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Vol. 293, Issue 1, 206-213, April 2000
Department of Pathophysiological Biochemistry, Graduate School of Pharmaceutical Sciences, Tohoku University, Aoba Aramaki, Aoba-ku, Sendai, Miyagi, Japan
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Abstract |
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The possible participation of phosphatidylinositol (PI) 3-kinase, p44/42 mitogen-activated protein (MAP) kinases and protein kinase C (PKC) in staurosporine-induced prostaglandin E2 (PGE2) production was investigated pharmacologically in rat peritoneal macrophages. When the cells were incubated in the presence of staurosporine (63 nM), phosphorylation of p44/42 MAP kinases and cytosolic phospholipase A2 (cPLA2) was induced at 15 min and increased until 60 min, whereas PGE2 production and expression of cyclooxygenase-2 (COX-2) protein began to increase at 2 h and increased thereafter. Both PD98059 and U0126, MAP kinase/extracellular signal-regulated kinase (ERK) kinase inhibitors, and LY294002, a PI 3-kinase inhibitor, inhibited staurosporine-induced phosphorylation of p44/42 MAP kinases and cPLA2 and PGE2 production. Moreover, U0126 inhibited staurosporine-induced arachidonic acid release at 1 h. Although PD98059 and U0126 at 30 µM partially inhibited staurosporine-induced COX-2 protein expression, they completely inhibited staurosporine-induced PGE2 production. LY294002 at 100 µM did not inhibit staurosporine-induced expression of COX-2 protein. In contrast, Ro-31-8220, a PKC inhibitor, completely inhibited staurosporine-induced PGE2 production and COX-2 protein expression at 8 h but did not inhibit staurosporine-induced phosphorylation of p44/42 MAP kinases and cPLA2. These findings suggest that staurosporine induces PGE2 production by two mechanisms. One is cPLA2 phosphorylation through a signal transduction pathway from PI 3-kinase to p44/42 MAP kinases, by which arachidonic acid, a substrate for COX-1 and COX-2, is increased. The other is COX-2 protein expression, which is induced mainly by activation of PKC and partially by activation of p44/42 MAP kinases; thus, arachidonic acid is metabolized to PGE2.
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Introduction |
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Prostaglandin
E2 (PGE2) is an important
chemical mediator of inflammation. At the inflammatory site,
macrophages produce a large amount of PGE2 (Humes
et al., 1977
), which causes pain (Ferreira et al., 1982
) and an
increase in vascular permeability (Williams and Morley, 1973
). For
PGE2 production, phospholipase
A2 (PLA2) and
cyclooxygenase (COX) are responsible, and in the former, two classes of
PLA2, the high molecular weight
(Mr 85,000 to 110,000) cytosolic PLA2 (cPLA2)
(Chen et al., 1997
) and the Mr 14,000 secretory type II PLA2 (Murakami et al., 1996
),
are involved. In human monocytes, treatment with anti-sense
cPLA2 decreased lipopolysaccharide-induced PGE2 production (Roshak et al., 1994
). In the
P388D1 macrophage cell line,
cPLA2 regulates the activity of secretory type II
PLA2 in platelet-activating factor-induced
arachidonic acid release (Balsinde and Dennis, 1996
). These reports
suggest that cPLA2 plays an important role in
prostanoid formation in monocytes and macrophages.
Staurosporine, a nonspecific inhibitor of protein kinases (Tamaoki et
al., 1986
), induces interleukin-8 (IL-8) production in human synovial
fibroblasts (Jordan et al., 1996
), macrophage inflammatory protein-2
production in rat peritoneal polymorphonuclear leukocytes (Edamatsu et
al., 1997
; Xiao et al., 1999
), and IL-6 production in rat peritoneal
macrophages (Yamaki and Ohuchi, 1999
). We also described that
staurosporine induces arachidonic acid release and
PGE2 production in rat peritoneal macrophages
(Watanabe et al., 1990
). In addition, it has been demonstrated that
staurosporine induces PGE2 production via
up-regulation of COX-2 protein expression in rat alveolar macrophages
(Moon et al., 1995
). At the inflammatory site, COX-2 protein is induced
by various inflammatory stimuli such as cytokines and growth factors
(Kujubu et al., 1991
), and the increase in COX-2 protein expression
exacerbates inflammatory responses by producing proinflammatory
prostanoids. Therefore, for the suppression of inflammation, inhibitors
of COX-2 protein expression might be useful as well as COX-2-specific
inhibitors such as NS-398 (Futaki et al., 1994
).
