Department of Pharmacology, Kitasato University School of Medicine
(K.H., M.K., M.O., M.M.), and Department of Mediator and Signal
Transduction Pharmacology, Kitasato University Graduate School of
Medical Sciences (N.M., Y.H.), Sagamihara, Japan; and Department of
Pharmacology, Nippon Boehringer Ingelheim Co., Ltd., Kawanishi Pharma
Research Institute (K.O.), Kawanishi, Japan
We prepared a pharmacological profile of FR167653
(1-[7- (4-fluorophenyl)-1,2,3,4-tetrahydro-8-(4-pyridyl)
pyrazolo[5,1-c][1,2,4]triazin-2-yl]-2-phenylethanedion sulfate
monohydrate), a cytokine synthesis inhibitor, on early (5 h after
irritation) and late (14-24 h after irritation) phases of rat
carrageenin-induced pleurisy and on mediator-induced plasma exudation,
in comparison with that of dexamethasone. In the early phase, FR167653
(30 mg/kg) and dexamethasone (0.3 mg/kg) equipotently suppressed plasma
exudation and leukocyte infiltration. Furthermore, both agents
significantly lowered the prostanoid levels in the exudate.
Expression of cyclooxygenase-2 protein on leukocytes in the early phase
of inflammation was not affected by dexamethasone, but it was
suppressed by FR167653. However, FR167653 did not significantly affect
the leukocyte mRNA level of cyclooxygenase-2. Both agents significantly
suppressed the levels of both tumor necrosis factor-
and
interleukin-1
. FR167653 had a different pharmacological profile from
dexamethasone in the late phase of this model in that, unlike dexamethasone, it did not affect cyclooxygenase-2 expression in mesothelial cells, the 6-keto-prostaglandin F1
level in
the exudate or hyperplasia of mesothelium. Furthermore, unlike
dexamethasone, FR167653 did not consistently inhibit mediator-induced
plasma exudation. These results suggest that FR167653 or one of its
analogs may be new candidates for therapy with a spectrum of activity distinct from that of current anti-inflammatory steroids.
 |
Introduction |
It
has been widely accepted that cytokines such as tumor necrosis
factor-
and interleukin-1, and also arachidonic acid metabolites, have an important role in inflammatory diseases such as rheumatoid arthritis, systemic lupus erythematosus, asthma, inflammatory bowel
disease, psoriasis, and other chronic inflammatory and autoimmune diseases. Glucocorticoids are potent anti-inflammatory agents widely
used in those inflammatory conditions. Glucocorticoids exert their
effects by binding to a cytoplasmic glucocorticoid receptor within the
target cells. The glucocorticoid-receptor complex then translocates to
the nucleus and modulates the expression of specific target genes in a
positive or negative manner, interfering with multiple signaling
pathways. Consequently, a wide variety of genes are regulated by
glucocorticoids (Barnes, 1998
; McKay and Cidlowski, 1999
).
Therefore, although glucocorticoids are effective for treatment of
inflammatory diseases, their use is limited by their severe adverse
effects, such as increased susceptibility to infection, osteoporosis,
delayed wound healing, and so on (Stein and Pincus, 1997
).
In recent years, pyridinyl imidazole derivatives have been reported as
a novel class of cytokine synthesis inhibitors (Lee et al., 1993
,
1994
). These agents inhibit the production of specific cytokines
including tumor necrosis factor-
, interleukin-1, interleukin-6, and
interleukin-8 in an in vitro system (Lee et al., 1993
). It is reported
that the target of these inhibitors is a pair of closely related
protein kinases, which are human homologs of p38 mitogen-activated protein kinase, termed cytokine-suppressive anti-inflammatory drug-binding protein (CSBP). The binding of these drugs inhibits CSBP
kinase activity and could be directly correlated with their ability to
inhibit cytokine production (Lee et al., 1994
). FR167653 is a pyridinyl
isoimidazole derivative and is shown to inhibit cytokine production
(Yamamoto et al., 1996
). It inhibits the expression of tumor necrosis
factor-
, interleukin-1
, and cyclooxygenase-2 in human blood
monocytes and alveolar macrophages (Kawano et al., 1999
) and also can
exert protective effects on lipopolysaccharide-induced disseminated
intravascular coagulation (Yamamoto et al., 1996
) and endotoxin-induced
shock (Yamamoto et al., 1997
) in animal models.
