Review Article

The Drug Developments of Hydrogen Sulfide on Cardiovascular Disease

Table 1

Comparison of nitric oxide, carbon monoxide, and hydrogen sulfide.

Nitric oxideCarbon monoxideHydrogen sulfide

FormulaNOCOH2S
Color and odorColorless; a mild, sweet odorColorless; odorlessColorless; smell like rotten egg
Free radicalYesNoNo
FlammableNoNoYes
ToxicityYesYesYes
Inhibition of mitochondrial cytochrome c oxidaseYesYesYes
ResourcesL-arginine or nitriteProtohaem IXL/D-cysteine
Intermediate productsL-NG hydroxyarginine, citrullineBiliverdin IX-αCystathionine, L-cysteine, α-ketobutyrate, and pyruvate
EnzymeseNOS, iNOS, and nNOSHO-1, HO-2, and HO-3CBS, CSE, 3MST/AAT, and DAO
Vascular effectVasodilation, angiogenesisVasodilation, angiogenesisVasodilation, angiogenesis
Inhibition inflammationYesYesYes
AntiapoptosisYesYesYes
Haem effectYesYesYes
Molecular targetsSoluble guanylate cyclase (sGC)Soluble guanylate cyclase (sGC)KATP (ATP-gated potassium) channel
Targeting outcomeIncrease cGMP, activate KCa channels and nitrosylationIncrease cGMP, activate KCa channelsIncrease cGMP and cAMP, activate KATP channels and sulfhydration
Application on humanPulmonary hypertension, lung transplantation, and ARDSNot availableNot available