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The Journal of Immunology, 1999, 163: 3459-3467.
Copyright © 1999 by The American Association of Immunologists

A Novel Mechanism of Action of Chemically Modified Tetracyclines: Inhibition of COX-2-Mediated Prostaglandin E2 Production

Rajesh N. Patel1,*, Mukundan G. Attur1,*, Mandar N. Dave*, Indravadan V. Patel*, Steven A. Stuchin{dagger}, Steven B. Abramson*,{ddagger} and Ashok R. Amin2,*,{ddagger}

Departments of * Rheumatology and {dagger} Orthopedic Surgery, Hospital for Joint Diseases, New York, NY 10003; and Departments of {ddagger} Pathology and § Medicine and Kaplan Cancer Center, New York University Medical Center, New York, NY 10016


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Tetracyclines (doxycycline and minocycline) inhibit inducible NO synthase expression and augment cyclooxygenase (COX)-2 expression and PGE2 production. In contrast, chemically modified tetracyclines (CMTs), such as CMT-3 and -8 (but not CMT-1, -2, and -5), that lack antimicrobial activity, inhibit both NO and PGE2 production in LPS-stimulated murine macrophages, bovine chondrocytes, and human osteoarthritis-affected cartilage, which spontaneously produces NO and PGE2 in ex vivo conditions. Furthermore, CMT-3 augments COX-2 protein expression but inhibits net PGE2 accumulation. This coincides with the ability of CMT-3 and -8 to inhibit COX-2 enzyme activity in vitro. The action of CMTs is distinct from that observed with tetracyclines because 1) CMT-3-mediated inhibition of PGE2 production coincides with modification of COX-2 protein, which is distinct from the nonglycosylated COX-2 protein generated in the presence of tunicamycin, as observed by Western blot analysis and 2) CMT-3 and -8 have no significant effect on COX-2 mRNA accumulation. In contrast, CMT-3 and -8 do not inhibit COX-1 expression in A549 human epithelial cells at the level of protein and mRNA accumulation or modification of COX-1 protein. CMT-3 and -8 inhibit the sp. act. of COX-2 (but not COX-1) in cell-free extracts. These results demonstrate differential action of CMT-3 (Metastat) on COX-1 and -2 expression, which is distinct from other tetracyclines.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Various studies have shown that, among the tetracycline group of broad-spectrum antibiotics, doxycycline and minocycline exert biological effects independent of their antimicrobial activity (1, 2, 3). Such effects include inhibition of matrix metalloprotease (MMP)3 activity, including collagenase (MMP-1), gelatinase (MMP-2), and stromelysin (MMP-3), and prevention of pathogenic tissue destruction (1). Recent studies have also indicated that tetracyclines and inhibitors of MMPs block tumor progression (4), bone resorption (5), and angiogenesis (6). In view of these diverse effects of tetracyclines, we have also observed that doxycycline, minocycline (7), and chemically modified tetracyclines (CMTs) (8) inhibit inducible NO synthase (iNOS) expression in murine macrophages. Yu et al. (9) have shown that prophylactic administration of doxycycline markedly reduced the severity of osteoarthritis (OA) in dog models. The safety and efficacy of minocycline was assessed in the treatment of arthritis, where a double-blind, randomized, multicenter trial indicated that the drug was safe and effective for patients with mild and moderate arthritis (10).

PGs such as PGE1 and PGE2, which are produced at elevated levels in inflamed tissues like rheumatoid synovium (11, 12), increase local blood flow and potentiate the effects of mediators such as bradykinin that induce vasopermeability (13). PGE2, when overproduced in some cell types (by transfection of cyclooxygenase (COX)-2 cDNA), is known to exert diverse effects on cellular functions, which include activation of MMPs (14), induction and protection of apoptosis depending on the cell type (15, 16), potentiating metastatic growth of tumor (17, 18), inhibiting chondrocyte growth, triggering osteoclastic bone resorption (19), and up-regulating IL-1 transcription and cAMP levels in various cell types (20, 21).

Tetracyclines (doxycycline and minocycline) inhibited NO production and augmented PGE2 production (1- to 2-fold) in human OA-affected cartilage (in the presence or absence of cytokines and endotoxin) in ex vivo conditions and LPS-stimulated murine macrophages (RAW 264.7) in vitro conditions independent of intracellular NO concentrations (22). Thus, the effects of tetracyclines on NO and PGE2 production are independent of each other. Furthermore, tetracycline(s) and L-N-monomethyl arginine (L-NMMA) (NOS inhibitor) showed an additive effect on inhibition of NO and augmentation of PGE2 accumulation. Tetracyclines augment murine COX-2 expression by increasing the accumulation of 1) COX-2 mRNA and 2) cytosolic COX-2 protein (22). These results (unlike L-NMMA) indicated a novel mechanism of action of tetracyclines to augment the expression of COX-2 and PGE2 production independent of endogenous concentration of NO and caution the use of tetracyclines as antiinflammatory drugs in the present ongoing clinical trials for rheumatoid arthritis, OA, leprosy, and scleroderma.

