NCIt definition : An organic nitrate with vasodilator activity. Isosorbide relaxes vascular smooth muscle
by formation of the free radical nitric oxide (NO), which is identical to the endothelium-derived
relaxing factor (EDRF). NO activates guanylyl cyclase, thereby increasing the synthesis
of cGMP within smooth muscle. Elevated cGMP levels in smooth muscle activate cGMP-dependent
kinase activity that leads to release of sequestered Ca2 . In turn, free Ca triggers
dephosphorylation of light chain myosin and relaxation of peripheral arteries and
veins. In addition isosorbide relaxes coronary arteries, thereby increasing the blood
circulation through the ischemic area.;