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Departments of Medicine and Physiology and Biophysics, Overton Brooks Veterans Affairs and Louisiana State University Medical Centers, Shreveport, Louisiana 71101
Exhaled nitric oxide (NO) is increased in some
inflammatory airway disorders but not in others such as cystic fibrosis
and acute respiratory distress syndrome. NO can combine
with superoxide (O
2) to form
peroxynitrite, which can decompose into nitrate. Activated
polymorphonuclear neutrophils (PMNs) releasing O
2 could account for a reduction in
exhaled NO in disorders such as cystic fibrosis. To test this
hypothesis in vitro, we stimulated confluent cultures of LA-4 cells, a
murine lung epithelial cell line, to produce NO. Subsequently, human PMNs stimulated to produce O
2 were
added to the LA-4 cells. A gradual increase in NO in the headspace
above the cultures was observed and was markedly reduced by the
addition of PMNs. An increase in nitrate in the culture supernatant
fluids was measured, but no increase in nitrite was
detected. Superoxide dismutase attenuated the PMN effect,
and xanthine/xanthine oxidase reproduced the effect. No changes in
epithelial cell inducible NO synthase protein or mRNA were observed.
These data demonstrate that O
2
released from PMNs can decrease NO by conversion to nitrate and suggest
a potential mechanism for modulation of NO levels in vivo.
oxidants; oxygen radicals; nitrogen oxides; cystic fibrosis; lung disease
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