Abstract
AIM: To study the effects of aminoguanidine (AG) and two L-arginine analogues Nω-nitro-L-arginine methyl ester (L-NAME) and Nω-nitro-L-arginine (L-NNA) on nitric oxide (NO) production induced by cytokines (TNF-α, IL-1β, and IFN-γ) and bacterial lipopolysaccharide (LPS) mixture (CM) in the cultured rat hepatocytes, and examine their mechanisms action.
METHODS: Rat hepatocytes were incubated with AG, L-NAME, L-NNA, Actinomycin D (ActD) and dexamethasone in a medium containing CM (LPS plus TNF-α, IL-1β, and IFN-γ) for 24 h. NO production in the cultured supernatant was measured with the Griess reaction. Intracellular cGMP level was detected with radioimmunoassy.
RESULTS: NO production was markedly blocked by AG and L-NAME in a dose-dependent manner under inflammatory stimuli condition triggered by CM in vitro. The rate of the maximum inhibitory effects of L-NAME (38.9%) was less potent than that obtained with AG (53.7%, P < 0.05). There was no significant difference between the inhibitory effects of AG and two L-arginine analogues on intracellular cGMP accumulation in rat cultured hepatocytes. Non-specific NOS expression inhibitor dexamethasone(DEX) and iNOS mRNA transcriptional inhibitor ActD also significantly inhibited CM-induced NO production. AG (0.1 mmol·L-1) and ActD (0.2 ng·L-1) were equipotent in decreasing NO production induced by inflammatory stimuli in vitro, and both effects were more potent than that induced by non-selectivity NOS activity inhibitor L-NAME (0.1 mmol·L-1) under similar stimuli conditions (P < 0.01).
CONCLUSION: AG is a potent selective inhibitor of inducible isoform of NOS, and the mechanism of action may be not only competitive inhibition in the substrate level, but also the gene expression level in rat hepatocytes.
Keywords: nitric-oxide synthase/antagonists and inhibitors; nitric oxide/biosynthesis; liver/cytology; cells, cultured/drug effects; endotoxins/pharmacology; immunologic and biological factors/pharmacology
INTRODUCTION
The pathogenesis of inflammatory sepsis and multiple autoimmune diseases (such as insulin-dependent diabetes mellitus, arthritis and viral hepatitis) is linked to the overproduction of nitric oxide (NO), a potentially toxic molecule, which is likely to be responsible in part for the cytotoxicity and mutagenicity of the inflammatory process. NO has been reported to cause DNA damage and mutations, and to induce apoptosis in several cell types for example macrophages, hepatocytes and pancreatic β-cells[1-7]. The analogues of L-arginine, Nω-nitro-L-arginine (L-NNA) or Nω-nitro-L-arginine methyl ester (L-NAME) may be useful in treating patients with the above diseases. However, the known inhibitors of the inducible enzyme can also exert their actions on the constitutive isoform NO synthase (cNOS), which resulted in an inappropriate vasodilatation or hypertension[8-10]. Thus, to inhibit selectively the inducible NOS (iNOS) may yield less side effects.
Aminoguanidine (AG) has effects on several enzyme systems, it interferes with non-enzymic glycosylation, leading to its potential use as a treatment for the complications of diabetes. Furthermore, recent work has showed that AG can also be used as a novel selective iNOS inhibitor in rat isolated vassels[11-13], although the mechanism underlying this is unclear. The aim of this study was to determine the effects of AG and two nonselective NOS inhibitors L-NNA and L-NAME, on the NO production and cGMP release induced by cytokines and LPS in rat cultured hepatocytes.
