Nitric oxide donor-induced hyperpermeability of cultured intestinal epithelial monolayers: role of superoxide radical,hydroxyl radical,and peroxynitrite

Many of the cytopathic effects of nitric oxide (NO^·) are mediated by peroxynitrite (PN), a product of the reaction between NO^· and superoxide radical (O^·?₂). In the present study, we investigated the role of PN, O^·?₂ and hydroxyl radical (OH^·) as mediators of epithelial hyperpermeability induced by the NO^· donor, S-nitroso-N-acetylpenicillamine (SNAP), and the PN generator, 3-morpholinosydnonimine (SIN-1). Caco-2_BBe enterocytic monolayers were grown on permeable supports in bicameral chambers. Epithelial permeability, measured as the apical-to-basolateral flux of fluorescein disulfonic acid, increased after 24 h of incubation with 5.0 mM SNAP or SIN-1. Addition of 2-(4-carboxyphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide, an NO^· scavenger, or Tiron, an O^·?₂ scavenger, reduced the increase in permeability induced by both donor compounds. The SNAP-induced increase in permeability was prevented by allopurinol, an inhibitor of xanthine oxidase (a source of endogenous O^·?₂). Diethyldithiocarbamate, a superoxide dismutase inhibitor, and pyrogallol, an O^·?₂ generator, potentiated the increase in permeability induced by SNAP. Addition of the PN scavengers deferoxamine, urate, or glutathione, or the OH^· scavenger mannitol, attenuated the increase in permeability induced by both SNAP and SIN-1. Both donor compounds decreased intracellular levels of glutathione and protein-bound sulfhydryl groups, suggesting the generation of a potent oxidant. These results support a role for PN, and possibly OH^·, in the pathogenesis of NO^· donor-induced intestinal epithelial hyperpermeability.