Gastrointestinal motility disturbances during
endotoxemia are probably caused by
lipopolysaccharide (LPS)-induced factors: candidates include
nitric oxide (NO),
tumor necrosis factor-alpha (
TNF-alpha), interleukin-1ss, and
interleukin-6. Flow cytometry was used to determine the effects of LPS and these factors on gastric emptying (evaluated indirectly by determining percent gastric retention; %GR) and gastrointestinal transit (GIT) in male BALB/c mice (23-28 g). NO (300 microg/mouse, N = 8) and
TNF-alpha (2 microg/mouse, N = 7) increased (P < 0.01) GR and delayed GIT, mimicking the effect of LPS (50 microg/mouse). During early
endotoxemia (1.5 h after LPS), inhibition of inducible
NO synthase (iNOS) by a selective inhibitor,
1400 W (150 microg/mouse, N = 11), but not antibody neutralization of
TNF-alpha (200 microg/mouse, N = 11), reversed the increase of GR (%GR 78.8 +/- 3.3 vs 47.2 +/- 7.5%) and the delay of GIT (geometric center 3.7 +/- 0.4 vs 5.6 +/- 0.2). During late
endotoxemia (8 h after LPS), both iNOS inhibition (N = 9) and
TNF-alpha neutralization (N = 9) reversed the increase of GR (%GR 33.7 +/- 2.0 vs 19.1 +/- 2.6% (
1400 W) and 20.1 +/- 2.0% (anti-
TNF-alpha)), but only
TNF-alpha neutralization reversed the delay of GIT (geometric center 3.9 +/- 0.4 vs 5.9 +/- 0.2). These findings suggest that iNOS, but not
TNF-alpha, is associated with delayed gastric emptying and GIT during early
endotoxemia and that during late
endotoxemia, both factors are associated with delayed gastric emptying, but only
TNF-alpha is associated with delayed GIT.