Nitric oxide (NO) is a free radical signalling molecule involved in various physiological and pathological processes, including cancer. Both tumouricidal and tumour promoting effects have been attributed to NO, making its role in cancer biology controversial and unclear. To investigate the specific role of tumour-derived NO in vascular development, C6 glioma cells were genetically modified to include a doxycycline regulated gene expression system that controls the expression of an antisense RNA to inducible nitric oxide synthase (iNOS) to manipulate endogenous iNOS expression. Xenografts of these cells were propagated in the presence or absence of doxycycline. Susceptibility magnetic resonance imaging (MRI), initially with a carbogen (95% O 2 /5% CO 2 ) breathing challenge and subsequently an intravascular blood pool contrast agent, was used to assess haemodynamic vasculature (DR 2 *) and fractional blood volume (fBV), and correlated with histopathological assessment of tumour vascular density, maturation and function. Inhibition of NO production in C6 gliomas led to significant growth delay and inhibition of vessel maturation. Parametric fBV maps were used to identify vascularised regions from which the carbogeninduced DR 2 * was measured and found to be positively correlated with vessel maturation, quantified ex vivo using fluorescence microscopy for endothelial and perivascular cell staining. These data suggest that tumour-derived iNOS is an important mediator of tumour growth and vessel maturation, hence a promising target for anti-vascular cancer therapies. The combination of DR 2 * response to carbogen and fBV MRI can provide a marker of tumour vessel maturation that could be applied to non-invasively monitor treatment response to iNOS inhibitors.Nitric oxide (NO) is an important pleiotropic signalling molecule involved in physiological and pathophysiological processes, and has been detected in a variety of human tumours, including colon, breast, prostate, and brain.1,2 The effect of NO in tumours depends upon the exposure to NO in terms of duration and concentration, the intrinsic sensitivity of cells to NO, and the expression, activity and temporal distribution of the three nitric oxide synthases (NOS): neuronal (nNOS or NOS1), inducible (iNOS or NOS2), and endothelial (eNOS or NOS3) that catalyse the synthesis of NO from L-arginine.
2Tumour cells express iNOS and in some cases nNOS and eNOS, tumour-associated immune cells and stromal fibroblasts express iNOS, and vascular endothelial cells mainly express eNOS.
3The effect of NO in cancer has been the cause of intense debate due to its dichotomous nature, with studies indicating that NO has both tumour inhibitory and promoting properties.4,5 iNOS has also been implicated in tumour progression and angiogenesis. In human cancers, such as colon adenocarcinomas, 6 and central nervous system cancers, 7 increased iNOS expression and activity was positively correlated with vascularisation and higher tumour grade. In human gliomas, high iNOS expression was inver...