Augmented inducible nitric oxide synthase expression and increased NO production reduce sepsis-induced lung injury

Viktor Brovkovych1, Xiao-Pei Gao, Evan Ong

  • 1Department of Pharmacology, University of Illinois College of Medicine, 835 S. Wolcott, Chicago, Illinois 60612, USA.

Insights

Mice lacking myeloperoxidase (MPO) showed improved survival against E. coli infection. Compensatory nitric oxide production in MPO-deficient mice mitigated sepsis-induced lung inflammation and injury.

Area of Science:

  • Immunology
  • Microbiology
  • Biochemistry

Background:

  • The myeloperoxidase (MPO)-hydrogen peroxide-halide system is crucial for polymorphonuclear leukocyte (PMN)-mediated host defense against bacteria.
  • MPO deficiency typically has minimal clinical impact, suggesting the existence of compensatory host defense mechanisms.

Purpose of the Study:

  • To investigate compensatory host defense mechanisms in MPO-deficient (MPO-/-) mice challenged with Escherichia coli.
  • To elucidate the role of inducible nitric oxide synthase (iNOS) in MPO deficiency during bacterial infection.

Main Methods:

  • MPO-/- mice and wild-type (WT) littermates were challenged with live gram-negative bacterium E. coli.
  • Bacterial colonization, lung microvascular permeability, edema formation, PMN sequestration, iNOS expression, NO production, and nitrotyrosine levels were assessed.
  • The effect of iNOS inhibition on survival and lung injury was evaluated in MPO-/- mice.

Main Results:

  • MPO-/- mice exhibited improved survival, reduced bacterial colonization, and attenuated lung inflammation and edema compared to WT mice after E. coli challenge.
  • Elevated basal iNOS expression and nitric oxide (NO) production were observed in MPO-/- mice.
  • Inhibition of iNOS worsened lung edema and reduced survival in MPO-/- mice, indicating a protective role of NO.

Conclusions:

  • Augmented iNOS expression and NO production in MPO-/- mice compensate for the lack of MPO-mediated bacterial killing.
  • The absence of MPO-derived oxidants mitigates E. coli sepsis-induced lung inflammation and injury, highlighting a novel compensatory pathway in host defense.

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