Nitric oxide synthase and cyclooxygenases: distribution, regulation, and intervention in arthritis.

Abstract:

:Nitric oxide (NO) and prostaglandin E2 (PGE2) are two pleiotropic inflammatory mediators overproduced in arthritis-affected joints. The inducible isoform of nitric oxide synthase (iNOS) and cyclooxygenase (COX-2) are found both in the synovial tissue and in the cartilage. Their expression is regulated by catabolic cytokines, such as interleukin-1beta and tumor necrosis factor-alpha. These inflammatory mediators play a profound role in the pathogenic processes that arise in the pannus of rheumatoid arthritis and also interfere with cartilage homeostasis in osteoarthritis. Several drugs, including nonsteroidal anti-inflammatory drugs, immunosuppressive agents, and tetracyclines, attenuate the activity of NO and PGE2. These pleiotropic mediators are targets for pharmacologic intervention and gene therapy.

journal_name

Curr Opin Rheumatol

authors

Amin AR,Attur M,Abramson SB

doi

10.1097/00002281-199905000-00009

keywords:

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

202-9

issue

3

eissn

1040-8711

issn

1531-6963

journal_volume

11

pub_type

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