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Published on: January 18, 2017
Methotrexate suppresses NF-kappaB activation through inhibition of IkappaBalpha phosphorylation and degradation
1Cytokine Research Laboratory, Department of Bioimmunotherapy, University of Texas M. D. Anderson Cancer Center, Houston, TX 77030, USA.
Abstract:
Methotrexate (MTX), a folate antagonist, is a commonly used anti-inflammatory, antiproliferative, and immunosuppressive drug whose mode of action is not fully established. Due to the central role of NF-kappaB in these responses, we postulated that MTX must mediate its effects through suppression of NF-kappaB activation. We investigated the effects of MTX on NF-kappaB activation induced by TNF in Jurkat cells. The treatment of these cells with MTX suppressed TNF-induced NF-kappaB activation with optimum effects occurring at 10 microM MTX for 60 min. These effects were not restricted to Jurkat cells because other cell types were also inhibited. Besides TNF, MTX also suppressed the NF-kappaB activation induced by various other inflammatory stimuli. The suppression of TNF-induced NF-kappaB activation by MTX correlated with inhibition of IkappaBalpha degradation, suppression of IkappaBalpha phosphorylation, abrogation of IkappaBalpha kinase activation, and inhibition of NF-kappaB-dependent reporter gene expression. Because ecto 5' nucleotidase inhibitor (alpha,beta-methylene adenosine-5'-diphosphate) blocked the effect of MTX, adenosine mimicked the effect of MTX, and adenosine A2b receptor antagonist (3,7-dimethyl-1-propargylxanthine) reversed the inhibitory effect of MTX, we suggest that MTX suppresses NF-kappaB activation by releasing adenosine. A partial reversal of MTX-induced NF-kappaB suppression by thymidine and folinic acid indicates the role of the thymidylate synthase pathway also. Overall, our results clearly demonstrate that MTX suppresses NF-kappaB activation through the release of adenosine, which may contribute to the role of MTX in anti-inflammatory, immunomodulatory, and antiproliferative effects.
Insights
Methotrexate (MTX) suppresses NF-kappaB activation, a key inflammatory pathway. This effect is mediated by the release of adenosine, contributing to MTX's anti-inflammatory and antiproliferative actions.
Area of Science:
- Immunology
- Pharmacology
- Molecular Biology
Background:
- Methotrexate (MTX) is an anti-inflammatory and immunosuppressive drug with an incompletely understood mechanism.
- Nuclear factor-kappa B (NF-kappaB) plays a central role in inflammatory responses.
Purpose of the Study:
- To investigate the effects of MTX on NF-kappaB activation.
- To elucidate the molecular mechanisms underlying MTX's anti-inflammatory properties.
Main Methods:
- Jurkat cells were treated with MTX and stimulated with TNF to assess NF-kappaB activation.
- Key signaling molecules in the NF-kappaB pathway, including IkappaBalpha, were analyzed.
- The role of adenosine signaling was examined using specific inhibitors and receptor antagonists.
Main Results:
- MTX suppressed TNF-induced NF-kappaB activation in a dose- and time-dependent manner.
- MTX inhibited IkappaBalpha degradation and phosphorylation, and abrogation of IkappaBalpha kinase activation.
- Adenosine mimicked MTX effects, and adenosine A2b receptor antagonists reversed MTX-induced suppression, suggesting adenosine release is crucial.
Conclusions:
- MTX suppresses NF-kappaB activation primarily through the release of adenosine.
- This adenosine-mediated suppression of NF-kappaB contributes to MTX's anti-inflammatory, immunomodulatory, and antiproliferative effects.
- The thymidylate synthase pathway may also play a partial role in MTX's mechanism of action.
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