To better understand the mechanisms through which persistent infections͞inf lammation increase cancer risks, we assessed the potential genotoxic properties of NO produced by macrophages. We recently showed that mouse macrophage RAW264.7 cells were capable of resuming exponential growth after stimulation for NO production by interferon-␥ (IFN-␥) and͞or lipopolysaccharide. Here, we report that increases in mutant fraction (MF) in the endogenous, X-linked, hprt gene of the cells are associated with NO exposure. Cells stimulated with 100 units͞ml IFN-␥ continuously for 14 and 23 days produced a total of 9.8 and 14 mol of NO per 10 7 cells, respectively. MFs in the hprt gene of NO-producing cells were 16.6 and 31.3 ؋ 10 ؊5 , respectively, compared with 2.2 and 2.5 ؋ 10 ؊5 in untreated cells. Addition of an NO synthase inhibitor, N-monomethyl-L-arginine, to the culture medium decreased NO production and MF by 90% and 85%, respectively. Reverse transcription-PCR and DNA sequencing revealed that NO-associated hprt mutations did not differ significantly from those arising spontaneously, with the exception that certain small deletions͞insertions and multiple exon deletions were observed only in the former. MF also increased significantly in cells stimulated for only 4 days with lipopolysaccharide plus IFN-␥ for higher rates of NO production. The types and proportion of hprt mutations induced under these conditions were strikingly similar to those associated with long-term NO exposure. These results indicate that NO exposure results in gene mutations in RAW264.7 cells through mechanisms yet to be identified and may also contribute to spontaneous mutagenesis.A large fraction of cancer cases globally may be associated with chronic microbial infection or parasitic infestation (1). Although precise mechanisms through which persistent infections and the accompanying inflammation increase cancer risks remain unidentified, it is well established that macrophages and neutrophils infiltrate inflamed tissues, where they produce large quantities of reactive oxygen species and NO. Reactive oxygen species produced by inflammatory cells have been shown to induce gene mutations and cell transformation in target cells cocultured with them (reviewed in ref.2). Recent studies of several in vitro experimental systems have demonstrated that NO is capable of inducing DNA damage and mutations (reviewed in refs. 3 and 4). Recent work by our group showed colocalization of genotoxicity with increased NO production in transgenic SJL mice (5), providing evidence for the involvement of NO in mutagenesis in vivo.We also reported recently that growth and viability of stimulated mouse macrophage-like RAW264.7 cells are strongly influenced by NO (6). Under certain stimulation conditions, cells continued to divide and to produce NO over many generations, a capability making them a useful experimental system for characterization of toxicity resulting from long-term exposure to NO. Furthermore, because RAW264.7 cells were initially isolated from a m...