This study was carried out to determine the role of nitric oxide (NO)
in Staphylococcus aureus infection in mice. NO production in spleen ce
ll cultures was induced by heat-killed S. aureus. Expression of mRNA o
f the inducible isoform of NO synthase (iNOS) was induced in the splee
ns and kidneys of S. aureus-infected mice. When mice were treated with
monoclonal antibodies (MAbs) against tumor necrosis factor alpha (TNF
-alpha) or gamma interferon (IFN-gamma) before S. aureus infection, th
e induction of iNOS mRNA expression in the kidneys was inhibited. Thes
e MAbs also inhibited NO production in spleen cell cultures stimulated
with heat-killed S. aureus. NO production in the spleen cell cultures
and levels of urinary nitrate plus nitrite were suppressed by treatme
nt with aminoguanidine (AG), a selective inhibitor of iNOS. The surviv
al rates of AG treated mice were significantly decreased by either let
hal or sublethal S. aureus infections. However, an effect of AG admini
stration on bacterial growth was not observed in the spleens and kidne
ys of mice during either type of infection. Production of TNF-alpha an
d IFN-gamma was not affected by AG treatment in vitro and in vive. The
se results suggest that NO plays an important role ire protection from
lethality by the infection, but the protective role of NO in host res
istance against S. aureus infection was not proved. Moreover, our resu
lts show that TNF-alpha and IFN-gamma regulate NO production while NO
may not be involved in the regulation of the production of these cytok
ines during S. aureus infection.