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The Journal of Immunology, 1999, 162: 445-452.
Copyright © 1999 by The American Association of Immunologists

Inhibition of Allergic Airway Inflammation in Mice Lacking Nitric Oxide Synthase 21

Yelin Xiong*, Gunasegaran Karupiah*, Simon P. Hogan{dagger}, Paul S. Foster{dagger} and Alistair J. Ramsay2,*

Divisions of * Immunology and Cell Biology and {dagger} Biochemistry and Molecular Biology, John Curtin School of Medical Research, Australian National University, Canberra, Australia


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have used mice rendered deficient for nitric oxide synthase 2 (NOS2) production to study the role of inducible nitric oxide (NO) in the pathogenesis of allergic airways disease. Using a model with OVA as aeroallergen, we show that the manifestations of disease, including infiltration of inflammatory cells, particularly eosinophils, loss of structural integrity of the airway walls, microvascular leakage, pulmonary edema, and airway occlusion are markedly less severe in the NOS2 mutants than in wild-type animals. Indeed, NOS2-deficiency resulted in a 55–60% reduction in both circulatory and pulmonary eosinophil numbers following aeroallergen treatment, although eosinophil maturation or efflux from the bone marrow was not suppressed. There were no obvious differences in levels of airway hyperreactivity recorded in OVA-treated wild-type and NOS2-deficient mice. Interestingly, the suppression of allergic inflammation was accompanied by marked increases in T cell production of IFN-{gamma} but not by any obvious reduction in the secretion of either IL-4 or IL-5, nor by major changes in the IgG1 and IgE OVA-specific serum Ig profiles in the mutants. The markedly enhanced production of IFN-{gamma} in NOS2-/- mice was apparently responsible for the suppression of both eosinophilia and disease, as in vivo depletion of this factor restored allergic pathology in these animals. Our data indicate that NOS2 promotes allergic inflammation in airways via down-regulation of IFN-{gamma} activity and suggest that inhibitors of this molecule may represent a worthwhile therapeutic strategy for allergic diseases including asthma.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Nitric oxide (NO)3 is involved in the regulation of many physiological processes (1, 2). It is synthesized from L-arginine by the enzyme NO synthase (NOS), which exists either in constitutive or inducible forms (3). Constitutive isoforms, following their activation by increased levels of intracellular calcium ions, appear to form picomolar amounts of locally acting NO, which may act as a signaling molecule in a number of processes (3), including neural responses and vasodilation (4). Inducible NOS (now termed NOS2), which is not dependent on elevated calcium ion concentrations, is induced in a wide variety of cell types by cytokines, including IL-1ß, TNF-{alpha} and IFN-{gamma}, or microbial products such as LPSs (5), in which it catalyzes the production of much higher levels of NO mediating widespread antimicrobial effects (2). Normally, resting cells do not express NOS2 unless triggered by appropriate stimuli (6); however, cells such as macrophages, epithelial cells, vascular smooth muscle, endothelial cells, T cells, and eosinophils have the potential to express NOS2 when stimulated in this manner (7, 8, 9).

There is increasing evidence that NO also plays a role in the regulation of airways function in both health and disease. As in other tissues, both constitutive and inducible isoforms of NOS have been identified in lungs, with the latter implicated mainly in defense against infection and during airways inflammation (10). NO is produced by a variety of cell types in the respiratory tract (11, 12). It has been reported that asthmatic patients have increased expression of NOS2 in epithelial cells lining their airways (13, 14) and elevated levels of exhaled NO (15), while allergen-induced airway obstruction in a guinea pig model of allergic airway disease was also associated with high levels of exhaled NO (16). In addition, chemical inhibition of NO activity has recently been shown to suppress pulmonary eosinophilic inflammation in mice, although this was apparently not due to inhibition of NOS2 function (17).

Asthma is a chronic airways disease characterized by inflammation, airway hyperreactivity (AHR), and reversible airway obstruction (18), and it is likely that NO influences these pathophysiological events. Pulmonary inflammation is thought to play a critical role in the pathogenesis of asthma (18), with strong correlations between disease, the local expression of Th2-type cytokines (including IL-4 and IL-5) by lung T cells, and the presence of inflammatory cells, particularly eosinophils, in blood and airways (19, 20). It has recently been proposed that NO from airway epithelial cells, and possibly macrophages and Th1 cells, promotes asthmatic inflammation via down-regulation of Th1 cell-derived IFN-{gamma} with concomitant up-regulation of Th2 cell numbers and resultant increased local expression of IL-4 and IL-5 (21). In addition, NO is a bronchodilator (22, 23) and a potent bronchial vasodilator (4), and may also mediate cytotoxic effects on airway epithelia (24). In the present study, we have used mice rendered deficient for NOS2 production in a model of allergic airway disease to more clearly define the activity of this molecule in disease pathogenesis.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

The NOS2-deficient mice and wild-type controls used in these studies were derived as described elsewhere (25). Cells from the NOS2 mutants were deficient for NO production in response to inductive regimens, which included LPS and/or IFNs. The mice were bred in the Animal Breeding Establishment of the Australian National University and housed in an approved containment facility. Mice were treated according to Australian National University Animal Welfare guidelines, and age- and sex-matched animals were used in these studies.

Sensitization and aeroallergen treatment of mice

A murine model of allergic airways disease was established as previously described (26). In this model, exposure to aeroallergen induces airway inflammation and AHR, which are closely associated with eosinophilia and localized expression of Th2-type cytokines, particularly IL-4 and IL-5. Briefly, mice (8–10 wk of age) were sensitized by two i.p. injections with 50 µg OVA (Grade V; Sigma, St. Louis, MO) in 1 mg alhydrogel (Commonwealth Serum Laboratories, Parkville, Australia) given on day 0 and 12. Nonsensitized controls received 1 mg of alhydrogel in normal saline. On day 24, sensitized mice were exposed to aerosolized OVA (10 mg/ml in normal saline) for three 30-min periods at intervals of 30 min, and the process was repeated every second day for 6 days. Nonsensitized mice received aerosolized saline only. The aerosol was generated at 6 L/min by a nebulizer producing particles of ~3.9 µm diameter into a closed chamber of 800 cm3. Mice were sacrificed on day 31, 24 h after the last aerosol. In some experiments, groups of mice were given an i.p. dose of 0.8 mg/mouse of either mAb against murine IFN-{gamma} (R4-6A2, American Type Culture Collection, Manassas, VA) or mAb GL113 (a kind gift of Dr. J. Abrams, DNAX Research Institute of Molecular and Cellular Biology, Palo Alto, CA) as a rat IgG1 isotype control one day before each course of aeroallergen treatment (i.e., on day 23, 25, 27, and 29). Sections were cut from paraffin-embedded lung tissues and stained with May-Grunwald-Giemsa solution for histological studies.

