Prediction of nitric oxide concentrations in colonic crypts during inflammation

Nitric oxide production in the colon has been linked to inflammatory bowel disease (IBD) and increased risk for colon cancer. However, measurements of NO concentration in the inflamed colon have not been available and it is not known what NO levels are pathophysiological. A computational model, based on anatomical length scales and rates of NO production measured in cell cultures, was used to predict spatially varying NO concentrations within a colonic crypt under inflammatory conditions. A variety of scenarios were considered, including different spatial distributions of macrophages and a range of possible macrophage and epithelial synthesis rates for NO. Activated macrophages arranged as a monolayer at the base of the crypt elicited maximum NO concentrations of approximately 0.3 microM. The epithelial contribution to NO synthesis was calculated to be negligible. Assuming a uniform macrophage layer, NO synthesis rates greater than 20 microM/s, or more than three times that measured in vitro, would be necessary to achieve maximum NO concentrations of 1 microM in the crypt. Thus, unless NO synthesis rates in macrophages and/or epithelial cells greatly exceed those measured in cell cultures, NO concentrations will remain submicromolar in the crypt during inflammation. Additionally, the results were used to predict the range of NO concentrations (<0.3 microM) and cumulative NO dose (560 microM min) experienced by a given epithelial cell migrating from the base to the top of the crypt. These estimates of NO concentrations in inflamed crypts should facilitate efforts to elucidate the molecular biological linkage between NO exposure and carcinogenesis in IBD.