PMID- 9361348 OWN - NLM STAT- MEDLINE DCOM- 19980106 LR - 20190914 IS - 1073-2322 (Print) IS - 1073-2322 (Linking) VI - 8 IP - 5 DP - 1997 Nov TI - Use of selective and nonselective nitric oxide synthase inhibitors in rat endotoxemia: effects on hepatic morphology and function. PG - 368-72 AB - Endotoxin has profound effects on nitric oxide (NO) production, and considerable controversies exist as to whether these alterations are beneficial or deleterious. Increased mortality has been reported from nonselective inhibition of NO synthase. Results from selective inhibition of the inducible isoform (iNOS) appear largely positive. In a model of rat endotoxemia we have compared the early effects on hepatic morphology and function of selective and nonselective NO inhibition. Two hours after endotoxin injection (5 mg/kg intraportally) the rats were treated with either the selective iNOS inhibitor aminoethyl isothiourea (AE-ITU, 10 mg/kg), the nonselective NOS inhibitor NG-nitro-L-arginine methyl ester (L-NAME, 10 mg/kg), or normal saline. The animals were observed for another hour. Using an immunohistochemical method, induction of iNOS was demonstrated in various tissues in all slices examined. No unequivocal benefit from NO inhibition was noted. Electron microscopic examination revealed widespread alterations of liver morphology, without obvious differences between the groups. Liver function, as assessed by ketone body ratio, hepatic venous acid base values, and bile production, was generally more adversely affected after NO inhibition. Even with the iNOS selective inhibitor AE-ITU no benefit was noted. We conclude that during the early phases of endotoxemia therapeutic reduction of NO production has no positive effects on liver function or morphology. FAU - Gundersen, Y AU - Gundersen Y AD - Institute for Surgical Research, Klinikum Grosshadern, University of Munich, Germany. FAU - Corso, C O AU - Corso CO FAU - Leiderer, R AU - Leiderer R FAU - Dorger, M AU - Dorger M FAU - Lilleaasen, P AU - Lilleaasen P FAU - Aasen, A O AU - Aasen AO FAU - Messmer, K AU - Messmer K LA - eng PT - Journal Article PL - United States TA - Shock JT - Shock (Augusta, Ga.) JID - 9421564 RN - 0 (Enzyme Inhibitors) RN - 0 (Ketone Bodies) RN - 151-16-6 (beta-Aminoethyl Isothiourea) RN - EC 1.14.13.39 (Nitric Oxide Synthase) RN - V55S2QJN2X (NG-Nitroarginine Methyl Ester) SB - IM MH - Acid-Base Equilibrium/drug effects MH - Animals MH - Bile/drug effects/physiology MH - Endotoxemia/*drug therapy/pathology/physiopathology MH - Enzyme Inhibitors/*pharmacology MH - Hemodynamics/drug effects MH - Ketone Bodies/blood MH - Liver/*drug effects/pathology/physiopathology MH - Male MH - Microscopy, Electron MH - NG-Nitroarginine Methyl Ester/pharmacology MH - Nitric Oxide Synthase/*antagonists & inhibitors MH - Rats MH - Rats, Sprague-Dawley MH - beta-Aminoethyl Isothiourea/*pharmacology EDAT- 1997/11/15 00:00 MHDA- 1997/11/15 00:01 CRDT- 1997/11/15 00:00 PHST- 1997/11/15 00:00 [pubmed] PHST- 1997/11/15 00:01 [medline] PHST- 1997/11/15 00:00 [entrez] AID - 10.1097/00024382-199711000-00009 [doi] PST - ppublish SO - Shock. 1997 Nov;8(5):368-72. doi: 10.1097/00024382-199711000-00009.