Rat carrageenin-induced pleurisy is the most widely accepted model
suitable for collection and analysis of cells and exudate from the
inflammatory site. Although, carrageenin pleurisy is a
neutrophil-dominated model, a number of reports have demonstrated that
neutrophils also have the ability to synthesize and release cytokines
(Cassatella, 1995
). Using this model, we have previously shown that a
high level of cyclooxygenase-2 is detectable from 3 to 7 h in
neutrophils and mononuclear leukocytes (Harada et al., 1994
, 1996
), and
from 9 to 24 h in pleural mesothelial cells (Hatanaka et al.,
1999
). In the early phase, selective cyclooxygenase-2 inhibitors
suppress plasma exudation and preferentially reduce the prostaglandin
E2 level, but not the level of 6-keto-prostaglandin F1
or of thromboxane B2 in the pleural
exudate, suggesting that prostaglandin E2 generated via
cyclooxygenase-2 by leukocytes in the exudate may play an important
role in plasma exudation. In addition, a lower dose of dexamethasone
(0.3 mg/kg) does not affect the cyclooxygenase-2 level, even showing
potent anti-inflammatory activity (Kawamura et al., 2000
). In the late
phase, selective cyclooxygenase-2 inhibitors lower the intrapleural
level of 6-keto-prostaglandin F1
, a stable metabolite of
prostaglandin I2, and inhibit hyperplasia of the pleural
matrix, suggesting that cyclooxygenase-2 expressed in mesothelial cells
may play a role in the synthesis of extracellular matrix through
formation of prostaglandin I2 (Hatanaka et al., 1999
).
In the present study, we evaluated the effects of FR167653 on the early
and late phases of rat carrageenin-induced pleurisy and on
mediator-induced plasma exudation, comparing them with those of
dexamethasone, to characterize its pharmacological profile.
 |
Materials and Methods |
Carrageenin Pleurisy.
All experiments were performed
according to the Guideline for Animal Experimentation of Kitasato
University. Pleurisy was induced in male Sprague-Dawley rats
(9-10-weeks old, specific pathogen free), purchased from Nippon SLC
(Hamamatsu, Japan), by intrapleural injection of 0.2 ml of 2%
-carrageenin (Zushi Chemical, Zushi, Japan) under light ether
anesthesia according to the method described previously (Harada et al.,
1996
). For early phase experiments, FR167653 (3, 10, 30 mg/kg; Fujisawa
Pharmaceutical Co., Ltd., Osaka, Japan) suspended with 1%
carboxymethyl cellulose in saline had been administered orally 1 h
before, and dexamethasone (0.3 mg/kg; Banyu Pharmaceutical Co., Ltd.,
Tokyo, Japan) had been intraperitoneally injected 2 h before the
injection of carrageenin. For late phase experiments, FR167653 (30 mg/kg, p.o.) and dexamethasone (0.3 mg/kg, i.p.) were administered
9 h after the induction of pleurisy, unless otherwise stated.
The rats were exsanguinated under ether anesthesia at given times. The
pleural exudate was harvested, and its volume was measured. The
harvested cells were washed twice with 10 mM phosphate-buffered saline
(pH 7.2) containing 1 mM EDTA by centrifugation at 200g for
5 min at 4°C, and the resulting cell pellet was immediately processed
for cyclooxygenase-2 mRNA measurement and stored at
80°C prior to
Western blot analysis for cyclooxygenase protein. The cells in
the exudate were counted using an improved Neubauer cell count plate
(Erma, Tokyo, Japan) after fixation with Turk's solution (Wako
Pure Chemicals, Osaka, Japan) and were classified under a light
microscope after being smeared on a glass slide and stained by the
Wright-Giemsa method. The surface of the parietal pleura of 14 h-pleurisy rats was scraped with a stainless steel spatula with 2 ml of
the phosphate-buffered saline containing 1 mM EDTA, and the lavage was
harvested (Hatanaka et al., 1999
). The harvested cells were washed
twice with the phosphate-buffered saline containing 1 mM EDTA by
centrifugation at 200g for 5 min and were stored at
80°C
for Western blotting analysis. A part of the parietal pleura was
dissected from 24-h pleurisy rats or normal control rats and fixed with
10% formalin solution for histological observation of the pleura.
Cross-sections (5-µm thickness) of paraffin-embedded pleural tissue
were stained with hematoxylin-eosin and examined under a light microscope.
In separate experiments, rats were intravenously injected with
pontamine sky blue (50 mg/kg; Tokyo Kasei, Tokyo, Japan) 20 min before
exsanguination for assessment of the plasma exudation rate (Harada et
al., 1996
). The amount of dye in the pleural exudate was measured
spectrophotometrically by absorption at 630 nm and normalized according
to the concentration of the dye in the serum. The detection limit for
the dye was approximately 2.5 µg/sample. For the prostanoid assay, 2 ml of saline solution containing 20 µM indomethacin and 15.4 mM EDTA
were injected into the pleural cavity immediately after exsanguination.
The pleural fluid was then collected and immediately frozen at
80°C
until clean-up. To determine the cytokines, pleural exudate was
harvested into a tube containing heparin. The harvested pleural exudate
was centrifuged at 200g for 5 min. The supernatant was
stored at
80°C until assay.
