Kwon G, Hill J R, Corbett J A, McDaniel M L
Department of Pathology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Mol Pharmacol. 1997 Sep;52(3):398-405. doi: 10.1124/mol.52.3.398.
Aspirin and aspirin-like drugs are the most commonly indicated agents for the treatment of inflammation. Mechanisms of action for these drugs, however, are not clearly understood. In this study, we examined the effects of aspirin on production of nitric oxide (NO), a proinflammatory mediator, and show that aspirin inhibits NO production by transformed pancreatic beta cells (RINm5F) and rat islets in a concentration-dependent manner with an IC50 value of approximately 3 mM. Therapeutic concentrations of aspirin (1-5 mM) that block NO production affected neither nuclear factor-kappaB activation nor inducible NO synthase (iNOS) mRNA transcription but potently inhibited iNOS protein expression by both RINm5F cells and rat islets. The effects of aspirin on islet function were examined by measuring glucose-stimulated insulin secretion in the presence of various concentrations of aspirin. Aspirin (1-5 mM) did not affect insulin secretion at basal or glucose-stimulated conditions, whereas higher concentrations of aspirin (10-20 mM) significantly increased basal insulin secretion. Aspirin at high concentrations of 10 and 20 mM inhibited de novo protein synthesis as demonstrated by inhibition of [35S]methionine incorporation into total islet protein and by inhibition of rabbit reticulocyte expression by Brome mosaic virus mRNA, suggesting that inhibition of iNOS expression at these high concentrations of aspirin may be due to the impairment of the translational machinery. These findings indicate that inhibition of iNOS expression and NO production may explain, in part, the beneficial effects of aspirin as an anti-inflammatory agent at therapeutic concentrations, whereas inhibition of de novo protein synthesis may possibly explain clinical and side effects of aspirin in the inflamed tissues and organs such as stomach and kidney that may accumulate high concentrations of aspirin.
阿司匹林及类阿司匹林药物是治疗炎症最常用的药物。然而,这些药物的作用机制尚不清楚。在本研究中,我们检测了阿司匹林对促炎介质一氧化氮(NO)生成的影响,结果表明阿司匹林可浓度依赖性地抑制转化胰腺β细胞(RINm5F)和大鼠胰岛产生NO,半数抑制浓度(IC50)约为3 mM。能阻断NO生成的治疗浓度阿司匹林(1 - 5 mM)既不影响核因子-κB的激活,也不影响诱导型一氧化氮合酶(iNOS)mRNA的转录,但能有效抑制RINm5F细胞和大鼠胰岛中iNOS蛋白的表达。通过在不同浓度阿司匹林存在的情况下测量葡萄糖刺激的胰岛素分泌,检测了阿司匹林对胰岛功能的影响。阿司匹林(1 - 5 mM)在基础或葡萄糖刺激条件下均不影响胰岛素分泌,而较高浓度的阿司匹林(10 - 20 mM)显著增加基础胰岛素分泌。10和20 mM的高浓度阿司匹林抑制了蛋白质的从头合成,这通过抑制[35S]甲硫氨酸掺入总胰岛蛋白以及抑制雀麦花叶病毒mRNA对兔网织红细胞的表达得以证明,这表明在这些高浓度阿司匹林下iNOS表达的抑制可能是由于翻译机制受损。这些发现表明,抑制iNOS表达和NO生成可能部分解释了阿司匹林在治疗浓度下作为抗炎药的有益作用,而抑制蛋白质从头合成可能解释了阿司匹林在胃和肾等可能积累高浓度阿司匹林的炎症组织和器官中的临床和副作用。