Cited by 485Nitric Oxide and Endothelin EffectsImmune cells in cancerAngiogenesis and VEGF in Cancer

Evidence for cytokine-inducible nitric oxide synthesis from L-arginine in patients receiving interleukin-2 therapy

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Hibbs, J B, Westenfelder, C, Taintor, R, Vavrin, Z, Kablitz, C, Baranowski, R L, Ward, J H, Menlove, R L +2 more·1992·Journal of Clinical Investigation

Abstract

An interferon-gamma, tumor necrosis factor, and interleukin-1-inducible, high-output pathway synthesizing nitric oxide (NO) from L-arginine was recently identified in rodents. High-dose interleukin-2 (IL-2) therapy is known to induce the same cytokines in patients with advanced cancer. Therefore, we examined renal cell carcinoma (RCC; n = 5) and malignant melanoma (MM; n = 7) patients for evidence of cytokine-inducible NO synthesis. Activity of this pathway was evaluated by measuring serum and urine nitrate (the stable degradation product of NO) during IL-2 therapy. IL-2 administration caused a striking increase in NO generation as reflected by serum nitrate levels (10- and 8-fold increase [P less than 0.001, P less than 0.003] for RCC and MM patients, respectively) and 24-h urinary nitrate excretion (6.5- and 9-fold increase [both P less than 0.001] for RCC and MM patients, respectively). IL-2-induced renal dysfunction made only a minor contribution to increased serum nitrate levels. Metabolic tracer studies using L-[guanidino-15N2]arginine demonstrated that the increased nitrate production was derived from a terminal guanidino nitrogen atom of L-arginine. Our results showing increased endogenous nitrate synthesis in patients receiving IL-2 demonstrate for the first time that a cytokine-inducible, high-output L-arginine/NO pathway exists in humans.

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  • During inflammatory reactions or infection involving increased iNOS expression, large amounts of NO are produced resulting in significant increases in plasma nitrate and nitrite.

    “Importantly, during inflammatory reactions or infection involving increased iNOS expression large amounts of NO are produced resulting in significant increases in plasma nitrate and nitrite [42–44].”

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Research works printed but not linked: 3

  1. Hibbs, J. B., Jr., R. R. Taintor, Z. Vavrin, D. L. Granger, J.-C. Drapier, I. J. Amber, and J. R. Lancaster, Jr. 1990. Synthesis of nitric oxide from a termi- nal guanidino nitrogen atom of L-arginine: a molecular mechanism regulating Cytokine-inducible Nitric Oxide Synthesis 875 cellular proliferation that targets intracellular iron. In Nitric Oxide from L-Argi- nine: A Bioregulatory System. S. Moncada and E. A. Higgs editors. Elsevier Science Publishers B. V. (Biomedical Division), New York. 189-223.
  2. Anon. 1981. Nitrate, nitrite and nitrogen oxides: environmental distribu- tion and exposure of humans. In The Health Effects of Nitrate, Nitrite, and N-Nitroso Compounds, Volume 1. F. M. Peter, editor. National Academy Press, Washington, DC. 3-52.
  3. Stoff, J. S., and D. M. Clive. 1983. Role of prostaglandins and thrombox- ane in acute renal failure. In Acute Renal Failure. B. M. Brenner and J. M. Lazarus, eds. W. B. Saunders Co., Philadelphia, pp. 157-174.

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Authors
Hibbs, J. B., Westenfelder, C., Taintor, R., Vavrin, Z., Kablitz, C., Baranowski, R. L., Ward, J. H., Menlove, R. L., McMurry, M. P., & Kushner, J. P.
Affiliations
  • Veterans Health Administration (US)
  • University of Utah (US)
Venue
Journal of Clinical Investigation
Published
1992-03-01
Volume
89
Issue
3
Pages
867-877
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2120872446
Cited by
485
References
80
Citations by year
2026: 3 · 2025: 1 · 2023: 4 · 2022: 5 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 5 · 2016: 1 · 2015: 10 · 2014: 7 · 2013: 4 · 2012: 2
FWCI
36.14
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Department of Veterans Affairs
  • American Heart Association
  • National Institutes of Health
  • National Cancer Institute (CA42014, P30CA042014)
  • National Center for Research Resources (RR 00064)
Topics
  • Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
  • Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
Keywords
nitric oxide production, L-arginine, interleukin-2 therapy, interferon-gamma, TNF-α, interleukin-1, nitrate, urinary nitrate excretion, renal cell carcinoma, melanoma, renal dysfunction, arginine metabolism
MeSH terms
Adult, Arginine, Carcinoma, Renal Cell, Female, Humans, Interferon-gamma, Interleukin-2, Kidney Neoplasms, Kidney Tubules, Male, Melanoma, Middle Aged, Nitric Oxide, Vascular Resistance

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