Nitric oxide (NO), generated by NO synthase (NOS), is an important mediator
of physiological processes in the airway and lung parenchyma, and there is
evidence that the pulmonary expression of the endothelial isoform of NOS (
eNOS) is developmentally regulated. The purpose of the present study was to
delineate the cellular distribution of expression of eNOS in the developin
g respiratory epithelium and to compare it with inducible (iNOS) and neuron
al (nNOS) NOS. Immunohistochemistry was performed on fetal (1.25-135 days g
estation, term 144 days), newborn (2-4 wk), and maternal sheep lungs. In fe
tal lung, eNOS expression was evident in bronchial and proximal bronchiolar
epithelia but was absent in terminal and respiratory bronchioles and alveo
lar epithelium. Similar to eNOS, iNOS was detected in bronchial and proxima
l bronchiolar epithelia but not ill alveolar epithelium. However, iNOS was
also detected in terminal and respiratory bronchioles. nNOS was found in ep
ithelium at all levels including the alveolar wall. iNOS and nNOS were also
detected in airway and vascular smooth muscle. The cellular distribution o
f all three isoforms was similar in fetal, newborn, and adult lungs. Findin
gs in the epithelium were confirmed by isoform-specific reverse transcripti
on-polymerase chain reaction assays and NADPH diaphorase histochemistry. Th
us the three NOS isoforms are commonly expressed in proximal lung epitheliu
m and are differentially expressed in distal lung epithelium. All three iso
forms may be important sources of epithelium-derived NO throughout lung dev
elopment.