Prostanoid Assay.
The prostanoid level was determined as
described previously (Harada et al., 1996
). Briefly, the frozen pleural
fluid was thawed and centrifuged at 2000g for 10 min. The
supernatant was acidified to pH 3 with 1 N HCl and again centrifuged at
2000g for 10 min. The resulting supernatant was applied to a
Sep-Pak C18 column (Waters Associates, Milford,
MA). After the separation of prostaglandin E2, thromboxane
B2, and 6-keto-prostaglandin F1
by
high-performance liquid chromatography, prostanoid was assayed by
enzyme-immunoassay kits (Cayman Chemical, Ann Arbor, MI). The overall
recovery rates assessed by addition of authentic prostanoid to the
sample were 52.8 ± 2.2% (n = 13), 48.9 ± 1.8% (n = 13), and 43.0 ± 2.2%
(n = 13) for prostaglandin E2, thromboxane
B2, and 6-keto-prostaglandin F1
, respectively. The
detection limit for each prostanoid was approximately 0.1 to 0.06 ng/sample.
Measurement of Tumor Necrosis Factor-
and
Interleukin-1
.
The frozen cell-free supernatant of the exudate
was thawed, and tumor necrosis factor-
and interleukin-1
were
determined by enzyme-immunoassay kits (BioSource, Camarillo, CA).
Western Blot Analysis.
Western blot analysis for
cyclooxygenase-1 and cyclooxygenase-2 was performed by the method
described previously (Harada et al., 1994
). In brief, the frozen cells
collected from the exudate and parietal pleura were thawed and
suspended in 20 mM Tris-HCl buffer (pH 7.4), containing 5 mM tryptophan
and 2 mM phenylmethyl sulfonyl fluoride (Wako Pure Chemicals), and then
sonicated for 1 min at 4°C. The homogenate was then solubilized in
0.5% Tween 20 and centrifuged at 140,000g for 1 h at
4°C. The resulting supernatant was diluted with an equal volume of a
sampling buffer of the following composition: 0.1 M Tris-HCl (pH 6.8),
20% glycerol, 0.1 mg/ml methyl green, and 2% sodium dodecyl sulfate.
The solubilized protein (40-50 µg of protein/lane) was subjected to
sodium dodecyl sulfate-polyacrylamide gel electrophoresis and then
transferred to a polyvinylidene difluoride membrane (Millipore
Corporation, Bedford, MA). After blocking with Block Ace (Dainippon
Pharmaceutical Co., Osaka, Japan), the blot membrane was incubated with
rabbit antibovine cyclooxygenase-1 antiserum (Ishimura et al., 1993
) or
rabbit antimurine cyclooxygenase-2 antiserum (Cayman Chemical). Then,
after incubation with goat antirabbit immunoglobulin conjugated with
horseradish peroxidase (Organon Teknika N.V.-Cappel Products, Durham,
NC), the membrane was stained with Konica immunostain HRP-1000 (Konica,
Tokyo, Japan).
Cyclooxygenase-2 mRNA Measurement.
The reverse transcription
and competitive polymerase chain reaction (PCR) was used to measure
cyclooxygenase-2 mRNA. The total RNA of the exudate cell pellet
(approximately 4 × 107 cells) from a 5-h
pleurisy rat was extracted in Isogen (Nippon Gene, Tokyo, Japan), a
mixture of guanidinium isothiocyanate and phenol (Chomczynski and
Sacchi, 1987
). The yield of RNA extracted was determined
spectrophotometrically. Two micrograms of each sample was
reverse-transcribed at 42°C for 1 h in buffer (50 mM Tris-HCl,
pH 8.3, 75 mM KCl, 8 mM MgCl2, and 10 mM
dithiothreitol) containing 2.5 µM random hexamer oligonucleosides
(TaKaRa Biomedicals, Shiga, Japan), 10 units of reverse transcriptase
(RAV-II; TaKaRa Biomedicals), each of the 2'-deoxynucleoside
5'-triphosphates at 1 mM and 20 units of RNase inhibitor (TaKaRa Biomedicals).
