<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">JBM</journal-id><journal-title-group><journal-title>Journal of Biosciences and Medicines</journal-title></journal-title-group><issn pub-type="epub">2327-5081</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/jbm.2019.712003</article-id><article-id pub-id-type="publisher-id">JBM-96829</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Effect of Colchicine on Inducible Nitric Oxide Synthase Activity and Nitric Oxide Production of Mice Induced by &lt;i&gt;Aggregatibacter actinomycetemcomitans&lt;/i&gt;
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Wihaskoro</surname><given-names>Sosroseno</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Endang</surname><given-names>Herminajeng</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Phillip</surname><given-names>S. Bird</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib></contrib-group><aff id="aff2"><addr-line>School of Veterinary Science, The University of Queensland, Gatton, Queensland, Australia</addr-line></aff><aff id="aff1"><addr-line>Faculty of Dentistry, AIMST University, Bedong, Kedah, Malaysia</addr-line></aff><pub-date pub-type="epub"><day>29</day><month>11</month><year>2019</year></pub-date><volume>07</volume><issue>12</issue><fpage>18</fpage><lpage>30</lpage><history><date date-type="received"><day>1,</day>	<month>November</month>	<year>2019</year></date><date date-type="rev-recd"><day>28,</day>	<month>November</month>	<year>2019</year>	</date><date date-type="accepted"><day>2,</day>	<month>December</month>	<year>2019</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Objective: Colchicine induced a non-protective Th2-like immunity in 
  <em>Aggregatibacter actinomycetemcomitans</em>-stimulated murine immune response. The aim of the present study was to determine whether colchicine affects inducible nitric oxide synthase (iNOS) activity and nitric oxide (NO) production in 
  <em>A. actinomycetemcomitans</em>-immunized mice. 
  Materials and Methods: BALB/c mice were sham-immunized (group I) or immunized with heat-killed 
  <em>A. actinomycetemcomitans</em> (group II-VII). Colchicine was injected intraperitoneally before (group III), on the same day of (group IV), or after (group V) the primary immunization and on the same day of (group VI) or after (group VII) the secondary immunization. In vitro, spleen cells from either sham- or heat-killed 
  <em>A. actinomycetemcomitan</em>-immunized animals were cultured and stimulated with heat-killed 
  <em>A. actinomycetemcomitans</em> in the presence or absence of colchicine with or without addition of L-arginine, Db-cAMP, forskolin or interferon-
  γ (IFN-
  γ). The levels of splenic iNOS activity and both serum and culture supernatant NO levels were assessed. 
  Results: The results showed that colchicine did inhibit both splenic iNOS activity and serum NO levels only when the drug was injected at the same time as the immunization (group IV and VI). Splenic iNOS activity and NO levels on antigen-stimulated spleen cell cultures were also suppressed by colchicine, even in the presence of L-arginine, Db-AMP or forskolin. IFN-
  γ only partially restored iNOS activity and NO levels in the antigen and colchicine-treated spleen cell cultures. 
  Conclusion: This study suggests, therefore, that colchicine may suppress the iNOS activity and NO production in 
  <em>A. actinomycetemcomitans</em>-immunized mice in vivo and in vitro.
