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Am. J. Respir. Cell Mol. Biol., Volume 21, Number 3, September, 1999 311-316

Nitric Oxide Blocks Nuclear Factor-kappa B Activation in Alveolar Macrophages

Baisakhi Raychaudhuri, Raed Dweik, Mary J. Connors, Lisa Buhrow, Anagha Malur, Judith Drazba, Alejandro C. Arroliga, Serpil C. Erzurum, Mani S. Kavuru, and Mary Jane Thomassen

Departments of Pulmonary and Critical Care Medicine, Neurosciences, Cancer Biology, and Immunology, The Cleveland Clinic Foundation, Cleveland, Ohio

Nitric oxide (NO) is an important endogenous regulatory molecule implicated in both proinflammatory and antiinflammatory processes in the lung. Previously, we demonstrated that in human alveolar macrophages (AM), NO decreased inflammatory cytokine production, including that of interleukin-1beta , tumor necrosis factor-alpha and macrophage inflammatory protein-1alpha . One mechanism by which NO could regulate such diverse cytokine production is through effects on the transcription factor nuclear factor-kappa B (NF-kappa B), which controls the expression of the genes for these inflammatory cytokines and growth factors. We therefore investigated whether NO affects NF-kappa B activation in AM in vitro and in vivo. In vitro studies with AM showed that NF-kappa B activation by lipopolysaccharide (LPS) is decreased by NO in a dose-dependent manner. NO prevented an LPS-mediated decrease in the NF-kappa B inhibitory protein Ikappa B-alpha . In asthma, airway NO levels are increased, whereas in primary pulmonary hypertension (PPH), airway NO levels are lower than in healthy lungs. In vivo investigations were conducted with freshly isolated AM from healthy controls, asthmatic individuals, and PPH patients. Healthy individuals had airway NO levels of 8 ± 2 ppb (mean ± SEM), which is associated with low NF-kappa B activation. Asthma patients with airway NO levels > 17 ppb showed minimal NF-kappa B activation, whereas asthmatic individuals with NO levels =< 17 ppb showed greater NF-kappa B activation. PPH patients with low NO (1 ± 1 ppb) had prominent NF-kappa B activation. These in vivo studies in asthma and PPH support the in vitro observation of an inverse relationship between NO and NF-kappa B activation. One mechanism by which NO blocks cytokine production involves Ikappa B.




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