• Haruaki Kubota, Masato Tsutsui, Kanako Kuniyoshi, Hirotaka Yamashita, Hiroaki Shimokawa, Kazuhiro Sugahara, and Manabu Kakinohana.
• Department of Pharmacology, Graduate School of Medicine, University the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0215, Japan.
• J Anesth. 2024 Feb 1; 38 (1): 445644-56.

PurposeThe role of the nitric oxide synthases (NOSs) system in cerebral infarction has been examined in pharmacological studies with non-selective NOSs inhibitors. However, due to the non-specificity of the non-selective NOSs inhibitors, its role remains to be fully elucidated. We addressed this issue in mice in which neuronal, inducible, and endothelial NOS isoforms were completely disrupted.Methods And ResultsWe newly generated mice lacking all three NOSs by crossbreeding each single NOS-/- mouse. In the male, cerebral infarct size at 24 h after middle cerebral artery occlusion (MCAO) was significantly smaller in the triple n/i/eNOSs-/- genotype as compared with wild-type genotype. Neurological deficit score and mortality rate were also significantly lower in the triple n/i/eNOSs-/- than in the WT genotype. In contrast, in the female, there was no significant difference in the cerebral infarct size in the two genotypes. In the male triple n/i/eNOSs-/- genotype, orchiectomy significantly increased the cerebral infarct size, and in the orchiectomized male triple n/i/eNOSs-/- genotype, treatment with testosterone significantly reduced it. Cyclopaedic and quantitative comparisons of mRNA expression levels in cerebral infarct lesions between the male wild-type and triple n/i/eNOSs-/- genotypes at 1 h after MCAO revealed significant involvements of decreased oxidative stress and mitigated mitochondrial dysfunction in the alleviated cerebral infarction in the male triple n/i/eNOSs-/- genotype.ConclusionsThese results provide the first evidence that the NOSs system exerts a deleterious effect against acute ischemic brain injury in the male.© 2023. The Author(s) under exclusive licence to Japanese Society of Anesthesiologists.

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