 
</p></abstract><kwd-group><kwd>&lt;i&gt;Aggregatibacter actinomycetemcomitans&lt;/i&gt;</kwd><kwd> Colchicine</kwd><kwd> NO</kwd><kwd> iNOS</kwd><kwd> Mice</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Colchicine, an alkaloid extract from Colchicum (autumn crocus), is used to treat a diverse number of inflammatory conditions, such as Beh&#231;et’s disease, acute gout, familial Mediterranean fever (FMF), pericarditis and other cardiovascular disorders [<xref ref-type="bibr" rid="scirp.96829-ref1">1</xref>]. This drug enhanced both antibody production [<xref ref-type="bibr" rid="scirp.96829-ref2">2</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref3">3</xref>] and dendritic cell functions [<xref ref-type="bibr" rid="scirp.96829-ref4">4</xref>], but inhibited monocyte and polymorphonuclear cell migration [<xref ref-type="bibr" rid="scirp.96829-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref6">6</xref>] and cell-mediated immunity [<xref ref-type="bibr" rid="scirp.96829-ref7">7</xref>]. It was previously demonstrated, furthermore, that colchicine down-regulates a T helper 1 (Th1)-like immune response both in animal models [<xref ref-type="bibr" rid="scirp.96829-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref9">9</xref>] and humans [<xref ref-type="bibr" rid="scirp.96829-ref10">10</xref>]. Colchicine also suppressed the expression of inducible nitric oxide synthase (iNOS) and the production of nitric oxide (NO) in vitro by different cell types such as murine macrophages [<xref ref-type="bibr" rid="scirp.96829-ref11">11</xref>] and rat aortic smooth muscle cells [<xref ref-type="bibr" rid="scirp.96829-ref12">12</xref>] as well as in vivo experimental brain contusion in rats [<xref ref-type="bibr" rid="scirp.96829-ref13">13</xref>], suggesting that the anti-inflammatory properties of this drug may also be via its inhibitory effects on the NO production.</p><p>Catalyzed by three isoforms of NOS, i.e., neural NOS (nNOS), endothelial NOS (eNOS) and iNOS, L-arginine is metabolized into a gaseous molecule called nitric oxide (NO) which plays a crucial role in cardiovascular, neural and immune system [<xref ref-type="bibr" rid="scirp.96829-ref14">14</xref>]. Increased expression of iNOS in inflamed periodontal tissues in humans [<xref ref-type="bibr" rid="scirp.96829-ref15">15</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref16">16</xref>] and in experimental periodontitis in animal models [<xref ref-type="bibr" rid="scirp.96829-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref18">18</xref>] have been documented, suggesting that oral bacteria, such as Aggregatibacter actinomycetemcomitans [<xref ref-type="bibr" rid="scirp.96829-ref19">19</xref>], inducing periodontal tissue destruction may be responsible for the increased periodontal tissue-derived iNOS expression. Indeed, A. actinomycetemcomitans induced the production of NO by both murine macrophages [<xref ref-type="bibr" rid="scirp.96829-ref20">20</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref21">21</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref22">22</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref23">23</xref>] and splenocytes [<xref ref-type="bibr" rid="scirp.96829-ref24">24</xref>] as well as human osteoblasts [<xref ref-type="bibr" rid="scirp.96829-ref25">25</xref>]. The induction of immune response to A. actinomycetemcomitans in mice both in vivo and in vitro was regulated by NO [<xref ref-type="bibr" rid="scirp.96829-ref26">26</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref27">27</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref29">29</xref>]. The additional of colchicine in the cultures of spleen cells isolated from heat-killed A. actinomycetemcomitans immunized-immunized mice resulted in increased splenic-specific IgG1, IL-4 and cell proliferation but suppressed specific IgG2a and IFN-g levels [<xref ref-type="bibr" rid="scirp.96829-ref30">30</xref>]. This suggested that colchicine may stimulate a T-helper 2 (Th2)-like immunity specific to A. actinomycetemcomitans in vitro [<xref ref-type="bibr" rid="scirp.96829-ref30">30</xref>]. Furthermore, this previous report also showed that colchicine only administered on the