CMTs have recently shown to be potent inhibitors of tissue and matrix break down and attend a longer half-life in serum than tetracyclines (23). CMTs are potent inhibitors of MMPs and iNOS (24). A major advantage of CMTs (unlike tetracyclines) is the lack of antimicrobial activity and development of antibiotic-resistant microbial flora in vivo in long term therapy. Recent studies have shown that CMT-3 and CMT-8 inhibit tumor metastasis and arthritis-affected synoviocyte invasion in animal models (23, 25).

Due to the instigative role of PGE2 in arthritis, its potential proinflammatory effects in joints, its possible effects on metalloproteases, and the "COX-2 stimulating property" of tetracyclines, we evaluated the action of CMTs on COX-2 in LPS-stimulated murine macrophages, bovine chondrocytes, and OA-affected human cartilage, which spontaneously released NO and PGE2 in ex vivo conditions (26).

In the present study, we report the following: 1) like doxycycline, minocycline, and NOS inhibitor (L-NMMA), CMT-3 augments COX-2 protein expression; 2) unlike doxycycline, minocycline and L-NMMA, CMT-3 inhibits net PGE2 production in LPS-stimulated murine macrophages, bovine chondrocytes, or human OA-affected cartilage; 3) doxycycline and minocycline have no significant effect on COX-2 enzyme activity whereas CMT-3 and -8 inhibit COX-2 enzyme activity in vitro; 4) the mechanism of action of the CMT-3 on COX-2 (which, like tetracyclines, is not at the level of COX-2 mRNA accumulation) seems to be at the level of posttranslational modification of COX-2; 5) CMT-3-induced COX-2 modification is distinct from the nonglycosylated COX-2 synthesized in the presence of tunicamycin; 6) CMT-3 does not inhibit COX-1 protein and mRNA accumulation, but significantly inhibits PGE2 production in whole cells but not in cell-free extracts; and 7) the mechanism of action of CMT-3 on COX-1 and -2 seems to be distinct.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Cell lines and reagents

Murine macrophage cells (RAW 264.7) and human lung carcinoma cells (A549) were obtained from American Type Culture Collection (ATCC, Manassas, VA). Anti-COX-1 was obtained from Cayman Chemical Company (Ann Arbor, MI). Anti-NOS and anti-COX-2 Abs were obtained from Transduction Laboratories (Lexington, KY). Doxycycline, minocycline, hydrocortisone, swainsonine, deoxymannojirimycin, deoxynojirimycin, and LPS were obtained from Sigma (St. Louis, MO). NS398 was obtained from Cayman Chemical Company and celecoxib is a kind gift from G. D. Searle (Chicago, IL). The CMTs (designated as CMT-1, -2, -3, -5, and -8) were a generous gift from CollaGenex Pharmaceutical (Newton, PA). The molecular structures of doxycycline, minocycline, CMT-3, and CMT-8 are depicted in Fig. 1Go.



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FIGURE 1. Chemical structures of tetracyclines and CMTs.

 
Procurement of bovine chondrocytes

Isolation of bovine chondrocytes was conducted by standard methods (27). Briefly, normal bovine cartilage was washed and cut into small pieces and digested with trypsin (30 min), followed by digestion with collagenase P for 12–16 h in RPMI 1640 medium. The chondrocytes were then washed and resuspended in RPMI 1640 medium before they were grown in 24-well plates at a density of 5 x 105 cells per well. The cells were stimulated after 48 h of seeding with LPS ± modulators.

Assay of OA-affected NOS and COX-2 in organ cultures

This assay was basically conducted as described previously (22). Briefly, OA-affected cartilage was obtained from tibial plateau and femoral condyle of OA patients undergoing knee replacement surgery. OA-affected cartilage was cut into 3-mm discs; four to six discs (~100–200 mg) were placed in organ cultures in 2 ml medium (Ham’s F-12 with 0.1% human albumin) for 24–72 h in the incubator. The medium was analyzed for nitrite and PGE2 accumulation by modified Griess reaction (28) and RIA, respectively (29).

Cultivation of A549 cells

Human lung carcinoma epithelial-like cells were passaged in Ham’s F-12 (Life Technologies, Gaithersburg, MD) containing 10% FBS, 4 mM L-glutamine, streptomysin (50 µg/ml), and penicillin (50 U/L). The cells were adapted in low serum (0.5%) medium 24 h before stimulating with IL-1ß ± modulators.

