BIOL 3327 Lecture Notes - Lecture 48: Myosin Light-Chain Kinase, Nitric Oxide Synthase, Guanylyl Cyclase

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Organic nitrates also have effects to dilate the coronary vessels and this will help open up those vessels which will increase blood flow and oxygen delivery to the heart. To make the point that all organic nitrates are prodrugs because they have to donate that nitric oxide. Major effect is on venodilation (veins) and secondarily on arteries and arteriole vasodilation. After administration, we have an increase in nitrites to increase nitric oxide, then increases guanylyl cyclase activity, which will increase cgmp, causing the dephosphorylation of myosin light chains in the smooth muscle causing relaxation. Then we get a decrease in peripheral resistance, reducing the afterload and. Decreasing the heart workload by decreasing the resistance that it would pump against. There are 2 sets of cells: one being the endothelial cells (lumen of the vessel) the smooth muscle cells (inside of the vessel).

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