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The Journal of Immunology, 2000, 165: 5606-5611.
Copyright © 2000 by The American Association of Immunologists

The Neuropeptide Substance P Activates p38 Mitogen-Activated Protein Kinase Resulting in IL-6 Expression Independently from NF-{kappa}B1

Bernd L. Fiebich2, Sandra Schleicher, Russel D. Butcher, Alexander Craig and Klaus Lieb

Department of Psychiatry, University of Freiburg Medical School, Freiburg, Germany


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Substance P (SP), a member of the tachykinin peptide family, is a major mediator of neuroimmunomodulatory activities and neurogenic inflammation within the central and peripheral nervous system. SP has been shown to induce the expression of proinflammatory cytokines such as IL-6, which might be implicated in the etiopathology of several human brain disorders. We showed in a previous study that nanomolar concentrations of SP triggered activation of NF-{kappa}B, a transcription factor involved in the control of cytokine expression. However, activation of NF-{kappa}B was not involved in SP-induced expression of IL-6. Here, we describe p38 mitogen-activated protein kinase (p38 MAPK) as a signal transduction component that operates independently from NF-{kappa}B activation and that mediates SP-induced IL-6 expression in the human astrocytoma cell line U373 MG. SP induced the phosphorylation of p38 MAPK within 10 min, and this activation persisted up to 30 min and was independent from p42/44 MAPKs and protein kinase C activation, which all are induced after stimulation with SP. As shown by EMSA, p38 MAPK was not involved in SP-induced activation of NF-{kappa}B. p38 MAPK, however, mediated SP-induced IL-6 expression as shown by the use of specific inhibitors of this kinase. Our results suggest that activation of p38 MAPK is an important component controlling neurogenic inflammation within the CNS independently from NF-{kappa}B. Drugs targeting this MAPK may therefore interfere with SP-correlated neuropsychiatric disorders and may represent a therapeutic approach in these disorders.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The neuropeptide substance P (SP)3 is a member of the tachykinin family of peptides that are involved in the regulation of many different biological processes (for review, see Ref. 1). SP-containing neurons are widely distributed throughout the central and peripheral nervous systems (2). For example, SP neurons originate in the striatum and project to the midbrain where SP functions as a neuromodulator of the activity of dopaminergic neurons. SP is also synthesized in dorsal root ganglia and C-fibers of sensory neurons where it functions as a neurotransmitter facilitating pain perception.

The neuropeptide has received a lot of attention during the last years as an important mediator of neurogenic control of inflammation. SP has been shown to induce the synthesis of proinflammatory cytokines such as IL-1 and IL-6 in astrocytes and microglial cells (3, 4, 5, 6, 7). These cytokines seem to be involved in the etiopathology of different human disorders of the brain such as multiple sclerosis, AIDS dementia complex, and Alzheimer‘s disease (8, 9, 10, 11), although it is currently a matter of debate whether they play a pathogenic or a protective role in these disorders. SP could possibly initiate, exacerbate, or maintain inflammatory processes in these disorders. More recently, SP has been suggested to be involved in the etiopathology of depressive disorders since SP injections induced "depressive" behavior in animals and treatment of depressed patients with a specific SP receptor-antagonist proved to be as effective as treatment with currently used antidepressant drugs (12).

For an understanding of the biological effects of SP, it is important to unravel the processes that follow stimulation of target cells with SP. From molecular studies, it is well known that SP binds to a G protein-coupled receptor of the neurokinin (NK) receptor family and that SP has a preferential affinity to the NK-1 receptor subtype (13, 14, 15). Intracellularly, receptor binding is followed by phosphoinositide hydrolysis and calcium mobilization (16). In two previous studies, we have investigated how the SP receptor-elicited signals affect transcriptional activation and novel inflammatory gene expression (7, 17). With respect to the transcriptional activation of the cytokine IL-6, we showed that SP-induced expression of IL-6 was mainly controlled by protein kinase C (PKC) and the transcriptional activator NF of IL-6 (NF-IL-6) (7). In another study, we showed that nanomolar concentrations of SP potently triggered activation of NF-{kappa}B, an important transcriptional activator controlling the synthesis of many cytokines and other proinflammatory gene products (17). This activation required mobilization of intracellular calcium and formation of reactive oxygen intermediates as second messengers. Although SP potently activated NF-{kappa}B, NF-{kappa}B was obviously not involved in SP-induced IL-6 gene expression as shown by the use of a reporter gene assay (7).

