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,1
,2
* Department of Physiology, Medical College of Georgia, Augusta, Georgia 30912;
Institute of General and Molecular Biology, University of Nicolaus Copernicus, 87-100 Torun, Poland; and Departments of
Medicine and
Pharmacology, Vanderbilt University, Nashville, Tennessee 37232
| Abstract |
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Key Words: eicosanoids arachidonic acid prostaglandins cyclooxygenase-2 epoxygenase negative feedback mononuclear cells endotoxin
| Introduction |
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-terminal hydroxylation, and olefin epoxidation. The latter, also referred to as the epoxygenase reaction, results in the production of four cis-epoxyeicosatrienoic acids (EETs): 5,6-, 8,9-, 11,12-, and 14,15-EET (2). In mammals, expression of monooxygenases and synthesis of EETs has been detected, among other tissues, in the brain, lungs, liver and kidney, and in cells such as astrocytes, hepatocytes, and endothelium (1, 3). Monocytes, the cells playing a key role in inflammation (4), contain various P-450s capable of EET biosynthesis (5, 6) and, in addition, they express specific high affinity receptors for EETs (7). The biology of COXs and LOXs has been extensively studied because their eicosanoid products play fundamental roles in health and disease and, increasingly, as therapeutic targeting agents (8). Inhibitors of COXs are the mainstays of current therapy aimed to modulate pain and inflammation and to control fever (9). It has been well documented that COX exists in two isoforms, COX-1 and COX-2 (10). In simplified terms, COX-1 is a constitutive housekeeping enzyme, whereas COX-2 is inducible and can be markedly upregulated during stress, pain, inflammation, and fever. COXs are bifunctional enzymes that catalyze the oxygenation of AA to unstable prostaglandin G2 (PGG2), followed by the reduction of the lipid hydroperoxide PGG2 to alcohol PGH2 (11). PGH2 serves as substrate for the respective synthases generating thromboxane (in platelets), prostacyclin (in endothelial cells), and prostaglandins such as PGE2 (in many cell types, including monocytes). Induction of COX-2, e.g., by an injection of fever-inducing inflammatory agents, such as lipopolysaccharide (LPS), and/or mediators, such as cytokines, is accompanied by a burst of large quantities of PGE2, which can be detected in plasma and cerebrospinal fluid of the febrile animals (12, 13). PGE2 is regarded as the proximal mediator of fever (14, 15). In contrast to COX-2, lipoxygenase products do not play a significant role in fever (see Ref. 16 and references therein).
The demonstration that AA is an endogenous substrate for cytochrome P-450 has stimulated investigations of the biologic roles of this pathway and its metabolites (1, 3, 17). Among other physiological activities, EETs have been suggested to be an endothelium-derived hyperpolarizing factor causing vasorelaxation (18, 19), a feature frequently possessed by anti-inflammatory and antipyretic agents (20). Node et al. (21) reported an anti-inflammatory activity of EETs, demonstrating that EETs inhibit the induction of cell adhesion molecules (CAMs) in endothelial cells stimulated with tumor necrosis factor-
and interleukin-1
(IL-1
), and with LPS. Maximal inhibition of CAM expression was achieved with 11,12-EET, followed by 8,9-EET, and 5,6-EET. Up-regulation of the expression of various CAMs in endothelium plays a central role in early stages of the inflammatory process. Similarly, a cytokine- and PGE2-mediated LPS-induced fever is an early symptom of acute inflammation (22). In fact, it has been shown that efficacy of the induction of adhesion molecules depends on febrile temperature (23, 24), indicating that there is an intrinsic molecular coordination of these two critical components of acute inflammation. COX-2 and PGE2 may be central to this mechanism since the induction of COX-2 accounts for both fever (25, 26) and stimulation of the expression of adhesion molecules (27). Findings demonstrating that EETs participate in the initial steps of inflammation implicate the involvement of these metabolites in fever.
