. Inducible nitric oxide synthase is involved in acid-induced gastric hyperemia in rats and mice. Am J Physiol Gastrointest Liver Physiol 285: G154-G162, 2003. First published March 19, 2003 10.1152/ajpgi.00432.2002The role of different isoforms of nitric oxide synthase (NOS) in the gastric mucosal hyperemia, induced by 155 mM luminal hydrochloric acid (pH Ϸ 0.8) without a barrier breaker, was investigated. Rats were anesthetized with Inactin (120 mg/kg ip), and mice were anesthetized with Forene (2.2% in 40% oxygen gas at 150 ml/min); the gastric mucosa was exteriorized. Gastric mucosal blood flow was measured with laser-Doppler flowmetry (LDF) in rats treated with, 10 mg/kg, followed by 3 mg ⅐ kg Ϫ1 ⅐ h Ϫ1 iv, in iNOS-deficient (Ϫ/Ϫ) and nNOS(Ϫ/Ϫ) mice. mRNA was isolated from the gastric mucosa in iNOS(Ϫ/Ϫ) and wild-type (wt) mice, and real-time RT-PCR was performed. The effect of 155 mM acid on gastric mucosal permeability was determined by measuring the clearance of 51 Cr-EDTA from blood to lumen. LDF increased by 48 Ϯ 13% during 155 mM HCl luminally, an increase that was abolished by L-NNA, SMTC, or L-NIL. In iNOS wt mice, LDF increased by 33 Ϯ 8% during luminal acid. The blood flow increase was attenuated substantially in iNOS(Ϫ/Ϫ) mice. RT-PCR revealed iNOS mRNA expression in the gastric mucosa in the iNOS wt groups. The blood flow increase in response to acid was not abolished in nNOS(Ϫ/Ϫ) mice (nNOS-sufficient mice, 39 Ϯ 18%; heterozygous mice, 25 Ϯ 19%; Ϫ/Ϫ mice, 19 Ϯ 7%). Mucosal permeability was transiently increased during 155 mM HCl. The results suggest that iNOS is constitutively expressed in the gastric mucosa and is involved in acid-induced hyperemia, suggesting a novel role for iNOS in gastric mucosal protection.