Implication of nitric oxide synthase-III and guanosine 3′:5′-cyclic monophosphate in the cytoprotective effects of nitric oxide against hepatic ischemia-reperfusion injury

Nitric oxide (NO) exerts cytoprotective effects against hepatic ischemia-reperfusion damage. This study was designed to evaluate which isoform of NO synthase (NOS) is implicated in the generation of cytoprotective NO and to investigate whether NO effects are mediated by cyclic CMP (cGMP). After partial ischemia for 45 min, liver damage was estimated by the release into plasma of cytolytic enzymes. Ischemia-reperfusion induced marked increases in plasma creatine kinase and lactate dehydrogenase after 1 h of reperfusion and of aminotransferases after 6 h of reperfusion. The pretreatment of ischemied rats with 8-bromo-cGMP (16 mg/kg iv 30 min before ischemia) or with L-arginine (the endogenous precursor of NO, 100 mg/kg iv) significantly diminished the ischemia-reperfusion-induced release of all these enzymes. This demonstrates that cGMP possesses hepatoprotective properties. By immunohistochemistry, we observed, after 6 h of reperfusion, an increase in endothelial NOS-III immunoreactivity, particularly in the small arteries and sinusoids. This NOS-Iii accumulation in endothelial cells could protect the liver against ischemia-reperfusion by the local generation of NO probably via cGMP. (C) 1999 Academie des sciences / Editions scientifiques et medicales Elsevier SAS.