Nitric oxides (NOs) and prostaglandins (PGs) are wellknown proinflammatory mediators in the pathogenesis of inflammation.1) NO plays a major role in the regulation of vascular tone, neurotransmission, platelet aggregation, and other homeostatic mechanisms.2) NO is synthesized by the three isoforms of nitric oxide synthase (NOS); neuronal NOS (nNOS), endothelial NOS (eNOS), and inducible NOS (iNOS). Although nNOS and eNOS are constitutively expressed, iNOS is expressed in response to interferon-g, lipopolysccharide (LPS), and a variety of proinflammatory cytokines. [3][4][5] The proinflammatory properties of NO are attributed to the excessive production of NO by iNOS and are influenced by factors such as interactions between NO and other oxidants (e.g., peroxynitrite formation with the superoxide anion), the duration of NO production, and substrate availability. A number of studies have shown that the chronic phase of inflammation in particular, is correlated with an increase in iNOS activity. 6) Moreover, elevated levels of NO have been detected in a variety of pathophysiological processes, including circulatory shock, inflammation, and cancer. 5,7,8) Cyclooxygenase (COX) is involved in the inflammatory process and catalyzes the rate-limiting step in the synthesis of prostaglandins from arachidonic acid. COX exists in two isoforms; COX-1 and COX-2. 9) Like nNOS and eNOS, COX-1 is expressed constitutively in most tissues and appears to be responsible for maintaining normal physiological functions. On the other hand, COX-2 is detected in only certain types of tissues and is induced transiently by growth factors, proinflammatory cytokines, tumor promoters, and bacterial toxins. 10,11) LPS is a major inflammatory molecule that triggers the production of proinflammatory cytokines such as TNF-a in various cell types.12,13) TNF-a plays a key role in the induction and perpetuation of inflammation in autoimmune reactions by activating T cells and macrophages, and by up-regulating other proinflammatory cytokines and endothelial adhesion molecules, such as intercellular adhesion molecule 1 and vascular cell adhesion molecule 1, which enhance the recruitment of leukocytes to sites of inflammation.
14)Like a TNF-a, LPS is known to activate transcription factors such as nuclear factor-kappa B (NF-kB)/Rel, activator protein (AP)-1, NF-IL6 and CREB/ATF. These nuclear factors are important for the expressions of numerous genes, which include IL-1b in macrophages. 15,16) Transcription factors belonging to the NF-kB family regulate a range of genes that mediate inflammation and cell survival.17) NF-kB exists in most cells as homodimeric or heterodimeric complexes containing p50 and p65 subunits, and remains inactive in the cytoplasm in association with the NF-kB inhibitory protein Ik B. Moreover, the activation of NF-kB is tightly controlled by a series of inhibitory proteins (IkB-a, IkB-b, and IkB-e) that sequester the NF-kB complex in the cytoplasm and prevent it from binding to nuclear DNA. The pathway of NF-kB induction in res...