MATERIALS AND METHODS
Reagents
Collagenase (Type IV, 340 KU·g-1), bovine insulin, lipopolysaccharide (LPS, E. coli 0111:B4), Nω-nitro-L-arginine methyl ester (L-NAME), Nω-nitro-L-arginine (L-NNA), aminoguanidine (AG), dexamethasone were purchased from Sigma Chemical Co.; human recombinant (rh) tumor necrosis factor-alpha (TNF-α), interleukin-1 beta (IL-1β), interferon-gamma (IFN-γ) were from Academy of Military Medical Sciences (Beijing), and Dulbecco's modified Eagle's medium (DMEM) from Gibco BRL; Bacille Calmétte-Guérin vaccine (BCG) was obtained from the National Vaccine and Serum Institute (Beijing), [3H]-radioimmunoassay kit for cyclic guanylate monophosphate (cGMP) was bought from Beijing Institute of Nuclear Research. All the reagents were diluted in medium and prepared freshly before use.
Isolation and culture of hepatocytes
Hepatocytes were harvested from male adult Wistar rats (weighing 180-220 g) using an in situ collagenase perfusion technique[14]. After inhalation anesthesia, the abdomens of the animals were opened and shaved, the portal vein was exposed and cannulated. Then the liver was perfused at 37 °C in situ first with a calcium-free phosphate-buffered saline solution (PBS). This perfusion was continued for 5 min, then it was switched to 0.5 g·L-1 collagenase and 10 g·L-1 bovine albumin in PBS buffer for 15 min. The liver was removed and the cells were combed gently in tissue culture medium. Hepatocytes were pelleted, washed, and separated from nonparenchymal cells by differential centrifugations at 50 × g. Viability of cells exceeded 90% as determined by trypan blue exclusion. Hapatocytes were plated onto 6-well plastic tissue-culture plates (1 × 109 cells·L-1 in each well). Medium in the control consisted of DMEM with L-arginine (0.5 mmol·L-1), insulin (1 μmol·L-1), Hepes (15 mmol·L-1), L-glutamine, penicillin, streptomycin, and 100 mL·L-1 low-endotoxin newborn calf serum. After overnight incubation, the medium was changed with a cytokines mixture (CM) containing LPS (10 mg·L-1), IL-1β (10 KU·L-1), TNF-α (500 KU·L-1) and IFN-γ (100 KU·L-1). Other experimental conditions included addition of NOS inhibitors (L-NAME, L-NNA or AG), actinomycin D (ActD) or dexamethasone (DEX) to the CM. After primary cultures were maintained for 24 h at 37 °C in 50 mL·L-1 CO2, hepatocytes or cultured supernatants were collected for nitrite and cGMP assays[15].
Determination of NO production and cGMP levels
To determine the amount of NO produced by hepatocytes, the culture supernatants were assayed for the stable oxidative product, nitrite, by an automated procedure based on the Griess reaction, as previously described[7]. The intracellular levels of cGMP were determined using a [3H]-labeled radioimmunoassay (RIA) kit, as described[14,15].
Statistical analysis
Data were expressed as -x ± s. The significance of differences was determined with the Student's t test. Statistical significance was established at a P value < 0.05.
RESULTS
Effect of aminoguanidine and Nω-nitro-L-arginine methyl ester on nitrite production
Being consistent with our previous results, the inflamatory factors induced a large amount of NO in a time- and dose-dependent manner in the primary culture of rat hepatocytes. Both L-NAME and AG inhibited LPS and cytokines-induced NO production (Table 1) in a dose-dependent fashion. On the other hand, AG completely blocked NO production stimulated by inflamatory factors in rat hepatocytes, however, the rate of the maximum inhibitory effects of L-NAME (38.9%) was less potent than that obtained with AG (53.7%, P < 0.05).
Table 1.
