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*MELPHALAN
*PROPRANOLOL HYDROCHLORIDE
The Journal of Immunology, 1999, 163: 2492-2499.
Copyright © 1999 by The American Association of Immunologists

Norepinephrine-Mediated Inhibition of Antitumor Cytotoxic T Lymphocyte Generation Involves a ß-Adrenergic Receptor Mechanism and Decreased TNF-{alpha} Gene Expression1

Vladimir V. Kalinichenko*, Margalit B. Mokyr*,{dagger}, Lloyd H. Graf, Jr.*, Rhonna L. Cohen* and Donald A. Chambers2,*,{dagger}

* Center for Molecular Biology of Oral Diseases, and {dagger} Department of Biochemistry and Molecular Biology, University of Illinois, Chicago, IL 60612

We have previously shown that norepinephrine (NE) inhibits the in vitro generation of anti-MOPC-315 CTL activity by spleen cells from BALB/c mice rejecting a large MOPC-315 tumor as a consequence of low-dose melphalan (L-phenylalanine mustard (L-PAM)) treatment (L-PAM TuB spleen cells). Since TNF-{alpha} plays a key role in the generation of antitumor CTL activity in this system, we determined whether NE mediates this inhibition through inhibition of TNF-{alpha} production. Here, we show that NE inhibits the production of TNF-{alpha} protein and mRNA by L-PAM TuB spleen cells stimulated in vitro with mitomycin C-treated tumor cells. Flow cytometric analysis of intracellular expression of TNF-{alpha} revealed substantial NE-mediated decreases in the percentages of TNF-{alpha}+ cells among CD4+ and CD8+ T cells and F4/80+ activated macrophages. NE inhibition of CTL generation was largely overcome by addition of TNF-{alpha} to the stimulation cultures. When the ß-adrenergic antagonist propranolol was added to the stimulation cultures of L-PAM TuB spleen cells at a concentration that prevented NE-induced cAMP elevation, the NE-mediated decrease in TNF-{alpha} mRNA and NE-mediated inhibition of CTL generation were reversed. Collectively, these results suggest that NE inhibits antitumor CTL generation, at least in part, by inhibiting TNF-{alpha} synthesis through a mechanism(s) involving ß-adrenergic receptor signaling.




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