Objective: To study the effects of nitric oxide (NO) on surfactant pro
tein A (SP-A) gene expression, Design: In vitro study, Subjects: A hum
an lung tumor cell line (H441) representative of distal respiratory ep
ithelium, Interventions: Cells were treated with the NO donor S-nitros
o-N-acetyl penicillamine (SNAP) at concentrations ranging from 0.3 to
3.0 mM for 24 hrs, Measurements and Main Results: Northern blot analys
es using a radiolabeled cDNA probe for human SP-A demonstrated that SN
AP modestly (similar to 30%) decreased SP-A mRNA expression in a dose-
dependent manner, Western blot analyses using a polyclonal anti-human
SP-A antibody demonstrated that SNAP also decreased SP-A peptide expre
ssion. mRNA stability assays demonstrated that SNAP did not affect the
half-life of SP A mRNA, Cell viability assays demonstrated that SNAP
slightly decreased cell viability compared with control cells. There w
ere no significant differences in cell viability among cells treated w
ith the different concentrations of SNAP, Conclusions: NO decreases in
vitro SP-A gene expression by similar to 30% in a human lung tumor ce
ll line representative of distal respiratory epithelium. This effect d
oes not occur at the posttranscriptional level and cannot be entirely
accounted for by changes in cell viability, The inhibitory effect of N
O demonstrated in this study is of relatively small magnitude and it i
s therefore difficult to make strong conclusions regarding biological
relevance. However, these data, coupled with previous data demonstrati
ng that NO negatively affects surfactant function, suggest that NO has
the potential to negatively impact surfactant homeostasis.