Data from our laboratory (28) and by others (29) revealed that EETs attenuate fever in rats injected with LPS. Similar to the in vitro results reported by Node et al. (21), 11,12-EET was also the most potent isomer inhibiting fever in rats (28, 29). In separate studies, we have shown that compounds known to induce various P-450s attenuated fever, while animals injected with inhibitors of monooxygenases, e.g., with SKF-525A or 1-aminobenzotriazole, displayed significantly higher fevers compared to that treated with control vehicle (16, and references therein). Therefore, in addition to the assumption that epoxygenase metabolites mediate anti-inflammation (21), we also concluded that the epoxygenase enzyme family is part of the endogenous antipyresis mechanism; the process that limits the activity of pro-febrile pathways and prevents fever from reaching lethal heights (16). The mechanism responsible for the antipyretic effects of EETs is unknown. We have found, however, that augmentation of fever in rats injected with LPS and treated with SKF-525A was associated with significantly higher levels of PGE2 in plasma and cerebrospinal fluid, compared to rats treated with LPS and vehicle for the inhibitor (12). Based on these data, we hypothesize that EETs attenuate fever in rats in part via suppression of the synthesis of PGE2. In the present report we demonstrate that 11,12-EET attenuates generation of PGE2 in rat mononuclear cells stimulated with LPS. 11,12-EET did not affect the monocyte COX-2 protein levels analyzed by Western blotting. It did, however, inhibit the activity of purified COX-2 in a direct assay.
| Materials and Methods |
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Reagents.
SKF-525A (proadifen; 2-diethyl-aminoethyl-2,2-diphenyl-n-pentanoate) was purchased from BIOMOL (Plymouth Meeting, PA). Prostaglandin E2, 11,12-EET, and COX-2 electrophoresis standard were supplied by Cayman Chemical Company (Ann Arbor, MI). Diethyl ether was purchased from Aldrich Chemical Co. (Milwaukee, WI). Methanol was from Burdick and Jackson (Muskegan, MI). Lipopolysaccharide (LPS; E. coli serotype 0111:B4), 1-aminobenzotriazole (ABT), butylated hydroxyanisole, hematin, phenol, and tris[hydroxymethyl]aminomethane (Tris) were purchased from Sigma (St. Louis, MO). [14C]AA was from NEN (Boston, MA). Silica gel 60A thin-layer chromatography plates were purchased from Whatman (Clifton, NJ). All other reagents and preparations were obtained as indicated.
Rat Mononuclear Cell Fraction Preparation.
Mononuclear cells were obtained as described elsewhere (30). Heparinized blood was collected from anesthetized rats (isoflurane inhaled anesthesia) by cardiac puncture. Whole blood was diluted 1:1 (vol/vol) with calcium- and magnesium-free Hanks balanced salt solution (HBSS; Gibco BRL Products, NY; Cat. No. 14170) at room temperature. A portion of 4 ml of diluted blood was carefully layered onto 3 ml of the separation medium in a 10 ml centrifuge tube and centrifuged for 25 min at 800g at room temperature. Separation medium was an aqueous solution of density 1.077 g/ml, consisting of 5.7 g Ficoll 400 and 9 g sodium diatriozate per 100 ml (Ficoll-Paque Plus, Amersham Pharmacia Biotech, code No. 17-0840-02). The mononuclear cell fractions were pooled and washed twice, each time in 2 vols of HBSS, and finally suspended at 1 x 106 cells/ml in RPMI medium 1640 (Gibco BRL Products, NY; cat. no. 22400) containing L-glutamine and HEPES buffer, and supplemented with fatty acid-free rat albumin (Sigma, cat. no. A 2018) to a final concentration of 0.1%. The method results in a greater than 95% viable mononuclear cells in the suspension (by trypan blue dye exclusion assay; 26). Freshly isolated monocytes were immediately seeded at an exact density of 2 x 105 cells/well (in a volume of 200 µl) into Costar 96-well tissue culture plates (Corning, NY). The cells were pre-incubated for 1 hr at 38.5°C, 5% CO2, and 100% humidity prior to addition of LPS and other test agents to the culture (38.5°C was selected for the incubation since it reflects body temperature of the Sprague-Dawley rat in response to a pyrogenic dose of LPS) (12).
Stimulation of Monocytes.
After 1-hr preincubation (see above), the cells were stimulated with LPS added in a volume of 10 µl from stock (10 µg/ml; saline solution) to a final concentration of 100 ng/2 x 105/well. Test reagents in a volume of 10 µl each (or appropriate control vehicle) were added simultaneously (see the Results section), and cells were further cultured at 38.5°C, 5% CO2, and 100% humidity for the time as indicated in the figure legends. Supernatants were aspirated, centrifuged for 5 min at 1000g and stored frozen at -70°C before assays.
