The Journal of Immunology, 2000, 165: 102-107.
Copyright © 2000 by The American Association of Immunologists
Rebound from Nitric Oxide Inhibition Triggers Enhanced Monocyte Activation and Chemotaxis1
Harold I. Magazine2,*,
,
Jungshan Chang*,
Yannick Goumon
and
George B. Stefano
*
Department of Biology, Queens College and the Graduate School of the City University of New York, Flushing, NY 11367; and
Multidisciplinary Center for the Study of Aging, Neuroscience Research Institute, State University of New York/College at Old Westbury, Old Westbury, NY 11568
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Abstract
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Exposure of human peripheral blood monocytes to the NO donor
S-nitroso-N-acetyl-DL-penicillamine
(SNAP) resulted in a rapid shift in cellular conformation of
spontaneously activated cells from ameboid to round. The population of
activated cells,
7.1 ± 1.2%, was reduced 7-fold to 1.1
± 0.4% following 0.5 h exposure to SNAP. Observation of
monocytes for 6 h demonstrated a gradual release from NO
inhibition initiating at 2.5 h following SNAP treatment and a
period of hyperactivity that was maximal at
5 h following SNAP
exposure. During the rebound from the NO inhibition phase, there was a
significant increase in the population of activated monocytes and an
increased responsiveness to chemotactic agents such as IL-1, IL-8, and
fMLP relative to that of cells treated with the chemotactic agents
alone. Conformational changes induced by SNAP were associated with a
reduction in F-actin and loss of filopodial extension. The loss and
recovery of F-actin staining paralleled changes in cell activity,
suggesting that NO may alter cellular activity by modulation of
cytoskeletal actin. These data taken together suggest that inhibition
of monocyte activity by NO results in an excitatory phase observed
subsequent to release from NO inhibition and increased sensitivity to
chemotactic agents. We propose that this rebound from NO inhibition may
provide increased immunosurveillance to rectify immunological problems
that have been encountered during the period of
inhibition.
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Introduction
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Production
of NO may be associated with induction of immune and vascular
dysfunction (1, 2, 3, 4, 5, 6, 7). Indeed, direct cytotoxic effects of NO
on inflammatory cells and vascular tissue has been widely reported
(1, 3, 4). In contrast to these findings, recent studies
have emerged that demonstrate beneficial effects of NO on immune and
vascular function (5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22). The apparent discrepancy in
NO action may be the result of activation of different NO synthase
(NOS)3 isoforms by the
various experimental conditions employed in the above studies or the
activation state of the cell before NOS activation (14, 23). In this regard, induction of inducible NOS (iNOS)-coupled
NO release (e.g., by treatment with IFN
and LPS) was abrogated by
prior constitutive NOS (cNOS) activation (23), suggesting
that cNOS-coupled NO release can markedly alter chemokine
immunomodulation.
Recent reports have demonstrated a link between NO and cell migration.
In this regard, monocyte chemotaxis was reduced in the presence of NOS
inhibitors, suggesting a requirement of NO production in cell
migration, whereas NO has also been demonstrated to impair chemotaxis
(24, 25) and inhibit cell mobility (26). In
the present report, we demonstrate that transient exposure of monocytes
to NO induces rapid changes in cell conformation and inhibition of cell
mobility and chemotaxis. Following this period of repression, the cell
rebounds from inhibition as noted by a marked increase in monocyte
activation and responsiveness to chemotaxic agents. Thus, the apparent
contradiction in the reported effects of NO on chemotaxis in the
literature may be resolved by the demonstration in this report of a
biphasic effect of NO on cell chemotaxis. We surmise that the enhanced
responsiveness of inflammatory cells observed following NO-induced
inhibition might be an attempt to attenuate pathological conditions
that may have progressed during the inhibitory phase but also may serve
as a mechanism to modulate responsiveness to chemokine stimulation.
