Efsen E, Bonacchi A, Pastacaldi S, Valente A J, Wenzel U O, Tosti-Guerra C, Pinzani M, Laffi G, Abboud H E, Gentilini P, Marra F
Dipartimento di Medicina Interna, University of Florence, Italy.
Hepatology. 2001 Mar;33(3):713-21. doi: 10.1053/jhep.2001.22761.
Activated hepatic stellate cells (HSC) regulate the liver "wound-healing" response through expression of chemokines, including monocyte chemoattractant protein-1 (MCP-1), which participate in the formation of the inflammatory infiltrate during liver injury. Cyclooxygenase (COX) catalyzes the conversion of arachidonic acid into prostaglandins, which may contribute to the inflammatory response. In this study, we investigated the effects of COX inhibitors on the expression of MCP-1 in cultured HSC. Pretreatment of HSC with nonspecific COX inhibitors such as indomethacin or ibuprofen markedly reduced the expression of MCP-1 caused by exposure to tumor necrosis factor alpha (TNF-alpha) or interleukin-1alpha (IL-1alpha). NS-398, a specific COX-2 inhibitor, also resulted in a dose-dependent inhibition of MCP-1 gene and protein expression. These effects were dependent on reduced MCP-1 transcription, as established using a reporter plasmid. In contrast, the up-regulation of MCP-1 expression caused by interferon gamma (IFN-gamma) was not sensitive to COX inhibitors. Quiescent HSC did not show detectable expression of COX-2, which became evident after activation in culture, and while TNF-alpha and IL-1alpha markedly increased the expression of COX-2, IFN-gamma did not have any effects. Pretreatment of HSC with the stable cyclic adenosine monophosphate (cAMP) analog, 8-bromo cAMP, reverted the effects of the COX-2 inhibitor, but not of a nuclear factor-kappaB (NF-kappaB) inhibitor, demonstrating that prostaglandins modulate MCP-1 expression via production of cAMP. On the other hand, the action of NF-kappaB inhibitors was negligible in IFN-gamma-stimulated cells. These findings indicate that cross-talk between cytokines and a prostaglandin-cAMP pathway differentially regulates the proinflammatory potential of HSC, contributing to the modulation of liver tissue inflammation.
活化的肝星状细胞(HSC)通过趋化因子的表达来调节肝脏的“伤口愈合”反应,这些趋化因子包括单核细胞趋化蛋白-1(MCP-1),其参与肝损伤期间炎症浸润的形成。环氧化酶(COX)催化花生四烯酸转化为前列腺素,这可能有助于炎症反应。在本研究中,我们研究了COX抑制剂对培养的HSC中MCP-1表达的影响。用非特异性COX抑制剂如吲哚美辛或布洛芬预处理HSC可显著降低因暴露于肿瘤坏死因子α(TNF-α)或白细胞介素-1α(IL-1α)而导致的MCP-1表达。特异性COX-2抑制剂NS-398也导致MCP-1基因和蛋白表达的剂量依赖性抑制。如使用报告质粒所证实的,这些作用依赖于MCP-1转录的减少。相反,干扰素γ(IFN-γ)引起的MCP-1表达上调对COX抑制剂不敏感。静止的HSC未显示出可检测到的COX-2表达,在培养中激活后才变得明显,虽然TNF-α和IL-1α显著增加COX-2的表达,但IFN-γ没有任何作用。用稳定的环磷酸腺苷(cAMP)类似物8-溴cAMP预处理HSC可逆转COX-2抑制剂的作用,但不能逆转核因子κB(NF-κB)抑制剂的作用,表明前列腺素通过cAMP的产生来调节MCP-1表达。另一方面,NF-κB抑制剂在IFN-γ刺激的细胞中的作用可忽略不计。这些发现表明细胞因子与前列腺素-cAMP途径之间的相互作用差异调节HSC的促炎潜能,有助于调节肝组织炎症。