PGE2 Assay in Supernatant of Stimulated Monocytes.
Prostaglandin levels were determined in duplicate using a highly sensitive colorimetric assay kit from R&D Systems (Minneapolis, MN; cat. no. DE2100). Briefly, 50 µl of standard/sample was pipetted into a precoated goat anti-mouse 96-well plate. Aliquots (50 µl) of a mouse polyclonal PGE2 antibody and IgG conjugated alkaline phosphatase were added to each well and allowed to incubate at room temperature for 1 h. After incubation, wells were washed six times with 400 µl of 1x PBS + 0.5% Tween 20, followed by the addition of 150 µl of 3,3',5,5'-tetramethylbenzidine substrate. Wells were read at 670 nm with an ELISA reader (model EL 312; Biotek Instruments) 30 min after addition of substrate.
Detection of COX-2 Protein in Monocytes by Western Blot.
In separate experiments, cells (2 x 105/well) were harvested for the times indicated in the figure legends, briefly centrifuged and resuspended in 100 µl of HBSS. An equal volume of 125 mM Tris-HCl pH 6.8, 4% sodium dodecyl sulfate, 20% glycerol, 0.005% bromophenol blue, and 4% ß-mercaptoethanol was added and the sample boiled for 7 min. Total protein (100 µg; determined by the method of Bradford) was separated by SDS-PAGE (10% acrylamide) along with low molecular weight markers (Bio-Rad) and 72 kDa COX-2 denaturated standard for electrophoresis (Cayman Chemical, Ann Arbor, MI; cat. no. 360120) and transferred to hybond-ECL membranes (Amersham Pharmacia Biotech). Membranes were blocked for 1 h with 5% nonfat milk in 1x Tris-buffered saline, 0.1% Tween 20, and were then probed for 1 hr with primary antibody (anti-COX-2 polyclonal goat antibody specific for human, rat, and mouse COX-2; Santa Cruz Biotechnology, Santa Cruz, CA) followed by 1 hr with ß-actin (Sigma) goat antibodies, diluted in 5% nonfat milk in 1x Tris-buffered saline, 0.1% Tween 20. The membranes were washed in PBS, 0.1% Tween and incubated for 20 min with horseradish peroxidase-linked anti-goat immunoglobulin (Amersham). COX-2 and ß-actin protein were visualized using the Renaissance Western blot chemiluminescence reagent (NEN Life Science Products). Relative densitometry values were assessed using Quantity One scanning densitometry software.
Incubation of COX-2 with [14C]AA and 11,12-EET.
Wild-type murine COX-2 was a generous gift of Dr. Lawrence J. Marnett and was expressed in SF-9 cells (Novagen, Madison, WI), and purified as previously described (31). The COX-2 preparation (specific activity 109 mol AA/min/mol enzyme) was preincubated on ice for 20 min with 2 M equivalents of hematin in Tris-HCl buffer pH 8.0, 500 µM phenol. To examine the time-dependency for COX-2 inhibition, the solution was preincubated from 05 min at 37°C in the presence or absence of 11,12-EET (final concentration 10 µM). For subsequent inhibition assays, the COX-2-hematin solution was preincubated for 5 min at 37°C in the presence or absence of 11,12-EET (final concentration 1, 5, and 10 µM). 20 µl of [14C]AA (4.8 nCi, 0.5 µM final concentration) in Tris HCl buffer pH 8.0 was warmed at 37°C for 2 min. The reaction was initiated by adding COX-2 (10 nM final concentration) to a total volume of 200 µl. The reaction was terminated after 8 sec by the addition of 200 µl of ice-cold diethyl ether: methanol: 4 M citric acid (30:4:1) containing 8 µg of butylated hydroxyanisole as antioxidant and 8 µg of unlabeled AA as a carrier.