Preparation of cell-free extracts

RAW 264.7 cells were induced with LPS (100 ng/ml) in the presence or absence of CMTs or hydrocortisone for 14–20 h. Similarly, A549 cells were incubated in the presence and absence of CMTs for 30 min and induced in the presence and absence of IL-1ß (10 ng/ml) for 24–30 h. Following induction, the cells were pelleted at 4°C and resuspended in Tris buffer (10 mM, pH 7.4) containing 10 µg/ml each of chymostatin, antipain, leupeptin, and pepstatin, 1 mM DTT, and 1 mM PMSF. Cells were lysed in a Polytron PA 1200 homogenizer (Kinematica, Switzerland) after 3 cycles of rapid freeze thawing. The lysate was centrifuged at 18,000 x g at 4°C in an Eppendorf centrifuge, and the resulting supernatant was used as cell-free extracts. The protein was measured by BCA assay reagent (Pierce, Rockford, IL) using BSA as standard (30).

Cell-free enzyme assay for COX-1 and COX-2

The cells were lysed by a Polytron homogenizer as shown above in Tris buffer with a mixture of protease inhibitors. The enzyme assay was performed as previously described (31), using total unfractionated cell extracts, and PGE2 was estimated by RIA. The specific enzyme activity was defined as PGE2 released (ng/mg protein) for 20 min at 37°C.

Western blot analysis

Equal amounts of protein (25–50 µg) were loaded onto SDS-PAGE gels and stained to verify the concentrations of various protein fractions by examining the intensities of the protein bands on the gel. The blot was probed with a specific anti-COX-2, anti-NOS, anti-COX-1, anti-actin, and anti-catalase (kindly provided by Dr. Paul Lazarow, NYU-Mt. Sinai Medical System) mAb that cross-reacts with mouse, human, and bovine COX-2, COX-1, iNOS, and catalase, respectively. The blots were developed using the ECL Western blot system (Amersham, Arlington Heights, IL). Quantitation of the bands was performed using a densitometer (Molecular Dynamics, Sunnyvale, CA).

Northern blot analysis

Total RNA was isolated using TRI Reagent (MRC, Cincinnati, OH). Northern blot analysis was conducted as described by Church and Gilbert (32). Briefly, 20 µg of RNA was subjected to electrophoresis in 1% agarose formaldehyde gel. RNA from the gel was then transferred by capillary action onto a nylon membrane (Bio-Rad Laboratories, Melville, NY). The membrane was hybridized with [32P]dCTP-labeled COX-2 and COX-1 cDNA (a kind gift from Dr. Paul Worley, Johns Hopkins University, and T. Hla, University of Connecticut School of Medicine). After hybridization, the blot was exposed to Kodak x-ray film (Kodak, Rochester, NY) for 24–48 h with intensifying screens at -70°C. Quantitation of the intensity of the COX-2 or COX-1/GAPDH bands was performed using a densitometer (Molecular Dynamics).

Statistical analysis

Data are expressed as mean ± SD, and statistical analysis was performed using GraphPad Software (V1.14). The t test or nonparametric (Mann-Whitney or Wilcoxon) test was performed for experiments as described in the figure legends.


    Results and Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Our recent studies have shown that doxycycline and minocycline inhibit iNOS and augment COX-2 expression at the level of iNOS and COX-2 mRNA accumulation in murine macrophages stimulated with LPS (7). In view of these observations, we examined whether chemically modified tetracyclines such as CMT-3 and CMT-8, which inhibit iNOS expression (8) and which lack antimicrobial activity as previously reported (33), could also modulate COX-1 and COX-2 expression.

Effect of CMTs on NO and PGE2 accumulation

We compared the effects of CMTs and minocycline on NO and PGE2 accumulation in LPS-stimulated murine macrophages as shown in Table IGo. CMT-3 (but not CMT-1, -2, -5, or -8) inhibited PGE2 accumulation. CMT-3 inhibited PGE2 accumulation by more than 50% at 10 µg/ml (~27 µM), while that of hydrocortisone was ~10 µM. It should be noted that CMT-8 marginally inhibited nitrite accumulation but not PGE2 accumulation, whereas CMT-3 inhibited both nitrite and PGE2 accumulation at the same concentration. Addition of minocycline (40 µg/ml; 81 µM) augmented PGE2 production as previously described. CMT-1,-2, and -5 at concentrations of 10 µg/ml (~27 µM) did not show a significant effect on NO or PGE2 production. Our preliminary studies show that, in contrast to minocycline and doxycycline (22), CMTs at 40 µg/ml were found to be toxic to cells since ~50% of the cell died within 12 h based on trypan blue exclusion staining (data not shown). These experiments demonstrate that, in contrast to doxycycline or minocycline, which augmented PGE2 production (22), CMT-3 effectively inhibits PGE2 accumulation in macrophages.