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Materials and Methods
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Monocyte preparation
The leukocyte fraction of human blood was obtained from the Long
Island Blood Services (Melville, Long Island, NY) and enriched for
monocytes using the OptiPrep proceedure. OptiPrep separation yields
monocyte populations that are >95% pure and have reduced T lymphocyte
contamination (27). Indeed, contaminating cell populations
were undetectable by visual inspection. Cells were washed three times
in RPMI 1640 medium (RPMI 1640, 25 mM HEPES, 5%
CO2, pH 7.4, Grand Island Biological, Grand
Island, NY) and diluted to a final concentration of
400 cells/ml.
Cells were placed on a slide previously coated with 0.1% BSA within a
ring of petrolatum gel (Sigma, St. Louis, MO) and maintained at 37°C
using a stage warmer.
Monocyte activation and chemotaxis
Cell morphology was visualized using phase-contrast optics and a
Nikon TE300 inverted microscope (Nikon, Melville, NY) prepared and
maintained as described above. To evaluate the direct effects of NO on
cell activity, cells were treated with the NO donor,
S-nitroso-N-acetyl-DL-penicillamine
(SNAP) and evaluated for 6 h. SNAP depleted of NO,
S-acetyl-DL-penicillamine (SAP), in
the presence of 10 µM
2-(4-carboxyphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide
(carboxy-PTIO), a potent NO scavenger, was evaluated to confirm the
role of NO in SNAP modulation of cellular activity. To evaluate the
influence of NO exposure on subsequent activation of cells with
chemotactic agents, cells were exposed to SNAP for 2 or 5 h,
whereupon they were treated with cytokines (IL-1 or IL-8) or fMLP. The
cells were allowed to respond to the chemotactic agent for 10 min,
whereupon cell activation and alignment was evaluated. The time periods
following SNAP exposure chosen for these studies corresponded to
periods where maximal SNAP-induced cell inactivation (2 h) and rebound
from NO inhibition or hyperactivation (5 h) was observed.
Changes in monocyte conformation were evaluated using commercial cell
analysis software (American Innovision Analysis System, Tracksh
Program, San Diego, CA). Changes in cellular conformation ranging from
inactive-rounded (diameter range 1014 µm) to active-amoeboid
(diameter > 14 µm) were determined by measurements of cellular
area and perimeter and were expressed mathematically by using the
form-factor formula of the American Innovision Analysis System:
AC/AT =
(LT/LC)2, in which
AT is the area of a circle with the same perimeter as that
of the given cell, and AC and LC are the actual
area and perimeter of the cell (28). The lower the number,
the higher the perimeter and the more amoeboid the cellular shape. The
degree of cellular activation was determined as noted elsewhere
(26, 29, 30). Briefly, under phase contrast optics, round
cells appear light yellow and amoeboid cells dark. The system, manually
tuned, identifies these color differences (bright for round cells and
gray for amoeboid cells) and the proportion of each is used as an index
of activation. Cellular debris that exhibits an area smaller than 30
µm2 or larger than 700
µm2 is automatically ignored.
Chemotaxis was evaluated using commercial cell analysis software
(American Innovision, San Diego, CA). Cells that are responding to a
chemotactic agent exhibit increased velocity and a directed migration
toward the stimulating agent. Monocytes exhibiting a chemotactic
response have increased cellular velocity and a parallel alignment to
the concentration gradient of the chemotactic agent, whereas, in
contrast, a chemokinetic response has no increase in alignment to the
stimulating agent. The axis of movement of individual cells is measured
where the axis is defined as the minimum moment, or location in a cell,
that exhibits minimum rotation around a point and is calculated from
the arc tangent of multiple moments, including the centroid location of
a cell (30). In previous studies,
3040% of monocytes
were found to align themselves in a parallel manner with the
concentration gradient of known chemotactic agents (30).
Approximately 3040 activated cells were observed per 400-µm viewing
area, and four areas were observed per slide. To control for the
influence of spontaneous monocyte activation, parallel controls were
run for each time period in all experiments. Experiments were repeated
three times, and the data presented are mean ± SEM of a single
experiment.
Nitric oxide
NO production was evaluated using an NO-specific amperometric
probe (World Precision Instruments, Sarasota, FL) exactly as described
(14, 21). The probe was placed into RPMI 1640 maintained
at 37°C and allowed to achieve a stable baseline, whereupon SNAP was
added to the solution to a final concentration of 1 µM, and NO
generation obtained by the decomposition of SNAP was evaluated in
real-time with a DUO 18 computer data-acquisition system. There was no
NO generation obtained by decomposition of SAP (not shown).
