁇ 2 , no further characterisation of eNOS regulation or the sites of phosphorylation by the ⁇ 2 isoform was undertaken.
- the peptide containing Thr-495, GTGITRKKTFKEVANAVK was phosphorylated with a Km of 39 i 10 ⁇ M and a Vmax of 6.7 ⁇ 0.6 ⁇ mol/min/mg
- the peptide containing Ser-1177, RIRTQSFSLQERQLRG was phosphorylated with a Km of 54 ⁇ 6 ⁇ M and a Vmax of 5.8 ⁇ 0.3 ⁇ mol/min/mg.
- Example 3 Effect of Ca 2+ -CaM on Phosphorylation of eNOS by AMPK
- the eNOS activity was determined by measuring L- [ 3 H] -citrulline production, using the method of Balligand et al, 1995.
- the recombinant eNOS was coexpressed with CaM, as described by Rodriguez -Crespo and Ortiz de Montellano, 1996.
- Partially purified rat heart eNOS contained some Ca 2+ -CaM. In the absence of added EGTA, CaM dependence was observed at 0-100 nM added CaM.
- Twenty rat hearts were homogenised in 80 ml of ice-cold buffer A [50 mM Tris-HCl, pH 7.5 , 1 mM EDTA, 1 mM EGTA, 1 mM DTT, 50 mM NaF, 5 mM Na Pyrophosphate, 10 ⁇ g/ml Trypsin inhibitor, 2 ⁇ g/ml Aprotinin, 1 mM Benza idine, 1 mM PMSF, 10% Glycerol, 1% Triton-X- 100] .
- the homogenate was put on ice for 30 min and centrifuged at 16,000 x g for 30 min.
- the supernatant was incubated with 2 ml of 2 ', 5 ' -ADP-Sepharose (Bredt and Snyder, 1990) .
- the suspension was incubated for one hour before washing in a fritted column, with 20 ml of buffer A and 20 ml of buffer A containing 0.5 M NaCl, and then with 20 ml of buffer B [50 mM Tris-HCl, pH 7.5, 1 mM DTT, 10% Glycerol, 0.1% Triton-X-100] .
- eNOS was eluted with buffer B containing 2 mM NADPH, then subjected to centrifugal filtration (ULTRAFREE-MC MILLIPORE) to remove NADPH.
- Immunoblotting was used for selective detection of eNOS rather than nNOS.
- Phosphorylation of eNOS by AMPK in the presence of Ca 2+ -CaM resulted in activation, but CaM-dependence was retained, as shown in Figure 3 top panel.
- Activation shifted the dose response curve for CaM to the left.
- Phosphopeptide mapping revealed that activation of eNOS was correlated with phosphorylation of Ser-1177 but not of Thr- 495, as shown in Figure 3 lower panel.
- Phosphorylation without added Ca 2+ -CaM enhanced Thr-495 phosphorylation, suppressed Ser-1177 phosphorylation, and inhibited eNOS activity (Figure 3 top panel) .
- Example 4 Effect of Ischaemia on Activities of AMPK- ⁇ l, AMPK- ⁇ 2 and eNOS Langendorf preparations of isolated perfused rat heart were subjected to ischaemia according to the method of Kudo et al (1995) .
- AMPK- ⁇ l and AMPK- ⁇ 2 isoforms were immunoprecipitated using ⁇ 2 (490-516) or ⁇ l (231-251) antibodies, and assayed using the SAMS peptide substrate (Michell et al , 1996; Hardie and Carling, 1997) .
- eNOS activity was measured as described in Example 3. The results are shown in Figure 4.
- Both ⁇ l and ⁇ 2 isoforms are activated, as shown in Figure 4A, indicating that AMPK is activated in both capillary endothelial cells, which have predominantly the ⁇ 2 isoform, and in cardiac myocytes, which have predominantly the ⁇ l isoform.
- AMPK activation during ischaemia is also accompanied by eNOS activation and changes in the CaM dependence, as shown in Figures 4B and 4C, mimicking the effect of eNOS phosphorylation by AMPK in vitro, as shown in Figure 3.
- Polyclonal antibodies were raised against synthetic phosphopeptides based on the eNOS sequence: RIRTQSpFSLQER and GITRKKTpFKEVANCV.
- Rabbits were immunized with phosphopeptides coupled to keyhole limpet haemocyanin and then emulsified in Freund's complete adjuvant, using conventional methods.
- the antibodies were purified using the corresponding phosphopeptide affinity columns after thorough preclearing with dephosphopeptide affinity columns. The specificity of the purified antibodies was confirmed using both EIA and immunoblotting, confirming that they did not recognize recombinant dephospho-eNOS .
