Type 1 CD4(+)-T-cell-mediated immunity is crucial for the resolution o
f chlamydial infection of the murine female genital tract. Previous st
udies demonstrating a correlation between CD4(+)-T-cell-mediated inhib
ition of chlamydial growth and gamma interferon (IFN-gamma)-mediated i
nduction of nitric oxide synthase suggested a potential role for the n
itric oxide (NO) effector pathway in the clearance of Chlamydia from g
enital epithelial cells by the immune system. To clarify the role of t
his pathway, the growth levels of Chlamydia trachomatis organisms in n
ormal (iNOS(+/+)) mice and in genetically engineered mice lacking the
inducible nitric oxide synthase (iNOS) gene (iNOS(-/-)mice) were compa
red. There was no significant difference in the course of genital chla
mydial infections in iNOS(+/+) and iNOS(-/-)mice as determined by reco
very of Chlamydia organisms shed from genital epithelial cells. Dissem
ination of Chlamydia to the spleen and lungs occurred to a greater ext
ent in iNOS(-/-)than in iNOS(+/+) mice, which correlated with a margin
al increase in the susceptibility of macrophages from iNOS(-/-)mice to
chlamydial infection in vitro. However, infections were rapidly clear
ed from all affected tissues, with no clinical signs of disease. The f
inding of minimal dissemination in iNOS(-/-)mice suggested that activa
tion of the iNOS effector pathway was not the primary target of IFN-ga
mma during CD4(+)-T-cell-mediated control of chlamydial growth in macr
ophages because previous reports demonstrated extensive and often fata
l dissemination of Chlamydia in mice lacking IFN-gamma. In summary, th
ese results indicate that the iNOS effector pathway is not required fo
r elimination of Chlamydia from epithelial cells lining the female gen
ital tract of mice although it may contribute to the control of dissem
ination of C. trachomatis by infected macrophages.