In this study, we investigated the effects of SP on activation of mitogen-activated protein kinases (MAPKs) and their relationship to IL-6 expression and NF-{kappa}B activation in the human astrocytoma cell line U373 MG. The MAPK family of proline-directed protein Ser/Thr kinases consists of at least three major subfamilies: 1) the p42/44 MAPKs, which are also called extracellular signal-regulated kinases (ERK-1 and ERK-2); 2) the c-Jun NH2-terminal kinase/stress-activated protein kinases (JNK/SAPK) including p46 JNK1 and p54 JNK2; and 3) the p38 MAPK subfamily. This third group of MAPKs comprises kinases that are activated under stress conditions in response to a variety of extracellular stimuli, including bacterial LPS, oxidative stress, and the cytokines IL-1 and TNF-{alpha} (18, 19, 20, 21). We found in this study that SP activated p42/44 MAPK and p38 MAPK and that p38 MAPK functioned as a signal transduction component that operates independently from NF-{kappa}B activation and mediates SP-induced IL-6 expression. These results suggest that activation of p38 MAPK is an important component controlling neurogenic inflammation within the CNS independently from NF-{kappa}B. Drugs targeting this MAPK may therefore interfere with SP-correlated neuropsychiatric disorders and may represent a therapeutic approach in these disorders.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture and treatments

The human astrocytoma cell line U373 MG was obtained from the American Type Culture Collection (Manassas, VA) and was grown in MEM-Earle’s medium (PAA Laboratories, Cölbe, Germany) containing 5% FCS, L-glutamine, antibiotics, vitamins, amino acids, and pyruvate. Confluent monolayers were passaged routinely by trypsinization. Cells were plated for RNA extraction and for detection of DNA-binding activities in 10-cm diameter dishes (Falcon; Becton Dickinson, Heidelberg, Germany) and for protein analysis in 6-well plates (Falcon; Becton Dickinson). Cultures were grown for 5–6 days at 37°C in 5% CO2, and medium was changed the day before treatment. SP, the NK-1 receptor antagonist L703606, and pyrrolidine dithiocarbamate (PDTC) were purchased from Sigma (Deisenhofen, Germany); the PKC inhibitors bis-indolylmaleimide (GF109203X) and Gö6976, the inhibitor of p38 MAPK (SB202190), and the inhibitor of p42/44 MAPKs (PD98059) were obtained from Calbiochem (Bad Soden, Germany). Stock solutions (10 mM) were prepared in DMSO and stored at -20°C. Further dilutions were conducted in distilled water. None of the inhibitors, if used in the indicated concentrations, affected the viability of the cells. DMSO concentrations were kept constant.

RNA extraction and Northern blot analysis

Total RNA was extracted by using a RNA extraction kit (Qiagen, Hilden, Germany) according to the manufacturer’s protocol. Total RNA (10 µg/lane) was separated by agarose-formaldehyde gel electrophoresis and blotted onto positively charged nylon membranes (Amersham Pharmacia Biotech, Freiburg, Germany). After cross-linking at 120°C for 30 min, filters were prehybridized in 50% formamide, 0.25 M phosphate buffer, 0.25 M NaCl, 1 mM EDTA, 100 µg/ml salmon sperm DNA, and 7% SDS at 43°C for 2 h. cDNA probes were labeled with 50 µCi of [32P]dCTP (Amersham Pharmacia Biotech) using a random priming kit from Stratagene (Heidelberg, Germany). Unincorporated nucleotides were removed by using a nucleotide removal kit from Qiagen. An overnight hybridization was performed at 43°C using the same buffer as for prehybridization. Membranes were washed in 2x SSC/0.1% SDS (3 times for 20 min) at 60°C and exposed to Kodak XAR film (Kodak, Rochester, NY) at -80°C for adequate periods of time. For rehybridization, probes were removed by heating the filter at 95°C in distilled water.

