Abstract
Increased levels of several pro-inflammatory cytokines including interleukin-1β (IL-1β) and tumour necrosis factor-α (TNFα) have been found in bronchoalveolar lavage fluid from symptomatic asthmatic patients. IL-1β, TNFα and interferon-γ (IFNγ) are known to stimulate a number of cells to produce inflammatory mediators such as prostaglandins. Although airway smooth muscle (ASM) is known to be a rich source of prostaglandins, the regulation of cyclo-oxygenase (COX) isoforms and prostanoid production by proinflammatory cytokines have not been studied in human airway smooth muscle.
We studied the effects of IL-1β, TNFα and IFNγ on the induction of two isoforms of cyclo-oxygenase and its relation to prostaglandin E2 (PGE2) release and COX activity (reflected by PGE2 synthesis from exogenous arachidonic acid) in human cultured airway smooth muscle cells.
IL-1β, but not TNFα or IFNγ, caused a time- and concentration-dependent enhancement in PGE2 and other prostanoid (6-keto-PGF1α, PGF2α, thromboxane B2 (TXB2) and PGD2) production, with PGE2 and 6-keto-PGF1α as the principal products. This stimulation was accompanied by a corresponding increase in COX activity.
COX-2 protein measured by Western blot analysis was not detectable in untreated cells, but was increased in a time- and concentration-dependent manner by IL-1β, but not TNFα or IFNγ. In contrast, no variation in the expression of COX-1 protein was observed.
Pretreatment with the conventional non-steroidal anti-inflammatory drugs (NSAIDs), indomethacin and ibuprofen, and the selective COX-2 inhibitors, NS-398 and nimesulide, completely blocked IL-1β-induced PGE2 release and COX activity. The glucocorticosteroid dexamethasone and protein synthesis inhibitors, cycloheximide and actinomycin D, not only markedly inhibited IL-1β-stimulated PGE2 release and COX activity but also suppressed IL-1β-induced COX-2 induction.
This study demonstrates that human cultured ASM cells release prostanoids in response to IL-1β stimulation and that the response is mostly mediated by the induction of COX-2 rather than COX-1 isoenzyme, implying that airway smooth muscle may be an important source of prostaglandins in human airways and that COX-2 may play an important role in the regulation of the inflammatory process in asthma.
Keywords: Prostaglandin E2, prostanoids, airway smooth muscle, interleukin-1β, tumour necrosis factor-α, interferon-γ, cyclo-oxygenase, cyclo-oxygenase inhibitors, protein synthesis inhibitors, dexamethasone
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