Cytoskeletal actin
Monocytes (2 x 104 cells) were
treated with RPMI 1640 or 1 µM SNAP and placed on a BSA-coated
coverslip followed by incubation at 37°C in 5%
CO2 for 0.55 h. Cells were then washed twice
with PBS and fixed with a solution of 0.025% glutaraldehyde/0.25%
formaldehyde for 10 min at 22°C. Cells were then washed three times
with PBS, permeabilized with 0.5% Triton X-100 for 5 min, and
evaluated for F-actin using Alexa 488 phalloidin (Molecular Probes,
Eugene, OR). Samples were imaged using a quantitative confocal
microscopy system (Meridian Instruments, Okemos, MI) coupled to an
Olympus microscope and a x100 oil immersion objective with a fixed
pinhole setting of 40 µM.
Statistics
The Students t test was employed to compare
treatment groups, and a value of p < 0.05 was
considered to be statistically significant.
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Results
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Macrophages isolated from human blood typically display a
low level (69%) of spontaneous activation (29, 31).
Activated cells are characterized as cells exhibiting an amoeboid
conformation (shape factor < 0.5) and random movement of
0.1
µm/s, a relatively low velocity (29, 31). Exposure of
macrophages to the NO donor, SNAP, resulted in a rapid shift in the
conformation of activated cells to the nonmotile, rounded conformation
(Fig. 1
A). A significant
reduction in the activated monocyte population was observed following
SNAP exposure and persisted for >2.5 h. At time points >2.5 h, there
was a gradual increase in the population of activated macrophages
culminating at 5 h with an activation level
2.5-fold greater
than that of untreated controls. Activated cells evaluated at 5 h
were significantly more amoeboid and motile, yet in the absence of
inflammatory mediators (e.g., fMLP or IL-1, IL-8, below) a gradual
return to the control level of activation and motility was observed.
Monocyte activation at periods of inactivation (2 h) and
hyperactivation (5 h) were chosen for further study. A significant
reduction in the population of activated monocytes (from 6.5 ±
1.2% to 0.2 ± .1%, p < 0.001) was observed
2 h following SNAP treatment (Fig. 1
B). Monocytes
treated with SAP, SNAP depleted of NO generation, were
indistinguishable from that of untreated controls. In contrast, SNAP
failed to reduce the population of activated monocytes in the presence
of the potent NO scavenger, carboxy-PITC, suggesting that NO is
required for the SNAP-induced cell inactivation. A 3-fold increase in
monocyte activation was observed 5 h following SNAP exposure
relative to untreated controls. In contrast, monocyte activation
following treatment with SAP or SNAP in the presence of carboxy-PITC
was similar to control. These data taken together suggest that SNAP can
block as well as stimulate monocyte activation, and NO generation
appears to be required for SNAP modulation of cell activation.

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FIGURE 1. Effects of SNAP on monocyte activation. Changes in activation of
monocytes, untreated () or exposed to the NO donor, SNAP (1 µM;
), was evaluated over 6 h. Activated cells were defined as
monocytes that were moving and exhibiting a form factor value below 0.5
(A). Cells treated with SNAP for 2 h were
significantly less activated relative to control cells, whereas
activation at 5 h was marked increased. The effects of SNAP were
studied further at time points where maximal inhibition (2 h) and
hyperactivation (5 h) were observed (B). The effect of
SNAP on monocyte activation was blocked in the presence of 10 µM
carboxy-PTIO, whereas untreated cells were indistinguishable from that
of SAP-treated cells. Data shown are the mean ± SEM of 4050
cells. Statistical significance was determined by Students
t test.
