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Abstract |
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Cytokines play an essential role in the regulation of inflammatory responses. The effects of cytokines on lung functions are less well known and their study in vivo is complicated by the attraction of leukocytes to the inflamed sites. Recently the
model of precision-cut lung slices was developed, where viable lung slices with an intact microanatomy are taken into culture and where bronchoconstriction can be followed by observing single airways under the microscope. We used this
model to study the direct effects of cytokines on airway tonus
in the absence of blood-derived leukocytes. Incubation of precision-cut lung slices with a mixture of tumor necrosis factor
(TNF)-
, interleukin (IL)-1
, and interferon (IFN)-
resulted in
contraction of airways, which was accompanied by expression
of cyclooxygenase (Cox)-2 and thromboxane release into the
supernatant. The thromboxane receptor antagonist SQ29548
completely prevented the cytokine-induced bronchoconstriction, whereas the 5-lipoxygenase inhibitor AA681 had no effect on cytokine-induced bronchoconstriction. Preventing the
expression of Cox-2 by dexamethasone or blocking Cox-2 activity with the selective Cox-2 inhibitor NS398 attenuated
both thromboxane formation and bronchoconstriction. Incubation of lung slices with each of the cytokines alone caused no bronchoconstriction; in fact, IL-1 alone rather dilated the airways. However, simultaneous incubation with TNF and IL-1
caused a bronchoconstriction that was not further enhanced
by IFN-
. We conclude that TNF-
and IL-1
synergistically
cause bronchoconstriction by induction of Cox-2 and subsequent activation of the thromboxane receptor. Our study raises
the possibility that TNF and IL-1 may contribute to bronchospasm during inflammatory lung diseases.
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Introduction |
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Increased levels of cytokines are a hallmark of inflammatory diseases. With respect to lung disorders, cytokines appear to play particularly prominent roles in the pathogenesis of adult respiratory distress syndrome and asthma. In the lungs, cytokines not only orchestrate and perpetuate the inflammatory response, but may also cause functional alterations such as bronchoconstriction and airway hyperresponsiveness. However, because most studies on cytokines have focused on their expression and release rather than on their effects on lung functions, we know a lot about the formation but relatively little about the functional consequences of cytokines.
Three of the most important proinflammatory cytokines are tumor necrosis factor (TNF)-
, interleukin (IL)-
1
, and interferon (IFN)-
. There are, however, only few
studies on their effects on lung functions. In sheep, infusion of human recombinant (hr) TNF caused bronchoconstriction within 30 min (1, 2). TNF-
also appears to play a
prominent role in airway hyperresponsiveness, as suggested by the finding that anti-TNF-
antibodies blocked lipopolysaccharide (LPS)-induced airway hyperresponsiveness in rats (3). These findings may apply to humans,
where inhaled rTNF-
caused decreased forced expiratory
volume at 1 s as well as airway hyperresponsiveness (4).
IFN-
exacerbated airway hyperresponsiveness in mice
(5) and in asthmatic patients (6). In contrast to TNF and
IFN-
, IL-1
has been shown in vitro to relax rather than
to constrict airway smooth muscle (7).
Most of these studies have been performed in vivo. However, because most cytokines have profound actions on leukocytes, in vivo it is very difficult to differentiate between the direct effects of cytokines and the indirect effects by activated leukocytes. Such mechanistic information, however, will be mandatory to fully understand the effects of cytokines on lung functions.
The major disadvantages of most in vitro systems are
the disintegration of lung tissue and the impossibility of
measuring lung functions. Recently a new in vitro model,
the precision-cut lung slice, has been developed (8). This
model allows investigators to take living lung slices into
culture, expose them to cytokines, and study their functional responses by videomicroscopy. In this system it is
possible not only to study the effects of cytokines in a tissue with an intact microanatomy at the level of mediators and gene expression, but at the same time also to examine
functional responses such as bronchoconstriction. In the
present study we have used precision-cut lung slices to examine the effects of TNF, IFN-
, and IL-1
on airway
tone in the absence of blood-derived leukocytes.
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Material and Methods |
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Animals
Lungs were taken from 8-wk-old female Wistar rats (220 ± 20 g) obtained from Harlan Winkelman GmbH (Borchen, Germany) and kept under controlled conditions (22°C, 55% humidity, 12 h day/night rhythm) on standard laboratory chow.