This study was intended to clarify pharmacologically the mechanism of action of staurosporine on the activation of cPLA2 and COX-2 protein expression by focusing on the roles of various kinases in rat peritoneal macrophages.
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Materials and Methods |
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Preparation of Rat Peritoneal Macrophages.
A solution of
soluble starch (Wako Pure Chemical Inc., Osaka, Japan) and BACTO
Peptone (Difco Laboratories, Detroit, MI), 5% each, that had
been autoclaved at 120°C for 15 min was injected i.p. into male
Sprague-Dawley rats (300-500 g, specific pathogen-free; Charles River
Japan Inc., Kanagawa, Japan) at a dose of 5 ml/100 g b.wt. Four
days later, the rats were sacrificed by cutting the carotid artery
under anesthesia, and the peritoneal cells were harvested (Ohuchi et
al., 1985
). The rats were treated in accordance with procedures
approved by the Animal Ethics Committee of the Graduate School of
Pharmaceutical Sciences, Tohoku University, Sendai, Japan.
Macrophage Culture. The peritoneal cells were harvested from four to five rats in each set of experiments. They were combined, mixed, and suspended in Eagle's minimum essential medium (Nissui Inc., Tokyo, Japan) containing 10% (v/v) calf serum (Dainippon Pharmaceutical Co., Osaka, Japan), penicillin G potassium (Meiji Seika Co., Tokyo, Japan) (18 µg/ml), and streptomycin sulfate (Meiji Seika Co.) (50 µg/ml) at a density of 1.5 × 106 cells/ml of the medium. Two milliliters of the cell suspension was poured into each well of a 6-well plastic tissue culture plate (Corning Coster, Cambridge, MA) or 500 µl of the cell suspension was poured into each well of a 24-well plastic tissue culture plate (Corning Coster). The cells were incubated for 2 h at 37°C. The wells were then washed three times to remove nonadherent cells, and the adherent cells were further incubated for 20 h at 37°C, after which the cells were used for the experiments.
Drugs Used.
Drugs used were staurosporine (Kyowa Medex,
Tokyo, Japan), PD98059 (New England Biolabs, Inc., Beverly, MA),
Ro-31-8220 (Calbiochem Novabiochem Japan, Tokyo, Japan), LY294002
(BIOMOL Research Laboratories, Plymouth Meeting, PA), and
12-O-tetradecanoylphorbol 13-acetate (TPA; Sigma Chemical
Co., St. Louis, MO). Drugs were dissolved in dimethyl sulfoxide (DMSO;
Wako Pure Chemical Co.), an aliquot of each solution was added to the
medium, and the final concentration of DMSO in the medium was adjusted
to 0.2% (v/v). The control medium contained the same amount of the
vehicle. To down-regulate protein kinase C (PKC), the peritoneal cells
were incubated for 20 h at 37°C in medium containing TPA at 816 µM (Yahata et al., 1999
).
Viability Assay.
The viability of the macrophages was
assessed by the ability of mitochondrial succinate dehydrogenase to
cleave 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide
(MTT) to the blue compound formazan (Kobayashi et al., 1994
). After
incubation for 4 h at 37°C with drugs, 10 µl of MTT solution
(5 mg/ml) in PBS (137 mM NaCl, 8.1 mM
Na2HPO4, 2.68 mM KCl, 1.47 mM KH2PO4, pH 7.4) was
added to each well and the cells were further incubated for 4 h at
37°C. After removal of the medium by aspiration, the resultant
colored product was dissolved in 200 µl of DMSO directly added to
each well, and the optical density at 570 nm was read on a Microplate
Reader (Bio-Rad, Richmond, CA). Treatment with drugs showed no
significant changes in the viability of the cells.
Measurement of PGE2 Concentrations.
Rat
peritoneal macrophages (0.75 × 106 cells)
were incubated at 37°C for the periods indicated in 0.5 ml of medium
in each well of a 24-well plastic tissue culture plate. The conditioned medium was collected and centrifuged at 1500g and 4°C for
5 min, and PGE2 concentrations in the supernatant
fraction were radioimmunoassayed (Ohuchi et al., 1985
).