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Table I. Effect of CMTs on PGE2 and NO accumulation in murine macrophages stimulated with LPS

 
Influence of NO on CMT-3-mediated inhibition of PGE2 production

In view of the NO-independent COX-2/PGE2-augmenting properties of tetracyclines (doxycycline and minocycline) and NO-dependent COX-2/PGE2-augmentation properties of L-NMMA (22, 31), we next tested the effect of CMTs on PGE2 production in the presence of L-NMMA at a concentration (500 µM) that is known to augment PGE2 production.

RAW 264.7 cells pretreated with L-NMMA, when stimulated with LPS, showed augmentation of PGE2 accumulation (Fig. 2Go). This L-NMMA-mediated augmentation of PGE2 accumulation could be significantly inhibited by CMT-3 at concentrations as low as 2.5 µg/ml. These experiments suggest that the action of CMT-3 on PGE2 production (like doxycycline and minocycline, which have an opposing effect) is independent of intracellular NO production.



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FIGURE 2. Effect of CMTs on PGE2 and NO accumulation in RAW 264.7 cells stimulated with LPS ± L-NMMA. RAW 264.7 cells were stimulated with LPS (100 ng/ml) in the presence of various concentrations of CMT-3 ± L-NMMA (500 µM) for 16 h in triplicate wells for each parameter. The levels of PGE2 were estimated by RIA and nitrite by Greiss method. The data are represented as PGE2 or nitrite accumulated in triplicate determinants (n = 3). Statistics (between LPS-stimulated cells and LPS + CMT-3-treated cells) were derived using unpaired Student’s t test. a, p <= 0.001; b, p <= 0.03. The statistics between LPS + L-NMMA-treated cells and L-NMMA + CMT-3-treated cells were also represented as above.

 
We also examined the effects of CMTs on NO- and COX-2-dependent PGE2 production in bovine chondrocytes stimulated with LPS (Fig. 3GoA). CMT-3 at a concentration of 2.5 µg/ml inhibited NO and PGE2 production by 50% as compared with LPS-stimulated bovine chondrocytes, similar to that observed in murine macrophages (8). Addition of L-NMMA significantly increased PGE2 production in LPS-stimulated cells in these experiments. Addition of CMT-3 (2.5 to 10 µg/ml) ± L-NMMA significantly inhibited PGE2 production. Similarly, 2.5 to 10 µg/ml of CMT-8 also inhibited NO and PGE2 production in chondrocytes stimulated with LPS in the presence and absence of L-NMMA in another similar experiment (Fig. 3GoB). These experiments suggest that CMT-3 and -8 inhibit PGE2 production independent of intracellular NO concentration in LPS-stimulated bovine chondrocytes. Furthermore, these experiments also show that bovine chondrocytes are also relatively more susceptible to CMT-8 with respect to PGE2 production, a property distinct from murine macrophages.



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FIGURE 3. A, Effect of CMT-3 on PGE2 accumulation in bovine chondrocytes stimulated with LPS ± L-NMMA. Bovine chondrocytes were stimulated with LPS (100 µg/ml) in the presence of various concentrations of CMT-3 ± L-NMMA in triplicate for each parameter for 72 h. The levels of PGE2 were estimated by RIA. Data are expressed as nitrite or PGE2 accumulated in triplicate determinants (n = 3). Statistics (between LPS-stimulated cells and LPS + CMT-3-treated cells) were derived using unpaired Student’s t test. a, p <= 0.001; b, p <= 0.05. The statistics between LPS + L-NMMA-treated cells and L-NMMA + CMT-3-treated cells were also represented as above. B, Effect of CMT-8 on PGE2 accumulation in bovine chondrocytes stimulated with LPS. Bovine chondrocytes were stimulated with LPS (100 µg/ml) in the presence of various concentrations of CMT-8 ± L-NMMA in triplicate for each parameter for 72 h. The levels of nitrite or PGE2 were estimated as described in Materials and Methods. Data are expressed in triplicate determinants (n = 3). Statistics (between LPS-stimulated cells and LPS + CMT-8-treated cells) were derived using unpaired Student’s t test. a, p <= 0.001; b, p <= 0.05. The statistics between LPS + L-NMMA-treated cells and L-NMMA + CMT-3-treated cells were also represented as above.

 
We have reported that human OA-affected cartilage (but not normal cartilage) can spontaneously release large quantities of NO and PGE2 in ex vivo conditions (27). This is primarily because human OA-affected NOS (OA-NOS) and COX-2 are overexpressed in OA-affected cartilage. OA-NOS is similar to iNOS but shares some properties of neuronal NOS as previously reported (34).