Preparation of Precision-Cut Lung Slices
Rat lungs were prepared and perfused essentially as described recently (9, 10). After preparation, the lungs were suspended by the trachea and ventilated by negative pressure with 80 breaths/min at a tidal volume of 2 ml. Lungs were perfused at constant hydrostatic pressure (12 cm H2O) through the pulmonary artery with Krebs-Henseleit buffer (37°C, 2% albumin, 0.1% glucose, and 0.3% N-2-hydroxyethylpiperazine-N'-ethane sulfonic acid [Hepes]) for 5 to 10 min until they were free of blood. The lungs were removed from the perfusion apparatus and were filled with 10 ml agarose solution (0.75% in Eagle's minimum essential medium [MEM], 44 ml/kg) and a bolus of 1 ml air (8). For instillation and incubation, MEM with sodium pyruvate, amino acids, vitamins, and Hepes was used. After cooling of the agarose to 4°C, tissue cores were prepared by advancing a rotating sharpened metal tube (8 mm in diameter). From these cores, tissue slices (250 ± 20 µm) were prepared by using a Krumdieck tissue slicer (Alabama Research and Development, Munford, AL). Lung slices were floated on Teflon mesh and cultured in glass vials containing 1 ml of MEM. The vials were placed on a roller system housed in a humidified incubator. They were incubated at 37°C in a humid atmosphere and rotated at 10 rpm. The medium was changed hourly for 4 h; after 4 h of washing and preincubation the experiments were started. Notably, the incubation of the precision-cut lung slices was performed in MEM without Phenol Red, because Phenol Red acts as an inhibitor of the thromboxane receptor (11).
Image Acquisition
The incubation chamber was placed on the stage of an inverted microscope (Zeiss Axiovert 35; Zeiss, Oberkochen, Germany) and warmed to 37°C. The slices were screened for airways and transferred to the incubation chamber. The airways were focused, imaged with a video camera (Kappa CF8RCC; Kappa, Gleichen, Germany), and digitized using a frame grabber board (CFG-KIT-C2 AT; Imaging Technology, Inc., Bedford, MA). A saved image of 2.8 mm2 was represented by 512 × 768 pixels.
After preincubation for 10 min with 1 ml of MEM, the first
image was acquired. The airway area obtained from this first image served as the reference area (100%). The liquid was removed
and 1 ml of medium containing the cytokines was transferred into
the incubation cell. Initially, the airways were imaged every
minute for an hour at the beginning to determine the time course
of bronchoconstriction; later they were imaged after 4 h of incubation. The cytokine concentrations used were rat rIL-1
10 ng/ml,
rat rTNF-
10 ng/ml, and rat rIFN-
ng/ml. The cytokines were
obtained from R&D Systems (Wiesbaden-Nordenstadt, Germany).
Image Analysis
The images were analyzed by an image analysis program (OPTIMAS 6.0; Optimas Corp., Bothell, WA). The lumen area was taken as the area enclosed by the epithelial luminal border and was quantified after setting the appropriate threshold. Control airway area was defined as 100%.
Reverse Transcription/Polymerase Chain Reaction
Lung slices were incubated in MEM (control), in MEM plus cytomix plus dexamethasone (Dex) (10 mM), or MEM plus a cytokine mix. Six slices were removed from the incubator, transferred
into Eppendorf cups, frozen immediately in liquid nitrogen, and
stored at
70°C. The frozen slices were ultrathoraxed for 30 s in
an RNA-extracting solution (RNA-Clean; AGS, Heidelberg, Germany). After centrifugation at 15,000 × g, the supernatant was
transferred into a new cup. After extraction with chloroform and
addition of isopropanol the solution was stored on ice for 15 min.
The solution was centrifuged and the pellet was washed with 1 ml
of ethanol solution (70%) and dissolved in ultrapure water. The
RNA content was determined spectrometrically. A total of 4 µg
of RNA were used for an unspecific RT (oligo-dt-primer) with
Superscript reverse transcriptase (GIBCO, Eggenstein, Germany).