Dose (μmol·L-1) | n | c (NO2-) (μmol·L-1) | Inhibition rate (%) | Dose (μmol·L-1) | n | c (NO2-) (μmol·L-1) | Inhibition rate (%) |
Control | 6 | 6.2 ± 1.0 | Control | 6 | 6.5 ± 1.3 | ||
CM | 16 | 12.3 ± 4.1b | CM | 8 | 12.6 ± 3.7b | ||
CM + Aminoguanidine | CM + Aminoguanidine | ||||||
0.1 | 16 | 9.6 ± 3.9 | 22.0 | 0.1 | 9 | 10.1 ± 1.9 | 19.8 |
1 | 16 | 8.4 ± 2.6a | 31.7 | 1 | 9 | 9.4 ± 2.5 | 25.4 |
10 | 16 | 6.9 ± 2.8d | 44.0 | 10 | 9 | 8.5 ± 3.0a | 32.5 |
100 | 16 | 5.7 ± 1.9d | 53.7 | 100 | 9 | 7.7 ± 2.4a | 38.9 |
1000 | 16 | 5.5 ± 2.1d | 55.3 | 1000 | 9 | 7.8 ± 2.8a | 38.1 |
CM (Cytokines mixture): IL-1β 10 KU·L-1, TNF-α 500 KU·L-1, and IFN-γ 100 KU·L-1 plus LPS 10 mg·L-1; Cultured hepatocytes were stimulated in vitro with CM in the absence or presence of inhibitors (aminoguanidine or L-NAME) at various concentrations for 24 h. Amounts of nitrite in the supernatant were assayed 24 h after start of stimulation in vitro. -x ± s, n = 6-16 rats (3 well for each treatment in each experiment); bP < 0.01, compared with control, aP < 0.05, dP < 0.01 compared with corresponding CM.
Effect of aminoguanidine, L-NNA and L-NAME on intracellular cGMP accumulation
To confirm that AG and two L-arginine analogues NOS inhibitor L-NAME and L-NNA, inhibit NO production induced by inflamatory stimuli, the effects of the three compounds on CM-induced accumulation of intracellular cGMP (a sensitive but non-specifical index of NO production) were investigated. Two L-arginine analogues L-NAME and L-NNA almost completely inhibited cytokines-stimulated intracellular cGMP accumulation from 3.0 ± 1.5 (pmol·L-1) to 1.4 ± 0.4 (pmol·L-1) with L-NAME, and to 1.3 ± 1.1 (pmol·L-1) with L-NNA (Table 2). AG on intracellular cGMP accumulation was also parallel with NO production, although the inhibitory effect of AG seemed weaker as compared with that of the two L-arginine analogues to 1.48 ± 0.8 (pmol·L-1).
Table 2.
Groups | n | c (cGMP) (pmol·L-1) | Inhibition rate (%) |
Control | 7 | 1.29 ± 0.6 | |
Cytokines mixture (CM) | 12 | 3.01 ± 1.5a | |
CM + Aminoguanidine (0.1 mmol·L-1) | 7 | 1.48 ± 0.8c | 50.9 |
CM + L-NNA (0.1 mmol·L-1) | 7 | 1.33 ± 1.1c | 55.8 |
CM + L-NAME (0.1 mmol·L-1) | 7 | 1.36 ± 0.4c | 54.8 |
CM (Cytokines mixture): IL-1β 10 KU·L-1, TNF-α 500 KU·L-1, and IFN-γ 100 KU·L-1 plus LPS 10 mg·L-1; Cultured hepatocytes were stimulated in vitro with CM in the absence or presence of inhibitors (aminoguanidine, L-NAME, or L-NNA, respectively) for 24 h; Levels of intracellular cGMP were assayed 24 h after start of stimulation in vitro (CM or CM were co-incubated with inhibitors, respectively); -x ± s, n = 7 rat or 12 rat (4 replicates for each treatment in each experiment); aP < 0.05 compared with control, cP < 0.05 compared with CM.