same day as the immunization enhances serum-specific IgG1 and IL-4 levels, suppresses specific-IgG2a and IFN-γ levels as well as DTH response, and delays healing of the A. actinomycetemcomitans-induced skin lesions, suggesting that colchicine may stimulate a non-protective Th2-like immunity in A. actinomycetemcomitans-induced infections in mice [<xref ref-type="bibr" rid="scirp.96829-ref30">30</xref>]. Since colchicine was reported to suppress both iNOS expression and NO production in rodents [<xref ref-type="bibr" rid="scirp.96829-ref11">11</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref13">13</xref>], the aim of the present study was, therefore, to test a hypothesis that colchicine may alter iNOS activity and NO levels in A. actinomycetemcomitans-induced mice both in vitro and in vivo.</p></sec><sec id="s2"><title>2. Materials and Methods</title><sec id="s2_1"><title>2.1. Bacterial and Antigen Preparation</title><p>A. actinomycetemcomitans Y4 (serotype b) was grown in Todd-Hewitt broth supplemented with 1% (w/v) yeast extract (Difco Lab., MI) as described previously [<xref ref-type="bibr" rid="scirp.96829-ref21">21</xref>]. Bacteria were plated out onto blood agar to validate identity and purity. Bacteria were harvested by centrifugation, washed three times in sterile PBS and their purity was checked by Gram stain. A. actinomycetemcomitans was heat-killed at 105˚C for 5 minutes and protein concentration was assessed by using a protein kit (Bio-Rad, Richmond, Va).</p></sec><sec id="s2_2"><title>2.2. Immunization Procedures</title><p>Female BALB/c mice (6 to 8 weeks old) were divided into seven groups, each consisting of five mice [<xref ref-type="bibr" rid="scirp.96829-ref30">30</xref>]. Group I was injected intraperitoneally with 100 μl of saline, whereas group II to VII were immunized intraperitoneally with 100 μg of bacterial protein in 100 μl of saline weekly for two weeks. Group III and IV were injected intraperitoneally with 100 μl of saline containing colchicine (Sigma, St. Louis, MO) at 1 mg/kg body weight three days before the primary immunization and on the same day of the primary immunization, respectively. Group V and VI were injected with colchicine solution three days after the primary immunization and on the same day of secondary immunization, respectively. Group VII was injected with colchicine solution three days after the secondary immunization. Sera were obtained from the blood collected from the tail vein one week after the last immunization. After sacrificed by CO<sub>2</sub> asphyxiation, spleens were aseptically removed and single cell suspensions were prepared as described below. The experimental procedures were approved by the Animal Ethics Committee of Universiti Sains Malaysia Health Campus, Malaysia.</p></sec><sec id="s2_3"><title>2.3. Cell Cultures</title><p>Mice were divided into two groups, each consisting of five mice. Mice were injected intraperitoneally with 100 μL of saline alone (sham-immunized mice) or with 100 μL of saline containing 100 μg of heat-killed A. actinomycetemcomitans (immunized mice) weekly for two weeks. One week after the last immunization, all animals were sacrificed by CO<sub>2</sub> asphyxiation and spleens were removed aseptically. Single cell suspension was prepared and suspended in RPMI-1640 medium containing 10% fetal calf serum and 1% penicillin-streptomycin. Colchicine dissolved in dimethyl sulfoxide was diluted in saline and filter-sterilized. Two hundred thousand cells in 100 μL of medium were cultured in 96-well plates (Nunc, Roskilde, Denmark), added with various concentration of colchicine and 10 μg of heat-killed A. actinomycetemcomitans and then incubated for four days in an incubator in 5% CO<sub>2</sub> at 37˚C [<xref ref-type="bibr" rid="scirp.96829-ref12">12</xref>]. In other experiments, the cell cultures were added with or without 100 μM of L-arginine (Sigma) [<xref ref-type="bibr" rid="scirp.96829-ref31">31</xref>], 200 unit/ml of MuIFN-γ (R&amp;D System, Minneapolis) [<xref ref-type="bibr" rid="scirp.96829-ref21">21</xref>], 10 μM of dibutyryl cyclic adenosine monophosphate (Db-cAMP) (Sigma), a cAMP analog [<xref ref-type="bibr" rid="scirp.96829-ref32">32</xref>], or 10 μM of