After removal of excess dt primers, polymerase chain reaction (PCR) was performed using the complementary DNA (cDNA) template with the following nested primer pairs: for cyclooxygenase (Cox)-1: PCOX1MR2 (5'-ACCCGTCATCTCCAGGGTAA-3'), PCOX1F1 (5'-CAGCCCTTCAATGAGTACCG-3'); for Cox-2: PCOX2MR2 (5'-ATCTAGTCTGGAGTGGGAGG-3'), PCOX2F1 (5'-AATGAGTACCGCAAACGCTT-3'); and for thromboxane synthase (TXS): PTXSRR1 (5'-CTCTCCTTCATCACATACCTGCTG-3'), PTXSRF1 (5'-GACGCATTCGACATC-CAGAGGTGT-3').
The reactions were cycled 35 times (30 s at 94°C), 30 s at 56°C, and 30 s at 72°C after a 5-min denaturation step at 95°C (Gen-Amp 9600; Perkin Elmer, Weiterstadt, Germany). Products were analyzed by 2% agarose gel electrophoresis and stained with ethidium bromide. No amplification products were found without specific primer or with the PCR reaction lacking template. Samples were examined in various dilutions to ensure the proportionality in the yield of PCR products. The identity of the fragments was evaluated by their molecular mass and restriction enzyme analysis.
Measurement of Thromboxane Release: Enzyme Immunoassay
In each roller incubator, three slices were incubated for up to 24 h.
After a preincubation of 4 h, the slices were incubated in presence and absence of arachidonic acid (AA). The slices were divided into three groups: control (with medium alone), cyto (incubation with cytokines), and Dex (incubation with cytokines and
Dex). The medium of the slices was changed every 4 h and new
medium with or without AA, cytokines, or Dex was added. The
collected medium samples were gassed with nitrogen and frozen
in liquid nitrogen. The samples were then stored at
80°C. Thromboxane release into the supernatant was assessed by measuring
the stable metabolite thromboxane B2 with a commercially available enzyme immunoassay (Cayman, Ann Arbor, MI).
Measurement of Peptido-Leukotriene Release: Enzyme Immunoassay
The slices were distributed into a 24-well plate (six slices per well). The medium was collected after 8 and 16 h, frozen, and stored as described earlier. Total amount of leukotriene was measured in the medium with a commercially available enzyme immunoassay (Cayman).
Statistics
Data are expressed as means ± standard deviation (SD). Data
were analyzed by analysis of variance (ANOVA) followed by Student's t test. The
level was adjusted according to Shaffer's modified sequentially rejective multiple test procedure (12). In case of heteroscedasticity (F-test, P < 0.05), Welch's ANOVA (JMP; SAS Institute, Cary, NC) and Welch's t test were used. Percentage data were transformed by the arcsin transformation (13) before hypothesis testing. P < 0.05 was considered significant.
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Results |
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Because in inflamed tissue in vivo usually a cytokine mixture
rather than a single cytokine is found, we started by investigating such a mixture. Precision-cut lung slices were observed in an incubation chamber under the microscope during incubation with a mixture consisting of 10 ng/ml of each
of the three rat recombinant cytokines, IL-1
, TNF-
, and
IFN-
. Incubation of the slices with this cytokine mixture resulted in a time-dependent contraction of single airways that
started after 2 h and was maximal after 4 h (Figure 1).
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Because previous studies have shown that TNF-mediated bronchoconstriction is at least partly mediated by thromboxane (2), we tested this hypothesis in our model. Initial airway area was determined after a preincubation period of 4 h. Slices were incubated for another 4 h in the presence or absence of the cytokine mixture. At this time, airway area in cytokine-treated samples was reduced to 67% of the initial area (P < 0.01 versus control). The thromboxane receptor antagonist SQ29548 inhibited bronchoconstriction completely (Figure 2). The glucocorticoid Dex, the unspecific Cox inhibitor indomethacin, and the specific Cox-2 inhibitor NS398 partially prevented the cytokine- induced bronchoconstriction (Figure 2). The 5-lipoxygenase inhibitor AA861 had no effect on cytokine induced bronchoconstriction. None of these inhibitors showed any effect on airway area in controls.