Comparison of inhibitory effects of aminoguanidine, L-NAME, DEX and ActD on nitrite production stimulated by CM in vitro
NO production was blocked by AG and L-NAME under inflammatory condition triggered by CM in vitro, AG (inhibition 52.2%) is a more potent inhibitor than L-NAME (35.5%, P < 0.01, Table 3), the former completely blocked NO formation induced by CM in vitro. Similarly, both dexamethasone (DEX, 33.9%) and actinomycin D (ActD, 53.8%), inhibitors of non-specific NOS expression and iNOS mRNA transcription, also inhibited CM-induced NO production in rat hepatocytes. Furthermore, AG and ActD were equipotent in decreasing NO production triggered by inflammtory stimuli in vitro, and both effects more potent than that induced by L-NAME under similar stimuli condition (P < 0.01).
Table 3.
Groups | n | c (NO2-) (μmol·L-1) | Inhibition rate (%) |
Control | 12 | 6.0 ± 2.4 | |
Cytokines mixture (CM) | 12 | 12.1 ± 4.5b | |
CM + Dexamethasone (10 μmol·L-1) | 12 | 8.1 ± 2.3c | 33.9 |
CM + L-NAME (0.1 mmol·L-1) | 12 | 7.8 ± 1.6c | 35.5 |
CM + Aminoguanidine (0.1 mmol·L-1) | 12 | 5.8 ± 1.1d | 52.2 |
CM + Actinomycin D (0.2 ng·L-1) | 15 | 5.7 ± 2.3d | 53.8 |
CM (Cytokines mixture): IL-1β 10 KU·L-1, TNF-α 500 KU·L-1, and IFN-γ 100 KU·L-1 plus LPS 10 mg·L-1; cultured hepatocytes were harvested from rats that control group stimulated in vitro with CM in the absence or presence of inhibitors (AG, L-NAME, ActD or DEX, respectively) for 24 h; the amount of nitrite in the supernatant was assayed 24 h after start of stimulation in vitro. -x ± s, n = 12 or 15 rats (3 wells for each treatment in each expriment); bP < 0.01, compared with control. cP < 0.05, dP < 0.01, compared with CM.
DISCUSSION
Recent work showed that AG, a nucleophilic hydrazine compound, is structurally similar to L-arginine in that these compounds contain two chemically equivalent guanidino nitrogen groups and to L-arginine analogues that competitively inhibit NO synthase. The present study showed that AG completely prevents inflammatory stimuli induced formation of NO and confirmed that it is a potent inhibitor of the cytokine-inducible isoform NOS. On the other hand, administration of L-NAME failed to completely suppress the NO production induced by inflamatory stimuli in rat hepatocytes. This result was not associated with the previous observation[16,17] that AG and two L-arginine analogues, L-NNA and L-NAME, were equipotent in inhibiting the NO production induced by endotoxin only in rat aortic rings, suggesting that the role of AG may be due to incomplete inhibition of NOS, or that the development of immunological hepatic damage[18-21] may involve both NO-sensitive and NO-insensitive phases.
It has been recognized that the cNOS is Ca2+ dependent and produces small amounts of NO that activate soluble guanylate cyclase, resulting in the formation of cGMP, which mediates endothelium-dependent relaxation and neural transmission. NO is produced in much larger amounts by the iNOS, which is Ca2+ independent and appears to mediate the cytotoxic actions of macrophages on target cells, and which may implicate in the existence of other cGMP-independent mechanisms[22-25]. The present results showed that AG failed to inhibit completely the formation of cGMP by inflammatory stimuli, in contrast to NO production. Therefore, the effects of AG and two L-arginine analogs on the cGMP level were different, supporting the hypothesis that AG is a selective inhibitor for inducible isoform of NOS.