Competitive PCR amplification was performed in buffer (10 mM Tris-HCl,
pH 8.3, 50 mM KCl, and 1.5 mM MgCl2) containing
200 µM each 2'-deoxynucleoside 5'-triphosphate, 0.4 µM each primer, and 0.625 units of Taq polymerase (TaKaRa Biomedicals), cDNA
from the reverse transcription reaction and mimic DNA (10-fold serial dilutions of mimic DNA; 102 to
107 copies/tube). The sequences of
cyclooxygenase-2 primers were 5'-TAC AAG CAG TGG CAA AGG C-3' (sense)
and 5'-CAG TAT TGA GGA GAA CAG ATG GG-3' (antisense) (Chen et al.,
1999
). The PCR product was 304 base pairs. PCR was performed for 40 cycles using a thermal cycler (GeneAmp PCR system 2400, PerkinElmer
Instruments, Norwalk, CT), each cycle consisting of 30 s at
94°C, 30 s at 60°C, and 1 min at 72°C. Target cDNA was
coamplified with a dilution series of mimic DNA (competitor DNA). PCR
products were run on a 3% agarose gel and stained with ethidium
bromide. The unknown quantity of target cDNA was semiquantitatively
determined from the amounts of target cDNA and mimic cDNA present with
equal band intensity in each lane by assessing the intensity of the
bands (Kishimoto et al., 1997
). The gene for
-actin was used as an
internal control. The sequences of
-actin primers were 5'-TAC CAC
TGG CAT TGT GAT GG-3' (sense) and 5'-TTA ATG TCA CGC ACG ATT TC-3'
(antisense), respectively (Kishimoto et al., 1997
). The PCR product was
198 base pairs. PCR was performed for 35 cycles, each cycle consisting of 30 s at 94°C, 30 s at 55°C, and 1 min at 72°C. Mimic
DNAs were DNA fragments, which were used as competitors in PCR
amplification. The mimic DNAs for cyclooxygenase-2 and
-actin gene
were prepared using a competitive DNA construction kit (TaKaRa
Biomedicals) according to the manufacturer's instructions. The PCR
products were 362 base pairs for mimic cyclooxygenase-2 and 237 base
pairs for mimic
-actin.
Mediator-Induced Plasma Exudation.
Male Sprague-Dawley rats
(9-10-weeks old, specific pathogen-free; Nippon SLC) were anesthetized
with pentobarbital (50 mg/kg, s.c.; Abbott Lab., North Chicago, IL) and
were intravenously injected with pontamine sky blue (50 mg/kg; Tokyo
Kasei). Intradermal injection of various doses of histamine or
bradykinin in 0.1 ml of Tyrode's solution were started 5 min after
injection of the dye into the shaved abdominal skin at 8 to 10 sites
for each rat. The rats were sacrificed by exsanguination 40 min after
the end of the injection of mediators. The exuded dye at each site was
extracted by the method of Katayama et al. (1978)
, and its amounts were measured by spectrophotometry. FR167653 (30 mg/kg, p.o.) or
dexamethasone (0.3 mg/kg, i.p.) was administered 30 min before
injection of the mediators.
Data Analysis.
Results were expressed as the mean ± S.E.M. from n experiments. Fisher's or Scheffe's test was
used to evaluate significant differences between means. A P
value of less than 0.05 was considered statistically significant and is
indicated by an asterisk in the figures.
 |
Results |
Effects in the Early Phase of Pleurisy.
The amount of pleural
fluid collected from normal control rats was 0.04 ± 0.01 ml
(n = 6) and that of pontamine sky blue that leaked into
the pleural cavity after intravenous injection over 20 min was
2.89 ± 0.32 µg (n = 7). The total count of
leukocytes harvested from the lavage fluid from the pleural cavity of
normal control rats was 11.40 ± 0.94 × 106 cells (n = 12). Mononuclear
leukocytes accounted for 72.6 ± 2.6%. The remaining cells
included eosinophils (12.8 ± 1.1%), mast cells (8.0 ± 0.9%), and neutrophils (3.5 ± 0.7%). These parameters were not
significantly affected by pretreatment with FR167653 or dexamethasone (data not shown). Intrapleural injection of carrageenin caused the
accumulation of a volume of pleural exudate that reached 1.57 ± 0.12 ml (n = 11), and the plasma exudation rate,
estimated from the exuded dye amount, reached 167 ± 13 µg
(n = 11) 5 h after the injection. The total
leukocyte count was 157 ± 15 × 106
(n = 6), with 91.4 ± 1.3% of neutrophils and
6.0 ± 0.5% of mononuclear leukocytes, 5 h after pleurisy
induction. FR167653 (3, 10, 30 mg/kg) dose dependently suppressed both
the accumulation of pleural exudate and the plasma exudation rate
5 h after carrageenin injection, as did dexamethasone (0.3 mg/kg)
(Fig. 1). Furthermore, FR167653 (30 mg/kg) significantly decreased the number of neutrophils, and
consequently the total number of leukocytes, in the exudate 5 h
after carrageenin injection, as potently as dexamethasone (0.3 mg/kg)
(Fig. 2).

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Fig. 1.
Effects of FR167653 (FR; 3, 10, 30 mg/kg) and
dexamethasone (DEX; 0.3 mg/kg) on pleural exudate volume (upper panel)
and the amount of dye exuded over 20 min (lower panel) 5 h after
carrageenin injection. Each value indicates the mean ± S.E.M. of
4 to 11 rats.
|
|

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Fig. 2.
