Nitric oxide synthesized by inducible nitric oxide synthase (iNOS) has been implicated as a mediator of inflammation in rheumatic and autoimmune diseases. We report that exposure of lipopolysaccharide-stimulated murine macrophages to therapeutic concentrations of aspirin (IC50 = 3 mM) and hydrocortisone (IC50 = 5 ,uM) inhibited the expression of iNOS and production of nitrite. In contrast, sodium salicylate (1-3 mM), indomethacin (5-20 ,uM), and acetaminophen (60-120 ,uM) had no significant effect on the production of nitrite at pharmacological concentrations. At suprapharmacological concentrations, sodium salicylate (IC50 = 20 mM) significantly inhibited nitrite production.Immunoblot analysis of iNOS expression in the presence of aspirin showed inhibition of iNOS expression (IC5s = 3 mM). Sodium salicylate variably inhibited iNOS expression (0-35%), whereas indomethacin had no effect. Furthermore, there was no significant effect of these nonsteroidal antiinflammatory drugs on iNOS mRNA expression at pharmacological concentrations. The effect of aspirin was not due to inhibition of cyclooxygenase 2 because both aspirin and indomethacin inhibited prostaglandin E2 synthesis by >75%. Aspirin and N-acetylimidazole (an effective acetylating agent), but not sodium salicylate or indomethacin, also directly interfered with the catalytic activity of iNOS in cell-free extracts. These studies indicate that the inhibition of iNOS expression and function represents another mechanism of action for aspirin, if not for all aspirin-like drugs. The effects are exerted at the level of translational/posttranslational modification and directly on the catalytic activity of iNOS.Nitric oxide (NO), first identified as an endothelium-derived relaxation factor (1), is now recognized to be an intra-and extracellular mediator of cell function (2-5). NO produced by the constitutive isoform of nitric oxide synthase (NOS) is a key regulator of homeostasis, whereas the generation of NO by inducible NOS (iNOS) plays an important role in inflammation, host-defense responses, and tissue repair (2-4). NO formation is increased during inflammation (rheumatoid arthritis, and ulcerative colitis, Crohn disease), and several classic inflammatory symptoms (erythema and vascular leakiness) are reversed by NOS inhibitors (2-4). Vane and coworkers (6) have implicated NO as an important mediator of inflammation in animal models. Furthermore, because iNOS is up-regulated by endotoxin, interleukin 1, tumor necrosis factor, and interferon y, the increased synthesis of NO has been implicated in autoimmune diseases, allograft rejection, graft-versus-host disease, and systemic response to sepsis. Recent studies by Salvemini et al. (7) have shown that NO modulates the activity of prostaglandin endoperoxide H synthase 2 [cyclooxygenase 2 (COX-2)] in a concentrationdependent manner, through a mechanism independent of cGMP.Although nonsteroidal antiinflammatory drugs (NSAIDs) clearly inhibit the synthesis and release of prostaglandins (8, 9), these actions ar...