CMT-3 at 5 µg/ml did not significantly inhibit spontaneous NO production in OA-affected cartilage. However, higher concentrations of CMT-3 (20 µg/ml) in the presence or absence of IL-1ß inhibited NO production by 71% (Table IIGo). Similarly, 5 and 20 µg/ml of CMT-8 inhibited NO production in OA-affected cartilage by 58 and 73% respectively, thus indicating that CMT-8 is more effective in inhibiting (like bovine chondrocytes) NO production in OA-affected cartilage. Our results support the previous observation that the difference in the hydrophorbicity, solubility, and absorption of CMT-3 and -8 (23) may contribute to the differential concentration required for inhibition of NO and PGE2 production. Sasaki et al. (35) reported that CMT-8 has more tendency to accumulate in bone and teeth, which might explain this observation.


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Table II. Effect of CMTs on spontaneous and IL-1-induced No and PGE2 production in human OA-affected cartilage in ex vivo conditions1

 
We also examined the effect of CMTs on human OA-affected cartilage spontaneously releasing PGE2 (via COX-2) in ex vivo conditions (Table IIGo). CMT-3 and -8, (but not CMT-1, -2, and -5) inhibited PGE2 production significantly in this ex vivo assay system. Minocycline, as expected, inhibited nitrite accumulation and augmented PGE2 accumulation (22). It should be noted that 5 µg/ml of CMT-3 (unlike in murine macrophages) had no significant effect on NO production in OA-affected cartilage and therefore it can be inferred that the inhibitory effect of CMT-3 on PGE2 production in human OA-affected cartilage in ex vivo conditions is independent of NO concentrations.

These experiments on the whole show that CMT-3 and/or -8 can effectively block PGE2 production (independent of NO) in three different cell systems, indicating a unique property of these compounds, which is distinct from doxycycline and minocycline.

Western blot analysis of COX-2 in presence of CMTs

We selected to examine the mechanism of action of CMTs (with emphasis on CMT-3) on COX-2 expression in murine macrophages (RAW 264.7) since the regulation of iNOS and COX-2 is well studied in this cell type (31, 36, 37). In our initial experiments, we examined the effects of CMT-3 and -8 at various concentrations on COX-2 protein expression. RAW 264.7 cells were stimulated with LPS in the presence and absence of CMTs for 16 h; cell-free extracts were prepared and examined for COX-2 expression by Western blot analysis. Fig. 4Go shows that, like minocycline, CMT-3 (but not CMT-8) augmented the accumulation of the 72-kDa COX-2 protein. CMT-3-treated cells also showed a prominent COX-2 band of lower molecular mass (~68 kDa). The expression of COX-2 in cells treated with 2.5 µg/ml of CMT-3 was similar to that observed with 20 µg/ml of minocycline, but CMT-3-treated cells showed inhibition of COX-2-mediated PGE2 accumulation, whereas minocycline-treated cells showed COX-2-mediated augmentation of PGE2 accumulation, as previously reported (22). A dose-dependent inhibition in the accumulation of PGE2 by increasing concentrations of CMT-3 in the same experiment was observed although there was an increase in "the low m.w. modified COX-2 protein" accumulation as seen by Western blot analysis. It should be noted that there was significant inhibition of PGE2 production by 10 µg/ml of CMT-8 in RAW 264.7 cells, but there was no COX-2 protein modification with CMT-8 as observed in CMT-3-treated cells (Fig. 4Go). Hydrocortisone as expected inhibited COX-2 expression (38). The blots were also probed with anti-actin mAb, which showed equal intensity of the actin band in all lanes. In summary, these results on the action of CMT-3 on COX-2 and PGE2 production are in contrast to those observed with minocycline and doxycycline, which augmented COX-2 expression and PGE2 production, as reported recently (22).



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FIGURE 4. Western blot analysis of COX-2 in RAW 264.7 cells exposed to minocycline, CMTs, and hydrocortisone in the presence of LPS for 16 h. Mino represents minocycline (20 µg/ml). A, Shows the representative PGE2 values in the experiments. Cell-free extracts were prepared, and equal amounts were run on 10% SDS-PAGE before they were blotted and probed with a specific anti-COX-2 mAb and anti-actin mAb. The arrow in B shows the 72-kDa COX-2 protein and its modified forms. C, Shows expression of actin on the same blot. The data represent one of two similar experiments.

 
We also investigated the effect of CMT-3 on the expression of COX-2 protein in bovine chondrocytes stimulated with LPS. These experiments also showed an increased accumulation of the low m.w. "modified COX-2 protein" and a decrease in PGE2 accumulation, similar to that observed with RAW 264.7 cells (Fig. 5Go). These experiments suggest that CMT-3, which augments COX-2 expression, renders the COX-2 protein inactive by modifying it and thereby decreasing PGE2 production.



