The synthesis of nitric oxide in inflammatory situations requires the
expression of an inducible isoform of nitric oxide synthase (iNOS). Hu
man mesangial cells (HMC) express an iNOS enzyme after exposure to mul
tiple co-stimuli. In this study we have observed that while tumour nec
rosis factor-alpha, interleukin (IL)-1 beta, interferon-gamma and bact
erial lipopolysaccharide (LPS) were unable to significantly induce NO
synthesis when used alone, they induced an evident stimulation of NO s
ynthesis when used in various combinations. A mixture of the three cyt
okines (CM) and LPS resulted in a 10-15-fold stimulation of NO synthes
is over control values which started to be significant after 16 h. The
addition of IL-13, a cytokine with anti-inflammatory properties, inhi
bited CM/LPS-induced NO synthesis in a concentration-dependent manner.
A marked inhibitory effect (60-65%) could be observed when HMC were t
reated with IL-13 (10 ng/ml) 24 h before, at the same time as, or even
4 h after the addition of CM/LPS. This inhibitory effect was still si
gnificant (25%) when IL-13 was added 16 h after CM/LPS. Northern analy
sis showed that IL-13-mediated iNOS inhibition was closely correlated
with the suppression of iNOS mRNA expression. These results identify I
L-13 as a powerful regulatory tool for the inhibition of NO synthesis
in human cells, a property which may be pathophysiologically relevant
in NO-related inflammatory processes.