Assessment of bone marrow, blood and lung inflammatory cell populations

Twenty-four h after the final treatment with aeroallergen on the day of sacrifice (day 31), bronchoalveolar lavage (BAL) was performed by tracheal cannulation and instillation of 1 ml of normal saline into the lungs. Each animal was lavaged twice, with ~0.8 ml of fluid being recovered per wash. BAL fluid (BALF) was centrifuged (1500 x g at 4°C for 5 min), total cell counts were made using trypan blue, and 106 cells were taken for cytospin (Shandon Scientific, Cheshire, U.K.). Blood smears were made from samples drawn from the tail vein immediately before each course of aeroallergen treatment and on the day of sacrifice. Numbers of eosinophilic cells in bone marrow were assessed using aspirates collected before aeroallergen treatment (day 23) and on the day of sacrifice. Cytospin smears of cells from BALF, blood, and bone marrow were stained with May-Grunwald-Giemsa solution, and 200 leukocytes were counted on each slide.

Measurement of eosinophil hematopoiesis in bone marrow

A modification of the method of Stanley was used to assess eosinophil colony formation from bone marrow progenitor cells in vitro (27). Briefly, 24 h after the final treatment with aeroallergen, bone marrow cells were collected and prepared in 1x HBSS containing 15 mM HEPES, 2% FCS, and 50 µg/ml gentamicin. Cells from mice within each group were pooled and cultured at 4 x 105 cells/well in 12-well Luc migration plates (Bacto Laboratories, New South Wales, Australia) in a volume of 400 µl of 0.33% agar (Unipath, Basingstoke, U.K.) in RPMI 1640 medium (JRH Biosciences, Lenexa, KS) containing 10% FCS, 4 mM glutamine, 60 µg/ml gentamicin, 500 U/ml IL-3, and 250 U/ml IL-5 (the cytokines are a kind gift of Dr Andrew Hapel, John Curtin School of Medical Research). Cultures were incubated at 37°C in a humidified atmosphere of 5% CO2 in air for 7 days. Semisolid cultures were then lifted onto microscope slides, air-dried, and stained with May-Grunwald-Giemsa solution. Numbers of colonies containing eosinophils were scored under light microscopy using morphological criteria.

Measurement of AHR

Mice were anesthetized with a mixture of ketamine (Troy Laboratories, Smithfield, Australia) at 60 mg/kg body mass and Rompun (Bayer Australia, Pymble, Australia) at 8 mg/kg given by i.p. injection, and their tracheae were cannulated and connected to a bronchospasm transducer (Ugo Basil 7020) coupled to a Lab Mac/8 computer analysis station (AdInstruments, Sydney, Australia). Analyses were performed during cumulative i.v. administration of the spasmogen ß-methacholine as detailed elsewhere (26). The increase in respiratory overflow volume provoked by ß-methacholine is represented as a percentage of maximal overflow volume (100%) obtained by totally occluding the tracheal cannula.

Determination of OVA-specific Igs

Two hours before the first aeroallergen treatment and on the day of sacrifice, blood samples were taken for determination of serum anti-OVA IgG1, IgG2a, and IgE Ab titers by standard ELISA. Biotinylated goat anti-mouse IgG1 or IgG2a (Biosource International, Camarillo, CA) or rat anti-mouse IgE (PharMingen, San Diego, CA) were used, and each plate contained a previously screened isotype standard.

Preparation of CD4+ T cell populations from lung and spleen

Mice were anesthetized with ketamine and Rompun as above and their lungs perfused with 1 ml of collagenase (0.1% in PBS) injected through the trachea. Tracheae were tied with surgical sutures and the lungs removed immediately and incubated at 37 C in HBSS for 60 min. Spleens were also collected into HBSS. Organs were then gently homogenized, filtered through sterile surgical gauze, RBC were lysed by osmotic shock, and the preparations were centrifuged (1500 x g for 10 min) and resuspended in DMEM supplemented with 10% FCS, 50 µM 2-ME, 2 mM L-glutamine, 1 mM sodium pyruvate, 10 mM HEPES, and antibiotics (complete medium). The cell preparations were labeled with L3T4 microbeads (Miltenyi Biotec, Bergisch Gladbach, Germany) and passed through MiniMACS Separation Columns (Miltenyi Biotec). Eluates were shown by flow cytometry to comprise >95% CD4+ T cells.

Determination of cytokine production

Cytokine levels were assayed in BALF taken on the day of sacrifice and in supernatants overlying cultures of CD4+ T cells from lung and spleen. Purified CD4+ T cell populations were cultured at 5 x 105 cells/well in complete medium on anti-CD3 mAb (2C11, 50 µg/ml)-coated 96-well microtiter plates (Nunc, Roskilde, Denmark) at 37°C for 72 h. Supernatants were then harvested for determination of cytokine production by standard ELISA. The Ab pairs used for cytokine detection were as follows: IL-4, 11B11 (American Type Culture Collection) and BVD6-24G2 (PharMingen); IL-5, TRFK-5 (28) and TRFK-4 (PharMingen); IFN-{gamma}, R4-6A2 (American Type Culture Collection), and a polyclonal rabbit anti-mouse IFN-{gamma} Ab made in our laboratory; TNF-{alpha}, TN3-19.12 (a kind gift of Dr. R. Schreiber, Washington University, St. Louis, MO), and a polyclonal rabbit anti-mouse TNF Ab (a kind gift of Mrs. S. Fordham, John Curtin School of Medical Research); IL-10, SXC-1, and SXC-2 (kind gifts of Dr. K. Moore, DNAX) (29); and IL-12, C17.8, and C15.6 (kind gifts of Dr. G. Trinchieri, Wistar Institute, Philadelphia, PA).

Measurement of reactive nitrogen intermediates (RNI)

Sera were collected 24 h after the final treatment with aeroallergen and tested for the presence of RNI (nitrites or nitrates) according to established methods (30). Briefly, nitrite was measured by addition of 100 µl of Griess reagent to 30 µl of test sample. Protein was removed by the addition of 100 µl of trichloroacetic acid followed by centrifugation, and the optical density of each sample was read at 540 nm with a reference at 650 nm using a microplate reader. For nitrate measurements, the nitrate was first converted to nitrite by incubation with nitrate reductase and NADPH (Boehringer Mannheim, Mannheim, Germany) for 20 min. Results were quantified by reading against appropriate standard curves.

Statistical analyses

Data were expressed as mean ± SEM, and differences between experimental groups within each experiment were analyzed using the unpaired Student’s t test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
RNI are detected at background levels in allergic NOS2-/- mice

Levels of RNI were measured in sera to confirm that NOS2 gene-deficiency resulted in reduced levels of NO induced during the course of allergic inflammation. The concentrations of nitrates in sera from OVA-treated wild-type (NOS2+/+) mice were significantly greater than those from control (saline-treated) wild-type or NOS2-deficient mice (Fig. 1Go). In contrast, RNI were detected in OVA-treated NOS2-deficient mice only at backgound levels (Fig. 1Go). These results indicate that increased production of NO is not induced during allergic lung inflammation in the mutant mice.