PGE2 antiserum was purchased from PerSeptive Diagnostics (Cambridge, MA).
Western Blot Analysis of p44/42 Mitogen-Activated Protein (MAP) Kinases, cPLA2, and COX-2. For Western blot analysis of p44/42 MAP kinase and cPLA2, 3.0 × 106 peritoneal macrophages were incubated in each well of a 6-well plastic tissue culture plate at 37°C for the periods indicated in medium containing no calf serum in the presence or absence of drugs. For Western blot analysis of COX-2, 3.0 × 106 peritoneal macrophages were incubated in each well of a 6-well plastic tissue culture plate at 37°C for the periods indicated in medium containing 10% calf serum (v/v) in the presence or absence of drugs. After incubation, the cells were washed three times with PBS and lysed in ice-cold lysis buffer [20 mM HEPES, 1% (v/v) Triton X-100, 1 mM EDTA, 50 mM NaF, 2.5 mM p-nitrophenyl phosphate, 1 mM Na3VO4, 10 µg/ml leupeptin, and 10% (v/v) glycerol, pH 7.3]. Proteins in the cell lysate were separated by electrophoresis on SDS-polyacrylamide gels and transferred onto a nitrocellulose membrane. Immunoblotting was carried out by using antibodies to COX-2 (C-20) (Santa Cruz Biotechnology Inc., Santa Cruz, CA), cPLA2 (C-20) (Santa Cruz Biotechnology Inc.), phospho-p44/42 MAP kinase (Thr202/Tyr204) (New England Biolabs Inc., Beverly, MA), and rat MAP kinase R2 (erk1-CT) (Upstate Biotechnology Inc., Lake Placid, NY). In some experiments, phosphorylation of p44/42 MAP kinases was determined by gel shift assay.
Measurement of Radioactivity Released from [3H]Arachidonic Acid-Labeled Macrophages. The peritoneal cells (1.5 × 106 cells/well) were incubated in each well of a 12-well plastic tissue culture plate at 37°C for 2 h. The wells were then washed three times to remove nonadherent cells, and the adherent cells were further incubated for 20 h at 37°C in 1 ml of medium containing 10% calf serum and 9.25 kBq of [3H]arachidonic acid (2.26 TBq/mmol; New England Nuclear, Boston, MA). The adherent cells were washed three times with medium to remove free [3H]arachidonic acid and incubated for 1 h in 1 ml of medium in the presence or absence of staurosporine (63 nM) and U0126 (10 µM). The conditioned medium was centrifuged at 1500g and 4°C for 5 min, and the radioactivity in the supernatant fraction was determined.
Statistical Analysis. The statistical significance of the results was analyzed by Dunnett's test for multiple comparisons and Student's t test for unpaired observations.
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Results |
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Time Course of PGE2 Production and COX-2 Protein
Expression.
When rat peritoneal macrophages were incubated in the
presence of 63 nM staurosporine, PGE2 production
in the conditioned medium began to increase at 2 h, and thereafter
increased time dependently until 8 h (Fig.
1A). In the absence of staurosporine, PGE2 concentrations in the conditioned medium did
not increase (Fig. 1A).
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Time Course of Phosphorylation of p44/42 MAP Kinases and
cPLA2.
By treatment with staurosporine (63 nM),
phosphorylation of p44/42 MAP kinases was induced 15 min after
incubation and continued to increase time dependently until 60 min
after incubation (Fig. 2A). Without
treatment with staurosporine, no phosphorylation of p44/42 MAP kinases
was observed during the incubation period (Fig. 2A). Phosphorylation of
cPLA2 was also observed at 15 min and increased
time dependently until 60 min after incubation with staurosporine (Fig.
2B). No phosphorylation of cPLA2 was induced without staurosporine treatment (Fig. 2B).
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Effects of PD98059 and U0126, MAP Kinase/ERK Kinase (MEK)
Inhibitors, on Staurosporine-Induced Phosphorylation of p44/42 MAP
Kinases and cPLA2, COX-2 Expression, and PGE2
Production.
Staurosporine-induced phosphorylation of p44/42 MAP
kinases at 15 min was suppressed by PD98059 at a concentration of 1 µM or greater (Fig. 3A).
Staurosporine-induced PGE2 production at 8 h
was also inhibited by PD98059 in a concentration-dependent manner (Fig.
