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Received for publication November 17, 2004.
Revised February 1, 2005.
Accepted for publication February 1, 2005.
The pathogenesis of chronic inflammatory diseases, including rheumatoid arthritis, is regulated, at least in part, by modulation of oxidation-reduction (redox) homeostasis and the expression of redox-sensitive inflammatory genes including adhesion molecules, chemokines and cytokines. AGIX-4207, (2-[4-[[1-[[3,5-bis(1,1-dimethylethyl)-4-hydroxyphenyl]thio]-1-methylethyl]thio]-2,6-bis(1,1-dimethylethyl)phenoxy]acetic acid), is a novel, orally-active, phenolic antioxidant and anti-inflammatory compound with anti-rheumatic properties. To elucidate its anti-inflammatory mechanisms, we evaluated AGIX-4207 for a variety of cellular, biochemical and molecular properties. AGIX-4207 exhibited potent antioxidant activity towards lipid peroxides in vitro and displayed enhanced cellular uptake relative to a structurally related drug, probucol. This resulted in potent inhibition of cellular levels of reactive oxygen species in multiple cell types. AGIX-4207 selectively inhibited TNF-
-inducible levels of the redox-sensitive genes, VCAM-1 and MCP-1, with less inhibition of E-selectin, and no effect on ICAM-1 expression in endothelial cells. In addition, AGIX-4207 inhibited cytokine-induced levels of MCP-1, IL-6 and IL-8 from endothelial cells and human fibroblast-like synoviocytes as well as LPS-induced release of TNF-
, IL-1
and IL-6 from human peripheral blood mononuclear cells. AGIX-4207 did not inhibit TNF-
-induced nuclear translocation of NF-
B suggesting that the mechanism of action is independent of this redox-sensitive transcription factor. Taken together, these results provide a mechanistic framework for understanding the anti-inflammatory and anti-rheumatic activity of AGIX-4207 and provide further support for the view that inhibition of redox-sensitive inflammatory gene expression is an attractive approach for the treatment of chronic inflammatory diseases.
Key words:
anti-inflammatory, antioxidant, inflammation, redox, rheumatoid arthritis, vascular cell adhesion molecule-1
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