Effects of FR167653 (FR; 30 mg/kg) and dexamethasone
(DEX; 0.3 mg/kg) on numbers of total leukocytes (top panel),
neutrophils (middle panel), and mononuclear leukocytes (bottom panel)
in the pleural exudate 5 h after carrageenin injection. Each value
indicates the mean ± S.E.M. of five to seven rats.
|
|
The levels of prostaglandin E2, thromboxane B2,
and 6-keto-prostaglandin F1
in the lavage fluid from
normal control rats were 0.16 ± 0.06, 0.49 ± 0.13, and
0.94 ± 0.24 ng/rat (n = 6), respectively, and
these levels were significantly increased to 0.96 ± 0.11, 2.97 ± 0.27, and 5.68 ± 0.77 ng/rat (n = 19), respectively, 5 h after pleurisy induction. FR167653
suppressed significantly and almost equally all of the prostanoids
measured, as did dexamethasone (Fig. 3).

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Fig. 3.
Effects of FR167653 (FR; 30 mg/kg) and dexamethasone
(DEX; 0.3 mg/kg) on levels of prostanoids at 5 h after carrageenin
injection. Each value indicates the mean ± S.E.M. of 8 to 19 rats.
|
|
In pleural lavage cells harvested from normal control rats, only
cyclooxygenase-1, but not cyclooxygenase-2, was detectable, as
previously reported (Harada et al., 1994
). In the exudate cells 5 h after the induction of pleurisy, both cyclooxygenase-1 and cyclooxygenase-2 were detectable at high levels (Fig.
4A). Western blot analysis showed that
pretreatment with FR167653 (30 mg/kg) reduced the level of
cyclooxygenase-2 below the detection limit, but dexamethasone (0.3 mg/kg) had no effect. Reverse transcription-competitive PCR analysis
indicated that FR167653 slightly, but not significantly, reduced the
level of cyclooxygenase-2 mRNA, but dexamethasone did not (Fig.
4B).

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Fig. 4.
A, Western blot analysis showing the effect of
FR167653 (FR; 30 mg/kg) and dexamethasone (DEX; 0.3 mg/kg) on the
levels of cyclooxygenase (COX)-1 (upper panel) and COX-2 (lower panel)
in pleural exudate cells 5 h after carrageenin injection. The
position of the 70-kDa molecular marker protein is indicated. Similar
results were obtained from two additional sets of experiments. B,
reverse transcription-competitive PCR analysis showing the effect of
FR167653 (FR; 30 mg/kg) and dexamethasone (DEX; 0.3 mg/kg) on the level
of COX-2 mRNA in pleural exudate cells at 5 h after carrageenin
injection. The results were normalized by the level of -actin mRNA.
A dotted line in the panel indicates the detection limit for COX-2
mRNA. Each value indicates the mean ± S.E.M. of three to six
rats.
|
|
Tumor necrosis factor-
and interleukin-1
were detectable in the
pleural exudate 1 h after carrageenin injection. Their level peaked 2 and 5 h, respectively, after the irritation and then declined (Fig. 5A). The effects of
FR167653 and dexamethasone were assessed 2 h after carrageenin
injection. Both drugs significantly suppressed the levels of tumor
necrosis factor-
and interleukin-1
(Fig. 5B).

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Fig. 5.
A, time course of the levels of tumor necrosis
factor- (closed circles with solid line) and interleukin-1 (open
circles with broken line) in the pleural exudate. Each value indicates
the mean ± S.E.M. of four to six rats. B, effects of FR167653
(FR; 30 mg/kg) and dexamethasone (DEX; 0.3 mg/kg) on levels of tumor
necrosis factor- (left panel) and interleukin-1 (right panel)
2 h after carrageenin injection. Each value indicates the
mean ± S.E.M. of four to six rats.
|
|
Effects in the Late Phase of Pleurisy.
We have previously
demonstrated that a high level of cyclooxygenase-2 is detectable in the
cells scraped off the parietal pleura 14 h after the induction of
pleurisy (Hatanaka et al., 1999
). These results were confirmed in the
present study (Fig. 6). Dexamethasone
administered 9 h after the induction inhibited the
cyclooxygenase-2 expression in the scraped cells, but FR167653 did not.
In addition, dexamethasone significantly suppressed
6-keto-prostaglandin F1
levels, but FR167653 did not
(Fig. 7).

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Fig. 6.
Western blot analysis showing the effect of FR167653
(FR; 30 mg/kg) and dexamethasone (DEX; 0.3 mg/kg) on the levels of
cyclooxygenase (COX)-1 (upper panel) and COX-2 (lower panel) in cells
scraped from the parietal pleura 14 h after carrageenin injection.
