Induction of nitric oxide synthase and microvascular injury in the rat jejunum provoked by indomethacin

Br J Pharmacol. 1995 Oct;116(4):2286-90. doi: 10.1111/j.1476-5381.1995.tb15066.x.

Abstract

1. The role of nitric oxide (NO) formed by the inducible isoform of NO synthase (NOS) in the generation of indomethacin-induced intestinal microvascular leakage was investigated in the rat. 2. Indomethacin (10 mg kg-1, s.c.) provoked an elevation of vascular leakage of radiolabelled human serum albumin in the jejunum over 48 h, commencing 18 h after its administration. This was associated with the induction of a calcium-independent NOS, as assessed by the conversion of radiolabelled L-arginine to citrulline. 3. Pretreatment with the glucocorticoid, dexamethasone (1 mg kg-1 day-1, s.c.) inhibited the induction of NOS and reduced jejunal microvascular leakage, determined 24 and 48 h after indomethacin. 4. Administration of the broad-spectrum antibiotic, ampicillin (800 mg kg-1 day-1, p.o.) likewise inhibited both the induction of NOS and the plasma leakage observed 24 and 48 h after indomethacin. 5. Ampicillin pretreatment did not, however, inhibit the induction of NOS, determined 5 h following endotoxin (3 mg kg-1 i.v.) challenge. Furthermore, incubation with ampicillin (1 mM, 10 min) did not inhibit the activity of the calcium-independent isoform in vitro. 6. Administration of the NOS inhibitor, NG-nitro-L-arginine methyl ester (L-NAME, 2-10 mg kg-1, s.c.), at the time of the detectable expression of the inducible NOS (18 h after indomethacin), dose-dependently attenuated the plasma leakage, determined 6 later. This effect was reversed by pretreatment with L-arginine (300 mg kg-1, s.c.) 15 min before L-NAME. 7. These findings suggest that induction of a calcium-independent NOS following indomethacin administration involves gut bacteria and leads to microvascular injury in the rat jejunum.

MeSH terms

  • Ampicillin / pharmacology
  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents, Non-Steroidal / toxicity*
  • Arginine / analogs & derivatives
  • Arginine / pharmacology
  • Bacteria / drug effects
  • Bacterial Physiological Phenomena
  • Capillaries / drug effects
  • Capillaries / pathology
  • Capillary Permeability / drug effects*
  • Dexamethasone / pharmacology
  • Enzyme Induction / drug effects
  • Enzyme Inhibitors / pharmacology
  • Indomethacin / antagonists & inhibitors
  • Indomethacin / toxicity*
  • Jejunal Diseases / chemically induced
  • Jejunal Diseases / pathology*
  • Jejunum / drug effects
  • Jejunum / enzymology*
  • Jejunum / microbiology
  • Male
  • NG-Nitroarginine Methyl Ester
  • Nitric Oxide Synthase / antagonists & inhibitors
  • Nitric Oxide Synthase / biosynthesis*
  • Penicillins / pharmacology
  • Rats
  • Rats, Wistar
  • Serum Albumin, Radio-Iodinated

Substances

  • Anti-Inflammatory Agents
  • Anti-Inflammatory Agents, Non-Steroidal
  • Enzyme Inhibitors
  • Penicillins
  • Serum Albumin, Radio-Iodinated
  • Ampicillin
  • Dexamethasone
  • Arginine
  • Nitric Oxide Synthase
  • NG-Nitroarginine Methyl Ester
  • Indomethacin