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FIGURE 1. Levels of reactive nitrogen intermediates in sera taken on day 31 from NOS2-/- and wild-type mice treated with OVA or saline as described in Materials and Methods. Data represent the mean ± SEM for groups of five mice and are representative of two experiments in each case. *, p < 0.01 compared with OVA-treated NOS2-/- mice.

 
Allergic eosinophilia in peripheral blood and BALF and airway disease are down-regulated in mice lacking NOS2

Aerosol challenge of wild-type mice sensitized with OVA normally leads to widespread eosinophilic inflammation, primarily in the peribronchial and perivascular regions as we have previously reported (26). Therefore, we initially examined blood smears taken from aerosol-treated wild-type mice and found markedly elevated numbers of eosinophils in the bloodstream of those given OVA (Fig. 2Go). A significant blood eosinophilia was first detected on day 28, after the second day of exposure to aeroallergen, with peak counts recorded on day 31, after the full course of treatment. Although blood eosinophil numbers had also increased in OVA-treated NOS2-/- mice by day 28, they remained relatively constant thereafter until sacrifice and were significantly lower than the rising counts recorded in wild-type mice after both the third (p < 0.05) and fourth (p < 0.01) aeroallergen treatments.



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FIGURE 2. Eosinophil numbers in peripheral blood of NOS2-/- and wild-type mice sensitized and treated with aeroallergen as described in Materials and Methods. Data represent the mean ± SEM for groups of five mice and are representative of three such experiments. *, p < 0.05 and **, p < 0.01 compared with OVA-treated wild-type mice at the same time point.

 
In addition to blood eosinophil levels, differential counts of lung leukocyte populations were made in BALF samples taken after aeroallergen treatment (Table IGo). Eosinophils, whilst rarely detected in saline-treated wild-type or NOS2-/- mice, were the predominant leukocyte type in BALF from aeroallergen-treated mice. However, their numbers in NOS2-/- mice were consistently less than half of those found in wild-type animals. Other leukocyte populations, particularly lymphocytes and macrophages, were present in BALF in much smaller numbers, although these were significantly elevated in the NOS2 mutant mice. In the case of lymphocytes, a 20-fold increase over saline-treated mutants was recorded compared with a 5-fold increase in the wild-type mice, indicating that these noneosinophilic components of the allergic inflammatory response are somewhat enhanced in the NOS2-deficient animals.


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Table I. Cell populations in BALF from OVA-sensitized mice1

 
The degree of airway disease in NOS2-/- and wild-type mice was assessed following histological examination of lung tissues. A system of grading of several parameters was used, where 1 represented mild pathology and 5 represented the most severe disease. These parameters included the degree of leukocyte inflammation adjacent to the airways, particularly eosinophilic infiltration, the development of gross alterations in the structural integrity of the airway walls, microvascular leakage, mucosal edema and particulate exudation, and mucous occlusion in the lumina of the airways. Based on this system, disease severity was invariably graded at 5 in aeroallergen-treated wild-type mice but consistently only at either 2 or 3 in the NOS2 mutants.

Eosinophil development and efflux is not suppressed in NOS2-deficient mice

We next studied the development of eosinophils in the bone marrow and their efflux in NOS2-deficient mice in light of the marked decreases in numbers of these cells in their blood and airways following aeroallergen treatment. Analyses of bone marrow cells taken from OVA-treated NOS2-/- and wild-type mice in colony-forming assays revealed no significant differences in the percentages of colonies containing eosinophils after 7 days in culture (Table IIGo). In addition, similar decreases in numbers of eosinophilic cells were found in the bone marrow of sensitized NOS2 mutants and wild-type mice after aerosol treatment with OVA (Table IIIGo). These findings indicate that the reduction in circulatory and pulmonary eosinophil numbers observed in NOS2-deficient mice are due neither to suppression of their maturation nor of their efflux from the bone marrow in response to aeroallergen challenge.


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Table II. Eosinophilic colony formation in bone marrow cell cultures from OVA-sensitized mice1

 

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Table III. Eosinophilic cells in bone marrow smears1

 
AHR is not inhibited in mice lacking NOS2

In our model, airway eosinophilic inflammation following aeroallergen challenge is directly associated with AHR to the spasmogen, ß-methacholine (26). Our findings of markedly decreased eosinophilic inflammation and airway disease in sensitized NOS2-deficient mice treated with aerosolized OVA prompted us to study the development of AHR in these animals. As shown in Fig. 3Go, AHR in allergic wild-type mice increased with dosage of ß-methacholine to a maximum of 60% airway occlusion over the baseline levels seen in controls. Similar high levels of AHR were found in the OVA-treated NOS2 mutants, although these were recorded over baseline levels that were markedly higher than those found in the wild-type mice. These elevated basal readings may reflect removal of the known bronchodilatory influence of inducible NO in the mutants. Nevertheless, it appeared that the diminished airway allergic inflammatory infiltrate following OVA treatment of these mice was still sufficient to provoke substantial AHR.



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FIGURE 3. AHR in to ß-methacholine in NOS2-/- and wild-type mice sensitized and treated with aeroallergen. Data represent the mean ± SEM for groups of five mice and are representative of two such experiments. *, p < 0.01 compared with saline-treated wild-type mice; **, p < 0.05 compared with saline-treated NOS2-/- mice; and +, p < 0.05 compared with saline-treated wild-type mice, each at the corresponding dose of ß-methacholine.

 
Elevated IFN-{gamma} production does not greatly modify the type 2 cytokine-driven immune response in allergic NOS2-/- mice

We next compared the cytokine profiles of CD4+ T cells and specific Ab responses in aeroallergen-treated NOS2-/- and wild-type mice. Given the correlation between allergic airway disease and expression of type 2 cytokines by lung T cells, together with the proposition that local NO production promotes airway inflammation through down-regulation of T cell-derived IFN-{gamma}, it was of interest to determine whether the marked decrease in blood and airway eosinophilia seen in the aeroallergen-treated NOS2 mutants might reflect a shift in the characteristics of the immune response in these animals. As shown in Fig. 4Go, activated lung and spleen CD4+ T cells from control, nonallergic NOS2-/- and wild-type mice secreted similar levels of IFN-{gamma}; however, neither IL-4 nor IL-5 was detected. In contrast, while CD4+ T cells from OVA-treated wild-type animals produced significantly less IFN-{gamma} than those from saline-treated controls, there was pronounced expression of both IL-4 and IL-5, particularly among cells from the lungs. Similar patterns of type 2 cytokine expression were found in cells from OVA-treated NOS2 mutants; however, both lung and splenic T cells from these animals also secreted very high levels of IFN-{gamma}. In addition, IL-12, TNF-{alpha}, and IL-10 were detected at similar levels only marginally above background in BALF from both wild-type and mutant mice treated with OVA (data not shown), contrasting with the elevated levels of IL-5 (55 U/ml in wild-type; 48 U/ml in NOS2 mutants) found in these fluids.



