METHODS: Autoradiography with [H-3]nitro-L-arginine ((HL)-H-3-NNA) was used
to quantify nitric oxide synthase (NOS), and immunocytochemistry to identi
fy NOS isoforms, in spinal cord in amyotrophic lateral sclerosis (ALS) and
controls.
RESULTS: In controls NOS binding was marked only in the superficial dorsal
horn, but in ALS tissue it was intense throughout the grey and white matter
. A single population of binding sites was indicated in controls, but two p
opulations in ALS. In the controls intense neuronal NOS (nNOS) immunoreacti
vity was present in numerous cells in the dorsal horn, and faint immunoreac
tivity in small and medium-sized cells in the ventral horn. Only weak immun
oreactivity for inducible NOS (iNOS) and endothelial NOS (eNOS) was detecta
ble in control tissue. In ALS, the pattern was broadly similar in the grey
matter, but immunoreactivity for both nNOS and iNOS was present in white ma
tter.
CONCLUSION: Expression of abnormal variants of nNOS or increased expression
of iNOS may have a role in motoneuron death in ALS.