Dexamethasone suppresses iNOS yet induces GTPCH and CAT-2 mRNA expression in rat lungs

Jeffrey W Skimming1, Omer Nasiroglu, Chun-Jen Huang

  • 1Department of Child Health, University of Missouri, Columbia, MO 65212, USA. skimmingj@missouri.edu

Insights

Glucocorticoids like dexamethasone reduce nitric oxide (NO) overproduction during hemorrhagic shock. This effect is achieved by decreasing inducible nitric oxide synthase (iNOS) mRNA, not by altering tetrahydrobiopterin or arginine transport.

Area of Science:

  • Physiology
  • Pharmacology
  • Biochemistry

Background:

  • Glucocorticoids are known to inhibit nitric oxide synthase (NOS) in vitro.
  • Mechanisms of glucocorticoid inhibition of nitric oxide (NO) in vivo remain unclear.
  • Hemorrhagic shock increases NO production, but glucocorticoid effects are not well-established.

Purpose of the Study:

  • To investigate if glucocorticoids attenuate hemorrhagic shock-induced increases in intrapulmonary NO.
  • To determine if dexamethasone affects tetrahydrobiopterin, inducible nitric oxide synthase (iNOS) protein, or cationic amino acid transporter (CAT)-2.

Main Methods:

  • Male Sprague-Dawley rats were subjected to hemorrhagic shock.
  • Animals received either dexamethasone or saline.
  • Exhaled NO, plasma nitrate/nitrite, and iNOS, guanosine triphosphate cyclohydrolase I, and CAT-2 mRNA levels were measured.

Main Results:

  • Dexamethasone administration abrogated the shock-induced increase in exhaled NO.
  • Plasma nitrate/nitrite and iNOS protein levels were lower in the dexamethasone group.
  • Dexamethasone decreased iNOS mRNA but increased guanosine triphosphate cyclohydrolase I and CAT-2 mRNA.

Conclusions:

  • Dexamethasone inhibits NO formation during hemorrhagic shock.
  • Inhibition appears independent of tetrahydrobiopterin and arginine transport.
  • The primary mechanism involves downregulation of iNOS mRNA expression.