The effect of ciprofloxacin on CD14 and toll-like receptor-4 expression on human monocytes

Goutaro Katsuno1, Hideo Kohka Takahashi, Hiromi Iwagaki

  • 1Department of Gastroenterological Surgery, Transplant, and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, Okayama 700-8558, Japan.

Shock (Augusta, Ga.)
|March 23, 2006
PubMed

Insights

Ciprofloxacin (CIP) reduces lipopolysaccharide (LPS)-induced monocyte activation by downregulating the CD14/toll-like receptor-4 complex. This immune modulation appears mediated by cyclooxygenase-2, not the cAMP/protein kinase A pathway.

Area of Science:

  • Immunology
  • Pharmacology

Background:

  • The CD14/toll-like receptor (TLR)-4 complex on monocytes/macrophages binds lipopolysaccharide (LPS), initiating intracellular signaling.
  • Ciprofloxacin (CIP), an antibacterial drug, is known to modulate inflammatory and immune responses.

Purpose of the Study:

  • To investigate the effects of CIP on LPS-induced activation of human peripheral blood mononuclear cell (PBMC)-derived monocytes.
  • To elucidate the molecular mechanisms underlying CIP's immunomodulatory effects.

Main Methods:

  • Monocytes were isolated from human PBMCs.
  • Cells were treated with LPS and varying concentrations of CIP.
  • Expression of surface markers (CD14, TLR-4, ICAM-1, B7.1, B7.2, CD40) and production of tumor necrosis factor (TNF)-alpha were assessed.
  • Prostaglandin E2 (PGE2) and cyclic adenosine monophosphate (cAMP) levels were measured.
  • Inhibitors of cyclooxygenase-2 (COX-2) and protein kinase A (PKA) were used to probe signaling pathways.

Main Results:

  • CIP suppressed LPS-induced expression of CD14, TLR-4, ICAM-1, B7.1, B7.2, and CD40 on monocytes.
  • CIP inhibited LPS-induced TNF-alpha production.
  • CIP increased PGE2 production and intracellular cAMP levels.
  • COX-2 inhibitors reversed CIP's effects on TNF-alpha and surface antigen expression, while a PKA inhibitor did not.

Conclusions:

  • CIP regulates LPS-induced TNF-alpha production by inhibiting the LPS receptor complex expression.
  • This regulation appears to be mediated by the COX-2 pathway.
  • The cAMP/PKA pathway is not involved in CIP's observed immunomodulatory effects on TNF-alpha production.

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