The position of the 70-kDa molecular marker protein is indicated.
Similar results were obtained from two additional sets of
experiments.
|
|

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Fig. 7.
Effects of FR167653 (FR; 30 mg/kg) and dexamethasone
(DEX; 0.3 mg/kg) on levels of prostanoids at 14 h after
carrageenin injection. Each value indicates the mean ± S.E.M. of
6 to 11 rats.
|
|
In normal control rats, the pleura was less than 10 µm in thickness,
and the underlying basement membrane was too thin to detect in
cross-section under the light microscope before irritation by
carrageenin. The pleura had thickened, reaching a thickness of
approximately 40 to 50 µm, and the fibrous matrix, with its typical
collagen-like features, had developed markedly, so that it was
detectable after 24 h of pleurisy (Hatanaka et al., 1999
). As
shown in Fig. 8, these results were
confirmed. Moreover, dexamethasone, administered 8, 14, and 20 h
after irritation (0.3 mg/kg in each time), inhibited the thickening of
the pleura and the development of a fibrous matrix, but FR167653
administered in 30 mg/kg doses 9, 15, and 21 h after irritation
did not (Fig. 8).

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Fig. 8.
Hematoxylin-eosin-stained cross-sections of parietal
pleura from a normal control rat (panel A), a rat after 24 h of
pleurisy (panel B), and rats after 24 h of pleurisy treated with
FR167653 (30 mg/kg doses injected at 9, 15, and 21 h after
carrageenin injection; panel C) or dexamethasone (0.3 mg/kg doses
injected at 8, 14, and 20 h after carrageenin injection; panel D).
The thickness of the pleura is indicated by arrowheads. The
photomicrographs show a representative section from three rats for each
experiment.
|
|
Effects on Mediator-Induced Plasma Exudation.
Intradermal
injection of bradykinin (0.1-10 nmol/site) and histamine (0.5-500
nmol/site) caused dose-dependent amounts of plasma exudation in the
rat. Dexamethasone significantly suppressed the plasma exudation
induced by both mediators. However, FR167653 did not suppress it,
except at the threshold dose of bradykinin (Fig.
9).

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Fig. 9.
Effect of FR167653 (30 mg/kg, closed triangle) and
dexamethasone (0.3 mg/kg, closed rectangles) in comparison with
nontreated control (closed circles) on the plasma exudation induced by
bradykinin (left panel) and histamine (right panel). Open circles
indicate the amount of exuded dye induced by injection of Tyrode's
solution, which is vehicle of mediators. Each value indicates the
mean ± S.E.M. of 3 to 10 experiments.
|
|
 |
Discussion |
We performed a pharmacological characterization of FR167653 in
relation to the early and late phases of rat carrageenin-induced pleurisy and mediator-induced plasma exudation in comparison with dexamethasone. Glucocorticoids up- or down-regulate the expression of a
wide variety of genes (Barnes, 1998
; McKay and Cidlowski, 1999
). In
fact, even though we chose a lower dose of dexamethasone (Kawamura et
al., 2000
), the drug suppressed all of the changes that we tested here,
except for the leukocyte cyclooxygenase-2 expression in the early
phase. In contrast, FR167653 exhibited its effects, including those on
mediator-induced plasma exudation, only in the early phase, not in the
late phase.
In recent years, an increasing number of compounds have been implicated
in the suppression of cytokine synthesis (Lee et al., 1993
). SK&F 86002 [6-(4'-pyridyl)-2,3-dihydroimidazo-(2,1-b)-thiazole, a pyridinyl
imidazole], is the prototype of a novel class of cytokine synthesis
inhibitors that bind CSBP kinase and inhibit its activity (Lee et al.,
1993
, 1994
). In the present study, FR167653 significantly suppressed
the levels of tumor necrosis factor-
and interleukin-1
(Fig. 5B).
Thus, FR167653 showed a cytokine synthesis inhibitory activity in this
acute exudative inflammatory model as potent as in human alveolar
macrophages and peripheral blood monocytes (Kawano et al., 1999
), in a
rat lipopolysaccharide-induced disseminated intravascular coagulation
model (Yamamoto et al., 1996
), and in a rat lipopolysaccharide-induced
lung injury model (Yoshinari et al., 2001
). Recently, it is reported
that FR167653 reduces the expression of p38 mitogen-activated protein
kinase (Otani et al., 2000
) and the phosphorylation of p38
mitogen-activated protein kinase (Yoshinari et al., 2001
) in the rat
lung tissue. Thus, FR167653 may exert anti-inflammatory effects
interfering with p38 mitogen-activated protein kinase pathway.
