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
,
Steven B. Abramson*,
and
Ashok R. Amin2,*,
,§
Departments of
*
Rheumatology and
Orthopedic Surgery, Hospital for Joint Diseases, New York, NY 10003; and Departments of
Pathology and
§
Medicine and Kaplan Cancer Center, New York University Medical Center, New York, NY 10016
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Abstract
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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.
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Introduction
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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.
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Materials and Methods
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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. 1
.
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 1216 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 (
100200 mg) were placed in organ cultures in 2
ml medium (Hams F-12 with 0.1% human albumin) for 2472 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
Hams 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 1420 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
2430 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 (2550 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 2448
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.
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Results and Discussion
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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 I
. 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.
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. 2
). 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.
We also examined the effects of CMTs on NO- and COX-2-dependent
PGE2 production in bovine chondrocytes stimulated
with LPS (Fig. 3
A). 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. 3
B). 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.
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 II
). 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
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We also examined the effect of CMTs on human OA-affected cartilage
spontaneously releasing PGE2 (via COX-2) in ex
vivo conditions (Table II
). 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. 4
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. 4
). 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.
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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. 5
). 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.
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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 III
), 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.
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 IV
). 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
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We also examined the expression of COX-2 in the presence of CMTs and
tunicamycin by Western blot analysis. Fig. 6
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
(
-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. 6
). 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 ONeill 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.
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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. 7
shows no significant effect (111%
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
2430 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 V
). 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. 8
A). 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. 8
B).
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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 VI
). 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 VII
.
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[in this window]
[in a new window]
|
Table VI. Effect of CMTs and COX-2 specific inhibitors (NS398
and celecoxib) on COX-1 and COX-2 sp. act. in
vitro1
|
|
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. 4
). 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. 
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: 
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. 
Received for publication December 21, 1998.
Accepted for publication July 7, 1999.
 |
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