The organic layer was loaded on a silica plate and eluted with the organic phase of ethyl acetate: isooctane: water: glacial acetic acid (45:25:50:1). TLC plates were analyzed for radioactivity by a Bioscan AR-2000 imaging scanner (Bioscan, Washington, DC). Graphical analysis was performed using Win-Scan software (Bioscan, Washington, DC). COX-2 activity was expressed as activity relative to control (no inhibitor). Activity was determined as pmol AA converted to product per minute per pmol enzyme. Experiments were performed in duplicate on two separate occasions. Time-dependence experiments were performed on a single occasion.
Statistical Analysis.
Results, expressed as mean ± SEM, were analyzed by analysis of variance followed by the Newman-Keuls Students t test with the level of significance set at P < 0.05.
| Results |
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11,12-EET Inhibits PGE2 Secretion by Monocytes Stimulated with LPS and Attenuates the Enhancing Effect of SKF-525A on the Release of PGE2.
As can be seen in Figure 3
, addition of 11,12-EET to the culture inhibited the release of PGE2 from the cells stimulated with LPS (mean ± SE for three experiments). The effect was concentration-dependent. Levels of PGE2 in supernatants collected from incubates supplemented with 10 µM and 100 µM 11,12-EET, except of 1 µM 11,12-EET, were significantly lower from that of LPS/vehicle group (P = 0.001). The contents of PGE2 of all three 11,12-EET groups were significantly different from each other (P < 0.05).
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| Discussion |
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Our results complement reports showing that EETs at micromolar concentrations reduce in vitro prostanoid production in non-immune cells such as smooth muscle cells (32) and platelets (33). It is worth noting however, that EETs are thought to exert their in vivo effects in sub-micromolar concentrations (13), and the higher concentrations employed in our studies and by others (32, 33) may not represent (patho)physiological concentrations. It is speculative that at sites of inflammation EET concentrations could reach micromolar levels, although this has not yet been investigated. In line with this speculation, one can hypothesize that intracellular colocalization of COX-2 and monooxygenases could lead to a locally high (e.g., micromolar) concentration of EET in the proximity of COX-2. In addition, the concentrations used in vitro may be better understood in light of a limited stability of EETs and their ability to penetrate cell membranes. For example, EETs may undergo hydroxylation by respective epoxy-hydrolases or may be incorporated into the membrane glycerophospholipids (3), thereby masking the action of these compounds when applied in vitro at physiological concentrations. Studies in our laboratory (28) and by others (29) have shown that EETs are antipyretic when administered into the rat brain at low micromolar concentrations. Nevertheless, the inhibitory effect of EETs on PGE2 generation reported in in vitro studies needs to be confirmed in the in vivo settings.
Although the exact nature of the suppressive effect of EETs on the in vitro PGE2 generation is unclear, other investigations suggest that EETs may directly inhibit COX activity. In studies by Fitzpatrick et al. (33), 11,12-EET at micromolar concentration inhibited the activity of COX-1 purified from a ram seminal vesicle by approximately 50%. Fang et al. (32) studied the effect of a 14,15-EET isomer on PGE2 generation in smooth muscle cells. They reported that low micromolar concentrations of the EET inhibited PGE2 production via a mechanism that did not reduce COX protein expression, concluding that 14,15-EET directly blocked AA metabolism by COX. Results of our studies using 11,12-EET in monocytes stimulated with LPS are consistent with this conclusion.
We demonstrate that 11,12-EET does not affect induction of COX-2 in monocytes stimulated with LPS. A direct inhibitory effect of 11,12-EET on the activity of COX-2 may therefore account for the suppression of PGE2 generation by the monocytes. In support of this hypothesis, we show that 11,12-EET inhibits the activity of purified murine COX-2 (Figs. 7
and 8
). The suppression of COX-2 activity by 11,12-EET was time-dependent, which is not characteristic of a competitive inhibitor. The potency of inhibition of COX-2 by 11,12-EET (IC50 = 6.43 ± 1.58 µM) was approximately 58-fold greater than that of acetaminophen (IC50 = 372 µM; ref. 34), and ca. 120-fold greater than that of sodium salicylate (IC50 = 763 µM; ref. 35). It was, however, ca. 11-fold lower than that of ibuprofen (IC50 = 0.60 µM; unpublished data).
