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1996 ; 93
(6
): 2448-53
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Pathogenesis of influenza virus-induced pneumonia: involvement of both nitric
oxide and oxygen radicals
#MMPMID8637894
Akaike T
; Noguchi Y
; Ijiri S
; Setoguchi K
; Suga M
; Zheng YM
; Dietzschold B
; Maeda H
Proc Natl Acad Sci U S A
1996[Mar]; 93
(6
): 2448-53
PMID8637894
show ga
The role of nitric oxide (NO) in the pathogenesis of influenza virus-induced
pneumonia in mice was investigated. Experimental influenza virus pneumonia was
produced with influenza virus A/Kumamoto/Y5/67(H2N2). Both the enzyme activity of
NO synthase (NOS) and mRNA expression of the inducible NOS were greatly increased
in the mouse lungs; increases were mediated by interferon gamma. Excessive
production of NO in the virus-infected lung was studied further by using electron
spin resonance (ESR) spectroscopy. In vivo spin trapping with
dithiocarbamate-iron complexes indicated that a significant amount of NO was
generated in the virus-infected lung. Furthermore, an NO-hemoglobin ESR signal
appeared in the virus-infected lung, and formation of NO-hemoglobin was
significantly increased by treatment with superoxide dismutase and was inhibited
by N(omega)-monomethyl-L-arginine (L-NMMA) administration. Immunohistochemistry
with a specific anti-nitrotyrosine antibody showed intense staining of alveolar
phagocytic cells such as macrophages and neutrophils and of intraalveolar exudate
in the virus-infected lung. These results strongly suggest formation of
peroxynitrite in the lung through the reaction of NO with O2-, which is generated
by alveolar phagocytic cells and xanthine oxidase. In addition, administration of
L-NMMA resulted in significant improvement in the survival rate of virus-infected
mice without appreciable suppression of their antiviral defenses. On the basis of
these data, we conclude that NO together with O2- which forms more reactive
peroxynitrite may be the most important pathogenic factors in influenza
virus-induced pneumonia in mice.