The dextran sulfate (DSS) model of colitis causes intestinal injury sharing many characteristics with inflammatory bowel disease, e.g., leukocyte infiltration, loss of gut epithelial barrier, and cachexia. These symptoms are partly mediated by entrapped leukocytes binding to multiple endothelial adhesion molecules (MAdCAM-1, VCAM-1, ICAM-1, and E-selectin). Pravastatin, an 3-hydroxy-3-methylglutaryl (HMG)-CoA reductase inhibitor, has anti-inflammatory potency in certain inflammation models; therefore, in this study, we measured the effects of pravastatin in DSS-induced colitis. The administration of pravastatin (1 mg/kg) relieved DSS-induced cachexia, hematochezia, and intestinal epithelial permeability, with no effect on serum cholesterol. Histopathologically, pravastatin prevented leukocyte infiltration and gut injury. Pravastatin also blocked the mucosal expression of MAdCAM-1. DSS treatment promoted mucosal endothelial nitric-oxide synthase (eNOS) mRNA degradation, an effect that was blocked by pravastatin. Importantly, the protective effects of pravastatin in DSS-induced colitis were not found in eNOS-deficient mice. Our results demonstrate that HMG-CoA reductase inhibitors preserve intestinal integrity in colitis, most likely via increased eNOS expression and activity, independent of cholesterol metabolism.Inflammatory bowel disease (IBD) (Crohn's colitis and ulcerative colitis) is characterized by tissue edema, increased gut epithelial permeability, and extensive infiltration of the gut by leukocytes. The general morbidity and weight loss in individuals with IBD can be attributed to leukocyte sequestration in the gut in this condition (Perkal and Seashore, 1989;Shanahan, 2002). The current literature suggests that multiple immune, genetic, and environmental factors influence both the initiation and progression of colitis (Farrell and Peppercorn, 2002). Despite the fact that the normal intestinal mucosa maintains a high density of leukocytes compared with most tissues, it is not typically inflamed or edematous. However, during active periods of colitis, the colon is even more extensively colonized by lymphocytes and neutrophils that promote extensive oxidant and protease-dependent injury to the gut. Therefore, it is assumed that the intestine has several specialized mechanisms that normally contain these immune responses and that the impairment of these immune-limiting processes causes the entrapment and activation of leukocytes seen in IBD injury. Among the several endogenous agents that control inflammation, nitric oxide has received a great deal of interest as a factor that can limit forms of inflammation. Endothelial cells release nitric oxide (NO) through both by the "constitutive" (eNOS and NOS3) and inducible nitric oxide synthases (iNOS and NOS1). NO released by microvascular endothelial cells reduces several indices of inflammation in vivo and in vitro. NO is a potent reactive oxygen species scavenger and can block many oxidant-mediated inflammatory responses including leukocyte and platel...