Nitric oxide and hyperoxia in oxidative lung injury

Therapy with inhaled nitric oxide is usually given with high concentrations of oxygen. As nitric oxide (NO) is a free radical and hyperoxia increases oxygen radical production, we examined the effect of short exposure to NO or oxygen (O-2) or both, on free radical-mediated changes in macromolecules. i.e. lipids and proteins, in vivo. Wistar rats were exposed to >95% O-2 or 40 ppm NO, or both, for 6 h. Rats in 21% O-2 served as controls. Lipid peroxidation was quantified as expired pentane, oxidative protein modification as carbonyl concentration, and pulmonary neutrophil accumulation as myeloperoxidase activity in the lungs. Hyperoxia for 6 h caused higher expired pentane (4.83 +/- 1.39 pmol/min/100 g) and protein carbonylation (15.91 +/- 2.49 nmol/mg) compared to controls (2.26 +/- 1.00 pmol/min/100 g, and 7.40 +/- 1.12 nmol/mg, respectively; both p < 0.05). After exposure to NO in air, protein carbonylation (14.50 +/- 5.44 nmol/mg) and myeloperoxidase activity (4.85 +/- 1.52 mU/mg) were higher than in controls (myeloperoxidase 2.49 +/- 0.56 mU/mg; both p < 0.05), NO with hyperoxia decreased pentane (2.56 +/- 1.51 pmol/min/100 g) and protein carbonylation (11.38 +/- 3.58 nmol/mg) compared to hyperoxia (both p < 0.05), Conclusion: In vivo, 6 exposure to hyperoxia or to 40 ppm NO induces free radical-mediated lung injury. The combination of hyperoxia and 40 ppm NO significantly attenuates free radical-mediated effects in the lungs compared to hyperoxia or 40 ppm NO in air.