4A), and staurosporine-induced
phosphorylation of cPLA2 at 45 min was inhibited
by PD98059 at a concentration of 1 µM or greater (Fig. 3B). However,
PD98059 at 10 µM did not suppress the staurosporine-induced
expression of COX-2 protein at 8 h (Fig. 4B), at which
concentration PD98059 inhibited staurosporine-induced PGE2 production completely (Fig. 4A). At 30 µM,
PD98059 partially suppressed the staurosporine-induced COX-2 protein
expression (Fig. 4B).
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Effects of U0126 on the Staurosporine-Induced Release of
Radioactivity from [3H]Arachidonic Acid-Labeled
Macrophages.
Staurosporine (63 nM) increased the release of
radioactivity from [3H]arachidonic acid-labeled
macrophages when determined at 1 h (Fig.
6). Staurosporine-induced increase in the
release of radioactivity from [3H]arachidonic
acid-labeled macrophages was suppressed by U0126 in a
concentration-dependent manner (Fig. 6).
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Effects of LY294002, a Phosphatidylinositol (PI) 3-Kinase
Inhibitor, on Staurosporine-Induced Phosphorylation of p44/42 MAP
Kinases and cPLA2, PGE2 Production, and COX-2
Protein Expression.
Staurosporine-induced phosphorylation of
p44/42 MAP kinases was suppressed by LY294002 in a
concentration-dependent manner (Fig. 7A).
LY294002 also suppressed staurosporine-induced
cPLA2 phosphorylation, but a maximum 50%
inhibition was attained at 100 µM (Fig. 7B). In contrast, LY294002
did not suppress staurosporine-induced COX-2 protein expression at
8 h (Fig. 8B) but inhibited
PGE2 production at 8 h in a
concentration-dependent manner (Fig. 8A).
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Effects of Ro-31-8220, a Specific Inhibitor of PKC, on
Staurosporine-Induced Phosphorylation of p44/42 MAP Kinases and
cPLA2, PGE2 Production, and COX-2 Protein
Expression.
Staurosporine-induced phosphorylation of p44/42 MAP
kinases was not suppressed by Ro-31-8220 at 1 to 10 µM (Fig.
9C). Phosphorylation of
cPLA2 induced by staurosporine also was not
suppressed by Ro-31-8220 (data not shown). However,
staurosporine-induced COX-2 protein expression (Fig. 9B) and
PGE2 production (Fig. 9A) were suppressed dose
dependently, and complete inhibition was induced at 10 µM Ro-31-8220.
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Effects of PKC Down-Regulation on Staurosporine-Induced
Phosphorylation of p44/42 MAP Kinases, COX-2 Protein Expression, and
PGE2 Production.
Rat peritoneal macrophages were
treated with TPA (816 nM) for 20 h to induce down-regulation of
PKC. In the PKC down-regulated macrophages, TPA (47 nM) treatment
failed to induce PGE2 production (Fig.
10), phosphorylation of p44/42 MAP
kinases (Fig. 11A), and COX-2 protein
expression (Fig. 11B). In contrast, staurosporine (63 nM) induced
PGE2 production (Fig. 10), phosphorylation of
p44/42 MAP kinases (Fig. 11A), and COX-2 protein expression (Fig. 11B).
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Discussion |
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This study suggested that staurosporine induces PGE2 production via two different mechanisms. One is stimulation of arachidonic acid release by cPLA2 phosphorylation through activation of PI 3-kinase followed by phosphorylation of p44/42 MAP kinases; the other is induction of COX-2 protein mainly by activation of PKC and partially by activation of p44/42 MAP kinases.
cPLA2 is activated by phosphorylation;
phosphorylated cPLA2 has four to five times the
activity of nonphosphorylated cPLA2 (Lin et al.,
1993
). In this paper, we described that cPLA2 is phosphorylated 15 min after treatment with staurosporine and the phosphorylation continues to increase until 45 min (Fig. 2B). This is
consistent with the finding that staurosporine induces arachidonic acid
release at 1 h in rat peritoneal macrophages (Watanabe et al.,
1990
). As shown in Fig. 1, COX-2 protein expression and
PGE2 production were increased by staurosporine
2 h after incubation. These findings suggest that the arachidonic
acid released by activated cPLA2 is converted
into PGE2 by staurosporine-induced COX-2. Before
the expression of COX-2 by staurosporine, it is possible that the
released arachidonic acid is converted into PGE2
by pre-existing COX-1. Western blot analysis demonstrated that COX-1
protein is detected in rat peritoneal macrophages before stimulation
with TPA or thapsigargin (Yamashita et al., 1997
).