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FIGURE 4. a, IFN-{gamma}; b, IL-4; and c, IL-5 production from isolated lung cells, and d, IFN-{gamma}; e, IL-4; and f, IL-5 production from splenocytes taken from NOS2-/- and wild-type mice and cultured with anti-CD3 Abs. Mice were sensitized and treated with aeroallergen, and cells were isolated on day 31, cultured, and cytokine levels in supernatants assayed as described in Materials and Methods. Data represent the mean for groups of five mice and are representative of two separate experiments. SEM were <10% in all cases. *, p < 0.001 compared with wild-type mice given OVA; **, p < 0.01 compared with saline-treated wild-type mice.

 
The majority of the specific Ab response in mice sensitized with OVA (measured on day 24) and treated with aeroallergen (day 31) was of the IgG1 subclass and titers recorded in NOS2-/- and wild-type animals did not differ significantly at either time point (Fig. 5Go). While significantly lower levels of OVA-specific IgE were found in sensitized NOS2 mutants compared with wild-type mice, titers were also similar after aerosolization. However, NOS2 deficiency increased levels of specific IgG2a, albeit at comparatively low titers, particularly after OVA aerosol challenge.



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FIGURE 5. OVA-specific serum Ab levels in mice sensitized and treated with aeroallergen. Data represent the mean ± SEM for groups of five mice. *, p < 0.05 and **, p < 0.005 compared with wild-type mice.

 
Together, these observations suggest that NOS2 deficiency leads to marked increases in both local and systemic T cell-derived IFN-{gamma} production and in levels of serum IgG2a against the allergen. However, neither the characteristic type 2 cytokine-driven specific IgG1 and IgE responses nor the production of IL-4 and IL-5 by lung T cells were modified in allergic NOS2-/- mice.

Depletion of IFN-{gamma} reverses inhibition of airway inflammation in NOS2-/- mice

These pronounced increases in IFN-{gamma} production might account for the decreased eosinophilic inflammation and, therefore, airway disease, seen in aeroallergen-treated NOS2-deficient mice. To test this hypothesis, we treated the mutants with mAbs against IFN-{gamma} during their course of treatment with OVA. As shown in Fig. 6Go, the inhibition of blood eosinophilia from day 28 (after the second treatment with aerosolized OVA) recorded in NOS2-/- mice given control mAb was abolished in those given mAb against IFN-{gamma}. Similarly, the marked reduction in eosinophil numbers in BALF seen in allergic mutants was reversed in mice depleted of this factor (Fig. 7Go). In addition, the symptoms of severe disease as described above in wild-type mice were evident in the mAb-treated mutants (data not shown). Neutralization of IFN-{gamma} activity did not significantly affect levels of AHR in the mutant mice (data not shown). Thus, it appears that IFN-{gamma} was responsible for the suppression of eosinophilic inflammation and allergic pathology in NOS2-/- mice despite their capacity for continued production of IL-5.



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FIGURE 6. Eosinophil numbers in peripheral blood of NOS2-/- and wild-type mice sensitized and treated with aeroallergen and depleted of IFN-{gamma} as described in Materials and Methods. Data represent the mean ± SEM for groups of five mice and are representative of two such experiments. *, p < 0.05 compared with NOS2-/- mice given isotype control mAb.

 


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FIGURE 7. Eosinophil numbers in BALF from NOS2-/- and wild-type mice sensitized and treated with aeroallergen and depleted of IFN-{gamma}. Data represent the mean ± SEM for groups of five mice and are representative of two such experiments. *, p < 0.05 compared with NOS2-/- mice given isotype control mAb.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
NO, which has been implicated in many physiological processes (1, 2), may play an important role in airways function both in health and disease (10). During asthma, the expression of inducible NOS (NOS2) by cells of the respiratory tract, particularly epithelial cells, increases markedly, while levels of exhaled NO are also elevated (10, 13, 14, 15). In the present study, we have used mice rendered deficient for the production of NOS2 in a model of allergic airway disease. Our results clearly show that the manifestations of disease, including infiltration of leukocytes, particularly eosinophils, around the airways, gross alterations in the structural integrity of the airway walls, microvascular leakage, mucosal edema and particulate exudation, and mucous occlusion of the airways lumina are markedly less severe in NOS2-/- mice than in wild-type animals. NOS2 deficiency resulted in a 55–60% reduction in both circulatory and pulmonary eosinophil numbers following allergen treatment, although no suppression of eosinophil precursor development, nor of efflux from the bone marrow following aeroallergen treatment, was apparent. Although representing a relatively small percentage of the inflammatory cell population of the lung, both macrophages and lymphocytes were recorded in significantly higher numbers in the mutant mice. These changes were accompanied by pronounced increases in the capacity of cultured T cells to secrete IFN-{gamma} upon restimulation in vitro, but not by any obvious change in local production of IL-4, IL-5, IL-10, IL-12, or TNF-{alpha}, nor by major changes in the largely IgG1 and IgE OVA-specific serum Ig profiles in the mutants. The markedly enhanced production of IFN-{gamma} in the NOS2-/- mice was apparently responsible for the suppression of both eosinophilia and disease, as in vivo depletion of this factor restored allergic inflammation and pathology in these animals.

Our findings are in partial agreement with those of Feder and colleagues, who recently showed that chemical inhibition of NO activity suppressed pulmonary eosinophilic inflammation in a murine model of allergic airway disease (17). However, these authors attributed the reduction in inflammation to NO catalyzed by enzymes other than NOS2 and speculated that localized NO production enhances extravasation of circulating eosinophils into the lung. In contrast, our study, using mice with a specific mutation, has clearly shown that NOS2 deficiency leads to a IFN-{gamma}-mediated suppression of both pulmonary and circulating eosinophilia and allergic airways disease following aeroallergen challenge.