forskolin (Sigma), an adenylyl cyclase activator, [<xref ref-type="bibr" rid="scirp.96829-ref32">32</xref>] in the presence of 10 μM colchicine. The cell cultures stimulated with or without heat-killed A. actinomycetemcomitane were used as a positive or negative control, respectively. All cultures were in triplicates. The experimental procedures were approved by the Ethical Committee of Universiti Sains Malaysia, Malaysia</p></sec><sec id="s2_4"><title>2.4. Nitric Oxide Assay</title><p>One hundred microliter of serum were mixed with 449 μl of solution containing 0.25 U of nitrate reductase, 2.5 μM flavin adenine dinucleotide (FAD), 28 mM of potassium phosphate (pH 7.5), 25 μM of NADPH and incubated for 2 hours at 37˚C [<xref ref-type="bibr" rid="scirp.96829-ref26">26</xref>]. The solution was added with 5 μg of lactate dehydrogenase, 0.1 mM of pyruvate and 44.5 μl of water and further incubated for 30 minutes at 37˚C.</p><p>The Griess reagent was used to determine the levels of serum and culture supernatant nitric oxide [<xref ref-type="bibr" rid="scirp.96829-ref21">21</xref>]. Briefly, equal volume of samples (100 μl) and the Griess reagent (1% sulfanilamide, 0.1% naphthl ethylenediamine dihydrochloride in 2.5% phosphoric acid) were mixed and then read spectrophotometrically by using μQuant spectrophotometer (Biotek-Instrument Inc., Vermont, USA) at 540 nm. A standard curve was prepared with sodium nitrite. All reagents were purchased from Sigma.</p></sec><sec id="s2_5"><title>2.5. iNOS Activity Assay</title><p>The cells from the cultures and spleens were lysed by incubating with 100 μl of 0.1% Triton X-100 and shaken for 30 min at room temperature. The protein concentration of the cell lysates was measured using a protein kit (Bio-Rad). Fifty microgram of cell lysate were incubated for 120 min at 37˚C in 100 μl of 20 mM Tris-HCl (pH 7.9) containing 4 μM BH<sub>4</sub>, 4 μM FAD, 3 mM dithiothreitol, 2 mM NADPH and 2 mM l-arginine [<xref ref-type="bibr" rid="scirp.96829-ref26">26</xref>]. Lactate dehydrogenase (20 U/ml) was added to stop the reaction and the levels of nitrite were measured by the Griess reagent as described above. All reagents were purchased from Sigma</p></sec><sec id="s2_6"><title>2.6. Statistical Analysis</title><p>A one-way analysis of variance followed by Fischer’s least-squared differences was used statistically to analyze the data (SPSS Inc, Chicago, IL).</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. The Levels of Splenic iNOS Activity and Serum NO in Groups of Colchicine-Treated Mice</title><p>Both serum NO levels and the splenic iNOS activity in all groups of animals were shown in <xref ref-type="fig" rid="fig1">Figure 1</xref>. The results showed that the levels of both splenic iNOS activity and serum NO in group II-VII were significantly higher than those in group I (P &lt; 0.05) (<xref ref-type="fig" rid="fig1">Figure 1</xref>). However, the levels of both splenic iNOS activity and serum NO in group IV and VI were significantly lower than those in group II, III, V and VII (P &lt; 0.05).</p></sec><sec id="s3_2"><title>3.2. The Levels of iNOS Activity and NO Production in Cell Cultures</title><p>When cell cultures were stimulated with heat-killed A. actinomycetemcomitans, the levels of both iNOS activity and NO levels in the cultures of the immunized cells were higher than those in the cultures of sham-immunized cells (P &lt; 0.05) (<xref ref-type="fig" rid="fig2">Figure 2</xref>). Treatment with colchicine in the cell cultures resulted in a dose-dependent suppression of both iNOS activity and NO levels (p &lt; 0.05). L-arginine increased significantly the levels of both iNOS activity and NO production in the heat-killed A. actinomycetemcomitans-stimulated cell cultures failed to overcome the suppressive effects of colchicine on the antigen-stimulated cell cultures (p &lt; 0.05) (<xref ref-type="fig" rid="fig3">Figure 3</xref>). Furthermore, when heat-killed A. actinomycetemcomitans-stimulated cell cultures treated with Db-cAMP or</p><p>forskolin, both iNOS activity and NO production were significantly increased as compared with the antigen-stimulated cell cultures (p &lt; 0.05) (<xref ref-type="fig" rid="fig4">Figure 4</xref>). In