The MAP kinase cascade, including p44/42 MAP kinases is an important
signal transduction pathway for the stimulation of arachidonic acid
metabolism; it participates in cPLA2
phosphorylation in Chinese hamster ovary cells (Lin et al., 1993
) and
COX-2 gene expression in NIH 3T3 cells (Xie and Herschman, 1996
). It is
also reported that the MAP kinase cascade is activated by PKC in Cos
cells (Berra et al., 1995
) and by PI 3-kinase in mouse lymph node T
cells (Eder et al., 1998
). Therefore, we examined the roles of PI
3-kinase, p44/42 MAP kinases, and PKC in the staurosporine-induced
increase in arachidonic acid metabolism.
The PI 3-kinase inhibitor LY294002 and the MEK inhibitors PD98059 and
U0126 suppressed staurosporine-induced phosphorylation of p44/42 MAP
kinases (Figs. 3A, 5A, and 7A), but the PKC inhibitor Ro-31-8220 had no
effect (Fig. 9C), suggesting that the MAP kinase cascade is activated
by PI 3-kinase but not by PKC in rat peritoneal macrophages. LY294002,
PD98059, and U0126 also suppressed staurosporine-induced cPLA2 phosphorylation (Figs. 3B, 5B, and 7B).
Therefore, it is possible that staurosporine activates PI 3-kinase and
transduces signals to activate p44/42 MAP kinases, thus phosphorylating
cPLA2. However, it is also possible that PI
3-kinase regulates staurosporine-induced PGE2
production by some unknown pathway other than a PI 3-kinase
p44/42
MAP kinases
cPLA2 pathway, because
staurosporine-induced PGE2 production was
completely suppressed by the PI 3-kinase inhibitor LY294002 (Fig. 8A),
although staurosporine-induced phosphorylation of
cPLA2 was only partially inhibited (Fig. 7B).
There are conflicting reports on the activation of p44/42 MAP kinases
by PI 3-kinase. In Chinese hamster ovary cells, the activation of
p44/42 MAP kinases by platelet-derived growth factor is dependent on PI
3-kinase, but in Swiss 3T3 cells, the activation depends not on PI
3-kinase but on PKC (Duckworth and Cantley, 1997
). PKC-dependent
activation of MAP kinase cascade is also reported in Cos cells (Berra
et al., 1995
). However, in mouse lymph node T cells, the MAP kinase
cascade is activated by PI 3-kinase (Eder et al., 1998
). In this study,
we demonstrated that PI 3-kinase, but not PKC, plays a significant role
in staurosporine-induced phosphorylation of p44/42 MAP kinases in rat
peritoneal macrophages. Thus, the role of PI 3-kinase and PKC in the
activation of p44/42 MAP kinases seems to vary with type of cell.
In contrast, the staurosporine-induced COX-2 protein expression was
suppressed by the PKC inhibitor Ro-31-8220 (Fig. 9B), but not by the PI
3-kinase inhibitor LY294002 (Fig. 8B). The MEK inhibitors PD98059 and
U0126 partially inhibited the staurosporine-induced COX-2 protein
expression (Figs. 4B and 5D). According to Beltman et al. (1996)
, the
PKC inhibitor Ro-31-8220 inhibits MAP kinase phosphatase-1, which
inactivates p44/42 MAP kinases. However, as shown in Fig. 9, Ro-31-8220
inhibited the staurosporine-induced COX-2 protein expression without
affecting the phosphorylation of p44/42 MAP kinases. Therefore,
inhibition of MAP kinase phosphatase-1 might not be involved in the
mechanism for the inhibition by Ro-31-8220 of the staurosporine-induced
COX-2 protein expression. Because staurosporine induces phosphorylation
of other MAP kinases such as c-Jun N-terminal kinase (Yao et al., 1997
)
and p38 MAP kinase (Xiao et al., 1999
), of which activation causes
increase in the expression of COX-2 gene (Xie and Herschman, 1995
) and
COX-2 protein (Ridley et al., 1997
), it is possible that several
different MAP kinase pathways are partially involved in the
staurosporine-induced COX-2 protein expression. But these findings
indicate that PKC plays a significant role in the expression of COX-2
protein induced by staurosporine.