The severity of clinical asthma appears to correlate with the degree of airway inflammation and, therefore, the level of local Th2 cell activity (31). In murine models of allergic airway inflammation, aeroallergen challenge of sensitized mice normally leads to widespread eosinophilia, which correlates directly with disease (26, 32, 33, 34). In addition, we have shown that eosinophilia is, in turn, critically dependent on IL-5 in vivo (26) and that type 1 cytokine-mediated suppression of eosinophilia and disease is accompanied by a marked down-regulation of local IL-5 production (35). Therefore, it was somewhat surprising to find that T cell isolates from both the lungs and spleens of aeroallergen-treated NOS2-/- mutants retained the capacity to secrete high levels of both IL-4 and IL-5, as in wild-type animals, in the face of their ability to produce large amounts of IFN-{gamma} upon restimulation in vitro, particularly given the established role of IFN-{gamma} as a potent suppressor of Th2 cell activity (35, 36, 37). These findings lead us to suggest that the suppressive effects of IFN-{gamma} may be countered by the generation of strong Th2 responses with IL-4 and IL-5 secretion, such as in our model, and that high local levels of IL-4 promote Th2 cell development despite significant local IFN-{gamma} production. In this context, we and others have recently reported that local virus infections that normally induce IFN-{gamma} production did not suppress eosinophilic airway inflammation in similar models of allergic airway disease (35, 38).

The enhanced T cell production of IFN-{gamma} observed in the allergen-treated NOS2 mutants is in accordance with the finding that treatment of mice with inhibitors of NO production leads to marked increases in IFN-{gamma} levels during staphylococcal infection (39). Similar enhancement of IFN-{gamma} production has recently been reported in studies using NOS2-/- mutants infected with the protozoan, Leishmania major (40, 41), Mycobacterium tuberculosis (42), or viruses, including ectromelia virus and influenza virus, contributing to rapid viral clearance in the latter (G.K., unpublished observations). How NO influences IFN-{gamma} gene expression is unclear at this stage. However, recent evidence indicates that NO may regulate the activity of NF-{kappa}B transcription factors and protein tyrosine kinases belonging to the src kinase, mitogen-activated protein (MAP) kinase, and Janus kinase (JAK) families (43, 44, 45, 46), the latter with major implications for IFN-{gamma} signaling (47). It has also been suggested that NO may down-regulate Th1-type immune responses and, in this way, diminish IFN-{gamma} production (40). The delineation of mechanisms that regulate the development of different T cell subsets is of obvious importance for increased understanding of the pathogenesis of a number of diseases including allergy. In this regard, recent in vitro studies have indicated that NO may act differentially on activated murine and human Th cell populations by inhibiting Th1 cytokine production but promoting the expression of Th2-type cytokines (48, 49), although these data remain controversial (50). Nevertheless, it has been proposed that inducible NO, produced in the asthmatic airways by epithelial cells, macrophages, and possibly Th1-type cells, has an inhibitory effect on Th1-type cells and their expression of IFN-{gamma}, facilitating the activation of Th2-type cells and the development of allergic inflammation (21). The greatly increased local expression of IFN-{gamma} we recorded in allergen-treated NOS2-/- mutants lends partial support to this hypothesis. However, it was clear from our data that the IFN-{gamma}-mediated protection from airway inflammation in these animals was not due to suppression of T cell production of IL-4 and IL-5 by this factor.

Our findings in NOS2-/- mutant mice indicate that inhibitors of NOS2 may be effective in suppressing allergic inflammation, particularly in the airways. They also suggest that the effects of such compounds would largely be mediated through IFN-{gamma} activity in the face of continued production of Th2-type cytokines. These data suggest several potential mechanisms whereby allergic inflammation may be suppressed. The inhibition of eosinophilia recorded not only in BALF but also in the circulation of aeroallergen-treated NOS2 mutants and its reversal by mAbs directed against IFN-{gamma} raised the possibility that this factor may down-regulate inflammatory cell hematopoiesis, either directly or via intermediate molecules, possibly including NOS2 itself. However, our studies using bone marrow cells indicate that eosinophil development and efflux from the bone marrow following aeroallergen challenge is unaffected by NOS2 deficiency and suggest that the inhibitory effects of IFN-{gamma} may occur at a later stage in eosinophilic inflammation, such as the subsequent maturation of these cells in the circulation. In addition, IFN-{gamma} may directly influence the activity of mature inflammatory cells and, in this respect, has been shown to inhibit degranulation and release of inflammatory mediators from both eosinophils (51) and mast cells (52). In the latter case at least, this suppression may be mediated by IFN-{gamma}-induced NO (53). Selective inhibition of NO production might also protect against allergic pulmonary inflammation independently of increased IFN-{gamma} activity, our present data notwithstanding. It has recently been shown that NO specifically disrupts Fas receptor-mediated apoptosis of eosinophils (54), while its vasodilatory properties (4) and chemotactic activity for a variety of cell types, including eosinophils (55), may enhance their recruitment into allergic airways (17).

The lack of obvious differences between AHR measured in aeroallergen-treated wild-type and NOS2-/- mice, despite suppressed pulmonary eosinophilic inflammation in the latter, probably reflects the continued production of levels of eosinophil inflammatory mediators sufficient to provoke such hyperreactivity. Our previous work in this model has clearly demonstrated a close association between local eosinophilic inflammation and AHR (26). However, it should be noted that the elevated AHR readings in OVA-challenged mice were recorded over baseline levels in control (saline-treated) animals that were significantly greater in the NOS2 mutants. Deficient NO production in these mice may have been responsible for this spontaneous AHR, given the reported, albeit variable, bronchodilatory activity of this molecule (22, 23).

In conclusion, we have shown that eosinophilic inflammation and related manifestations of allergic airway disease are markedly suppressed in mice deficient for NOS2 production, apparently due to pronounced IFN-{gamma} expression in these animals. Our results support the hypothesis that NO promotes allergic inflammation and indicate that specific inhibitors of NOS2 may be worthwhile components of therapeutic strategies against allergic diseases, including asthma.


    Acknowledgments
 
We thank Drs. J. MacMicking, C. Nathan (Cornell University Medical College), and J. Mudgett (Merck Research Laboratories) for providing NOS2-deficient mice, Drs. J. Abrams, K. Moore, P. Hodgkin, R. Schreiber, G. Trinchieri, A. Hapel, and Mrs. S. Fordham for reagents, and Drs. I. Ramshaw and C. Nathan for helpful discussion.


