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Cardiovascular Research 2005 65(3):683-693; doi:10.1016/j.cardiores.2004.10.024
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Copyright © 2004, European Society of Cardiology

Diversity and similarity in signaling events leading to rapid Cox-2 induction by tumor necrosis factor-{alpha} and phorbol ester in human endothelial cells

Sonia Eliginia, Silvia Stella Barbieria, Viviana Cavalcab, Marina Camerab, Marta Brambillaa,b, Michela De Franceschib, Elena Tremolia,b and Susanna Collia,*

aE. Grossi Paoletti Center, Department of Pharmacological Sciences, University of Milan, Via Balzaretti 9, 20133 Milan, Italy
bDepartment of Cardiac Surgery, Centro Cardiologico Fondazione Monzino I.R.C.C.S., University of Milan, Italy

* Corresponding author. Tel.: +39 02 50319913; fax: +39 02 50318250. Email address: Susanna.Colli{at}unimi.it

Objective: This study examines whether cyclooxygenase 2 (Cox-2) synthesis in human endothelial cells involves different signaling pathways when induced by the proinflammatory cytokine tumor necrosis factor-{alpha} (TNF{alpha}) or by the tumor and angiogenic promoter phorbol ester (PMA). Moreover, the hypothesis that reactive oxygen species (ROS) and an altered redox status within the cell are fundamental steps for Cox-2 synthesis is verified.

Methods: Human endothelial cells isolated from umbilical vein (HUVEC) were exposed to PMA and TNF{alpha} and Cox-2 protein and mRNA levels were evaluated by Western blot and Real-Time Quantitative Reverse Transcription–PCR analysis. Prostaglandin E2 (PGE2) and 6-keto prostaglandin F1{alpha} (6-keto-PGF1{alpha}) levels were measured in cell medium as an index of Cox-2 activity. Intracellular ROS formation was detected by flow cytometry in HUVEC loaded with the oxidant-sensitive 2',7'-dichlorofluorescein diacetate (DCFH-DA) and by nitroblue tetrazolium (NBT) reduction. Reduced and oxidized glutathione (GSH and GSSG) were measured by HPLC.

Results: Data show that TNF{alpha} and PMA signal for early Cox-2 induction through distinct pathways. PMA-induced Cox-2 expression involves a small GTPase-dependent pathway acting via tyrosine kinase, activation of protein kinase C (PKC) and of the mitogen-activated protein kinase (MAPK) ERK1/2. Conversely, MAPK p38 is critical for Cox-2 induction by TNF{alpha}. Of interest, intracellular ROS generation and consequent GSH/GSSG ratio reduction represents a common step through which PMA and TNF{alpha} signal for early Cox-2 induction. In addition, we provide evidence that phosphatidylinositol 3 (PI3)-kinase activation plays a regulatory role for Cox-2 synthesis in HUVEC.

Conclusion: Cox-2 represents a critical link among vascular homeostasis, inflammatory response, angiogenesis and tumor growth. The finding that two independent pathways and an overlapping upstream event signal for Cox-2 induction in HUVEC may be of relevance to develop strategies aimed at selectively interfering with Cox-2 regulating pathways.

KEYWORDS Endothelial function; Cyclooxygenase; Redox signaling; Infection/inflammation; Prostaglandins


Time for primary review 32 days


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