The immunosuppressive effects of nicotine during human mixed lymphocyte reaction

Hideo K Takahashi1, Hiromi Iwagaki, Ryosuke Hamano

  • 1Department of Pharmacology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama 700-8558, Japan.

Insights

Nicotine inhibits interleukin-18-induced immune responses, including adhesion molecule expression, cytokine production, and lymphocyte proliferation, via the nicotinic acetylcholine receptor alpha7 subunit. These effects involve prostaglandin E2 and cyclooxygenase-2 pathways.

Area of Science:

  • Immunology
  • Pharmacology

Background:

  • Cell-to-cell interactions via molecules like ICAM-1 and B7 on monocytes and T-cells are crucial for immune responses.
  • Interleukin-18 (IL-18) elevates during organ transplant rejection and promotes immune cell activation, including ICAM-1 expression and lymphocyte proliferation.
  • Nicotine's known anti-inflammatory effects on macrophages involve the nicotinic acetylcholine receptor alpha7 subunit.

Purpose of the Study:

  • To investigate nicotine's impact on IL-18-stimulated immune cell interactions.
  • To determine nicotine's effect on adhesion molecule expression, cytokine production (IFN-gamma, IL-12), and lymphocyte proliferation in mixed lymphocyte reactions.
  • To elucidate the role of the nicotinic acetylcholine receptor alpha7 subunit and prostaglandin E2 in nicotine's immunomodulatory actions.

Main Methods:

  • Mixed lymphocyte reactions were treated with IL-18 and varying concentrations of nicotine (0.1–100 microM).
  • Expression of ICAM-1, B7.1, B7.2, and CD40, along with IFN-gamma and IL-12 production, were measured.
  • Lymphocyte proliferation was assessed, and the effects of nicotine antagonists (mecamylamine, alpha-bungarotoxin), COX-2, and PKA inhibitors were evaluated.

Main Results:

  • Nicotine significantly inhibited IL-18-induced ICAM-1 expression, IFN-gamma and IL-12 production, and lymphocyte proliferation.
  • The inhibitory effects of nicotine were blocked by antagonists of the nicotinic acetylcholine receptor alpha7 subunit.
  • Nicotine stimulated prostaglandin E2 production, and its actions were partially inhibited by COX-2 and PKA inhibitors.

Conclusions:

  • Nicotine exerts immunosuppressive effects on IL-18-mediated immune responses.
  • The nicotinic acetylcholine receptor alpha7 subunit and prostaglandin E2 signaling pathways are implicated in nicotine's immunomodulatory actions.
  • These findings suggest potential therapeutic roles for nicotine or its derivatives in managing immune-related conditions like transplant rejection.