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Direct measurement of NO using an NO-selective amperometric probe
demonstrated an increase in NO release generated by SNAP decomposition
that was maximal within
10 min yet declined to undetectable levels
within 90 min, indicating that the effects of NO on cell activation
persist for several hours (Fig. 2
). NO
has been demonstrated to trigger the destabilization of cytoskeletal
actin consistent with the potent changes in cellular conformation
observed following treatment of macrophages with SNAP (Fig. 1
). To
evaluate the effects of SNAP on cytoskeletal actin, macrophages were
treated with SNAP, and F-actin content was evaluated for 5 h using
the specific F-actin stain phalloidin and quantitative confocal
microscopy. The F-action content of macrophages treated with SNAP was
markedly reduced relative to that of controls for 1 h following
SNAP treatment (Fig. 3
). However,
1.5 h following SNAP treatment a rapid recovery in F-actin content
was observed with F-actin content surpassing that of controls 5 h
following SNAP exposure. Confocal micrographs of monocytes demonstrate
adoption of an ameboid actin cytoskeleton with numerous filopodia at 2
and 5 h but not 0.5 h following addition to the slide (Fig. 4
). The F-actin content of the monocytes
was markedly reduced following 0.5 h treatment with SNAP relative
to that of controls. A marked recovery in F-actin staining was observed
1.5 h following SNAP treatment at a time point that paralleled the
loss of NO generation as detected by the NO selective amperometric
probe (Fig. 2
). Despite the recovery of F-actin, 2 h following
SNAP treatment monocytes remained rounded with intense F-actin staining
localized to the cell periphery and a marked reduction in the number
and intensity of staining of the filopodial array relative to that of
controls (Fig. 4
). In contrast, monocytes 5 h following SNAP
treatment appeared ameboid with a marked increase in the number and
intensity of staining of the filopodial extensions. These data taken
together suggest that the F-actin content of the monocytes was reduced
in the presence of NO, whereas the F-actin content but not cytoskeletal
organization recovers rapidly upon a decline in NO concentration.

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FIGURE 2. Evaluation of NO generation by SNAP decomposition. SNAP (1 µM) was
added to RPMI 1640 and maintained at 37°C exactly as performed in the
presence of cells (see Fig. 1 above). NO concentrations were evaluated
in real-time using a NO-selective amperometric probe. Data shown are
the mean ± SEM of three experiments.
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FIGURE 3. Effect of SNAP on cytoskeletal actin. Monocytes, untreated () or
treated with SNAP ( ), were evaluated for F-actin content for a 5-h
time period. Cells were evaluated by confocal microscopy using a
pinhole setting of 40 µM. Data shown is the mean ± SEM of 20
cells and is representative of five experiments.
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FIGURE 4. Effect of SNAP on cytoskeletal actin. Micrographs of control monocytes
at 2 and 5 h but not 0.5 h exhibited ameboid conformation and
numerous filopodial extensions. Monocytes treated with SNAP had little
or no filopodial extensions at 2 h, whereas numerous filopodial
extensions were observed at 5 h with an intensive increase in
filopodial length and density of F-actin staining. Data shown are
representative samples of five experiments.
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Previous studies have suggested that NO can enhance as well as inhibit
cell activation and chemotaxis, yet the mechanisms that account for
this paradox remain poorly understood. Our data obtained using the NO
donor SNAP demonstrates that NO can inhibit cell migration and
activation for >2 h following NO exposure and triggers an increase in
cell migration and activation 5 h following NO exposure. To
evaluate the effects of NO on activation and chemotaxis, we measured
cell responses to known chemotactic agents at time points where we
observed maximal NO-induced inactivation and rebound from NO inhibition
or hyperactivation (2 and 5 h following SNAP treatment,
respectively). Macrophages exhibited a low level of spontaneous
activation (67% of the total population) that was increased markedly
10 min following exposure to fMLP (Table I
), consistent with previous reports
(24, 25, 26, 30). In addition, significant chemotaxis toward
fMLP was observed (Table II
), consistent
with the known activity of this classical chemotactic agent
(24, 25, 30). In contrast, treatment of macrophages with
fMLP during the NO inhibition phase failed to result in an increase in
cell activation (Fig. 4
) or chemotaxis (Table II
), indicating potent
immunosuppression by NO. Macrophages treated with fMLP during the
hyperactivation phase responded with a significantly greater level of
activation (Table I
) and chemotaxis (Table II
) than that of cells
treated with the fMLP alone. The chemokines, IL-1 and IL-8, also
increased macrophage activation and chemotaxis. In a manner comparable
to fMLP, chemokines were ineffective at stimulating cell activity
during the NO-mediated inhibitory phase, whereas increased activation
and chemotaxis was observed during the hyperactivation phase (Tables I
and II).