The specificity and possible mechanisms of various L-arginine analogs as NOS inhibitors have been investigated. Recent work suggested that L-NAME and L-NNA may affect NOS activity by modifying electron transfer through iron centers, and then limits arginine transport or utilization[26,27]. However, it is unlikely that a difference in the transport of AG into the cells can explain the lack of effects of this inhibitor on cNOS since it effectively inhibits iNOS[28]. Furthermore, the difference between in affinity or in arginine binding sites for the constitutive and inducible isoforms of NOS may not be used to explain the differences between the effects of L-arginine analogs and AG, since iNOS is not only regulated in the enzyme activity but also in the gene expression level[29,30]. Moreover, in the present study the results showed that AG and transcriptional inhibitor ActD were equipotent in decreasing NO production triggered by inflammtory stimuli in vitro, and both effects more potent than that induced by dexamethasone, the latter have non-specifical and post-transcriptional inhibitory effect on NOS enzyme activity[31-33], suggesting that there is possibility of other mechanism in the AG inhibition, which in addition to competitive inhibition in the substrate level, also in gene transcription level. Further experiments will be required to determine whether AG directly affected the transcription of the iNOS gene or via the modulation of an intermediary protein(s) activity which indirectly influence on mRNA stability.
Footnotes
Dr. Guo-Liang Zhang, graduated from Xinxiang Medical College in 1982, got PhD at Nagoya City University Medical School, Japan in 1994, finished postdoctoral research at Beijing Medical University in 1996, now an associate professor of pharmacology, specialized in hepatic pharmacology, having 15 papers published.
Project supported by the National Natural Science Foundation of China, No. 39770861, and JANSSEN Science Research Foundation.
Edited by Ma JY
References
- 1.McCafferty DM, Mudgett JS, Swain MG, Kubes P. Inducible nitric oxide synthase plays a critical role in resolving intestinal inflammation. Gastroenterology. 1997;112:1022–1027. doi: 10.1053/gast.1997.v112.pm9041266. [DOI] [PubMed] [Google Scholar]
- 2.Moriyama A, Tabaru A, Unoki H, Abe S, Masumoto A, Otsuki M. Plasma nitrite/nitrate concentrations as a tumor marker for hepatocellular carcinoma. Clin Chim Acta. 2000;296:181–191. doi: 10.1016/s0009-8981(00)00260-6. [DOI] [PubMed] [Google Scholar]
- 3.Hara H, Mitani N, Adachi T. Inhibitory effect of nitric oxide on the induction of cytochrome P450 3A4 mRNA by 1,25-dihydroxyvitamin D3 in Caco-2 cells. Free Radic Res. 2000;33:279–285. doi: 10.1080/10715760000301441. [DOI] [PubMed] [Google Scholar]
- 4.Jun Y, Fei G, Ebert MP, Malfertheiner P. Expression of inducible nitric oxide synthase in human gastric cancer. World J Gastroenterol. 1999;5:430–431. doi: 10.3748/wjg.v5.i5.430. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Liu BH, Chen HS, Zhou JH, Xiao N. Effects of endotoxin on endothelin receptor in hepatic and intestinal tissues after endotoxemia in rats. World J Gastroenterol. 2000;6:298–300. doi: 10.3748/wjg.v6.i2.298. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Ji XL, Shen MS, Yin T. Liver inflammatory pseudotumor or parasitic granuloma. World J Gastroenterol. 2000;6:458–460. doi: 10.3748/wjg.v6.i3.458. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Hortelano S, López-Collazo E, Boscá L. Protective effect of cyclosporin A and FK506 from nitric oxide-dependent apoptosis in activated macrophages. Br J Pharmacol. 1999;126:1139–1146. doi: 10.1038/sj.bjp.0702422. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Heneka MT, Löschmann PA, Gleichmann M, Weller M, Schulz JB, Wüllner U, Klockgether T. Induction of nitric oxide synthase and nitric oxide-mediated apoptosis in neuronal PC12 cells after stimulation with tumor necrosis factor-alpha/lipopolysaccharide. J Neurochem. 1998;71:88–94. doi: 10.1046/j.1471-4159.1998.71010088.x. [DOI] [PubMed] [Google Scholar]
- 9.Vernia S, Beaune P, Coloma J, López-García MP. Differential sensitivity of rat hepatocyte CYP isoforms to self-generated nitric oxide. FEBS Lett. 2001;488:59–63. doi: 10.1016/s0014-5793(00)02388-7. [DOI] [PubMed] [Google Scholar]
- 10.Zhou J, Struthers AD, Lyles GA. Differential effects of some cell signalling inhibitors upon nitric oxide synthase expression and nuclear factor-kappaB activation induced by lipopolysaccharide in rat aortic smooth muscle cells. Pharmacol Res. 1999;39:363–373. doi: 10.1006/phrs.1998.0450. [DOI] [PubMed] [Google Scholar]
- 11.Kang DG, Kim JW, Lee J. Effects of nitric oxide synthesis inhibition on the Na,K-ATPase activity in the kidney. Pharmacol Res. 2000;41:123–127. doi: 10.1006/phrs.1999.0570. [DOI] [PubMed] [Google Scholar]
- 12.Huang YQ, Xiao SD, Mo JZ, Zhang DZ. Effects of nitric oxide synthesis inhibitor in long-term treatment on hyperdynamic circulatory state in cirrhotic rats. World J Gastroenterol. 2000;6(Suppl 3):31. [Google Scholar]
- 13.Liu SH, Tzeng HP, Kuo ML, Lin-Shiau SY. Inhibition of inducible nitric oxide synthase by beta-lapachone in rat alveolar macrophages and aorta. Br J Pharmacol. 1999;126:746–750. doi: 10.1038/sj.bjp.0702341. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Zhang GL, Lin ZB. Effects of cytokines on the endotoxin stimulated nitric oxide production in the rat primary cultured hepatocytes. Beijing Yike Daxue Xuebao. 1998;30:180–182. [Google Scholar]
- 15.Zhang GL, Lin ZB. Dinoprostone potentiates cytokines and lipopolysaccharides inducing nitric oxide production in cultured rat hepatocytes. Zhongguo Yaoli Xuebao. 1999;20:262–266. [PubMed] [Google Scholar]
- 16.Vos TA, Gouw AS, Klok PA, Havinga R, van Goor H, Huitema S, Roelofsen H, Kuipers F, Jansen PL, Moshage H. Differential effects of nitric oxide synthase inhibitors on endotoxin-induced liver damage in rats. Gastroenterology. 1997;113:1323–1333. doi: 10.1053/gast.1997.v113.pm9322528. [DOI] [PubMed] [Google Scholar]
- 17.Zhang G, Lin Z, Zhang B. [Effects of selective induceble nitric oxide synthase inhibitor on immunological hepatic injury in rat] Zhonghua Yixue Zazhi. 1998;78:540–543. [PubMed] [Google Scholar]
- 18.Wang GS, Liu GT. Role of nitric oxide in immunological liver damage in mice. Biochem Pharmacol. 1995;49:1277–1281. doi: 10.1016/0006-2952(95)00061-4. [DOI] [PubMed] [Google Scholar]
- 19.Rockey DC, Chung JJ. Regulation of inducible nitric oxide synthase and nitric oxide during hepatic injury and fibrogenesis. Am J Physiol. 1997;273:G124–G130. doi: 10.1152/ajpgi.1997.273.1.G124. [DOI] [PubMed] [Google Scholar]
- 20.Wang JH, Redmond HP, Wu QD, Bouchier-Hayes D. Nitric oxide mediates hepatocyte injury. Am J Physiol. 1998;275:G1117–G1126. doi: 10.1152/ajpgi.1998.275.5.G1117. [DOI] [PubMed] [Google Scholar]
