Nitric oxide (NO) synthesis occurs during wound healing, but its role
has not been defined. To study the effect of NO on wound repair, S-met
hyl isothiouronium (MITU, a competitive inhibitor of NO synthase) was
administered at a dose of 10, 50, and 100 mg/kg body weight/day, using
intraperitoneally implanted miniosmotic pumps. Groups of 10 male Balb
/C mice underwent a dorsal skin incision and polyvinyl alcohol sponges
were inserted subcutaneously. The animals were sacrificed 10 days pos
twounding and wound breaking strength and hydroxyproline content of sp
onges, an index of reparative collagen deposition, were determined. So
me sponges were used to harvest wound fluid and infiltrating cells, wh
ich were then incubated overnight with or without 1 mM MITU. Nitrite a
nd nitrate, stable end products of NO, were measured in wound fluid an
d in wound cell culture supernatants. Continuous intraperitoneal infus
ion of MITU significantly decreased wound fluid nitrite/nitrate concen
trations in a dose dependent manner (P < 0.01), Inhibition of wound NO
synthesis by 100 mg MITU/kg/day was paralleled by lowered wound colla
gen accumulation (P < 0.01) and wound breaking strength (P < 0.01). In
vitro NO synthesis by wound cells obtained from animals treated with
100 mg MITU/kg/day was not significantly different from controls (12.6
+/- 1.2 vs 10.7 +/- 0.6 nmole NO2 + NO3/mu g DNA), reflecting the rev
ersible inhibition of NO synthase by MITU. However, NO production was
equally inhibited in wound infiltrating cells by the in vitro addition
of MITU (83% vs 85%, respectively). These data suggest that nitric ox
ide synthesis is critical to wound collagen accumulation and acquisiti
on of mechanical strength. (C) 1996 Academic Press, Inc.