    Footnotes
 
1 This work was supported by grants from the Asthma Foundation of New South Wales. Back

2 Address correspondence and reprint requests to: Dr. Alistair J. Ramsay, Division of Immunology and Cell Biology, John Curtin School of Medical Research, Australian National University, Canberra, Australia. E-mail address: Back

3 Abbreviations used in this paper: NOS2, nitric oxide synthase 2; NO, nitric oxide; AHR, airway hyperreactivity; BALF, bronchoalveolar lavage fluid; RNI, reactive nitrogen intermediates; MAP kinase, mitogen-activated protein kinase; JAK, Janus kinase. Back

Received for publication March 30, 1998. Accepted for publication September 8, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Moncada, S., R. M. Palmer, E. A. Higgs. 1991. Nitric oxide: physiology, pathophysiology and pharmacology. Pharmacol. Rev. 43:109.[Medline]
  2. Nathan, C., Q.-w. Xie. 1994. Nitric oxide synthases: roles, tolls and controls. Cell 78:915.[Medline]
  3. Gaston, B., J. Drazen, C. B. E. Chee, M. E. B. Wohl, J. S. Stamler. 1993. Expired nitric oxide (NO) concentrations are elevated in patients with reactive airways disease. Endothelium 1:87.
  4. Kuo, H., S. Liu, P. J. Barnes. 1992. The effect of endogenous nitric oxide on neurogenic plasma exudation in guinea pig airways. Eur. J. Pharmacol. 221:385.[Medline]
  5. Xie, Q.-w., H. J. Cho, J. Calacay, R. A. Mumford, K. M. Swiderek, T. D. Lee, A. Ding, T. Troso, C. Nathan. 1992. Cloning and characterization of inducible nitric oxide synthase from mouse macrophages. Science 256:225.[Abstract/Free Full Text]
  6. Dugas, B., P. Debre, S. Moncada. 1995. Nitric oxide, a vital poison inside the immune and inflammatory network. Res. Immunol. 146:664.[Medline]
  7. Moncada, S., A. Higgs. 1995. Molecular mechanisms and therapeutic strategies related to nitric oxide. FASEB J. 9:1319.[Abstract]
  8. Nussler, A. K., T. R. Billiar. 1993. Inflammation, immunoregulation and inducible nitric oxide synthase. J. Leukocyte Biol. 54:171.[Abstract]
  9. Del Pozo, V., E. De Arruda-Chaves, B. De Andres, B. Cardaba, A. Lopez-Farre, S. Gallardo, I. Cortegano, L. Vidarte, A. Jurado, J. Sastre, P. Palomino, C. Lahoz. 1997. Eosinophils transcribe and translate messenger RNA for inducible nitric oxide synthase. J. Immunol. 158:859.[Abstract]
  10. Barnes, P. J.. 1995. Nitric oxide and asthma. Res. Immunol. 146:698.[Medline]
  11. Kobzik, L., D. S. Bredt, C. J. Lowenstein, J. Drazen, B. Gaston, D. Sugarbaker, J. S. Stamler. 1993. Nitric oxide synthase in human and rat lung: immunocytochemical and histochemical localization. Am. J. Respir. Cell Mol. Biol. 9:371.
  12. Tracey, W. R., C. Xue, V. Klinghoffer, J. Barlow, J. S. Pollock, U. Fostermann, R. A. Johns. 1994. Immunocytochemical detection of inducible human synthase in human lung. Am. J. Physiol. 266:L722.[Abstract/Free Full Text]
  13. Hamid, Q., D. R. Springall, V. Riveros-Moreno, P. Chanez, P. Howarth, J. R. A., P. Bousquet, S. Godard, S. Holgate, J. M. Polak. 1993. Induction of nitric oxide synthase in asthma. Lancet 342:1510.[Medline]
  14. Robbins, R. A., P. J. Barnes, D. R. Springall, J. B. Warren, O. J. Kwon, L. D. K. Buttery, A. J. Wilson, D. A. Geller, J. M. Polak. 1994. Expression of inducible nitric oxide in human lung epithelial cells. Biochem. Biophys. Res. Commun. 203:209.[Medline]
  15. Kharitonov, S. A., D. Yates, R. A. Robbins, R. Logan-Sinclair, E. A. Shinebourne, P. J. Barnes. 1994. Increased nitric oxide in exhaled air of asthmatic patients. Lancet 343:133.[Medline]
  16. Persson, M. G., L. E. Gustafsson. 1993. Allergen-induced airway obstruction in guinea-pigs is associated with changes in nitric oxide level in exhaled air. Acta Physiol. Scand. 149:461.[Medline]
  17. Feder, L. S., D. Stelts, R. W. Chapman, D. Manfra, Y. Crawley, H. Jones, M. Minnicozzi, X. Fernandez, T. Paster, R. W. Egan, R. W. Kreutner, T. T. Kung. 1997. Role of nitric oxide in eosinophilic lung information in allergic mice. Am. J. Respir. Cell Mol. Biol. 17:436.[Abstract/Free Full Text]
  18. Bochner, B. S., B. J. Undem, L. M. Lichtenstein. 1994. Immunological aspects of allergic asthma. Annu. Rev. Immunol. 12:295.[Medline]
  19. Robinson, D. S., Q. Hamid, Y. Sun, A. Tsicopoulos, J. Barkans, A. M. Bentley, C. Corrigan, S. R. Durham, A. B. Kay. 1992. Predominant Th2-like bronchoalveolar T-lymphocyte population in atopic asthma. New Engl. J. Med. 326:298.[Abstract]
  20. Leung, D. Y. M., R. J. Martin, S. J. Szefler, E. R. Sher, S. Ying, A. B. Kay, Q. Hamid. 1995. Dysregulation of interleukin 4, interleukin 5 and interferon {gamma} gene expression in steroid-resistant asthma. J. Exp. Med. 181:33.[Abstract/Free Full Text]
  21. Barnes, P. J., F. W. Liew. 1995. Nitric oxide and asthmatic inflammation. Immunol. Today 128:128.
  22. Dupuy, P. M., S. A. Shore, J. M. Drazen, C. Frostell, W. A. Hill, W. M. Zapol. 1992. Bronchodilator action of inhaled nitric oxide in guinea pigs. J. Clin. Invest. 90:421.
  23. Hogman, M., C. G. Frostell, H. Hedenstrom, G. Hedenstierna. 1993. Inhalation of nitric oxide modulates adult human bronchial tone. Am. Rev. Respir. Dis. 148:1474.[Medline]
  24. Heiss, L. N., J. R. Lancaster, J. A. Corbett, W. E. Goldman. 1994. Epithelial autotoxicity of nitric oxide: role in the respiratory cytopathology of pertussis. Proc. Natl. Acad. Sci. USA 91:267.[Abstract/Free Full Text]
  25. MacMicking, J. D., C. Nathan, G. Hom, N. Chartrain, D. S. Fletcher, M. Trumbauer, K. Stevens, Q. W. Xie, K. Sokol, N. Hutchinson, H. Chen, J. S. Mudgett. 1995. Altered responses to bacterial infection and endotoxic shock in mice lacking inducible nitric oxide synthase. Cell 81:641.[Medline]
  26. Foster, P. S., S. P. Hogan, A. J. Ramsay, K. I. Matthaei, I. G. Young. 1996. Interleukin 5 deficiency abolishes eosinophilia, airways hyperreactivity, and lung damage in a mouse asthma model. J. Exp. Med. 183:195.[Abstract/Free Full Text]
  27. Stanley, E., D. Metcalf, J. Maritz, G. Yeo. 1972. Standardized bioassay for bone marrow colony stimulating factor in human urine: levels in normal man. J. Lab. Clin. Med. 79:657.[Medline]
  28. Schumacher, J. H., A. O’Garra, B. Shrader, A. van Kimmenade, M. W. Bond, T. R. Mosmann, R. L. Coffman. 1988. The characteristics of four monoclonal antibodies specific for mouse IL-5 and development of mouse and human IL-5 enzyme-linked immunosorbent assays. J. Immunol. 141:1576.[Abstract]