We showed here that dexamethasone suppressed cyclooxygenase-2
expression in mesothelial cells (Fig. 6) but did not affect that in
leukocytes (Fig. 4). We have previously reported that a lower
anti-inflammatory dose of dexamethasone (0.3 mg/kg) did not affect the
level of cyclooxygenase-2 protein expressed in leukocytes in this
model, whereas higher doses of the drug suppressed it (Kawamura et al.,
2000
). The present results confirm the profile of the lower dose of
dexamethasone on leukocyte cyclooxygenase-2 expression in the levels of
protein (Fig. 4A) and mRNA (Fig. 4B). In contrast, FR167653 suppressed
cyclooxygenase-2 expression in leukocytes (Fig. 4) but did not affect
that in mesothelial cells (Fig. 6). These are similar to the results
seen with SB203580 [4-(4-fluorophenyl)-2-(4-methylsulfinylphenyl)-5-(4-pyridyl)-imidazole], another pyridinyl imidazole class of cytokine synthesis inhibitor that
inhibits murine macrophage cyclooxygenase-2 expression, whereas the
inhibitor had no significant effect on cyclooxygenase-2 expression in
bovine chondrocytes (Patel et al., 1999
). Furthermore, FR167653 lowered
the level of cyclooxygenase-2 protein, but did not significantly affect
the cyclooxygenase-2 mRNA level in leukocytes (Fig. 4), suggesting the
involvement of translational events. In contrast, the drug lowered the
cyclooxygenase-2 mRNA level in lipopolysaccharide-stimulated human
peripheral blood monocytes and alveolar macrophages, suggesting the
involvement of transcriptional or mRNA stability events or both (Kawano
et al., 1999
). In relation to the contrasting results obtained by us
for the effects of FR167653 on the cyclooxygenase-2 mRNA level, SK&F
86002 suppressed expression of tumor necrosis factor-
and
interleukin-1 at a translational level in human peripheral blood
monocytes stimulated with lipopolysaccharide (Lee et al., 1993
; Young
et al., 1993
) and the THP-1 human monocytic cell line stimulated with
lipopolysaccharide (Prichett et al., 1995
). However, it caused a
decrease in the cyclooxygenase-2 mRNA level in human peripheral blood
monocytes stimulated with serum-treated zymosan (Pouliot et al., 1997
).
Therefore, the level at which proinflammatory gene expression is
affected by this class of cytokine synthesis inhibitors is still
controversial. The level would vary depending on cell types and on the
circumstances that cells encounter.
Tumor necrosis factor-
and interleukin-1
were detectable in the
pleural exudate (Fig. 5A). In addition, intrapleural injection of tumor
necrosis factor-
induces cyclooxygenase-2 expression in leukocytes
(Hatanaka et al., 1996
). These facts suggest that tumor necrosis
factor-
may be a candidate for inducing cyclooxygenase-2 in this
model. FR167653 suppressed the expression of cyclooxygenase-2 (Fig. 4A)
as well as tumor necrosis factor-
and interleukin-1
(Fig. 5B).
Pyridinyl imidazoles suppress cyclooxygenase-2 expression induced by
tumor necrosis factor-
and interleukin-1
(Pouliot et al., 1997
).
Therefore, it may well be that FR167653 suppresses cyclooxygenase-2
expression through direct interference with cyclooxygenase-2 gene
expression but not by blocking cytokine production.
In the early phase, FR167653 lowered the measured levels of prostanoid
(Fig. 3). In contrast, the drug did not affect the prostanoid levels in
the late phase (Fig. 7). This result suggests that FR167653 may not
directly interfere with enzymes involved in prostanoid formation,
whereas SK&F 86002 was originally reported to be a dual inhibitor of
arachidonic acid metabolism, since it inhibits both cyclooxygenase and
5-lipoxygenase (Griswold et al., 1987
). We have previously shown that
selective cyclooxygenase-2 inhibitors suppress preferentially the level
of prostaglandin E2, but they did not significantly lower
the levels of thromboxane B2 and 6-keto-prostaglandin
F1
in the early phase of this model (Harada et al.,
1996
). However, FR167653 and dexamethasone almost equally lower the
levels of these prostanoids (Fig. 3). Thus, there exists a difference
in profiles at each prostanoid level. Both FR167653 and dexamethasone
inhibited intrapleural infiltration of leukocytes (Fig. 2), which may
contribute to prostanoid formation in the inflammatory site. Therefore,
the inhibitory effect of FR167653 on the leukocyte infiltration may
partly contribute to the lowering of the prostanoid level. In addition,
FR167653, and higher doses of dexamethasone, suppress cyclooxygenase-2
protein expression (Fig. 4A; Kawamura et al., 2000
). Murakami et al.
(1997)
proposed that intracellular translocation of enzymes involved in
prostanoid formation may occur after induction of cyclooxygenase-2. These mechanisms might explain the difference in inhibitory profiles between selective cyclooxygenase-2 inhibitors and FR167653.