sharp contrast, the iNOS activity and NO production by antigen-stimulated cells treated with Db-cAMP or forskolin in the presence of colchicine were inhibited (p &lt; 0.05) (<xref ref-type="fig" rid="fig4">Figure 4</xref>). Interestingly, the results showed that the levels of both INOS activity and NO production by heat-killed A. actinomycetemcomitans-stimulated cell cultures in the presence of both colchicine and IFN-γ were lower than those in the presence of IFN-γ alone but much higher than those in the presence of colchicine alone (p &lt; 0.05) (<xref ref-type="fig" rid="fig5">Figure 5</xref>), suggesting that IFN-γ may partially abrogate the suppressive effect of colchicine on iNOS activity and NO production of antigen-stimulated cell cultures.</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>The present study showed that colchicine suppresses the levels of iNOS activity and NO production in the A. actinomycetemcomitans-immunized mice when this drug was administered at the same day of immunization. In sharp contrast, colchicine administered before or after the immunization failed to alter both iNOS activity and NO production of the immunized mice, suggesting that the effects of colchicine on the iNOS activity and NOS production in the immunized mice may be dependent on the timing of drug administration. The results of the</p><p>present study are supported by the previous report showing that the both cellular and immune response of A. actinomycetemcomitans-immunized mice were suppressed by colchicine only when the drug was administered the same day of antigen immunization [<xref ref-type="bibr" rid="scirp.96829-ref30">30</xref>]. Further support can be drawn from the fact that suppression of iNOS expression in vivo by colchicine during experimental brain contusion occurred [<xref ref-type="bibr" rid="scirp.96829-ref13">13</xref>]. However, the exact mechanism by which colchicine inhibited both iNOS activity and NO levels of A. actinomycetemcomitans-immunized mice in vivo seen in the present study needs to be elucidated. It seems plausible that colchicine with its ability to inhibit cell microtubule polymerization might prevent the activation of A. actinomycetemcomitans-induced murine iNOS activity and hence, suppress both iNOS and NO levels in vivo [<xref ref-type="bibr" rid="scirp.96829-ref2">2</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref3">3</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref30">30</xref>]. Alternatively, the presence of colchicine at the same time as antigen immunization seen in the present study might suppress the production of Th1 cell-derived IFN-γ but enhance Th2 cell-derived interleukin-4 [<xref ref-type="bibr" rid="scirp.96829-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref9">9</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref10">10</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref30">30</xref>], resulting in the inhibition of iNOS activity and NO production. This colchicine-induced suppression of iNOS activity and NO production on A. actinomycetemcomitans-immunized mice in vivo is also shown by the results showing that the iNOS activity and NO production by A. actinomycetemcomitans-stimulated spleen cells derived from the immunized mice were suppressed by colchicine. Similar results have been reported that iNOS activity in macrophages and aortic smooth muscle cells was reduced by colchicine [<xref ref-type="bibr" rid="scirp.96829-ref11">11</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref12">12</xref>]. Therefore, these results demonstrate that colchicine may be capable to inhibiting iNOS activity and NO production by A. actinomycetemcomitans-immunized mice in vivo and in vitro.