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Rheumatology Advance Access originally published online on January 30, 2008
Rheumatology 2008 47(3):272-280; doi:10.1093/rheumatology/kem303
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© The Author 2008. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Nitric oxide synthase expression and activity in the tight-skin mouse model of fibrosis

A. Dooley1, S. Y. Low1, A. Holmes2, A. G. Kidane3, D. J. Abraham2, C. M. Black2 and K. R. Bruckdorfer1

1Department of Biochemistry and Molecular Biology, 2Department of Rheumatology and 3Department of Surgery, Royal Free Campus, University College Medical School, London, UK.

Correspondence to: K. R. Bruckdorfer, Department of Biochemistry and Molecular Biology, Royal Free Campus, University College Medical School, London NW3 2PF, UK. E-mail: r.bruckdorfer{at}medsch.ucl.ac.uk


   Abstract

Objectives. Nitric oxide (NO) is an important physiological signalling molecule and a potent vasodilator. We have previously demonstrated abnormal NO metabolism in the plasma of patients with systemic sclerosis (SSc; scleroderma), a disease that features vascular dysfunction as well as collagen overproduction and fibrosis. The aim of the present study was to examine nitric oxide synthase (NOS) expression and activity and assess the potential role of antioxidants in the scleroderma-like syndrome of the tight-skin 1 (TSK-1/+) mouse, an experimental animal model for fibrosis.

Methods. Skin, lung or plasma was taken from TSK-1/+ (n = 15) and wild-type (WT; n = 12) littermate mice. Type 1 collagen, endothelial NOS (eNOS), haemoxygenase-1 (HO-1) and nuclear factor erythroid 2-related factor 2 (Nrf2) protein and gene expression were determined by western blot and reverse transcriptase-polymerase chain reaction. eNOS expression was further determined by immunohistochemistry. NOS activity was evaluated by conversion of [14C] L-arginine to [14C] L-citrulline. Levels of circulating plasma nitrite/nitrate (NOx) were also measured. Total antioxidant activity was evaluated by ABTS+ production (ABTS = 2,2'-azino-bis-[3-ethylbenz-thiazoline-6-sulphonic acid).

Results. In the skin, eNOS was present in the epidermal layer, hair follicles and also in the endothelial cells lining the blood vessels. Expression of both the eNOS protein and gene was significantly reduced in TSK-1/+ skin tissue, while type 1 collagen protein was elevated compared with WT. Furthermore, there was decreased NOS activity in TSK-1/+ skin tissue; however, there was no measurable difference in plasma NOx. Correspondingly, the protective antioxidant enzyme HO-1 and the associated transcription factor Nrf2 showed reduced protein and gene expression levels in TSK-1/+ skin, while there was also less total antioxidant activity. In TSK-1/+ lung tissue, however, we observed no difference in collagen protein expression, NO metabolism or HO-1 expression and total antioxidant activity compared with WT.

Conclusions. The findings suggest that there is also abnormal NO metabolism in the TSK-1/+ mouse model of fibrosis, particularly in the skin, while expression and activity of protective antioxidants are reduced. The TSK-1/+ mouse may also be useful for testing treatments that target vascular endothelial cell function in patients with SSc.

KEY WORDS: Nitric oxide, TSK-1 mice, Fibrosis, Systemic sclerosis, Scleroderma

Submitted 11 June 2007; revised version accepted 4 October 2007.
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