ABSTRACT:Nitric oxide (NO) has recently been shown to decrease cytochrome P450 (P450) enzyme activity rapidly (<30 min), concentration dependently, and enzyme-selectively in the rat liver. Interestingly, among all the studied P450 enzymes, only CYP2D1 was not affected by NO donors. However, these studies were conducted using only a single concentration of the substrates, thus lacking information about the possible simultaneous changes in both maximum velocity (V max ) and affinity (K m ) of the enzymes. In the present study, we systematically evaluated the effects of NO on the enzyme kinetic parameters of marker substrates for a range of P450 enzymes, including 2D1. Livers were perfused (1 h) in the absence ( Cytochrome P450 (P450) enzymes are heme-containing proteins critical to the metabolism and subsequent excretion of a large number of drugs and toxic agents as well as endogenous compounds. It is well established today that the ability of the liver to carry out P450-dependent drug biotransformation is compromised in patients with infectious diseases or disease states that are associated with inflammation (Morgan, 1997(Morgan, , 2001Renton, 2004;Riddick et al., 2004). Despite wide acceptance that the stimulation of the immune system can inhibit drug metabolism, the exact mechanisms responsible for this down-regulation are still not well understood. Large quantities of cytokines, produced during inflammation, are believed to be responsible, at least in part, for mediating suppression of P450 enzymes at the transcriptional level (Morgan, 1997). Indeed, several reports (Ghezzi et al., 1986;Warren et al., 1999) have shown that the administration of inflammatory cytokines depresses P450 activities and contents both in vivo and in vitro.In addition to cytokines, inflammatory states induce the expression of inducible nitric-oxide synthase and result in excessive production of nitric oxide (NO) in both hepatocytes and Kupffer cells (Nathan, 1992). Although some reports Takemura et al., 1999) suggest that P450 enzyme down-regulation occurs independently of NO, others (Stadler et al., 1994;Khatsenko and Kikkawa, 1997;Khatsenko, 1998) have shown that NO may also play a role in this event. Besides this indirect evidence for an NO role in inflammation-induced P450 depression, attempts have also been made at delineating the effects of NO directly, using NO donors in the microsomes or purified enzyme systems (Khatsenko et al., 1993;Wink et al., 1993;Minamiyama et al., 1997). Supporting the above findings, very recently (Vuppugalla and Mehvar, 2004a), we showed the inhibitory effects of NO on P450 to be rapid, concentration-dependent, and enzyme-selective in an isolated perfused rat liver (IPRL) model. Furthermore, we also conducted time course studies to assess the mechanisms responsible for the NO-mediated P450 inhibition and demonstrated that the short-term inhibitory effects of NO are time-dependent, consisting of both reversible and irreversible components (Vuppugalla and Mehvar, 2004b).One of the novel findings of our ...