Western blot analysis

U373 MG cells were exposed to SP in the presence or absence of inhibitors for the indicated periods of time. Cells were then washed with PBS and lysed in 1.3x SDS sample buffer containing 100 µM orthovanadate (22). Lysates were homogenized through a 26-gauge-needle and measured for protein content using the bicinchoninic acid method (bicinchoninic acid protein kit; Pierce, Rockford, IL, distributed by KFC Chemikalien, München, Germany). For Western blotting, 60 µg of protein from each sample was subjected to SDS-PAGE on a 12% gel under reducing conditions. Proteins were then transferred onto a polyvinylidene fluoride membrane (Millipore, Bedford, MA) by semidry blotting. The membrane was blocked overnight at 4°C using Rotiblock (Roth, Karlsruhe, Germany) and another hour at room temperature before incubation with Ab. The quantity of active p42/44 MAPK or active p38 MAPK in each sample was assessed using rabbit polyclonal Abs that only recognize the phosphorylated (and thus active) forms of these enzymes. Anti-active p42/44 MAPK (Promega, Mannheim, Germany) was diluted 1:20,000, whereas anti-active p38 MAPK, recognizing both phosphorylated residues T180 and Y182 (NEB, Schwalbach, Germany), was diluted 1:500 in TBST + 1% BSA. For the detection of IL-6 immunoreactivity, a rabbit polyclonal Ab (Endogen, Woburn, MA, distributed by Biozol, Eching, Germany) was used in a dilution of 1:1000 in TBST + 1% BSA. Subsequent detection was performed using the enhanced chemiluminescence Western blotting system (Amersham, Arlington Heights, IL) according to the manufacturer‘s instructions.

EMSAs

Total cell extracts were prepared as described elsewhere (23). Briefly, after removing the medium, cells were lysed in lysis buffer containing 20 mM HEPES, 0.35 M NaCl, 20% glycerol, 1% Nonidet P-40, 1 mM MgCl2, 0.5 mM EDTA, 0.1 mM EGTA, 5 mM DTT, and 1 mM PMSF. Cells were scraped and transferred into tubes. Debris was pelleted by centrifugation for 10 min and the supernatant containing nuclear proteins was collected and stored at -80°C until use. The NF-{kappa}B oligonucleotide (Promega) was labeled with [{gamma}-32P]ATP in the presence of T4 polynucleotide kinase (Promega). After separation from unincorporated [{gamma}-32P]ATP by a nucleotide removal kit from Qiagen, the radioactively labeled oligonucleotides (10,000 cpm/sample) were incubated with 15 µg of protein for 10 min at room temperature. The complexes were then separated on nondenaturing 4% polyacrylamide gels.

Measurement of IL-6 synthesis

Cells were preincubated with the inhibitors for 30 min. Thereafter, cells were treated with SP for 18 h. Culture supernatants were harvested, centrifuged for 10 min at 10,000 x g, and levels of IL-6 in the media were measured by ELISA (Pelikine, distributed by HISS, Freiburg, Germany) according to the manufacturer’s instructions. Experiments were conducted in triplicate.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
SP activates p38 and p42/44 MAPKs in U373 astrocytoma cells

The effect of the neuropeptide SP on the activation of p38 and p42/44 MAPKs was investigated in the human astrocytoma cell line U373 MG. The cells have been reported to express functional NK-1 receptors (24, 25). To investigate the effects of SP on the activation of p38 and p42/44 MAPK, cells were treated with 10 nM SP for different time periods. This dose of SP was previously found to be the optimal dose to induce IL-6 in U373 MG cells (7). Subsequently, total cell protein was extracted and subjected to Western blotting by using specific Abs which only recognize the activated (i.e., phosphorylated) kinases. As shown in Fig. 1GoA, p38 MAPK was activated upon treatment of cells with SP after 5–10 min. Maximal activation was seen after 15–20 min. Activation of p38 MAPK persisted, although on a somewhat lower level, up to 60 min. Fig. 1GoB shows the activation of p42/44 MAPK by SP. The activation of those kinases was faster than p38 MAPK activation. Whereas activation of p44 MAPK (ERK-2) was low and visible 5 min after SP stimulation, p42 MAPK (ERK-1) activation was intense and already seen after 2.5 min. The activation was transient with a maximal activation after 10 min. After 60 min of SP treatment, only marginal activation of p42 MAPK was visible.



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FIGURE 1. Time course of p38 MAPK (A) and p42/44 MAPK (B) activation by SP. U373 MG astrocytoma cells were treated with 10 nM SP for the indicated time periods. Total cell protein was prepared from control and SP-treated cells, and then subjected to SDS-PAGE and immunoblotting using polyclonal Abs that recognize the phosphorylated (and thus active) forms of these enzymes. The phosphorylated MAPKs are indicated by arrows.

 
Activation of p38 and p42/44 MAPKs was also dose-dependent (Fig. 2Go). As little as 1 nM of SP activated p38 MAPK and activation was maximal with 10 nM SP, i.e., was not further increased with concentrations of SP up to 10 µM (Fig. 2GoA). Activation of p42 MAPK was induced by 1 pM SP, whereas the activation of p44 MAPK was induced at 100 pM SP. At this dose, activation of both p42 and p44 MAPKs was maximal.



