To examine the effects of cigarette smoke on nitric oxide synthase (NOS) ge
ne expression and protein production, groups of rats were exposed to smoke
once only or daily and were sacrificed after 1, 2, 7, or 28 days of exposur
e. NOS-I, NOS-2, and NOS-3 mRNAs in whole lung were quantified using revers
e transcription polymerase chain reaction (RT-PCR), and NOS protein levels
were determined by Western blots. Neither NOS-1 gene expression nor protein
levels changed with smoke exposure. Levels of NOS-2 expression were more t
han doubled in smokers at Day 1 and decreased to control values during 1 mo
nth with daily smoke exposure, while protein levels did not change. NOS-3 e
xpression was increased approximately 35% after 2 days of smoke exposure an
d remained increased to 28 days, whereas protein levels were increased by a
pproximately 60% ai Day 7 and remained elevated. In situ hybridization show
ed that NOS-2 was diffusely expressed in the lung parenchyma, airways, and
vessels, and that NOS-3 was strongly expressed in vascular endothelium. Pro
tein distribution, as determined by immunohistochemical staining, was ident
ical to mRNA tissue distribution, and these distributions were not changed
by smoke. We conclude that smoke exposure induces a rapid but transient inc
rease in transcription of NOS-2, and a sustained increase in transcription
and translation of NOS-3; up-regulation of NOS occurs within the anatomic c
ompartment where these genes are normally expressed. These findings indicat
e that cigarette smoke can directly and rapidly affect NOS expression, and
thus potentially affect the function of the pulmonary vasculature.