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Published on: June 23, 2026
Propofol inhibits cyclo-oxygenase activity in human monocytic THP-1 cells
Takefumi Inada1, Kozue Kubo, Tomoko Kambara
1Department of Anesthesiology, Kansai Medical University, 10-15, Fumizono-cho, Moriguchi, Osaka 570-8507, Japan. nvkc20988@hera.eonet.ne.jp
Purpose:
Monocytes/macrophages are key players in innate and adaptive immunity. Upon stimulation, they secrete prostanoids, which are produced by cyclooxygenase from arachidonic acid. Prostanoids influence inflammation and immune responses. We investigated the effect of propofol on prostaglandin E(2) and thromboxane B(2) production by the human monocytic cell line THP-1.
Methods:
The THP-1 cells were cultured with lipopolysaccharide (1 microg ml(-1)) in the presence of clinically relevant sedative/anesthetic concentrations of propofol (0-30 microM) for 18 h, and the concentration of prostaglandin E(2) and thromboxane B(2) in culture supernatants was measured using an enzyme immunoassay. Intracellular cyclooxygenase protein expression was measured by flow cytometry. Cyclooxygenase activity was assessed by measuring production of prostaglandin E(2) and thromboxane B(2) by THP-1 cells after arachidonic acid (10 microM) substrate provision.
Results:
Propofol decreased the production of prostaglandin E(2) (75.4 +/- 6.4 pg ml(-1) at 0 microM vs. 28.5 +/- 11.2 pg ml(-1) at 30 microM; P < 0.001) and thromboxane B(2) (282.4 +/- 79.2 pg ml(-1) at 0 microM vs. 40.4 +/- 21.7 pg ml(-1) at 30 microM; P < 0.001). The inhibition was not due to the decreased cyclooxygenase protein expression because intracellular staining of this enzyme was not affected by propofol. After arachidonic acid provision, prostaglandin E(2) and thromboxane B(2) production from activated THP-1 cells was significantly (P < 0.001) decreased with propofol, indicating direct suppression of cyclooxygenase activity with propofol.
Conclusions:
Propofol may modulate inflammation via the suppression of cyclooxygenase activity. Through the inhibition of prostanoid production, propofol may enhance immune responses.
Insights
Propofol significantly reduces prostanoid production by inhibiting cyclooxygenase activity in immune cells. This suppression of prostaglandin E2 and thromboxane B2 may enhance immune responses and modulate inflammation.
Area of Science:
- Immunology
- Pharmacology
Background:
- Monocytes/macrophages are crucial for immune responses.
- Upon stimulation, they produce prostanoids (like prostaglandin E2 and thromboxane B2) via cyclooxygenase (COX) activity.
- Prostanoids play a significant role in regulating inflammation and immune cell function.
Purpose of the Study:
- To investigate the impact of propofol on prostaglandin E2 (PGE2) and thromboxane B2 (TXB2) production.
- To determine if propofol affects cyclooxygenase (COX) activity or protein expression in human monocytic cells.
Main Methods:
- Human monocytic THP-1 cells were stimulated with lipopolysaccharide (LPS).
- Cells were treated with varying concentrations of propofol (0-30 microM).
- Prostanoid production, COX protein expression, and COX activity were measured.
Main Results:
- Propofol significantly decreased PGE2 and TXB2 production in a dose-dependent manner.
- The reduction in prostanoids was not due to altered COX protein expression.
- Propofol directly suppressed COX activity, as evidenced by reduced prostanoid synthesis after arachidonic acid substrate addition.
Conclusions:
- Propofol suppresses cyclooxygenase activity, thereby reducing prostanoid production.
- This mechanism suggests propofol may modulate inflammation and potentially enhance immune responses.
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