Bilirubin inhibits iNOS expression and NO production in response to endotoxin in rats
Weizheng W. Wang, Darcey L. H. Smith, Stephen D. Zucker – 13 August 2004 – The inducible isoform of heme oxygenase (HO), HO‐1, has been shown to play an important role in attenuating tissue injury. Because HO‐1 catalyzes the rate‐limiting step in bilirubin synthesis, we examined the hypothesis that bilirubin is a key mediator of HO‐1 cytoprotection, employing a rat model of endotoxemia. Bilirubin treatment resulted in improved survival and attenuated liver injury in response to lipopolysaccharide infusion.