- Using the anti-phosphopeptide antibodies to Ser- 1177 and Thr-495 phosphorylation sites we observed that phosphorylation of Ser-1177 was increased approximately 3- fold by ischaemia, but that there was no detectable change in the Thr-495 phosphorylation under these conditions.
- Heart muscle contains eNOS in both capillary endothelial cells and cardiac myocytes (Balligand et al , 1995) , with low levels of the nNOS ⁇ isoform (Silvagno et al , 1996) .
- the sequences of the three types of NOS are compared in Figure 5 , which shows the CaM-binding region and the C-terminal tail.
- nNOS Ser-1417 corresponds to eNOS Ser-1177, whereas iNOS is truncated, and has a Glu in this region.
- Both iNOS and nNOS lack a phosphorylatable residue equivalent to Thr-495 in the CaM-binding region.
- Example 5 Effect of Stimulation of Protein Kinase C on eNOS Phosphorylation
- Bovine aortic endothelial cells cultured in 0.1% foetal calf serum for 20 hours (serum starved) were subjected to treatment with the protein kinase C activator 0.1 ⁇ M phorbol-12-myristate-13 -acetate (PMA) for 5 min.
- PMA treatment increased the phosphorylation of eNOS at Thr- 495 and decreased the phosphorylation at Ser-1177, as measured using anti-phosphopeptide specific antibodies.
- the antibodies used were the same as those described in Example 4. The results are shown in Figure 6. In cells cultured in medium without calcium we observed a 4-fold decrease in Ser-1177 phosphorylation.
- Bovine aortic endothelial cells were preincubated with or without 10 nM of the phosphatase inhibitor calyculin A for 10 min, and then incubated with or without 0.5 mM of the phosphodiesterase inhibitor, 3- isobutyl-1-methylxanthine (IBMX) for 5 min.
- IBMX treatment caused enhanced phosphorylation of Ser-1177 and dephosphorylation of Thr-495.
- Preincubation with calyculin A prevented the dephosphorylation of Thr- 495.
- Akt protein kinase Akt (also named PKB) phosphorylates Ser-1177 in response to stimulation of endothelial cells by vascular endothelial growth factor (VEGF ) (Fulton et al.1999; Michell et al.,1999) or to fluid shear stress (Dimmeler et al . , 1999; Gallis et al . , 1999) .
- VEGF vascular endothelial growth factor
- Protein kinase C phosphorylates both sites in vi tro, but stimulation of protein kinase C in endothelial cells with phorbol ester causes enhanced Thr-495phosphorylation but marked phosphorylation of Ser-1177.
- the dephosphorylation of Ser- 1177 is prevented by okadaic acid but not by calyculin A, indicating that phosphatase PP2A is responsible.
- Okadaic acid also greatly enhances the phosphorylation of Thr-495 in response to phorbol ester.
- Thrombin which also acts via protein kinase C, stimulates phosphorylation of Thr-495 and dephosphorylation of Ser-1177.
- Endothelially-derived NO has a critical role in preventing premature platelet adhesion and aggregation that leads to thrombus formation (Radomski and Moncada, 1993).
- HDL high-density lipoprotein
- Apolipoprotein E a component of HDL, acts on a receptor (apoER2) present in platelets to stimulate the NO signal transduction pathway (Riddell et al . , 1997; Riddell and Owen, 1999) .
- apoER2 a receptor
- Activation of eNOS by phosphorylation of its COOH-terminal tail gives new insight into eNOS autoinhibition.
- iNOS CaM-binding which is characterised by a low Ca 2+ -dependence, requires both the canonical CaM-binding sequence and distal residues in the COOH-terminus that cannot be satisfied by nNOS chimeras (Ruan et al , 1996) .
- eNOS and nNOS are autoinhibited by their COOH-terminal tails, requiring a two-stage activation process for full activity with both CaM-binding and phosphorylation in the tail, whereas iNOS requires only CaM binding.
- Saplino et al (1997) proposed that an insert sequence in the FMN-binding domain may also be important in autoregulation.
- eNOS may be phosphorylated both in vi tro and in vivo, but the precise sites of phosphorylation and the function of the phosphorylation events have not hitherto been fully characterized (reviewed in Michel and Feron, 1997) .
- eNOS is the first example of an enzyme activated by AMPK to be identified, and is also unusual because phosphorylation can lead to either activation or inhibition, depending on the availability of Ca 2+ -CaM.
- Other enzymes notably the cyclin-dependent protein kinases, are activated or inhibited by phosphorylation, but this is catalysed by different protein kinases.
