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*
William Harvey Research Institute, Charterhouse Square, London, United Kingdom; and
Chemical Endocrinology, St. Bartholomews Hospital, West Smithfield, London, United Kingdom
To investigate the relevance of adrenocorticotrophic hormone (ACTH)
therapy in human gouty arthritis, we have tested the effect of several
ACTH-related peptides in a murine model of experimental gout. Systemic
treatment of mice with ACTH410 (MEHFRWG) (10200 µg
s.c.) inhibited neutrophil accumulation without altering peripheral
blood cell counts or circulating corticosterone levels. A similar
effect was seen with
- and ß-melanocyte stimulating hormones
(130 µg s.c.). In vivo release of the chemokine KC-(detected in the
lavage fluids before maximal influx of neutrophils) was significantly
reduced (-50 to -60%) by ACTH410. Macrophage
activation in vitro, determined as phagocytosis and KC release, was
inhibited by ACTH and ACTH410 with approximate
IC50 values of 30 nM and 100 µM, respectively. The
melanocortin receptor type 3/4 antagonist SHU9119 prevented the
inhibitory actions of ACTH410 both in vitro and in vivo.
However, melanocortin type 3, but not type 4, receptor mRNA was
detected in mouse peritoneal macrophages by RT-PCR. Therefore, we
propose that activation of this receptor type by ACTH410
and related amino acid sequences attenuates KC release (and possibly
production of other cytokines) from macrophages with consequent
inhibition of the host inflammatory response, thus providing a notional
anti-inflammatory mechanism for ACTH that is unrelated to
stimulation of glucocorticoid release.
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