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Updated: Jul 8, 2026

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Published on: December 5, 2025
Cyclooxygenase-1 suppresses lipopolysaccharide-induced changes in rat gastric inducible nitric oxide synthase
Sonlee D West1, James W Suliburk, Kenneth S Helmer
1Department of Surgery at the University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Objective:
Both nitric oxide synthase (NOS) and cyclooxygenase (COX) have inducible isoforms that are up-regulated during inflammatory states. However, the interaction between these enzymes is not clearly understood. The objective was to clarify the interactions between NOS and COX in the rat gastric mucosa in the presence and absence of lipopolysaccharide.
Design:
Laboratory study.
Setting:
Medical school laboratory.
Subjects:
Female Sprague-Dawley rats.
Interventions:
We used nonselective and selective COX inhibitors to determine the role of COX on inducible NOS (iNOS) expression in the gastric mucosa.
Measurements And Main Results:
The nonselective COX inhibitors salicylate and indomethacin enhanced the expression of iNOS in the rat gastric mucosa and exacerbated gastric injury in the presence of lipopolysaccharide, effects reversed by exogenous prostaglandin E2. Selective COX-1 inhibition with SC560 similarly increased gastric iNOS expression and exacerbated gastric injury, while the selective COX-2 inhibitor NS398 had no effect on iNOS expression or gastric injury in the presence of lipopolysaccharide.
Conclusions:
These data suggest that COX-1 derived prostaglandins exert an inhibitory effect on gastric iNOS during endotoxemia, and this may represent a potential cytoprotective mechanism not previously recognized for this enzyme, since up-regulation of iNOS is deleterious in some tissues.
Insights
Cyclooxygenase-1 (COX-1) derived prostaglandins inhibit inducible nitric oxide synthase (iNOS) in the rat gastric mucosa during inflammation. This interaction may offer cytoprotection against endotoxemia-induced gastric injury.
Area of Science:
- Gastroenterology
- Inflammation Research
- Enzyme Interactions
Background:
- Inducible isoforms of nitric oxide synthase (NOS) and cyclooxygenase (COX) are upregulated during inflammation.
- The precise interaction between NOS and COX in inflammatory states, particularly within the gastric mucosa, remains incompletely understood.
Purpose of the Study:
- To elucidate the interactions between NOS and COX pathways in the rat gastric mucosa.
- To investigate the role of COX in regulating inducible NOS (iNOS) expression under inflammatory conditions induced by lipopolysaccharide.
Main Methods:
- A laboratory study utilizing female Sprague-Dawley rats.
- Employing nonselective and selective COX inhibitors (salicylate, indomethacin, SC560, NS398) to assess their impact on iNOS expression and gastric injury.
- Lipopolysaccharide was used to induce an inflammatory state.
Main Results:
- Nonselective COX inhibition (salicylate, indomethacin) and selective COX-1 inhibition (SC560) enhanced iNOS expression and exacerbated gastric injury in lipopolysaccharide-treated rats.
- These effects were reversed by exogenous prostaglandin E2.
- Selective COX-2 inhibition (NS398) did not affect iNOS expression or gastric injury.
Conclusions:
- COX-1 derived prostaglandins exert an inhibitory influence on gastric iNOS during endotoxemia.
- This interaction suggests a potential cytoprotective mechanism involving COX-1, particularly in mitigating the deleterious effects of iNOS upregulation in the gastric mucosa.
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