Objectives: To test whether nitric oxide synthase (NOS) is expressed in pri
mary otolaryngologic tumors and whether this expression is associated with
the degree of malignancy. Study Design: Twenty-six samples from the primary
localization of human pharyngolaryngeal squamous cell carcinoma. Materials
and Methods: the activity of calcium-dependent and calcium-independent NOS
was analyzed by the conversion of L-[14C]-arginine into L-[14C]-citrulline
. Results: NOS activity is below detectable levels in pharyngolaryngeal muc
osa from noncancer patients. In the primary localization of the tumor, calc
ium-independent NOS activity is maximal at early stages of tumor growth, wh
ereas calcium-dependent activity increases from early to advanced stages. C
onclusions: These data suggest that tumor growth and malignancy is associat
ed with a change in the enzymatic source of NO from calcium-independent NOS
to calcium-dependent NOS isoform in primary localization, These data sugge
st that the inhibition of calcium-independent NOS activity in early stages
and/or inhibition of calcium-dependent NOS activity in later stages could d
elay growth of solid tumors.