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As if running around nitroslyating things weren't bad enough, peroxynitrite unleashes hell on the electron transport
chain in the mitochondria, which of course are already in trouble. Peroxynitrite nitrosylates cytochrome c oxidase, and probably other respiratory proteins as well.
Moreover, both .NO itself and, probably, peroxynitrite-induced mitochondrial stress promote additional superoxide production, which reacts with .NO to form more peroxynitrite.
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