The acute and chronic effects of allergic airway inflammation on pulmonary nitric oxide production. Mehta, Sanjay, Craig M Lilly, Julie E Rollenhagen, Kathleen J Haley, Koichiro Asano, and Jeffrey M Drazen. Pulmonary Division, Brigham and Women_s Hospital, Harvard Medical School, Boston, MA
APStracts 3:0149L, 1996.
Nitric oxide (NO) is thought to be an important modulator of airway function in normal and inflamed airways. We investigated the acute and chronic effects of induced allergic airway inflammation on NO levels in mixed expired gas and NO synthase (NOS) expression in guinea pigs and the relationship between airway responses and NO production. Airway inflammation was induced by repeated aerosolized antigen exposure and its presence confirmed by bronchoalveolar lavage. Acute antigen exposure in sensitized animals produced a 5 -fold increase in respiratory resistance over baseline that was associated with a cotemporal increase in expired NO (17+/-1 to 56+/-8 parts per billion, p&LT0.01). A continuous subcutaneous infusion of NG-nitro-L-arginine methyl ester (L-NAME), a competitive inhibitor of NOS, markedly decreased expired NO (p&LT0.01) and resulted in a significantly greater rise in resistance following antigen challenge (660+/-60% vs 497+/-42% of baseline in non-L-NAME treated animals, p&LT0.05). These data support the hypothesis that endogenous pulmonary NO production, as reflected by expired NO, has an important homeostatic role in acute allergic bronchoconstriction.

Received 29 February 1996; accepted in final form 26 August 1996.
APS Manuscript Number L72-6.
Article publication pending Am. J. Physiol. (Lung Cell. Mol.
Physiology).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 19 September 1996