</p><p>That previous study showing up-regulatory function of exogenous L-arginine on the production of NO by P. gingivalis-stimulated murine macrophages [<xref ref-type="bibr" rid="scirp.96829-ref31">31</xref>] is well supported by the present study. However, adding L-arginine into heat killed A. actinomycetemcomitans-stimulated murine spleen cell cultures seen in the present study failed to overcome the suppressive effects of colchicine on iNOS activity and/or NO production, suggesting deactivation of signal transduction generating iNOS activity but not lack of substrate. Similarly, exogenous cAMP analog and an adenylyl cyclase activator also failed to eliminate the suppressive effect of colchicine on iNOS activity and NO production by heat killed A. actinomycetemcomitans-stimulated murine cells, suggesting that colchicine may cause silence of the cAMP pathway in the antigen-stimulated murine cells and hence fail to induce iNOS activity and NO production. The cAMP signaling pathway is indispensable on the induction and regulation of iNOS activity [<xref ref-type="bibr" rid="scirp.96829-ref33">33</xref>]. Therefore, the present results support the notion that suppression of both iNOS activity and NO production by heat killed A. actinomycetemcomitans-stimulated murine cells may be due to the failure of signal transduction to generate iNOS protein activitiy as a result of colchicine-induced microtubule depolymerization (<xref ref-type="fig" rid="fig6">Figure 6</xref>). Indeed, colchicine did not interfere the iNOS mRNA transcription as previously reported [<xref ref-type="bibr" rid="scirp.96829-ref11">11</xref>]. Further studies to delineate this assumption are certainly needed.</p><p>That IFN-γ only partially abrogated the suppressive effects of colchicine on iNOS activity and NO production of antigen—stimulated cell cultures is of interest. The exact explanation of the results of the current study is unclear, however. IFN-γ is known to involve the binding of IRF-1 on IRF-E in the iNOS promoter, leading to iNOS gene transcription [<xref ref-type="bibr" rid="scirp.96829-ref34">34</xref>]. Therefore, the results of the present study may be explained that whilst colchicine did inhibit cellular microtubule polymerization thereby preventing iNOS activity, exogenous IFN-γ even in the presence of colchicine was still capable of partially inducing iNOS activity via the role of IRF-1, independently (<xref ref-type="fig" rid="fig6">Figure 6</xref>). This contention remains to be further investigated, however.</p><p>The implication of the present study in the pathogenesis of periodontal disease in humans remains hypothetical. The results of the present study showed that colchicine administration in A. actinomycetemcomitans-immunized mice significantly inhibits iNOS activity and NO production both in vivo and in vitro. Colchicine is used for treatment and prophylaxis of acute gout and inflammatory diseases such as Beh&#231;et’s disease [<xref ref-type="bibr" rid="scirp.96829-ref1">1</xref>]. Indeed, severity of periodontal disease in patients with Beh&#231;et’s disease appeared to be significantly increased [<xref ref-type="bibr" rid="scirp.96829-ref35">35</xref>] [<xref ref-type="bibr" rid="scirp.96829-ref36">36</xref>]. It remains, however, to be further studied whether colchicine given to Beh&#231;et’s diseased patients concurrently exhibiting severe periodontal disease would adversely accelerate the course of the latter disease via suppression of iNOS activities and NO production.</p></sec><sec id="s5"><title>5. Conclusion</title><p>The present study showed that colchicine given only on the same day as the immunization with heat-killed A. actinomycetemcomitans in mice inhibits iNOS activity and serum NO levels in vivo. Additional of L-arginine, Db-cAMP or forskolin failed to overcome the suppressive effects of colchicine on iNOS activity and NO production in A. actinomycetemcomitans-stimulated murine spleen cell cultures. However, exogenous IFN-γ was able to partially restore the levels of iNOS activity and NO production in the antigen-stimulated cell cultures. The results of the present study indicate, therefore, that colchicine may suppress the iNOS activity and NO production of A. actinomycetemcomitans-induced mice in vivo and in vitro and that cellular microtubule polymerization may be prerequisite for A. actinomycetemcomitans-induced murine iNOS activity and NO production.</p></sec><sec id="s6"><title>Conflicts of Interest</title><p>The authors declare no conflict of interest regarding the publication of this paper.</p></sec><sec id="s7"><title>Cite this paper</title><p>Sosroseno, W, Herminajeng, .E. and Bird, P.S. 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