心筋の炎症シグナル伝達に対するアムリノンとミルリノンの異なる効果
Nikhil K Chanani1, Douglas B Cowan, Koh Takeuchi
1Department of Anesthesia, Children's Hospital and Harvard Medical School, Boston, Mass 02115, USA.
Circulation
|October 2, 2002
まとめ
アムリノンは,核因子カッパB (NFkappaB) の活性化と炎症誘発性サイトカイン生成を抑制することによって,心臓の炎症を軽減します. しかし,ミルリノンは,心臓筋細胞におけるこれらの炎症反応を悪化させる.
科学分野:
- 心血管生物学 心血管生物学
- 炎症の研究 炎症の研究
- 薬理学 薬理学とは
背景:
- 系統的および局所的炎症性サイトカインは,イシュケミア-再流血および心不全などの状態における心筋機能不全と関連しています.
- リン酸エステルゼ阻害剤 (PDEI) はこれらの状態で使用され,炎症シグナル伝達を調節する可能性があるが,そのメカニズムは不明である.
研究 の 目的:
- 心臓細胞の炎症反応に対するアムリノンとミルリノンの影響を調査する.
- これらのフォスフォディエステラーゼ阻害剤が炎症信号伝達経路に影響を与えるメカニズムを解明する.
主な方法:
- ネズミの原発性心筋細胞培養は,リポポリサッカリド (LPS) または腫瘍死滅因子アルファ (TNF-alpha) を含めたり含まないか,アミニノンまたはミルリノンで治療した.
- 核因子カッパB (NFkappaB),酸化窒素合成酵素 (iNOS),サイクロオキシゲネーゼ-2 (COX-2),および電離性移動シフトアッセイ,ウエスタン・イムノブロッティング,ELISAを用いたサイトカイン生成の調節を評価した.
- これらの効果を媒介するサイクルアデノシンモノフォスファート (cAMP) とサイクルグアナシンモノフォスファート (cGMP) の役割を調査した.
主要な成果:
- アムリノンは,LPS/TNF-α誘発のNFkappaB活性化,iNOS,およびサイトカイン生成を著しく低下させたが,COX-2発現を低下させたわけではない.
- ミルリノンはNFkappaBの転位,iNOSとCOX-2の発現,そしてインタールイキン-1βの産生を増加させた.
- 細胞に浸透するcAMPは炎症性遺伝子発現を模倣し,cGMPは効果がなかったため,アミノンの作用は単にリン酸エステラゼ抑制によるものではないことを示唆しています.
結論:
- アムリノンは,NFkappaBの活性化と心臓細胞の炎症誘発性サイトカインの産生を低下させることで,抗炎症効果を示しています.
- ミルリノンは炎症抑制効果を示し,主要な炎症マーカーとサイトカインの産生を増加させる.
- これらの発見は,PDEIが心臓の炎症信号伝達経路に与える影響の違いを強調しています.
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