Both FR167653 and dexamethasone lowered the level of prostanoids and
suppressed plasma exudation in the early phase (Figs. 1 and 3). In
carrageenin-induced pleurisy, bradykinin (Majima et al., 1993
) and
prostanoids, especially prostaglandin E2 (Harada et al.,
1998
), play a crucial role in plasma exudation. Prostanoid itself does
not induce plasma exudation but potentiates that induced by bradykinin
or other mediators (Williams and Morley, 1973
). Dexamethasone
suppressed mediator-induced plasma exudation, but FR167653 did not
consistently affect it (Fig. 9). These results suggest that FR167653
may exhibit an inhibitory effect on plasma exudation through lowering
the level of prostanoids, especially prostaglandin E2, in
the inflammatory site.
Neutrophils are activated by many chemotactic factors. Proinflammatory
cytokines, such as tumor necrosis factor-
, interleukin-1
, and
interleukin-8, also induce neutrophil activation (Cybulsky et al.,
1986
; Utsunomiya et al., 1996
). These cytokines were detectable in this
model, and FR167653 suppressed levels of tumor necrosis factor-
and
interleukin-1
(Fig. 5). FR167653 is also reported to suppress the
level of interleukin-8 (Aiba et al., 2000
). It is demonstrated that
dexamethasone suppresses mediator-induced leukocyte infiltration
(Katori et al., 1990
). On the other hand, SK&F 86002 does not inhibit
LTB4-induced leukocyte chemotaxis, whereas it does inhibit
inflammatory cell infiltration induced by carrageenin in the mice
(Griswold et al., 1989
). All these results suggest that this class of
cytokine synthesis inhibitors may inhibit leukocyte infiltration
through inhibition of the production of mediator(s), which activate
leukocytes, but not through leukocyte migration itself.
FR167653 suppressed plasma exudation and leukocyte infiltration in the
early phase of inflammation, as did dexamethasone (Figs. 1 and 2).
However, it did not suppress the expression of cyclooxygenase-2 or
hyperplasia of the pleural mesothelium in the late phase (Figs. 6 and
8). It is suggested that prostaglandin I2 may be generated via cyclooxygenase-2 and be involved in the hyperplasia of pleural mesothelium, because selective cyclooxygenase-2 inhibitors lowered the
level of 6-keto-prostaglandin F1
and suppressed the
hyperplasia, simultaneously (Hatanaka et al., 1999
). Dexamethasone
suppressed the cyclooxygenase-2 expression and preferentially lowered
6-keto-prostaglandin F1
(Figs. 6 and 7). As mentioned
above, FR167653 suppressed the cyclooxygenase-2 expression and lowered
almost equally all prostanoids measured (Figs. 3 and 4A). These results
suggest the presence of a difference between leukocytes and mesothelial
cells in regulatory mechanism of prostanoid formation. The role of
pleural hyperplasia in the late phase of inflammatory response is not clear, but it may participate in the healing process (Mizuno et al.,
1997
; Shigeta et al., 1998
).
FR167653 exhibited potent anti-inflammatory effects and suppressed
proinflammatory gene expression, especially in the early phase of
carrageenin-induced pleurisy. The selective suppression of gene
expression may be beneficial in a safer anti-inflammatory agent. Thus,
FR167653 may be the source of new therapeutic candidates with a
spectrum of activity distinct from current anti-inflammatory steroids.
We thank Fujisawa Pharmaceutical Co., Ltd. (Osaka, Japan) for
the generous gift of FR167653. We are grateful to Professor Makoto Ohbu
and Dr. Yu-ichi Sato of Department of Pathology, Kitasato University
School of Allied Health Sciences for helpful advice on reverse
transcription-PCR analysis and to Professor Shozo Yamamoto of Tokushima
University for the generous gift of anti-cyclooxygenase-1 antiserum. We
thank C. W. P. Reynolds for linguistic advice.
Accepted for publication July 17, 2001.
Received for publication May 1, 2001.
This work was supported, in part, by a research grant from
Nippon Boehringer Ingelheim Co., Ltd., Kawanishi, Japan.
CSBP, cytokine-suppressive anti-inflammatory
drug-binding protein;
PCR, polymerase chain reaction;
FR167653, 1-[7-(4-fluorophenyl)-1,2,3,4-tetrahydro-8-(4-pyridyl)
pyrazolo[5,1-c][1,2,4]triazin-2-yl]-2-phenylethanedion sulfate
monohydrate;
SB203580, 4-(4-fluorophenyl)-2-(4-methylsulfinylphenyl)-5-(4-pyridyl)-imidazole;
SK&F 86002, 6-(4'-pyridyl)-2,3-dihydroimidazo-(2,1-b)-thiazole.