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FIGURE 5. Western blot analysis of COX-2 in bovine chondrocytes exposed to CMTs. Bovine chondrocytes were stimulated with 100 µg/ml LPS ± CMT-3. The cell-free extracts were prepared and run on 15% SDS-PAGE gels before they were blotted and probed with anti-COX-2 mAb. The arrow shows the COX-2 protein and its modified forms. The upper panel shows the representative PGE2 values in this particular experiment. The data represent one of the two similar experiments.

 
Effect of CMTs on COX-2-specific activity in vitro

We tested the above hypothesis by directly examining the effect of CMTs on COX-2 enzyme activity in vitro. RAW 264.7 cells were stimulated with LPS (Table IIIGo), and cell-free extracts were prepared as described in Materials and Methods. Addition of 10 µg/ml of CMT-3 (27 µM) and CMT-8 (27 µM), like aspirin (56 µM) and indomethacin (28 µM), significantly inhibited the sp. act. of COX-2 whereas the inactive analogue of CMTs (CMT-5) had no significant effect. These experiments suggest that CMT-3 and CMT-8 interfere with the enzyme activity of COX-2 in cell-free extracts, and their ability to inhibit COX-2-mediated PGE2 production in vitro was similar to aspirin and indomethacin. These experiments show a novel mechanism of action of CMTs on COX-2 and separates them from tetracyclines such as doxycycline and minocycline. The possibility of these CMTs binding to COX-2 (like aspirin) cannot be ruled out. This may also explain the net decrease in the PGE2 accumulation in CMT-treated cells although there is a significant increase in the accumulation of the modified COX-2 protein on the whole.


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Table III. Effect of CMTs on COX-2 sp. act. in vitro1

 
Effect of CMT-3 on COX-2 expression and PGE2 production in conjunction with glycosylation inhibitors

In view of the above observations, we performed experiments to determine whether CMT-3-mediated decrease in the size of COX-2 on SDS-PAGE gels was due to changes in glycosylation pattern of COX-2. We compared the effects of CMTs on COX-2 expression and PGE2 production with known glycosylation inhibitors. Inhibition of N-linked glycosylation of COX-2 by tunicamycin has been reported to inhibit PGE2 production (39). We examined the effect of tunicamycin (N-linked glycosylation inhibitor) ± CMT-3 on PGE2 production in RAW 264.7 cells stimulated with LPS. CMT-3 (5 µg/ml), which inhibited both NO and PGE2 production (and induced COX-2 modification), was selected for these experiments. Tunicamycin, more than CMT-3, inhibited NO and PGE2 production. A combination of tunicamycin and CMT-3 inhibited PGE2 accumulation, similar to tunicamycin alone (Table IVGo). PGE2 production was more sensitive to tunicamycin, as compared with nitrite accumulation.


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Table IV. Effect of CMT-3 and tunicamycin on PGE2 and nitrite accumulation in murine macrophages stimulated with LPS1

 
We also examined the expression of COX-2 in the presence of CMTs and tunicamycin by Western blot analysis. Fig. 6Go shows that CMT-3, as expected, increased the accumulation of a COX-2 protein, which exhibited a decreased m.w. as compared with untreated control on SDS-PAGE gels. Addition of tunicamycin to these cells in the same experiment resulted in an appearance of 1) a 70-kDa glycosylated COX-2 and 2) a 60-kDa nonglycosylated COX-2 with a net decrease in PGE2 production (data not shown). We also tested the effect of other glycosylation inhibitors on COX-2 expression. Deoxynojirimycin ({alpha}-glucosidase inhibitor), deoxymannojirimycin (mannosidase II), swainsonine (golgi mannosidase II inhibitor), and CMT-5 (negative control) had no significant effect on the accumulation of PGE2 (data not shown) or the size of COX-2 protein as compared with tunicamycin-treated cells (Fig. 6Go). The concentrations of deoxymannojirimycin, deoxynomiirimycin, and swainsonine used in these studies were sufficient to inhibit glycosylation in activated murine T cells (40, 41). These experiments demonstrate that tunicamycin (but not other inhibitors of glycosylation), which inhibits the total N-linked glycosylation, blocked PGE2 production and also significantly decreased the size of COX-2 protein. It should be noted that, although tunicamycin and CMT-3 share the property to block PGE2 production, the "CMT-3-modified COX-2" was not similar to the "tunicamycin-modified COX-2" because 1) there was an increased expression of COX-2 protein by CMT-3 and a decreased expression of COX-2 protein by tunicamycin; 2) the sizes of COX-2 obtained from CMT-3-treated cells and tunicamycin-treated cells were not similar; 3) expression of COX-2 in various expression systems, which include vaccinia virus, Drosophila 52 cells, baculovirus, and COS cells, shows heterogeneity in N-linked glycosylation, especially in the high mannose structures (Man)n(GlcNAc)2n = 9,8,7,6 (42). Removal of N-glycosylation consensus sequence by site-directed mutagenesis at Asn580 or Asn582 resulted in partial N-glycosylation of COX-2, which retained its enzyme activity and was also susceptible to diclofenac comparable to the wild-type (complete N-linked glycosylated) COX-2 (41). Our studies support those of O’Neill et al. (39), who indicated that total inhibition of N-linked glycosylation (with tunicamycin) is essential to inactivate COX-2 activity (39). The appearance of multiple COX-2 bands (at least four) resolved on a 15% SDS-PAGE (induced by CMT-3) in bovine COX-2 indicates that the two glycosylation sites on COX-2 (42) may not be a target of CMT-3. These results support the hypothesis that CMT-3-induced COX-2 modification may not be due to changes in glycosylation of COX-2 protein. However, another posttranslational modification of COX-2 induced by CMTs, which cannot be ruled out, is degradation of the enzyme due to unfolding of the protein.