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FIGURE 2. SP-induced activation of p38 MAPK (A) and p42/44 MAPK (B) is dose-dependent. U373 MG astrocytoma cells were treated with the indicated concentrations of SP for 10 min. Total cell protein was prepared from control and SP-treated cells, and then subjected to SDS-PAGE and immunoblotting using polyclonal Abs that recognize the phosphorylated (and thus active) forms of these enzymes. The phosphorylated MAPKs are indicated by arrows.

 
The p38 MAPK pathways induced by SP is independent from p42/44 MAPK and PKC activation

We further investigated whether the p38 MAPK pathway induced by SP is independently activated from p42/44 MAPK and from another SP-induced signal transduction pathway involving PKC and reactive oxygen intermediates (ROIs), activators of the transcription factor NF-{kappa}B. To this end, we pretreated U373 MG astrocytoma cells with specific inhibitors of p38 and p42/44 MAPK, the free radical scavenger (PDTC), which prevents the formation of ROIs, and two PKC inhibitors inhibiting all PKC isoforms (GF) or preferentially PKC{alpha} and {beta}I (Gö) and subsequently analyzed SP-induced p38 MAPK activation. As demonstrated in Fig. 3Go, only the inhibitor of p38 MAPK but not the inhibitors of the p42/44 MAPK, ROIs, and PKC pathways were able to inhibit SP-induced activation of p38 MAPK. Neither the inhibitors alone nor the vehicle DMSO had any effect on p38 MAPK activation (data not shown). Treatment with the NK-1 receptor antagonist L703606 completely inhibited SP-induced p38 MAPK activation (Fig. 3Go).



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FIGURE 3. Activation of p38 MAPK is independent from activation of p42/44 MAPK, ROIs, and PKC. U373 MG astrocytoma cells were treated with 10 nM SP for 10 min alone or in combination with specific inhibitors of p38 MAPK (SB202190), p42/44 MAPK (PD98059), PKC (GF190203X or Gö6976), the free radical scavenger PDTC, or a specific NK-1 receptor antagonist (L703606). Cell lysates were then subjected to SDS-PAGE and immunoblotting using polyclonal Abs that recognize the phosphorylated (and thus active) forms of these enzymes. The phosphorylated p38 MAPK is indicated by an arrow.

 
SP-induced p38 and p42/44 MAPK activation is not involved in SP-induced activation of NF-{kappa}B

We have previously shown that SP potently triggers NF-{kappa}B activation in human astrocytoma cells (17). We therefore tested whether p38 or p42/44 MAPKs are involved in SP-induced activation of NF-{kappa}B. Cells were pretreated with specific inhibitors of p38 or p42/44 MAPKs and subsequently stimulated for 60 min with SP. As shown in Fig. 4Go, SP caused the appearance of a protein-DNA complex, which was specific for NF-{kappa}B as shown previously (17). Neither the use of a p38 MAPK nor of a p42/44 MAPK inhibitor affected activation of NF-{kappa}B. Furthermore, also the PKC inhibitor GF109203X did not inhibit SP-induced activation of NF-{kappa}B. The free radical scavenger PDTC inhibited SP-induced activation of NF-{kappa}B, which is in line with the data obtained by our previous study (7). A faster migrating, nonspecific DNA complex was not affected by the various treatments and provided an internal control for the amount and integrity of the cell extracts.



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FIGURE 4. NF-{kappa}B activation by SP is independent from activation of p38 and p42/44 MAPKs as well as from PKC. U373 MG astrocytoma cells were either left untreated (control) or were pretreated with specific inhibitors of p38 MAPK (SB202190), p42/44 MAPK (PD98059), PKC (GF190203) or a free radical scavenger (PDTC) and subsequently stimulated with 1 µM SP for 60 min. Total cell extracts were then prepared and analyzed by EMSA using a 32P-labeled oligonucleotide containing a high-affinity {kappa}B-binding motif. 1, The NF-{kappa}B–DNA complex; 2 and 3, faster migrating nonspecific complexes.