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Recently, it was shown that the bronchoconstriction by LPS, which is also thromboxane-mediated, depends on induction of Cox-2 (14). Therefore, and because NS398 was protective in our model, the expression of messenger RNA (mRNA) for Cox-1, Cox-2, and TXS in the lung slices was determined by RT-PCR. Cox-1 and TXS mRNA amounts were not altered by incubation with the cytokines or with Dex (Figure 3). However, Cox-2 mRNA was more strongly expressed in slices incubated with the cytokine mixture, a response which was blocked in the presence of Dex (Figure 3). Interestingly, we found that after 20 h of cytokine exposure the airways were still contracted, but this contraction was not affected by either Cox-inhibitors, lipoxygenase-inhibitors, or platelet-activating factor antagonists (data not shown).
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The thromboxane B2 concentrations in the supernatants of control slices changed little during the first 16 h of incubation, whereas in cytokine-treated slices they were already about 2-fold increased after 4 h (Figure 4A). At later time points, the thromboxane production in both control as well as cytokine-treated lung slices fell to about 50% of the initial values. To investigate whether this decrease in thromboxane might be explained by exhaustion of AA, the same experiments were repeated in the presence of 1 µM AA (Figure 4B). In these experiments the absolute thromboxane levels were higher than before, but the decrease in thromboxane formation occurred nevertheless. Lung slices that were treated with Dex and the cytokine mixture behaved similarly to controls (Figure 4). Dex, indomethacin, and NS398 all reduced the cytokine-induced thromboxane formation completely, i.e., to levels that were similar to those in the absence of the cytokine mixture (Figure 5). Interestingly, both Cox-inhibitors, but not Dex, reduced the basal thromboxane formation (Figure 5).
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The amount of leukotrienes in the supernatant was very low under basal conditions (12.5 ± 2.6 pg per slice) and was not different if slices were treated with the cytokine mix (Figure 6). The leukotriene concentrations in slices obtained from lungs that were not perfused free of blood was the same. To be able to detect leukotrienes in the supernatant we needed at least six slices, compared with three slices in the case of thromboxane. It is notable that after an incubation for 4 h no leukotrienes were detectable. Spiking the supernatant of the slices with 1 ng of leukotrienes showed a recovery of nearly 100%.
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To investigate the contribution of each single cytokine,
i.e., TNF-
, IL-1
, and IFN-
, to the bronchoconstriction
induced by this mixture, the cytokines were incubated
alone and in all possible combinations, and the airway responses were followed (Figure 7). As before, bronchoconstriction was measured after 4 h of incubation and compared with control slices incubated in MEM only. Treatment
with any cytokine alone in a concentration of 10 ng/ml
showed a weak, and in the case of IL-1
, significant, increase in airway area to about 110%. The combinations
IL-1/IFN-
or TNF-
/IFN-
had no effect on airway area.
However, contraction of airways was observed in the simultaneous presence of IL-1 and TNF, which resulted in
75% of initial airway area. The response obtained with IL-1/
TNF was similar to the bronchoconstriction seen in the
presence of all three cytokines.
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Discussion |
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The present study demonstrates that IL-1 and TNF together cause bronchoconstriction in the absence of blood-derived leukocytes. The proposed mechanism is induction
of Cox-2, formation of prostanoids such as thromboxane,
and finally activation of thromboxane receptors on airway
smooth-muscle cells. This result is particularly interesting in
view of the data showing that each cytokine alone
in line
with a previous in vitro study (7)
relaxed airway smooth
muscle. However, because in vivo the two cytokines usually
occur together, the action of TNF and IL-1 in vivo is probably contraction rather than relaxation of airways. Synergistic actions of IL-1 and TNF in vivo have been documented
before, and interestingly, in that case also the response was
blocked by Cox inhibitors (15). These findings suggest that
cytokines may interact in a fashion that is impossible to predict by studying each cytokine alone.