- Protein kinase C phosphorylates Thr-495 in eNOS, demonstrating intersecting regulatory pathways acting on eNOS by phosphorylation of Thr-495 or Ser-1177. It is also possible that persistent activation of protein kinase C, for example in response to hyperglycaemia induced by diabetes, could chronically suppress phosphorylation of eNOS at Ser-1177, and thereby reduce its activity.
- the regulation of eNOS by AMPK extends the conceptual relationship between the yeast snflp kinase and the AMPK.
- Snflp kinase modulates the supply of glucose from the environment by secreting invertase whereas the mammalian AMPK integrates metabolic stress signalling with the control of the circulatory system.
- intracellular metabolic stress signals within endothelial cells and myocytes can elicit improved nutrient supply and suppress mechanical activity of the muscle.
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AU15008/00A AU1500800A (en) | 1998-11-06 | 1999-11-05 | Regulation of nitric oxide synthase activity |
JP2000581242A JP2004537251A (en) | 1998-11-06 | 1999-11-05 | Anchor for safety rope |
EP99957226A EP1127156A4 (en) | 1998-11-06 | 1999-11-05 | Regulation of nitric oxide synthase activity |
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AUPP6976A AUPP697698A0 (en) | 1998-11-06 | 1998-11-06 | Regulation of enzyme activity |
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Cited By (4)
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WO2003056032A1 (en) * | 2001-12-21 | 2003-07-10 | St Vincent's Institute Of Medical Research | Amp kinase beta-subunit oligosaccharide binding domain |
WO2010103040A1 (en) * | 2009-03-10 | 2010-09-16 | INSERM (Institut National de la Santé et de la Recherche Médicale) | 5'-adenosine monophosphate-activated protein kinase (ampk) activators for treating pulmonary hypertension |
WO2013106909A1 (en) * | 2012-01-18 | 2013-07-25 | Governing Council Of The University Of Toronto | Novel peptides and methods and uses thereof for preventing retinal disorders |
WO2021021774A1 (en) * | 2019-07-29 | 2021-02-04 | The Board Of Trustees Of The University Of Illinois | Composition and method for promoting wound healing |
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WO1999026657A1 (en) * | 1997-11-25 | 1999-06-03 | Musc Foundation For Research Development | Inhibitors of nitric oxide synthase |
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1998
- 1998-11-06 AU AUPP6976A patent/AUPP697698A0/en not_active Abandoned
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1999
- 1999-11-05 WO PCT/AU1999/000968 patent/WO2000028076A1/en not_active Application Discontinuation
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- 1999-11-05 JP JP2000581242A patent/JP2004537251A/en active Pending
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WO1999026657A1 (en) * | 1997-11-25 | 1999-06-03 | Musc Foundation For Research Development | Inhibitors of nitric oxide synthase |
Non-Patent Citations (3)
Title |
---|
BREDT ET AL.: "Nitric Oxide Synthase Regulatory Sites", THE JOURNAL OF BIOLOGICAL CHEMISTRY,, vol. 267, no. 16, 1992, pages 10976 - 10981, XP001025502 * |
CHEN ET AL.: "AMP-activated protein kinase phosphorylation of endothelial NO synthase", FEBS LETTERS,, vol. 443, 1999, pages 285 - 289, XP004259161 * |
See also references of EP1127156A4 * |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2003056032A1 (en) * | 2001-12-21 | 2003-07-10 | St Vincent's Institute Of Medical Research | Amp kinase beta-subunit oligosaccharide binding domain |
WO2010103040A1 (en) * | 2009-03-10 | 2010-09-16 | INSERM (Institut National de la Santé et de la Recherche Médicale) | 5'-adenosine monophosphate-activated protein kinase (ampk) activators for treating pulmonary hypertension |
WO2013106909A1 (en) * | 2012-01-18 | 2013-07-25 | Governing Council Of The University Of Toronto | Novel peptides and methods and uses thereof for preventing retinal disorders |
US9428550B2 (en) | 2012-01-18 | 2016-08-30 | Governing Council Of The University Of Toronto | Peptides and methods and uses thereof for preventing retinal disorders |
US10059742B2 (en) | 2012-01-18 | 2018-08-28 | The Governing Council Of The University Of Toronto | Peptides and methods and uses thereof for preventing retinal disorders |
WO2021021774A1 (en) * | 2019-07-29 | 2021-02-04 | The Board Of Trustees Of The University Of Illinois | Composition and method for promoting wound healing |
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AUPP697698A0 (en) | 1998-12-03 |
EP1127156A4 (en) | 2003-05-28 |
JP2004537251A (en) | 2004-12-16 |
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