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FIGURE 6. Western blot analysis of COX-2 expression in the presence of glycosylation inhibitors, CMT-3, and CMT-5. RAW 264.7 cells were stimulated with 100 ng/ml LPS ± modulators for 16 h. Cell-free extracts were prepared and Western blotted as shown and as described in Materials and Methods. The figure shows inhibition of PGE2 accumulation as compared with LPS-stimulated cells, which was 11.0 ng/ml, — indicates <= 10% difference. The data represent one of the two similar experiments.

 
Regulation of COX-2 mRNA by CMTs

Based on our previous studies, which show up-regulation of COX-2 mRNA by tetracyclines doxycycline and minocycline (22), we examined the effect of CMTs on COX-2 mRNA accumulation in RAW 264.7 cells stimulated with LPS for 16 h. Fig. 7Go shows no significant effect (1–11% inhibition) of CMTs on COX-2 mRNA accumulation in LPS-stimulated RAW 264.7 cells but showed a significant increase in COX-2 mRNA accumulation by doxycycline, as compared with LPS-stimulated cells as described previously (22). The values were normalized with the respective GAPDH signals. Hydrocortisone, as expected, inhibited the COX-2 mRNA accumulation. In a separate experiment, glycosylation inhibitors had no significant effect on COX-2 mRNA accumulation (data not shown). The results suggest that CMTs, unlike doxycycline or minocycline, had no significant effect on COX-2 mRNA accumulation, and, therefore, the mechanism of action of CMT-3 on COX-2 expression is distinct from doxycycline and minocycline.



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FIGURE 7. Northern blot analysis of COX-2 mRNA expression in RAW 264.7 cells stimulated with LPS in the presence of CMTs at 16 h. RNA was extracted and analyzed by Northern blot using COX-2 and GAPDH probes. The COX-2/GAPDH signal was quantitated using phosphoimager. The percentage inhibition of COX-2 mRNA accumulation was normalized with the GAPDH signal and compared with the values shown in the LPS-stimulated cells. Data represent one of two similar experiments.

 
Effects of CMTs on COX-1- and COX-2-mediated PGE2 production in A549 epithelial-like cells

A human lung carcinoma cell line (A549), which under serum-starved conditions is reported to constitutively express COX-1 and upon stimulation with IL-1ß expresses COX-2, was selected for these experiments (43). Serum-starved A549 cells were preincubated in the presence and absence of CMT-3 and CMT-8 (5.0 µg/ml) for 30 min and stimulated with IL-1ß (10 ng/ml). After 24–30 h, the spontaneous and IL-1ß-induced PGE2 production was estimated. CMT-3 and -8 significantly inhibited COX-2-mediated PGE2 production more than the spontaneous production of PGE2 by COX-1 (Table VGo). To further understand the mechanism of action of CMTs on COX-1 expression, we studied COX-1 protein expression by Western blot analysis. Both CMT-3 and -8 had no significant effect on COX-1 protein expression, whereas, in the same experiment, "CMT-3 modified COX-2" protein was augmented (Fig. 8GoA). These experiments suggest that CMT-3 has differential effects on COX-1 and COX-2. CMT-3 and CMT-8 had no significant effect on COX-1 mRNA or COX-2 accumulation (Fig. 8GoB).


