GTP cyclohydrolase I is the rate-controlling enzyme in the production of te
trahydrobiopterin (BH4), an essential cofactor for nitric oxide (NO) syntha
se. Here we show that GTP cyclohydrolase I mRNA was present in unstimulated
hepatocytes and was up-regulated 2- to 3-fold concurrently with iNOS induc
tion induced in vivo by LPS injection and in vitro by stimulation with LPS
and inflammatory cytokines tumor necrosis factor alpha, interleukin-1 beta,
and interferon-gamma. Hepatocyte GTP cyclohydrolase I enzyme activity incr
eased 8-fold in vivo after LPS. This coinduction of GTP cyclohydrolase I re
sulted in increased total intracellular biopterin which supported induced N
O synthesis. The addition of a GTP cyclohydrolase I inhibitor to the stimul
ated hepatocytes decreased intracellular biopterin levels and resulted in a
decrease in NO production. The results show that GTP cyclohydrolase I is u
p-regulated by certain acute inflammatory conditions. Further, the results
indicate that biopterin is essential as a cofactor for induced NO synthase
activity in hepatocytes. (C) 2000 Academic Press.