Staurosporine-induced expression of COX-2 protein was abrogated
completely by the PKC inhibitor, Ro-31-8220 (Fig. 9B), but only
slightly inhibited by down-regulation of PKC (Fig. 11B).
Down-regulation of PKC by TPA treatment occurs specifically in the cPKC
and nPKC isoforms (Yahata et al., 1999
). On the other hand, Ro-31-8220 can inhibit all isozymes of PKC, including aPKC
(Limatola et al.,
1994
). Therefore, it is suggested that aPKC
, which is not down-regulated by TPA treatment (Yahata et al., 1999
) but inhibited by
Ro-31-8220 (Limatola et al., 1994
), is exclusively responsible for the
staurosporine-induced expression of COX-2 protein. In support of this,
in IL-1-stimulated rat renal mesangial cells, activation of aPKC
induces NF-kB-dependent expression of COX-2 protein (Rzymkiewicz et
al., 1996
).
The mechanism for the aPKC
activation by staurosporine at lower
concentrations has not been clarified. However, it is reported that
staurosporine induces translocation of cPKC (Wolf and Baggiolini, 1988
), nPKC (Sawai et al., 1997
), and aPKC (O'Connell et al., 1997
)
from the cytosol to the membrane as the PKC activator TPA does (Kraft
and Anderson, 1983
). In addition, it is also reported that
staurosporine, at less than 100 nM concentrations, inhibits cPKC and
nPKC but does not inhibit aPKC (Geiges et al., 1997
). Therefore, aPKC
might play a significant role in staurosporine-induced events at lower concentrations.
Additional investigation is necessary to clarify the target molecules
of staurosporine, because such molecules seem to be very important for
the induction of many cellular functions in a variety of cells. For
example, staurosporine induces neurite outgrowth of PC12 cells
(Hashimoto and Hagino, 1989
), macrophage inflammatory protein-2
production in rat peritoneal neutrophils (Edamatsu et al., 1997
; Xiao
et al., 1999
), and IL-6 production in rat peritoneal macrophages
(Yamaki and Ohuchi, 1999
). It is reported that Ras activates PI
3-kinase (Sjölander et al., 1991
) and PKC (Dominguez et al.,
1992
). Therefore, Ras might be a candidate for the target molecules of
staurosporine. In NIH 3T3 cells, staurosporine activates the
stress-responsive protein kinases, Krs-1 and Krs-2 (Taylor et al.,
1996
), which are related to Ste20p encoding a serine/threonine kinase
that acts upstream of MEK kinase in the pheromone-responsive MAP kinase
pathway and other pathways in yeast. Therefore, Krs-1 and Krs-2 might
regulate activation of the PI 3-kinase
p44/42 MAP kinases
pathway by staurosporine.
In conclusion, our findings suggest that staurosporine induces
PGE2 production by two independent pathways, a PI
3-kinase
p44/42 MAP kinases
cPLA2
pathway, and a PKC
COX-2 pathway.
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Footnotes |
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Accepted for publication December 30, 1999.
Received for publication June 14, 1999.
1 The study was supported in part by a Grant-in-Aid for Scientific Research (B) (11470481) from the Ministry of Education, Science, Sports and Culture of Japan.
Send reprint requests to: Kazuo Ohuchi, Ph.D., Prof., Department of Pathophysiological Biochemistry, Graduate School of Pharmaceutical Sciences, Tohoku University, Aoba Aramaki, Aoba-ku, Sendai, Miyagi 980-8578, Japan. E-mail: ohuchi-k{at}mail.pharm.tohoku.ac.jp
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Abbreviations |
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PGE2, prostaglandin E2; COX, cyclooxygenase; PLA2, phospholipase A2; cPLA2, cytosolic phospholipase A2; DMSO, dimethyl sulfoxide; MAP, mitogen-activated protein; ERK, extracellular signal-regulated kinase; MEK, mitogen-activated protein kinase/ERK kinase; PI, phosphatidylinositol; PKC, protein kinase C; TPA, 12-O-tetradecanoylphorbol 13-acetate; IL-8, interleukin-8.
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