The inducible nitric oxide synthase (iNOS) promoter contains nuclear factor B (NF-B) binding sites. NF-B activation is determined, in part, by the intracellular redox status. The aim of this study was to determine the importance of the cellular glutathione status in relation to NF-B activation and iNOS expression in hepatocytes in vivo and in vitro. For in vivo experiments, rats were injected with endotoxin and sacrificed 6 hours later. Glutathione was depleted by diethylmaleate. For in vitro experiments, cultured hepatocytes from untreated rats were exposed to a cytokine mixture. Glutathione levels were depleted by diethylmaleate and restored by N-acetylcysteine. Nitric oxide radicals (NO) are synthesized by the enzyme nitric oxide synthase (NOS). Three isoforms of this enzyme encoded by distinct genes are known. 1,2 The constitutive isoforms are neuronal NOS (type I) and endothelial NOS (type III). Neuronal NOS is involved in neurotransmission, whereas NO derived from endothelial NOS has antithrombotic and vasorelaxing properties. Inducible NOS (type II, iNOS) is not expressed under normal conditions, but is induced by cytokines and endotoxin (lipopolysaccharide [LPS]) in various cell types including hepatocytes, macrophages, smooth muscle cells, and chondrocytes. 3 iNOS-derived NO is an important component of the nonspecific host defense against invading microbial agents. 4 It has been shown that mice lacking a functional iNOS gene are more susceptible to infection with Staphylococcus aureus 5 and Leishmania major. 6 Furthermore, inhibition of viral replication by NO is shown by many laboratories by using NO donors, inhibiting NO production by NOS-inhibitors, or by using iNOS knockout mice. 7 To induce iNOS messenger RNA (mRNA), activation of the transcription factor nuclear factor-B (NF-B) is essential 8-12 although probably not sufficient 13,14 for full iNOS induction. To induce gene transcription, NF-B must be translocated from the cytoplasm to the nucleus. 15 Nuclear translocation of NF-B is triggered by changes in the redox state. [16][17][18] Therefore, the intracellular glutathione (GSH) status may be a key determinant for the capacity of cells to express iNOS. Indeed, it has been shown that GSH depletion prevents iNOS induction and/or NO production in response to cytokines in cultured rat hepatocytes, 19,20 in the J774 macrophage cell line, 21 and in cultured macrophages. 22 To our knowledge, neither the relevance of the intracellular GSH status for the induction of iNOS in the liver in vivo nor the contribution of NF-B in the GSH-dependent iNOS expression has been reported.The aim of this study was to investigate the importance of the intracellular GSH status for the capacity of hepatocytes and inflammatory cells to express iNOS in response to endotoxin and/or cytokines in vivo and in vitro.
MATERIALS AND METHODS
Animals and Experimental Design in Vivo.Specified pathogen-free male Wistar rats (200-250 g) were purchased from Harlan-CPB, Zeist, the Netherlands. They were kept under routine laboratory