It is becoming increasingly apparent that nitric oxide plays a multifu
nctional role in regulating inflammatory processes in the body. Althou
gh nitric oxide and its oxidation products are cytotoxic toward certai
n pathogens, they can also cause tissue injury and suppress proliferat
ion. Cytokines and growth factors released at sites of inflammation or
injury stimulate both immune and nonimmune cells to produce nitric ox
ide. Nowhere in the body is this more detrimental than in the bone mar
row, for the continuous production of hematopoietic precursors is esse
ntial for normal blood cell maturation. Our laboratories have discover
ed that, in response to inflammatory mediators, bone marrow cells read
ily produce nitric oxide. Nitric oxide production is enhanced by hemat
opoietic growth factors including interleukin-3, macrophage colony sti
mulating factor, and granulocyte-macrophage colony-stimulating factor.
When bone marrow cells produce nitric oxide, hematopoiesis is impaire
d, an effect that is potentiated by colony-stimulating factors. Treatm
ent of mice with benzene, which suppresses bone marrow cell developmen
t, was found to markedly enhance the ability of bone marrow cells to p
roduce nitric oxide in response to inflammatory mediators alone and in
combination with hematopoietic growth factors. Taken together, these
data suggest that nitric oxide may be an important mediator of benzene
-induced bone marrow suppression.