- 21.Alexander B. The role of nitric oxide in hepatic metabolism. Nutrition. 1998;14:376–390. doi: 10.1016/s0899-9007(97)00492-9. [DOI] [PubMed] [Google Scholar]
- 22.Tzeng E, Billiar TR, Williams DL, Li J, Lizonova A, Kovesdi I, Kim YM. Adenovirus-mediated inducible nitric oxide synthase gene transfer inhibits hepatocyte apoptosis. Surgery. 1998;124:278–283. [PubMed] [Google Scholar]
- 23.Nomura T, Ohtsuki M, Matsui S, Sumi-Ichinose C, Nomura H, Hagino Y. Nitric oxide donor NOR 3 inhibits ketogenesis from oleate in isolated rat hepatocytes by a cyclic GMP-independent mechanism. Pharmacol Toxicol. 1998;82:40–46. doi: 10.1111/j.1600-0773.1998.tb01396.x. [DOI] [PubMed] [Google Scholar]
- 24.Imagawa J, Yellon DM, Baxter GF. Pharmacological evidence that inducible nitric oxide synthase is a mediator of delayed preconditioning. Br J Pharmacol. 1999;126:701–708. doi: 10.1038/sj.bjp.0702368. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Tunçtan B, Uludag O, Altug S, Abacioglu N. Effects of nitric oxide synthase inhibition in lipopolysaccharide-induced sepsis in mice. Pharmacol Res. 1998;38:405–411. doi: 10.1006/phrs.1998.0381. [DOI] [PubMed] [Google Scholar]
- 26.Handy RL, Moore PK. A comparison of the effects of L-NAME, 7-NI and L-NIL on carrageenan-induced hindpaw oedema and NOS activity. Br J Pharmacol. 1998;123:1119–1126. doi: 10.1038/sj.bjp.0701735. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Ohmori H, Egusa H, Ueura N, Matsumoto Y, Kanayama N, Hikida M. Selective augmenting effects of nitric oxide on antigen-specific IgE response in mice. Immunopharmacology. 2000;46:55–63. doi: 10.1016/s0162-3109(99)00158-7. [DOI] [PubMed] [Google Scholar]
- 28.Parmentier S, Böhme GA, Lerouet D, Damour D, Stutzmann JM, Margaill I, Plotkine M. Selective inhibition of inducible nitric oxide synthase prevents ischaemic brain injury. Br J Pharmacol. 1999;127:546–552. doi: 10.1038/sj.bjp.0702549. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Kaibori M, Sakitani K, Oda M, Kamiyama Y, Masu Y, Nishizawa M, Ito S, Okumura T. Immunosuppressant FK506 inhibits inducible nitric oxide synthase gene expression at a step of NF-kappaB activation in rat hepatocytes. J Hepatol. 1999;30:1138–1145. doi: 10.1016/s0168-8278(99)80270-0. [DOI] [PubMed] [Google Scholar]
- 30.Pipili-Synetos E, Kritikou S, Papadimitriou E, Athanassiadou A, Flordellis C, Maragoudakis ME. Nitric oxide synthase expression, enzyme activity and NO production during angiogenesis in the chick chorioallantoic membrane. Br J Pharmacol. 2000;129:207–213. doi: 10.1038/sj.bjp.0702986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Du X, Stocklauser-Färber K, Rösen P. Generation of reactive oxygen intermediates, activation of NF-kappaB, and induction of apoptosis in human endothelial cells by glucose: role of nitric oxide synthase. Free Radic Biol Med. 1999;27:752–763. doi: 10.1016/s0891-5849(99)00079-9. [DOI] [PubMed] [Google Scholar]
- 32.Tsai SH, Lin-Shiau SY, Lin JK. Suppression of nitric oxide synthase and the down-regulation of the activation of NFkappaB in macrophages by resveratrol. Br J Pharmacol. 1999;126:673–680. doi: 10.1038/sj.bjp.0702357. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Feng ZJ, Feng LY, Sun ZM, Song M, Yao XX. Expression of nitric oxide synthase protein and gene in the splanchnic organs of liver cirrhosis and portal hypertensive rats. World J Gastroenterol. 2000;6(Suppl 3):33. [Google Scholar]