  29. Mosmann, T., J. Schumacher, D. Fiorentino, J. Leverah, K. Moore, M. Bond. 1990. Isolation of monoclonal antibodies specific for IL-4, IL-5, IL-6, and a new Th2-specific cytokine (IL-10), cytokine synthesis inhibitory factor, by using a solid phase radioimmunoadsorbent assay. J. Immunol. 145:2938.[Abstract]
  30. Rockett, K. A., M. M. Awburn, E. J. Rackett, W. B. Cowden, I. A. Clark. 1994. Possible role of nitric oxide in malarial immunosuppression. Parasite Immunol. 16:243.[Medline]
  31. Azzawi, M., B. Bradley, P. K. Jeffery, A. J. Frew, A. J. Wardlaw, G. Knowles, B. Assoufi, J. V. Collins, S. Durham, A. B. Kay. 1990. Identification of activated T lymphocytes and eosinophils in bronchial biopsies in stable atopic asthma. Am. Rev. Respir. Dis. 142:1407.[Medline]
  32. Nakajima, H., I. Iwamoto, S. Tomoe, R. Matsumura, H. Tomioka, K. Takatsu, S. Yoshida. 1992. CD4+ T-lymphocytes and interleukin-5 mediate antigen-induced eosinophil infiltration into the mouse trachea. Am. Rev. Respir. Dis. 146:374.[Medline]
  33. Brusselle, G. G., J. C. Kips, J. H. Tavernier, J. G. Van Der Heyden, C. A. Cuvelier, R. A. Pauwels, H. Bluethmann. 1994. Attenuation of allergic airway inflammation in IL-4 deficient mice. Clin. Exp. Allergy 24:73.[Medline]
  34. Gavett, S. H., D. J. O’Hearn, X. Li, S. K. Huang, F. D. Finkelman, K. M. Wills. 1995. Interleukin 12 inhibits antigen-induced airway hyperresponsiveness, inflammation, and Th2 cytokine expression in mice. J. Exp. Med. 182:1527.[Abstract/Free Full Text]
  35. Hogan, S. P., P. S. Foster, X. Tan, A. J. Ramsay. 1998. Mucosal interleukin-12 gene delivery inhibits allergic airways disease and restores local antiviral immunity. Eur. J. Immunol. 28:413.[Medline]
  36. Gajewski, T. F., F. W. Fitch. 1988. Anti-proliferative effect of IFN-gamma in immune regulation: IFN-gamma inhibits the proliferation of Th1 but not Th2 murine helper T lymphocyte clones. J. Immunol. 140:4245.[Abstract]
  37. Wang, Z. E., S. L. Reiner, S. Zheng, D. K. Dalton, R. M. Locksley. 1994. CD4+ effector cells default to the Th2 pathway in interferon {gamma}-deficient mice infected with Leishmania major. J. Exp. Med. 179:1367.[Abstract/Free Full Text]
  38. Schwarze, J., E. Hamelmann, K. L. Bradley, K. Takeda, E. W. Gelfand. 1997. Respiratory syncitial virus infection results in airways hyperresponsiveness and enhanced sensitization to allergen. J. Clin. Invest. 100:226.[Medline]
  39. Florquin, S., Z. Amraoui, C. Dubois, J. Decuyper, M. Goldman. 1994. The protective role of endogenously synthesized nitric oxide in staphylococcal endotoxin B-induced shock in mice. J. Exp. Med. 180:1153.[Abstract/Free Full Text]
  40. Wei, X. Q., I. G. Charles, A. Smith, J. Ure, G. J. Feng, F. P. Guang, D. M. Xu, W. Muller, S. Moncada, F. Y. Liew. 1995. Altered immune responses in mice lacking inducible nitric oxide synthase. Nature 375:408.[Medline]
  41. Diefenbach, A., H. Schindler, N. Donhauser, E. Lorenz, T. Laskay, J. MacMicking, M. Rollinghoff, I. Gresser, C. Bogdan. 1998. Type 1 interferon (IFN) and type 2 nitric oxide synthase regulate the innate immune response to a protozoan parasite. Immunity 7:77.
  42. MacMicking, J. D., R. J. North, R. LaCourse, J. S. Mudgett, S. K. Shah, C. F. Nathan. 1997. Identification of nitric oxide synthase as a protective locus against tuberculosis. Proc. Natl. Acad. Sci. USA 94:5243.[Abstract/Free Full Text]
  43. Lander, H. M., P. Sehajpal, D. M. Levine, A. Novogrodsky. 1993. Activation of human peripheral blood mononuclear cells by nitric oxide-generating compounds. J. Immunol. 150:1509.[Abstract]
  44. Kong, S.-K., M. B. Yim, E. R. Stradtman, P. B. Chock. 1996. Peroxynitrite disables the tyrosine phosphorylation regulatory mechanism: lymphocyte-specific tyrosine kinase fails to phosphorylate nitrated cdc2(6–20)NH2 peptide. Proc. Natl. Acad. Sci. USA 93:3377.[Abstract/Free Full Text]
  45. Lander, H. M., A. T. Jacovina, R. J. Davies, J. M. Tauras. 1996. Differential activation of mitogen-activated protein kinases by nitric oxide-related species. J. Biol. Chem. 271:19705.[Abstract/Free Full Text]
  46. Duhe, R. J., G. A. Evans, R. A. Erwin, R. A. Kirkin, G. W. Cox, W. L. Farrar. 1998. Nitric oxide and thiol redox regulation of Janus kinase activity. Proc. Natl. Acad. Sci. USA 95:126.[Abstract/Free Full Text]
  47. Schindler, C., J. E. Darnell. 1995. Transcriptional responses to peptide ligands: the JAK-STAT pathway. Annu. Rev. Biochem. 64:621.[Medline]
  48. Taylor-Robinson, A. W., F. Y. Liew, A. Severn, D. M. Xu, S. J. McSorley, P. Garside, J. Padron, R. S. Phillips. 1994. Regulation of the immune response by nitric oxide differentially produced by T helper type I and T helper type 2 cells. Eur. J. Immunol. 24:980.[Medline]
  49. Benbernou, N., S. Esnault, H. C. K. Shin, H. Fekkar, M. Guenounou. 1997. Differential regulation of IFN-{gamma}, IL-10 and inducible nitric oxide synthase in human T cells by cyclic AMP-dependent signal transduction pathway. Immunology 91:361.[Medline]
  50. Bauer, H., T. Jung, D. Tsikas, D. O. Stichtenoth, J. C. Frolich, C. Neumann. 1997. Nitric oxide inhibits the secretion of T-helper 1- and T-helper 2-associated cytokines in activated human T cells. Immunology 90:205.[Medline]
  51. Fujisawa, T., R. Abu-Ghazaleh, H. Kita, C. J. Sanderson, G. J. Gleich. 1990. Regulatory effects of cytokines on eosinophil degranulation. J. Immunol. 144:642.[Abstract]
  52. Coleman, J. W., M. G. Buckley, M. R. Holliday, A. G. Morris. 1991. Interferon-{gamma} inhibits serotonin release from mouse peritoneal mast cells. Eur. J. Immunol. 21:2559.[Medline]
  53. Eastmond, N. C., E. M. S. Banks, J. W. Coleman. 1997. Nitric oxide inhibits IgE-mediated degranulation of mast cells and is the principal intermediate in IFN-{gamma}-induced suppression of exocytosis. J. Immunol. 159:1444.[Abstract]
  54. Hebestreit, H., B. Dibbert, I. Balatti, D. Braun, A. Schapowal, K. Blaser, H.-U. Simon. 1998. Disruption of Fas receptor signaling by nitric oxide in eosinophils. J. Exp. Med. 187:415.[Abstract/Free Full Text]
  55. Robbins, R. A., F. A. Romero, K. J. Nelson, G. E. Hill, R. G. Townley. 1995. Inhibitors of nitric oxide attenuate human eosinophil chemotaxis. Am. J. Respir. Crit. Care Med. 151:A238. (Abstr.).



