We investigated the effect of high glucose levels on nitric oxide (NO)
production by J774 macrophages treated with LPS. High concentrations
of glucose inhibited the accumulation of nitrite, an indicator of NO p
roduction, and the steady state levels of inducible NO synthase mRNA w
ere significantly reduced. While phorbol myrystate acetate mimicked th
e inhibition of NO production by glucose, the aldose reductase inhibit
or ONO2235 did not alter NO production under normal or high glucose co
nditions. High glucose levels also prevented the increase in cellular
levels of tetrahydrobiopterin, an essential cofactor of NO synthase. T
he reduction of inducible NO production by elevated glucose levels may
therefore be involved in the pathophysiology of diabetes.