Abstract
BACKGROUND—Nitric oxide production by the inducible isoform of nitric oxide synthase (iNOS) is thought to play a role in the pathogenesis of inflammatory bowel disease along with other proinflammatory mediators. AIMS—To examine the effects of cAMP, an intracellular mediator of several proinflammatory mediators, on iNOS expression in the human intestinal epithelial cell line, DLD-1. METHODS—iNOS activity was assessed by measuring the NO stable oxidative product NO2 . iNOS protein expression and iNOS mRNA levels were determined by western blotting and northern blotting, respectively. RESULTS—iNOS activity, protein, and mRNA were induced by a combination of interleukin 1β (0.5-5 ng/ml), interferon γ (20-200 u/ml), and tumour necrosis factor α (10-100 ng/ml). The cytokine induced NOS activity was potentiated by N6,2'-O-dibutyryladenosine 3':5'-cyclic monophosphate and 8-bromoadenosine 3':5'-cyclic monophosphate (0.1-1 mM), and the adenylate cyclase activator, forskolin (1-100 µM). This activity was inhibited by the selective iNOS inhibitor, 1400W (0.1-100 µM). These agents increased iNOS protein. The cAMP analogues potentiated iNOS at the transcriptional level as shown by effects of actinomycin D (5 µg/ml) and northern blot analyses; the nuclear factor (NF) κB inhibitor, pyrrolidine dithiocarbamate (10-200 µM), significantly reduced this potentiation. The cAMP potentiated iNOS activity was inhibited by the tyrosine kinase inhibitor, A25 (10-200 µM) and the Janus activated kinase 2 inhibitor, B42 (10-200 µM). CONCLUSIONS—Increased intracellular cAMP is a potent stimulus of iNOS expression in combination with cytokines in DLD-1 cells, acting at the transcriptional level and involving NF-κB and the JAK-STAT pathways. Thus, proinflammatory mediators that increase cAMP levels may augment iNOS expression and NO production. Keywords: inducible nitric oxide synthase colonic epithelial cells; nuclear factor κB; cytokines; cyclic AMP; JAK-2
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