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This version published online on January 10, 2008
Endocrinology, doi:10.1210/en.2007-1091
A more recent version of this article appeared on April 1, 2008
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Submitted on August 7, 2007
Accepted on December 31, 2007

Nitric Oxide Isoenzymes Regulate LPS-Enhanced Insulin Transport across the Blood-Brain Barrier

William A. Banks MD*, Shinya Dohgu PhD, Jessica L. Lynch PhD, Melissa A. Fleegal-DeMotta PhD, Michelle A. Erickson BS, Ryota Nakaoke PhD, and Than Q. Vo BS

GRECC, Veterans Affairs Medical Center-St. Louis and Saint Louis University School of Medicine, Division of Geriatrics, Department of Internal Medicine

* To whom correspondence should be addressed. E-mail: bankswa{at}slu.edu.

Insulin transported across the blood-brain barrier (BBB) has many effects within the CNS. Insulin transport is not static but is altered by obesity and inflammation. Lipopolysaccharide (LPS), derived from the cell walls of Gram-negative bacteria, enhances insulin transport across the BBB, but also releases nitric oxide (NO) which opposes LPS-enhanced insulin transport. Here, we determined the role of NO synthase (NOS) in mediating the effects of LPS on insulin BBB transport. The activity of all three NOS isoenzymes was stimulated in vivo by LPS. Endothelial (eNOS) and inducible NOS (iNOS) together mediated the LPS-enhanced transport of insulin, whereas neuronal NOS (nNOS) opposed LPS-enhanced insulin transport. This dual pattern of NOS action was found in most brain regions with the exception of the striatum, which did not respond to LPS, and the parietal cortex, hippocampus, and pons medulla, which did not respond to nNOS inhibition. In vitro studies of a brain endothelial cell (BEC) monolayer BBB model showed that LPS did not directly affect insulin transport, whereas NO inhibited insulin transport. This suggests that the stimulatory effect of LPS and NOS on insulin transport is mediated through cells of the neurovascular unit other than BECs. Protein and mRNA levels of the isoenzymes indicated that the effects of LPS are mainly posttranslational. In conclusion, LPS affects insulin transport across the BBB by modulating NOS isoenzyme activity. NO released by eNOS and iNOS acts indirectly to stimulate insulin transport, whereas NO released by nNOS acts directly on BECs to inhibit insulin transport.


Key words: Blood-brain barrier • Insulin • Central nervous system • Lipopolysaccharide • Nitric oxide • Nitric oxide synthase







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