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136s Biochemical Society Transactions ( 1 995) 23 Nitric oxide synthase activation is a unique mechanism of garlic action. INDRAJIT DAS, NUSRAT S. KHAN AND 'SUREN R. SOORANNA in a dose dependent manner (Fig. 2). NOS activities are suppressed at higher concentrations of garlic, although NO production must have increased, as reflected by increased nitrite concentrations. This is probably due to NO acting as a feedback modulator of its own synthesis [7]. 4cdemic Departments of Psychiatry and 'Obstetrics & Gynaecology. Charing Cross & Westminster Hospital, London W6 8RP. Garlic (Alliwn sarivum L . ) is thought to decrease blood pressure, inhibit platelet aggregation, reduce blood fat and cholesterol as well as possessing antibacterial and antifungal properties [I]. The main active agents in garlic extracts are allicin and ajoene, but several other chemicals have been isolated and studied [2,3]. Nitric oxide (NO) is linked to hypertension [4] and the relevant properties of garlic prompted us to investigate whether the above mentioned effects of garlic extracts are due to the activation of nitric oxide synthase (NOS), the enzyme that produces NO. Garlic extracts were prepared by 1 % alcoholic extraction of fresh cloves of garlic or from Kwai garlic tablets (gm/rnL). This was diluted and the effects upon calcium-dependent NOS activities determined in 2 different in v i m systems. Human platelets were isolated and prepared for assaying NOS activity in the presence and absence of garlic extracts at different dilutions. Garlic extracts were also added to human placental villous tissue and incubated at 37°C for 45min. Tissues were then separated by centrifugation and supernatants removed for determination of nitrite concentrations by chemiluminescence [ S ] . The incubated tissues were rapidly frozen and homogenates prepared for determination of NOS activities. Assays were performed in platelets and homogenates by following the conversion of radiolabelled L-arginine to L-citrulline in the presence and absence of the specific inhibitor, N'-monomethyl-Larginine [6]. NOS activity increased in a dose dependent manner in platelet preparations after incubation with garlic extract (Fig. I). The incubation of placental tissues with garlic extracts also showed an increase in NOS activity and the metabolite, nitrite, ** 600 4-9 .- 4-9 0 a 400 v) 0 z be 200 0 A Control 1/500 r c 400 200 300 =aE -- z - c 0 -I 4 200 ln 0 2 n 100 H 100 -4 3, a 0 n 0 Control 112000 11500 11100 Dilution of Garlic E x t r a c t Fig. 2. The effect of rarlic extract on NOS activitv in ulacental villous tissues. 100% NOS activity = 1.31 f 2.2 nmoles of citrulline formed per min per g of protein and 100% nitrite = 2.96 f 0.79 nmoles of nitrite formed per min per g of protein. Placental villi (1-2min') were incubated in 4mL in Ham's medium containing various dilutions of garlic extract. The results are the means f SEM of 5 experiments. * represents P < 0.05 when compared to controls by the paired Student's f test. A variety of sulphur containing compounds are formed depending on the way in which garlic is treated prior to extraction. Both water and alcoholic extracts possesses some activity of the above properties claimed. Production of NO by activation of calcium dependent NOS is probably the most novel mechanism by which garlic can exert some of its therapeutic properties claimed so far. Recent studies have shown that both calcium-dependent and calcium-independent NOS activities are decreased in placental tissues of pregnancies complicated by pre-eclampsia and growth retardation [8]. The use of garlic to alleviate these and other vascular-related diseases warrants further investigation. We (N.S.K) acknowledge financial support from Horton Hospital League of Friends. r .-> 1 0 1/100 1/50 1/10 Dilution of Garlic Extract Fig. 1, The effect of rarlic extract on NOS activity i n a cell-free platelet ureuaration. 100% NOS activity = 2.01 k 0.4 nmoles of citrulline formed per m i n per g of protein. The results are the means k SEM of 3 - 6 experiments. *, ** and *** represent P < 0.05, 0.02 and 0.005 respectively when compared to controls by the Student's f test. 1. McMahon, F.G. & Vargas, R. (1993) Phurmcrc.orhcrcipy, 13,406-407 2. Srivastava, K.C. & Tyagi, O.D. (1993) Pro.stcifi/onc/in.s Leukorricves Essenr. Furry Acids. 49, 587-595 3. Lawson, L . D . , Ransom, D.K. & Hughes, B.G. (1992) 7liromh. RES. 65, 141-156 4. Moncada, S . , Palmer, R.M.J. & Higgs, E.A. (1991) Phumr. Rev. 43, 109-142 5 . Ignarro, L.J., Fukuto, J.M., Griscavage, J.M., Rogers, N.E. & Byrns, R.E. (1993) Proc. Natl. Acad. Sri. USA. 90, 8103-8107 6 . Salter, M., Knowles, R.G. & Moncada, S . (1991) FEBS. Leu. 291, 145-149 7. Rogers, E.R. & Ignarro, L.J. (1992) Bioc'hem. Biophys. Rrs. Commun. 189, 242-249 8. Morris, N.H., Ramsay, B., Steer, P.J., Pearson, J & Sooranna, S.R. (1994) Er. J . Ohstef. Gynuecol. Submitted.