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Home page
J. Pharmacol. Exp. Ther.Home page
P. R. Eynott, N. Paavolainen, D. A. Groneberg, A. Noble, M. Salmon, P. Nath, S.-Y. Leung, and K. F. Chung
Role of Nitric Oxide in Chronic Allergen-Induced Airway Cell Proliferation and Inflammation
J. Pharmacol. Exp. Ther., January 1, 2003; 304(1): 22 - 29.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
Y. M. W. Janssen-Heininger, R. L. Persinger, S. H. Korn, C. Pantano, B. McElhinney, N. L. Reynaert, R. C. J. Langen, K. Ckless, P. Shrivastava, and M. E. Poynter
Reactive Nitrogen Species and Cell Signaling: Implications for Death or Survival of Lung Epithelium
Am. J. Respir. Crit. Care Med., December 15, 2002; 166(12): S9 - 16.
[Abstract] [Full Text] [PDF]


Home page
ChestHome page
J. D. Lang, P. J. McArdle, P. J. O'Reilly, and S. Matalon
Oxidant-Antioxidant Balance in Acute Lung Injury
Chest, December 1, 2002; 122(6_suppl): 314S - 320S.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
A. Koarai, M. Ichinose, H. Sugiura, M. Tomaki, M. Watanabe, S. Yamagata, Y. Komaki, K. Shirato, and T. Hattori
iNOS depletion completely diminishes reactive nitrogen-species formation after an allergic response
Eur. Respir. J., September 1, 2002; 20(3): 609 - 616.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
A. Q. Truong-Tran, R. E. Ruffin, P. S. Foster, A. M. Koskinen, P. Coyle, J. C. Philcox, A. M Rofe, and P. D. Zalewski
Altered Zinc Homeostasis and Caspase-3 Activity in Murine Allergic Airway Inflammation
Am. J. Respir. Cell Mol. Biol., September 1, 2002; 27(3): 286 - 296.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
E. Careau, J. Sirois, and E. Y. Bissonnette
Characterization of Lung Hyperresponsiveness, Inflammation, and Alveolar Macrophage Mediator Production in Allergy Resistant and Susceptible Rats
Am. J. Respir. Cell Mol. Biol., May 1, 2002; 26(5): 579 - 586.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
B. R. Pitt and C. M. St. Croix
Complex Regulation of iNOS in Lung
Am. J. Respir. Cell Mol. Biol., January 1, 2002; 26(1): 6 - 9.
[Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
C. E. Cross, A. van der Vliet, and J. P. Eiserich
Peroxidases Wheezing Their Way into Asthma
Am. J. Respir. Crit. Care Med., October 1, 2001; 164(7): 1102 - 1103.
[Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
A. DUGUET, H. IIJIMA, S.-Y. EUM, Q. HAMID, and D. H. EIDELMAN
Eosinophil Peroxidase Mediates Protein Nitration in Allergic Airway Inflammation in Mice
Am. J. Respir. Crit. Care Med., October 1, 2001; 164(7): 1119 - 1126.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
H. IIJIMA, A. DUGUET, S.-Y. EUM, Q. HAMID, and D. H. EIDELMAN
Nitric Oxide and Protein Nitration are Eosinophil Dependent in Allergen-Challenged Mice
Am. J. Respir. Crit. Care Med., April 1, 2001; 163(5): 1233 - 1240.
[Abstract] [Full Text]


Home page
J. Immunol.Home page
G. R. Strohmeier, J. H. Walsh, E. S. Klings, H. W. Farber, W. W. Cruikshank, D. M. Center, and M. J. Fenton
Lipopolysaccharide Binding Protein Potentiates Airway Reactivity in a Murine Model of Allergic Asthma
J. Immunol., February 1, 2001; 166(3): 2063 - 2070.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
W. STEUDEL, M. KIRMSE, J. WEIMANN, R. ULLRICH, J. HROMI, and W. M. ZAPOL
Exhaled Nitric Oxide Production by Nitric Oxide Synthase-deficient Mice
Am. J. Respir. Crit. Care Med., October 1, 2000; 162(4): 1262 - 1267.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
A. Trifilieff, Y. Fujitani, F. Mentz, B. Dugas, M. Fuentes, and C. Bertrand
Inducible Nitric Oxide Synthase Inhibitors Suppress Airway Inflammation in Mice Through Down-Regulation of Chemokine Expression
J. Immunol., August 1, 2000; 165(3): 1526 - 1533.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
S. P. Sanders
Nitric Oxide in Asthma . Pathogenic, Therapeutic, or Diagnostic?
Am. J. Respir. Cell Mol. Biol., August 1, 1999; 21(2): 147 - 149.
[Full Text]


Home page
JEMHome page
G. T. De Sanctis, J. A. MacLean, K. Hamada, S. Mehta, J. A. Scott, A. Jiao, C. N. Yandava, L. Kobzik, W. W. Wolyniec, A. J. Fabian, et al.
Contribution of Nitric Oxide Synthases 1, 2, and 3 to Airway Hyperresponsiveness and Inflammation in a Murine Model of Asthma
J. Exp. Med., May 17, 1999; 189(10): 1621 - 1630.
[Abstract] [Full Text] [PDF]


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