Only few previous studies have analyzed the effects of cytokines on lung functions in vitro (7, 16). These studies examined whether cytokines elicit airway hypo- or hyperresponsiveness, but none of them observed direct effects of cytokines on airway function. This failure to see direct effects of cytokines may be explained in part by the fact that only single rather than synergistic actions of cytokines were examined, and in part by the properties of the different in vitro models used. Thus, compared with tracheal preparations, precision-cut lung slices still possess a large part of intact lung parenchyma that may be required for the full response. And compared with cell cultures, the responses in precision-cut lung slices are much quicker: in isolated pulmonary smooth muscle and epithelial cells the induction of Cox-2 peaks after 18 to 24 h (20, 21), whereas in precision-cut lung slices it takes only about 2 h before Cox-2 induction and bronchoconstriction commence. This time course is more reminiscent of in vivo experiments with TNF (1, 2) and perfused lung experiments with endotoxin (14) in which bronchoconstriction and thromboxane release occur between 15 and 90 min. To a certain extent it appears as if the more simplified the models become, the longer it takes for the responses to develop.
Leukotrienes are potent proinflammatory mediators that
contract airway smooth muscle, increase microvascular permeability, stimulate mucus secretion, decrease mucociliary
clearance, and appear capable of recruiting eosinophils into
the airways (22). Incubation of human smooth-muscle cells
with IL-1 and TNF-
led to a weak but significant increase
of peptido-leukotrienes (23). However, in precision-cut lung
slices leukotrienes were present only in small amounts and
cytokines had no effect on leukotriene formation. The small
basal leukotriene production was not altered if lung slices
were prepared from lungs that were not perfused free of
blood, suggesting that lung cells such as alveolar macrophages (24) rather than neutrophils are the source of leukotrienes under these conditions. In line with the lack of stimulated leukotriene production, a 5-lipoxygenase inhibitor had
no effect on cytokine-induced bronchoconstriction. These
results are in agreement with previous findings in another
Cox-2 and thromboxane-dependent model, where lipoxygenase inhibitors and leukotriene receptor antagonists had no
effect on the endotoxin-induced bronchoconstriction (14).
Synergistic effects of cytokines on eicosanoid metabolism have been described before, without, however, showing the functional consequences thereof. In such experiments, the combination of IL-1
, IFN-
, and TNF-
caused
a synergistic increase in Cox-2 mRNA or protein in airway
smooth-muscle cells (20) and pulmonary epithelial cells
(21), although IFN-
may not be necessary (25). In pulmonary epithelial cells, lung fibroblasts, and endothelial cells,
IL-1 alone may be sufficient for the induction of Cox-2 (26), although this is somewhat controversial (30). In
precision-cut lung slices we found that IL-1 and TNF together but not alone caused bronchoconstriction, which is
in agreement with the results on Cox-2 induction and
thromboxane formation cited earlier (20, 21). Taking all
these data together, it seems likely that in the lung slices
the cell type in which Cox-2 was induced were airway smooth-muscle and/or pulmonary epithelial cells. This conclusion is also in line with a recent immunohistochemical study
showing expression of Cox-2 and TXS in these two cells
types in rats (31, 32).
In addition to Cox-2 induction by the cytokine mix, we
also observed that selective inhibition of Cox-2 with NS398
reduced both thromboxane formation and bronchoconstriction. NS398 produces half-maximal inhibition for Cox-2 at
5 µM and shows no effect on Cox-1 even at a concentration
of 100 µM (33). In addition, blocking Cox-2 induction with
the steroid Dex similarly prevented the cytokine-induced
bronchoconstriction. Taken together with the protective
effect of the thromboxane receptor antagonist, these data
suggest that induction of Cox-2 followed by activation of
the thromboxane receptor by prostanoids is necessary for
the airway constriction induced by the TNF and IL-1 in
combination. Although in the present work we have largely
focused on thromboxane, we cannot exclude the possibility
that other prostaglandins (PGs) such as PGH2 or PGF2
that can also activate the thromboxane prostanoid receptor
(TP-receptor) (34) also contribute to bronchoconstriction. Of interest in this regard is also PGD2, which appears to
play an important role in allergic asthma (35). However,
the fact that PGD2 was effective only in sensitized animals
(35) and thus showed no direct effect on airway tone in
otherwise untreated lung slices (data not shown), where
known TP-receptor agonists such as U46619 provoke airway contraction (36), suggests that PGD2 is not very active
at the TP receptor, at least in rat airways.
