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The Journal of Immunology, 1999, 162: 2358-2367.
Copyright © 1999 by The American Association of Immunologists

Vasoactive Intestinal Peptide and Pituitary Adenylate Cyclase-Activating Polypeptide Inhibit Endotoxin-Induced TNF-{alpha} Production by Macrophages: In Vitro and In Vivo Studies1

Mario Delgado2,*,{ddagger}, David Pozo{dagger}, Carmen Martinez*, Javier Leceta*, Juan Ramon Calvo{dagger}, Doina Ganea{ddagger} and Rosa P. Gomariz*

* Department of Cellular Biology, Faculty of Biology, Complutense University, Madrid, Spain; {dagger} Department of Medical Biochemistry and Molecular Biology, University of Seville School of Medicine and Virgen Macarena Hospital, Seville, Spain; and {ddagger} Department of Biological Sciences, Rutgers University, Newark, NJ 07102

Vasoactive intestinal peptide (VIP) is a neuropeptide synthesized by immune cells that can modulate several immune aspects, including the function of cells involved in the inflammatory response, such as macrophages and monocytes. The production and release of cytokines by activated phagocytes are important events in the pathogenesis of ischemia-reperfusion injury. There is abundant evidence that the proinflammatory cytokine TNF-{alpha} is an important mediator of shock and organ failure complicating Gram-negative sepsis. VIP has been shown to attenuate the deleterious consequences of this pathologic phenomenon. In this study we have investigated the effects of VIP and the structurally related neuropeptide pituitary adenylate cyclase-activating polypeptide (PACAP38) on the production of TNF-{alpha} by endotoxin-activated murine peritoneal macrophages. Both neuropeptides rapidly and specifically inhibit the LPS-stimulated production of TNF-{alpha}, exerting their action through the binding to VPAC1 receptor and the subsequent activation of the adenylate cyclase system. VIP and PACAP regulate the production of TNF-{alpha} at a transcriptional level. In vitro results were correlated with an inhibition of both TNF-{alpha} expression and release in endotoxemic mice in vivo. The immunomodulatory role of VIP in vivo is supported by the up-regulation of VIP release in serum and peritoneal fluid by LPS and proinflammatory cytokines such as TNF-{alpha}, IL-1ß, and IL-6. These findings support the idea that under toxicity conditions associated with high LPS doses, VIP and PACAP could act as protective mediators that regulate the excessive release of TNF-{alpha} to reduce inflammation or shock.




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