Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

High nitric oxide production in human paranasal sinuses

Abstract

Nitric oxide (NO) is present in air derived from the nasal airways. However, the precise origin and physiological role of airway-derived NO are unknown. We report that NO in humans is produced by epithelial cells in the paranasal sinuses and is present in sinus air in very high concentrations, close to the highest permissible atmospheric pollution levels. In immunohistochemical and mRNA in situ hybridization studies we show that an NO synthase most closely resembling the inducible isoform is constitutively expressed apically in sinus epithelium. In contrast, only weak NO synthase activity was found in the epithelium of the nasal cavity. Our findings, together with the well-known bacteriostatic effects of NO, suggest a role for NO in the maintenance of sterility in the human paranasal sinuses.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Stein, J.H. Internal Medicine (Mosby-Year Book, Inc., St Louis, Missouri, 1994).

    Google Scholar 

  2. Knops, J.L., McCaffrey, T.V. & Kern, E.B. Inflammatory diseases of the sinuses. Otolar. Clin. N. Am. 26, 509–534 (1993).

    Google Scholar 

  3. Björkwall, T. Bacteriological examinations in maxillary sinusitis (University of Helsinki, 1950).

    Google Scholar 

  4. Marsden, P.A. et al. Structure and chromosomal localisation of the human constitutive endothelial nitric oxide synthase. J. Biol. Chem. 268, 17478–17488 (1993).

    CAS  PubMed  Google Scholar 

  5. Geller, D.A. et al. Molecular cloning and expression of inducible nitric oxide synthase from hepatocytes. Proc. natn. Acad. Sci. U.S.A. 90, 3491–3495 (1993).

    Article  CAS  Google Scholar 

  6. Nathan, C. & Xie, Q.-W. Nitric oxide synthases: Roles, tolls, and controls. Cell 78, 915–918 (1994).

    Article  CAS  Google Scholar 

  7. Nathan, C. Nitric oxide as a secretory product of mammalian cells. FASEB J. 6, 3051–3064 (1992).

    Article  CAS  Google Scholar 

  8. Croen, K.D. Evidence for an antiviral effect of nitric oxide. J. Clin. Invest. 91, 2446–2452 (1993).

    Article  CAS  Google Scholar 

  9. Alving, K., Weitzberg, E. & Lundberg, J.M. Increased amounts of nitric oxide in exhaled air of asthmatics. Eur. Resp. J. 6, 1368–1370 (1993).

    CAS  Google Scholar 

  10. Lundberg, J.O.N. et al. Primarily nasal origin of exhaled nitric oxide and absence in Kartagener's syndrome. Eur. Resp. J. 7, 1501–1504 (1994).

    Article  CAS  Google Scholar 

  11. Afzelius, B.A. A human syndrome caused by immotile cilia. Science 193, 317–319 (1976).

    Article  CAS  Google Scholar 

  12. Dagerlind, Å., Friberg, K., Bean, A.J. & Hökfelt, T. Sensitive mRNA detection using unfixed tissue: combined radioactive and non-radioactive in situ hybridization histochemistry. Histochemistry 98, 39–49 (1992).

    Article  CAS  Google Scholar 

  13. Morb. Mortal. Wkty. Rep. 37, S-7 (21) (1988).

  14. Hamid, Q. et al. Induction of nitric oxide synthase in asthma. Lancet 342, 1510–1513 (1993).

    Article  CAS  Google Scholar 

  15. Asano, K. et al. Constitutive and inducible nitric oxide synthase gene expression regulation and activity in human lung epithelial cells. Proc. natn. Acad. Sci. U.S.A. 91, 10089–10093 (1994).

    Article  CAS  Google Scholar 

  16. Shechtman, F.G., Kraus, W.M. & Shaefer, S.D. Inflammatory Diseases of the Sinuses. Otolar. Clin. N. Am. 26, 509–516 (1993).

    CAS  Google Scholar 

  17. Mancinelli, R.L. & McKay, C.P. Effects of nitric oxide and nitrogen dioxide on bacterial growth. Applied Environ. Microbiol. 46, 198–202 (1983).

    CAS  Google Scholar 

  18. Puybasset, L. et al. Inhaled NO in ARDS: Dose-response curves. Br. J. Anaesthesiol. 72 Suppl 1, 56 (A 107) (1994).

    Google Scholar 

  19. Jain, B., Rubenstein, I., Robbins, R.A., Leishe, K.L. & Sisson, J.H. Modulation of airway epithelial cell ciliary beat frequency by nitric oxide. Biochem. Biophys. res. Comm. 191, 83–88 (1993).

    Article  CAS  Google Scholar 

  20. Lundberg, J.O.N., Hellström, P.M., Lundberg, J.M. & Alving, K. Greatly increased luminal nitric oxide in ulcerative colitis. Lancet 344, 1673–74 (1994).

    Article  CAS  Google Scholar 

  21. Middleton, S.J., Shorthouse, M. & Hunter, J.O. Increased nitric oxide synthesis in ulcerative colitis. Lancet 341, 465–466 (1993).

    Article  CAS  Google Scholar 

  22. Lundberg, J.O.N., Weitzberg, E., Lundberg, J.M. & Alving, K. Intragastric nitric oxide production in humans: Measurements in expelled air. Gut 35, 1543–1546 (1994).

    Article  CAS  Google Scholar 

  23. Rachmilewitz, D. et al. Peroxynitrite-induced rat colitis: A new model of colonic inflammation. Gastroentemlogy 105, 1681–1688 (1993)

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lundberg, J., Farkas-Szallasi, T., Weitzberg, E. et al. High nitric oxide production in human paranasal sinuses. Nat Med 1, 370–373 (1995). https://doi.org/10.1038/nm0495-370

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nm0495-370

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing