AIMS : Nitric oxide (NO) has been increasingly implicated in inflammatory skin diseases, namely in allergic contact dermatitis. In this work, we investigated the effect of dexamethasone on NO production induced by the epidermal cytokine granulocyte Á / macrophage colony-stimulating factor (GM-CSF) in a mouse fetal skin dendritic cell line.Methods: NO production was assessed by the method of Griess. Expression of the inducible isoform of nitric oxide synthase (iNOS) protein was evaluated by western blot analysis and immunofluorescence microscopy. Western blot analysis was also performed to evaluate cytosolic IkappaB-alpha (IkB-a) protein levels. The electrophoretic mobility shift assay was used to evaluate the activation or inhibition of nuclear factor kappa B (NF-kB).Results : GM-CSF induced iNOS expression and NO production, and activated the transcription factor NF-kB. Dexamethasone inhibited, in a dose-dependent manner, NO production induced by GM-CSF. Addition of dexamethasone to the culture, 30 min before GM-CSF stimulation, significantly inhibited the cellular expression of iNOS. Dexamethasone also inhibited GM-CSF-induced NFkB activation by preventing a significant decrease on the IkB-a protein levels, thus blocking NF-kB migration to the nucleus.Conclusions : The corticosteroid dexamethasone inhibits GM-CSF-induced NF-kB activation, iNOS protein expression and NO production. These results suggest that dexamethasone is a potent inhibitor of intracellular events that are involved on NO synthesis, in skin dendritic cells.Key words: Granulocyte Á/macrophage colony-stimulating factor, Nitric oxide, Transcription factors, Dexamethasone, Skin dendritic cell Mediators of Inflammation, 12(2), 71 Á/78 (April 2003) Dexamethasone prevents granulocyte Á /macrophage colonystimulating factor-induced nuclear factor-kB activation, inducible nitric oxide synthase expression and nitric oxide production in a skin dendritic cell line After stimulation by microorganisms and epidermal cytokines, like interferon-g, tumor necrosis factor-a, interleukin 1-b and granulocyte Á/macrophage colony-stimulating factor (GM-CSF), Langerhans and other dendritic skin antigen presenting cells produce NO, 16 Á 18 which may be important in the process of antigen presentation to T cells. 19,20 We have previously shown, using a mouse fetal skin dendritic cell line (FSDC) in culture, that GM-CSF, a cytokine produced by allergen-stimulated keratinocytes that promotes Langerhans cell maturation and antigen presentation, induces NO production. 21 This is dependent on the expression of iNOS and is associated with the activation of the transcription nuclear factor kappa B (NF-kB). 22 This transcription factor is present in a latent (inactive) state in the cytoplasm, bound to an inhibitor, IkappaB (IkB). 23 Exposure of cells to a variety of physiological and non-physiological stimuli induces phosphorylation, and subse- 24 This process releases NF-kB from this inhibitor, enabling it to translocate to the nucleus, 25 where it increases the expression...