The induction of COX-2 in immune and non-immune cells during inflammation and the resultant generation of PGE2 represent important steps in the regulation of the inflammatory cascade. For this reason, there has been a great deal of research focused on the endogenous and exogenous factors activating prostaglandin synthesis, as well as on the pharmacological inhibition of COXs (8, 10). Although relatively less attention has been paid to the physiological (i.e., nonpharmacological) factors suppressing prostanoid synthesis, it appears that prostaglandin generation can be negatively controlled by endogenous systems. Glucocorticoids/lipocortins have been among the earliest discovered and most thoroughly studied endogenous systems that downregulate the synthesis of prostanoids (36). Inhibitory effects of steroids on the arachidonate cascade may occur by destabilizing the COX-2 transcript (37), and also via inhibiting the activity of phospholipase A2, an enzyme responsible for the liberation of AA from cellular membrane phospholipids (38, 39). However, cytokines, such as IL-4, IL-10, transforming growth factor-ß, and epidermal growth factor, are capable of inhibiting the generation of PGE2 via a downregulation of the COX-2 mRNA in immune cells (40, 41). Also several members of the natriuretic peptide family have recently been reported to attenuate expression of COX-2 protein and mRNA, and, consequently, inhibit generation of PGE2 in LPS-activated murine bone marrow-derived macrophages (42). Nitric oxide (NO) represents yet another endogenous factor that can modulate PGE2 synthesis. It has been reported that NO inhibits expression of COX-2 mRNA in LPS-stimulated macrophages (43). However, the effect of NO on COX-2 transcription may be tissue- and/or stimulus-specific, since amplification of IL-1ß-induced COX-2 expression in rat mesangial cells by NO and other cGMP-elevating factors have been demonstrated (44). In macrophages, however, analogs of both cAMP and cGMP, as well as stimulants of cAMP including PGE2 itself, were reported to inhibit the expression of COX-2 (45).
Results of our studies using monocytes stimulated with LPS, as well as data presented by others using different cell types (32, 33), implicate EETs as endogenous suppressors of the synthesis of PGE2. They, however, appear to directly inhibit COX-2 activity rather than the LPS-induced stimulation of COX-2 transcription. The generation of prostanoids during inflammation, therefore, is modulated by various endogenous factors acting at every level of the arachidonate cascade; modulating the cleavage of AA from membrane phospholipids, regulating the synthesis of COX-2 protein and, finally, modulating the catalytic activity of the enzyme.
Under normal conditions, inflammation is usually self-limited. Systemic/behavioral responses to proinflammatory stimuli, such as fever, hyperalgesia, suppression of the physical, and alimentary activities, as well as local responses such as edema, vasodilation, and increased blood flow, involve the AA cascade and generation of prostaglandins, which act synergistically with other inflammatory mediators. It is still not entirely clear how these adaptive systemic and behavioral responses are regulated and contained within safe limits (22). It is also not clear what processes account for the resolution of the inflammatory reaction (46). Results of our studies contribute to the hypothesis that AA metabolism yields both pro- and anti-inflammatory eicosanoids through a cascade inherently requiring tight regulation. This regulation of the AA pathway helps to control both the magnitude and duration of local and systemic/behavioral inflammatory reactions. Our previous studies on the role of EETs in the pathogenesis of fever support this assumption.
Fever is currently regarded as an adaptive response, and under normal circumstances its magnitude does not reach unsafe high levels (22). The current hypothesis of endogenous antipyresis predicts involvement of endogenous antipyretics (or cryogens) to prevent fever from reaching lethal heights (22). We have reported data supporting a role of cytochrome P-450, and EETs in particular, in the mechanism of limiting the height of fever (16). Induction of COX-2 and generation of PGE2 is thought to be a key mechanism of pyrogenesis (14). Therefore, we speculate that the inhibition of COX-2 activity by epoxyeicosanoids may account for the antipyretic effect of these molecules. Because eicosanoids in general are clinically important metabolites of AA, to understand the regulation between PGs and EETs production is important in therapeutic practice.
| Footnotes |
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1 To whom requests for reprints should be addressed at Department of Physiology, Medical College of Georgia, 1120 Fifteenth Street, Augusta, GA 309123000. E-mail: wkozak{at}mail.mcg.edu ![]()
2 Present address and affiliation: Department of Medicine, University of Michigan Health System, Ann Arbor, MI 48109. ![]()
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