Thromboxane is an active proinflammatory mediator that in addition to bronchoconstriction also causes vasoconstriction and platelet aggregation (37). Thus, treatment of precision-cut lung slices with a thromboxane receptor agonist leads to contraction of airways and vessels (36). Thromboxane is well known as a mediator of bronchoconstriction caused by a number of other proinflammatory agents such endotoxin (14), TNF (2), or IL-2 (38). However, a direct link between Cox-2 induction and alterations in lung functions had previously been shown only in the case of endotoxin-induced bronchoconstriction (14).
The source of thromboxane in the lung under these conditions remains unclear and has been discussed before (14). However, because the perfused lungs we used for the slice preparation were almost completely devoid of blood-derived leukocytes (39), the contribution of platelets or neutrophil seems rather unlikely. The participation of platelets is further made unlikely by our injecting heparin before lung perfusion. Therefore, pulmonary cells must be responsible for the thromboxane production and there is recent immunohistochemical evidence that parenchymal lung cells express TXS with an anatomical distribution similar to that of Cox-2. Accordingly, TXS is present in smooth-muscle cells, epithelial cells, and alveolar macrophages (32). Interestingly, incubation of alveolar macrophages or mixed pneumocytes with LPS (40) or of pulmonary epithelial or smooth-muscle cells with TNF/IL-1 (20, 21) does not cause a significant increase in thromboxane formation above basal levels, suggesting that an intact lung structure is required for this response.
Besides thromboxane and maybe PGH2, another mediator must contribute to the cytokine-induced bronchoconstriction. This suggestion is made from the observation
that the thromboxane receptor antagonist SQ29548 prevented the cytokine-induced bronchoconstriction completely, whereas Cox inhibitors or steroids were only partially effective. These observations suggest the existence of
another mediator that is not formed by Cox but that still
acts on the thromboxane receptor. Recently a series of F2-isoprostanes was discovered that is synthesized independently from the Cox pathway via free-radical peroxidation of AA. These isomers are potent vasoconstrictors and one
of them, 8-epi-prostaglandin F2
, leads to bronchoconstriction via the thromboxane receptor (41). Recently it
was suggested that isoprostanes may contribute to the endotoxin-induced airway hyperresponsiveness (42).
Another interesting observation was the basal thromboxane release of the lung slices, which was reduced by both Cox inhibitors but not by steroids, even when exogenous AA was supplied. The latter facts demonstrate that this basal production was not due to Cox-2 induction but to constitutive Cox activity, suggesting that the precision-cut lung slices were not in a preactivated state. The fact that the selective Cox-2 inhibitor NS-398 was effective suggests that this basal thromboxane formation is caused by Cox-2, which is in line with reports documenting a constitutive expression of Cox-2 in the airways (31). This conclusion, of course, does not contradict our mRNA data, because these data show only ratios but not absolute amounts of the mRNAs. Although not explicitly stated so far, thromboxane production appears to be a basal property of at least rat lungs. This conclusion is derived not only from the present study but also from other experiments showing that even lung tissue of untreated rat lungs contains about 500 ng thromboxane/g lung tissue (D. Bundschuh, A. Wendel, and S. Uhlig, unpublished data).
The present study has shown that the model of the precision-cut lung slices allows us to recapitulate complex
processes and to study lung functions with all the advantages of cell-culture methods. Our data show that the two
cytokines, TNF-
and IL-1
, together exhibit actions
markedly different from those elicited by either of them
alone. In the lung, the functional consequence of the induction of Cox-2 by TNF-
and IL-1
appears to be thromboxane receptor-dependent bronchoconstriction. Our studies raise the possibility that TNF and IL-1 may contribute
to bronchospasm during inflammatory lung diseases.
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Footnotes |
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Address correspondence to (*current address): Dr. Christian Martin, Research Center Borstel, Div. of Pulmonary Pharmacology, Parkallee 22, D-23845 Germany. E-mail: cmartin{at}fz-borstel.de
(Received in original form September 4, 1998 and in revised form March 6, 2000).
Abbreviations AA, arachidonic acid; Cox, cyclooxygenase; Dex, dexamethasone; IFN, interferon; IL, interleukin; MEM, Eagle's minimum essential medium; mRNA, messenger RNA; PCR, polymerase chain reaction; PG, prostaglandin; RT, reverse transcription; SD, standard deviation; TNF, tumor necrosis factor; TP- receptor, thromboxane prostanoid receptor; TXS, thromboxane synthase.
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