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Table V. Effect of CMTs on PGE2 accumulation in human A549 cells in presence and absence of IL-1ß in ex vivo conditions1

 


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FIGURE 8. Western and Northern analysis of COX-1 and -2 expression in A549 cells stimulated with IL-1ß in the presence and absence of CMTs at 24 h (A). A549 cells were stimulated with 10 ng/ml of IL-1ß ± modulators for 24 h. Cell-free extracts were prepared, and Western blot analysis was conducted as described in Materials and Methods for COX-1 and -2 and for catalase (B). Northern analysis of COX-1 and -2 and GAPDH was also performed in the same experiment as described. The COX-1 or COX-2 and GAPDH signals were quantitated using phosphoimager, and signals of COX-1 and -2 were normalized against GAPDH. These above data represent one of two similar experiments performed independently.

 
We also examined the effect of CMT-3 and CMT-8 on COX-1 and COX-2 enzyme activity in cell-free extracts prepared from uninduced and IL-1-induced A549 cells as described in Materials and Methods (Table VIGo). CMT-3-, CMT-8-, and COX-2-specific inhibitors, such as NS398 and celecoxib, have marginal effect (<10%) on COX-1-specific activity. However, IL-1-induced extracts in the same experiments showed significant inhibition (>50%) of PGE2 accumulation by CMT-3, CMT-8, NS398, and celecoxib. These experiments suggest that CMT-3 and -8 preferentially inhibit COX-2 enzyme activity but not COX-1 in cell-free extracts. These experiments suggest that the exact mechanism of action of CMTs on COX-1 remains elusive but distinct from COX-2. Furthermore, CMT-3 and -8 (like several nonsteroidal antiinflammatory drugs (NSAIDS)) preferentially inhibit COX-2-mediated PGE2 production as compared with COX-1. The observations are summarized in Table VIIGo.


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Table VI. Effect of CMTs and COX-2 specific inhibitors (NS398 and celecoxib) on COX-1 and COX-2 sp. act. in vitro1

 

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Table VII. Summary of the action of tetracycline on NOS/COX expression1

 
It should be noted that CMT-3 and CMT-8 have been tested for their ability to inhibit sPLA2 in vitro (44). Ten µg/ml of CMT-3 and -8 had no significant effect (<= 10%) on the activity of sPLA2; however, it inhibited sPLA2 activity (by 50%) at 28 µg/ml (CMT-3) and 60 µg/ml (CMT-8), respectively. Our studies show that CMT-3 can inhibit COX-2-mediated PGE2 production by ~30% at concentrations as low as 2.5 µg/ml in whole cells (Fig. 4Go). Furthermore, 10 µg/ml of CMT-3 and -8 inhibited >=50% COX-2 activity in vitro, similar to that observed with other NSAIDS such as aspirin and indomethacin. Therefore, the effects of CMTs analyzed in the study are independent of the effects on sPLA2 and NO. In summary, this study shows novel properties of a CMT CMT-3 (metastat) on COX-1 and COX-2 expression and PGE2 production. CMT-3, like some NSAIDS and steroids, inhibits both iNOS, COX-1, and COX-2 expression (8, 27), but the mechanism of action seems to be distinct (8, 41) because CMT-3 inhibits 1) iNOS at the mRNA level (8, 39) and 2) COX-2 at the protein and enzyme level and COX-1 at whole cell level, as observed in this study.

Furthermore, metastat (which also harbors anti-MMP activity) is now being used in Phase I clinical trials as an antimetastatic drug for cancer. The action of metastat on PGE2 production is independent of NO concentrations, unlike other NOS inhibitors (22, 46). This added (anti-COX activity) property of metastat may be exploited for the treatment of colon cancer, where COX-2 has been shown to be involved in angiogenesis and tumor growth (17, 47). This broad spectrum anticancer and antiinflammatory activity of CMT-3 (metastat) makes it a favorable candidate for various diseases, including cancer, arthritis, scleroderma, and leprosy, where tetracycline therapy has been recommended.


    Acknowledgments
 
We thank Dr. Paul Worley and Timothy Hla for generously providing COX-2 and COX-1 cDNAs, CollaGenex Pharmaceutical, Newtown, PA, for supporting this project, and Ms. Una Yearwood and Andrea Barrett for preparation of the manuscript.


    Footnotes
 
1 The first two authors have contributed equally. Back

2 Address correspondence and reprint requests to Dr. Ashok R. Amin, Department of Medicine and Rheumatology, Rheumatology Research Laboratories, Room 1600, Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003. E-mail address: Back

3 Abbreviations used in this paper: MMP, matrix metalloproteases; NOS, NO synthase; iNOS, inducible NOS; OA, osteoarthritis; OA-NOS, OA-affected NOS; L-NMMA, L-N-monomethyl arginine; COX, cyclooxygenase; CMT, chemically modified tetracyclines; NSAID, nonsteroidal antiinflammatory drug; RIA, Radioimmunoassay. Back

Received for publication December 21, 1998. Accepted for publication July 7, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
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