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Discussion
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In the present study, we have demonstrated that exposure of
macrophages to NO results in potent rounding and immobilization of
previously activated, migratory cells. We have determined previously
that activated macrophages become round and immobile within 10 min of
cNOS-coupled NO production (26, 29, 30, 31), consistent with
our observations using the NO donor, SNAP, in the current report.
Treatment of monocytes with SNAP resulted in profound inhibition of
cell activation as assessed by conformation and migration. In addition,
during this inhibition phase the cells were resistant to subsequent
stimulation with diverse chemotactic agents including IL-1, IL-8, and
f-MLP. Following this period of inhibition, monocytes treated with SNAP
alone became hyperactivated and exhibited increased cytoskelatal
organization, and a greater population of activated cells was observed
relative to that of untreated controls. Of perhaps greater
physiological importance is the observation that cells in the
hyperactivation phase have an increased responsiveness to stimulating
agents. These data suggest that exposure of cells to NO can modulate
the immune response and NO may exert both inhibitory as well as
stimulatory activity. Indeed these data may in part explain conflicting
reports in the literature where NO has been reported to inhibit or
stimulate cell activation and migration (24, 25, 26, 29, 30, 31, 32, 33).
The decay of SNAP into NO was evaluated. Direct measurement of NO
levels using an NO-selective amperometric probe determined that NO
levels generated by SNAP decomposition are maximal
10 min following
SNAP addition to the cell culture medium, yet decline to undetectable
levels within 1.5 h. However, the impact of NO on cell activation,
chemotaxis, and organization of cytoskeletal actin was observed for >5
h. These data demonstrate that the production of NO by SNAP
decomposition provides immunomodulatory activity that endures well
beyond the presence of the signal molecule and is consistent with
previous work focused on cNOS immunoregulation. In this regard,
monocytes exposed to morphine (26, 31), anandamide
(26), thrombin (32), or endothelin
(34) were demonstrated to produce 3050 nM NO for 510
min, yet monocyte spreading and ameboid conformation was altered for
>1 h. The effects of these ligands was abrogated by inhibition of NOS
activity, demonstrating the important role of NO in modulation of cell
activity (26, 31, 32). In contrast, NO levels generated by
SNAP decomposition remained elevated for >1.5 h. Thus, it is likely
that the rebound from NO inhibition following ligand-induced NO release
may occur much more rapidly than that observed for SNAP. Indeed
recovery of the activated conformation following morphine, anandamide,
endothelin, or thrombin treatment was observed
45 min to 1 h
following agonist stimulation in previous studies (26, 32, 34). However, in these studies the signal transduction cascade
induced by ligand-receptor interaction could not be resolved from that
directly induced by NO released subsequent to receptor activation. The
current report extends the observations of previous reports and
demonstrates that NO may directly initiate events that lead to cellular
inactivation and hyperactivation responses (Tables I and II).
In contrast to the inhibition observed for 2.5 h following SNAP
exposure, our results also demonstrate increased mobility and
activation following release from NO inhibition. NO exposure resulted
in marked changes in macrophage activation and chemotaxis 4 h
after the disappearance of detectable levels of NO in the culture
medium, suggesting that NO may exert long-term effects on cell
activation. Indeed the cellular activation and chemokinesis induced by
IL-1 and IL-8 as well as fMLP was initially abrogated by prior exposure
to NO yet was markedly increased 5 h following NO exposure (Tables
I and II). Thus, the biological impact of transient NO exposure could
be significantly greater than initially anticipated. The chemotactic
agents used on average resulted in a 30% increase in the activated
monocyte population, whereas there was a >50% increase in the
population of cells that exhibited a chemotactic response to these
agents. Therefore, we conclude that an increase in the population of
cells that are responding to an inflammatory insult combined with
increased sensitivity to chemotactic agents may have a critical impact
on the efficiency of the host defense as first suggested by our group
(33). In previous studies, exposure of monocytes to
morphine for 56 h has been demonstrated to trigger a marked increase
in cell activation, yet the mechanisms of NO action on this process
were not studied (26, 33). Similar studies using thrombin
demonstrate immediate monocyte inhibition and subsequent activation
24 h later (32). Morphine and thrombin have been
demonstrated to trigger cNOS-coupled NO release, and indeed the
increased monocyte activation observed 524 h following morphine or
thrombin exposure was reduced or abrogated by NOS inhibition. Direct
exposure of cells to NO as assessed in this report, coupled to similar
observations using morphine and thrombin, suggests strongly that NO
release may directly influence cellular activation.
