Exposure of glomerular endothelial cells for 24 h to compounds releasing NO
, including spermine-NO, MAHMA-NO, and S-nitroso-glutathione, results in a
dose-dependent and delayed (after 24 h) increase in the lipid signaling mol
ecule ceramide. This NO-induced stimulation occurs in a cGMP-independent fa
shion since the membrane-permeant cGMP analogue dibutyryl cGMP has no effec
t on chronic cer amide production. Short-term incubation of endothelial cel
ls for 20 min reveals that NO and dibutyryl cGMP fail to stimulate an acute
ceramide increase, whereas TNF-alpha, a well-known activator of sphingomye
linases, is able to acutely increase ceramide formation. Interestingly, N-o
leoylethanolamine, an acidic ceramidase inhibitor, potentiates NO-induced c
hronic ceramide production, indicating that ceramide generation rather than
ceramide metabolism is modulated by NO. Furthermore, NO-induced delayed ce
ramide formation is partially inhibited by the thiol-specific inhibitor iod
oacetamide and the radical scavenger alpha-tocopherol, suggesting a regulat
ory role of thiol-containing enzymes and the involvement of a redox-sensiti
ve mechanism. In addition, NO causes an increased DNA fragmentation in glom
erular endothelial cells which is further enhanced by N-oleoylethanolamine
and can be mimicked by exogenous ceramide. In summary, these results imply
that ceramide represents an important mediator of NO-triggered chronic cell
responses like apoptosis. Inhibition of ceramide synthesis may provide a n
ew therapeutic approach to the treatment of pathological conditions involvi
ng increased NO formation. (C) 1999 Academic Press.