Inducible nitric oxide synthase expression in human cerebral infarcts

The inducible or "immunological" isoform of nitric oxide synthase (iNOS) is induced in many cell types by inflammatory stimuli and synthesizes toxic amounts of NO. In rodent models of focal cerebral ischemia, iNOS is expressed in neutrophils invading the injured brain and in local blood ve...

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Veröffentlicht in:Acta neuropathologica 1999-03, Vol.97 (3), p.215-220
Hauptverfasser: FORSTER, C, CLARK, H. B, ROSS, M. E, IADECOLA, C
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creator FORSTER, C
CLARK, H. B
ROSS, M. E
IADECOLA, C
description The inducible or "immunological" isoform of nitric oxide synthase (iNOS) is induced in many cell types by inflammatory stimuli and synthesizes toxic amounts of NO. In rodent models of focal cerebral ischemia, iNOS is expressed in neutrophils invading the injured brain and in local blood vessels. Studies with iNOS inhibitors and iNOS null mice indicate that NO produced by iNOS contributes to ischemic brain injury. In the present study, we sought to determine whether iNOS is also expressed in the human brain after ischemic stroke. Studies were conducted using immunohistochemistry on autopsy brains with neuropathological evidence of acute cerebral infarction. iNOS immunoreactivity was observed in neutrophils infiltrating the ischemic brain and in blood vessels within the ischemic territory. iNOS-positive cells also were immunoreactive for nitrotyrosine, reflecting protein nitration by NO-derived peroxynitrite and nitrites. iNOS or nitrotyrosine immunoreactivity was not detected outside the region of the infarct. These observations provide evidence that iNOS is expressed in the human brain after ischemic infarction and support the hypothesis that iNOS inhibitors may be useful in the treatment of ischemic stroke in humans.
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subjects Aged
Aged, 80 and over
Animal models
Autopsy
Biological and medical sciences
Blood vessels
Blood Vessels - enzymology
Brain
Brain injury
Cerebral infarction
Cerebral Infarction - enzymology
Eosinophils - enzymology
Female
Humans
Immunohistochemistry
Inflammation
Ischemia
Leukocytes (neutrophilic)
Male
Medical sciences
Middle Aged
Necrosis
Neurology
Neurons - pathology
Neutrophils
Neutrophils - enzymology
Nitration
Nitric oxide
Nitric Oxide Synthase - biosynthesis
Nitric Oxide Synthase Type II
Nitric-oxide synthase
Nitrites
Nitrotyrosine
Peroxynitrite
Rodents
Stroke
Vascular diseases and vascular malformations of the nervous system
title Inducible nitric oxide synthase expression in human cerebral infarcts
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