In contrast to the effects described for SNAP, SAP, a SNAP-like
compound that does liberate NO, did not alter cell activation and
chemotaxis ,whereas the effects of SNAP on cell activation were blocked
in the presence of the NO scavenger carboxy-PTIO. NO generated by SNAP
decay is maximal within 10 min and rapidly declines thereafter,
suggesting that the effect of NO on cell activation is long-lived.
Although destabilization of cytoskelatal actin by NO may explain the
ability of NO to inhibit cellular conformation and migration (35, 36), it is unlikely that NO alone mediates the increased
activation and responsiveness to IL-1, IL-8, and f-MLP observed
subsequent to release from NO inhibition. Thus, NO may also have
indirect effects on cell activation. Exposure of vascular endothelial
cells to cNOS activators or SNAP before treatment with IFN-
plus LPS
blocked iNOS induction (23). Furthermore, others have
demonstrated the involvement of NF-
B in IL-1- and IL-8-induced cell
activation, and NO has recently been demonstrated to inhibit NF-
B
activity via stabilization of the NF-
B inhibitor, I
B-
(37). Thus NO may exert its inhibitory effects directly
via interaction with actin and indirectly via activation or
stabilization of agents such as I
B-
. These data taken together
suggest that NO may have direct effects on cellular activation and
modulate subsequent responses to chemokines.
Exposure of human neutrophils to NO has been reported to trigger a
rapid loss of cellular F-actin and inhibition of fMLP-induced actin
polymerization (35). Those authors hypothesize that the
transient disruption of actin stress fibers at the subplasmalemmal
focal attachment sites could enhance directed migration. Furthermore,
exposure of neutrophils to SNAP has been previously demonstrated to
reduce F-actin content and adhesion consistent with our results using
monocytes in this report. The effect of SNAP in neutrophils was
demonstrated to be cGMP independent, consistent with a direct effect of
NO on cytoskelatal actin (38). These data are consistent
with our observations in human monocytes where increased chemotaxis was
directly measured and suggests that the effect of NO on cellular
activity may be of general significance and not limited to monocyte
populations.
In summary, we provide evidence in human monocytes that NO
results in an initial inhibition of monocyte activation and chemotaxis
followed an excitatory phase observed subsequent to release from NO
inhibition. We suggest that NO may act as a paracrine agent exerting
potent immunomodulatory effects on local tissue and, in conjunction
with additional agents such as NF-
B, may exert critical regulation
of the host response by modulation of cellular activation, chemotaxis,
and responsiveness to chemokines.
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Footnotes
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1 This work was supported in part by the following grants: MH 17138, DA 09010, the Research Foundation and Central Administration of the State University of New York, and National Institutes of Health Fogarty INT 0045 (to G.B.S.); and AHA 9750211N, DA 10558 (to H.I.M.). 
2 Address correspondence and reprint request to Dr. Harold I. Magazine, Department of Biology, Queens College, Department of Biology, 6530 Kissena Boulevard, Flushing, NY 11367. 
3 Abbreviations used in this paper: NOS, NO sythase; iNOS, inducible NOS; cNOS, constitutive NOS; SNAP, S-nitroso-N-acetyl-DL-penicillamine; SAP, S-acetyl-DL-penicillamine; carboxy-PTIO, 2-(4-carboxyphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide. 
Received for publication August 4, 1999.
Accepted for publication April 14, 2000.
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