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The Journal of Immunology, 2001, 167: 2911-2920.
Copyright © 2001 by The American Association of Immunologists

Methotrexate Suppresses NF-{kappa}B Activation Through Inhibition of I{kappa}B{alpha} Phosphorylation and Degradation1

Sekhar Majumdar and Bharat B. Aggarwal2

Cytokine Research Laboratory, Department of Bioimmunotherapy, University of Texas M. D. Anderson Cancer Center, Houston, TX 77030

Methotrexate (MTX), a folate antagonist, is a commonly used anti-inflammatory, antiproliferative, and immunosuppressive drug whose mode of action is not fully established. Due to the central role of NF-{kappa}B in these responses, we postulated that MTX must mediate its effects through suppression of NF-{kappa}B activation. We investigated the effects of MTX on NF-{kappa}B activation induced by TNF in Jurkat cells. The treatment of these cells with MTX suppressed TNF-induced NF-{kappa}B activation with optimum effects occurring at 10 µM MTX for 60 min. These effects were not restricted to Jurkat cells because other cell types were also inhibited. Besides TNF, MTX also suppressed the NF-{kappa}B activation induced by various other inflammatory stimuli. The suppression of TNF-induced NF-{kappa}B activation by MTX correlated with inhibition of I{kappa}B{alpha} degradation, suppression of I{kappa}B{alpha} phosphorylation, abrogation of I{kappa}B{alpha} kinase activation, and inhibition of NF-{kappa}B-dependent reporter gene expression. Because ecto 5' nucleotidase inhibitor ({alpha},{beta}-methylene adenosine-5'-diphosphate) blocked the effect of MTX, adenosine mimicked the effect of MTX, and adenosine A2b receptor antagonist (3,7-dimethyl-1-propargylxanthine) reversed the inhibitory effect of MTX, we suggest that MTX suppresses NF-{kappa}B activation by releasing adenosine. A partial reversal of MTX-induced NF-{kappa}B suppression by thymidine and folinic acid indicates the role of the thymidylate synthase pathway also. Overall, our results clearly demonstrate that MTX suppresses NF-{kappa}B activation through the release of adenosine, which may contribute to the role of MTX in anti-inflammatory, immunomodulatory, and antiproliferative effects.




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