Cooperation between Aspirin-Triggered Lipoxin and Nitric Oxide (NO) Mediates Antiadhesive Properties of 2-(Acetyloxy)benzoic Acid 3-(Nitrooxymethyl)phenyl Ester (NCX-4016) (NO-Aspirin) on Neutrophil-Endothelial Cell Adherence

  1. Stefano Fiorucci,
  2. Eleonora Distrutti,
  3. Andrea Mencarelli,
  4. Giovanni Rizzo,
  5. Anna Rita Di Lorenzo,
  6. Monia Baldoni,
  7. Piero del Soldato,
  8. Antonio Morelli and
  9. John L. Wallace
  1. Clinica di Gastroenterologia ed Epatologia, Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi di Perugia, Perugia, Italy (S.F., E.D., A.Me., G.R., A.R.D.L., M.B., A.Mo.); Nicox SA, Sophia Antipolis, France (P.d.S.); and Mucosal Inflammation Research Group, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada (J.L.W.)
  1. Address correspondence to:
    Dr. Stefano Fiorucci, Clinica di Gastroenterologia ed Endoscopia Digestiva, Policlinico Monteluce, 06100 Perugia, Italy. E-mail: fiorucci{at}unipg.it

Abstract

2-(Acetyloxy)benzoic acid 3-(nitrooxymethyl)phenyl ester (NCX-4016) is a nitric oxide (NO)-releasing derivative of aspirin that inhibits cyclooxygenase (COX) activity and releases NO. Acetylation of COX-2 by aspirin activates a transcellular biosynthetic pathway that switches eicosanoid biosynthesis from prostaglandin E2 to 15-epi-lipoxin (LX)A4 or aspirin-triggered lipoxin (ATL). Here, we demonstrate that exposure of neutrophil (PMN)/human umbilical vein endothelial cell (HUVEC) cocultures to aspirin and NCX-4016 triggers ATL formation and inhibits cell-to-cell adhesion induced by endotoxin (LPS) and interleukin (IL)-1β by 70 to 90%. However, although selective and nonselective COX-2 inhibitors (celecoxib, rofecoxib, and naproxen) or N-t-butoxycarbonyl-methionine-leucine-phenylalanine (Boc-1), an LXA4 receptor antagonist, reduced the antiadhesive properties of aspirin by ≈70%, antiadhesive effects of NCX-4016 were only marginally affected (≈30%) by COX inhibitors and Boc-1, implying that COX-independent mechanisms mediate the antiadhesive properties of NCX-4016. Indeed, NCX-4016 causes a long-lasting (up to 12 h) release of NO and cGMP accumulation in HUVEC. Scavenging NO with 10 mM hemoglobin, in the presence of celecoxib, reduced the antiadhesive properties of NCX-4016 by ≈80%. Confirming a role for NO, the NO donor diethylenetriamine-NO also inhibited PMN/HUVEC adhesion by ≈80%. NCX-4016, but not aspirin, decreased DNA binding of nuclear factor-κB (NF-κB) on gel shift analysis and HUVEC's overexpression of CD54 and CD62E induced by LPS/IL-1β. Reduction of binding of the two NF-κB subunits p50-p50 and p50-p65 was reversed by dithiothreitol, implying S-nitrosylation as mechanism of inhibition. In summary, our results support that ATL and NO are formed at the PMN/HUVEC interface after exposure to NCX-4016 and mediate the antiadhesive properties of this compound.

Footnotes

  • Article, publication date, and citation information can be found at http://jpet.aspetjournals.org.

  • DOI: 10.1124/jpet.103.063651.

  • ABBREVIATIONS: PMN, polymorphonuclear neutrophils; COX, cyclooxygenase; NSAID, nonsteroidal anti-inflammatory drug; PG, prostaglandin; LX, lipoxin; LXA4, lipoxin A4; ATL, aspirin-triggered lipoxin or 15-epi-LXA4; NO, nitric oxide; ICAM, intercellular adhesion molecule; IL, interleukin; NF, nuclear factor; DTT, 1,4-dithio-dl-threitol; LPS, lipopolysaccharide; l-NAME, Nω-nitro-l-arginine methyl ester; Boc-1, N-t-butoxycarbonyl-methionine-leucine-phenylalanine; DETA-NO, diethylenetriamine-nitric oxide; ODQ, 1H-[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one; HUVEC, human umbilical vein endothelial cells; PBS, phosphate-buffered saline; Hb, hemoglobin; PMSF, phenylmethylsulfonyl fluoride; EMSA, electrophoretic mobility shift analysis; RT-PCR, reverse transcription-polymerase chain reaction.

    • Received November 29, 2003.
    • Accepted February 3, 2004.
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