 
Involvement of p38 MAPK, but not p42/44 MAPK in the expression and synthesis of the cytokine IL-6

The observation that p38 and p42/44 MAPKs are not involved in NF-{kappa}B activation prompted us to investigate the involvement of these kinases in SP-induced expression of IL-6 protein and IL-6 mRNA synthesis. SP has been shown to induce IL-6 expression time and dose dependently in U373 MG astrocytoma cells (7). In our study, cells were pretreated with specific inhibitors of p38 and p42/44 MAPKs at three different concentrations and then stimulated with 10 nM SP. As shown in Fig. 5GoA, a specific inhibitor of p38 MAPK (SB202190) dose-dependently inhibited IL-6 protein synthesis induced by SP, whereas a specific inhibitor of p42/44 MAPK (PD98059) did not affect SP-induced IL-6 synthesis. Fig. 5GoB demonstrates that the induction of IL-6 protein synthesis by 10 nM SP was completely blocked by the specific NK-1 receptor antagonist L703606. Interestingly, at a concentration of 0.1 and 1 nM, the receptor antagonist slightly enhanced SP-induced IL-6 synthesis, which was prevented by 10–100 nM of the antagonist.



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FIGURE 5. IL-6 protein synthesis induced by SP is mediated by activation of p38 MAPK, but not by p42/44 MAPK (A) and is inhibited by a specific NK-1 receptor antagonist (B). U373 MG astrocytoma cells were either left untreated or were pretreated with the indicated concentrations of specific inhibitors of p38 MAPK (SB202190) or p42/44 MAPK (PD98059) (A) or the specific NK-1 receptor antagonist L703606 (B) and subsequently stimulated with 10 nM SP for 24 h. IL-6 protein was measured in cell supernatants by ELISA (A) or Western blot (B) as described in Materials and Methods. ELISA data are depicted as means ± SD (n = 3). Statistical analysis was done with statistical program for social science (SPSS) using Student’s t test for paired samples. Significant differences are indicated by asterisks.

 
Additional experiments measuring SP-induced IL-6 mRNA expression confirmed the data obtained at the protein level. As shown in Fig. 6Go, SP-induced IL-6 gene expression was dose-dependently inhibited only by the p38 MAPK inhibitor, but not by the inhibitor of p42/44 MAPK. Inhibition of IL-6 expression by the p38 MAPK inhibitor was maximal at 1 µM, a concentration at which the inhibitor specifically inhibits p38 MAPK and no other kinases.



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FIGURE 6. IL-6 gene expression induced by SP is mediated by activation of p38 MAPK, but not by p42/44 MAPK. U373 MG astrocytoma cells were either left untreated (control) or were pretreated with the indicated concentrations of a specific inhibitor of p42/44 MAPK (PD98059) or p38 MAPK (SB202190) and subsequently stimulated with 1 µM SP for 4 h. Total RNA was extracted, separated on agarose-formaldehyde gels, and transferred to nylon membranes. Blots were hybridized subsequently to radioactively labeled cDNAs for IL-6 (upper panel) and {beta}-actin (lower panel) to ensure equal RNA loading.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We investigated the role of MAPKs in SP-induced signal transduction pathways and their involvement in activation of NF-{kappa}B and IL-6 expression. As a cellular system, we used the astrocytoma cell line U373 MG which shares several characteristics with primary rat astrocytes (16, 26, 27). U373 MG astrocytoma cells express functional high-affinity NK-1 receptors (16, 24, 25) and are able to express IL-6 in response to SP treatment (7, 28). Therefore, this cell line is widely used as an in vitro model for the analysis of NK-1 receptor function. In this study, we demonstrate that SP triggered a fast activation of p38 MAPK. To our knowledge, this is the first report demonstrating that a neuropeptide is able to activate such a stress-regulated kinase. p38 MAPK was activated upon treatment with SP after 5–10 min, and activation peaked after 15–20 min. Activation of p38 MAPK persisted, although at a lower level, up to 60 min. This time course of p38 MAPK activation is similar to that of TNF-{alpha} stimulation of HeLa cells and mouse macrophages (20, 29), but contrasts to reports of LPS-stimulated human neutrophils, where p38 MAPK activity peaked at 25 min and fell toward baseline after 40 min (19). Since SP also induces TNF-{alpha} synthesis, one might argue that the SP-induced activation of p38 MAPK is mediated by TNF-{alpha}. However, the rapid activation of p38 MAPK within 5 min strongly suggests a direct SP effect. This is further supported by data showing that TNF-{alpha} induces the same p38 MAPK time course in HeLa cells as SP does in astrocytoma cells (20). Since we were able to block SP-induced p38 MAPK by a NK-1 receptor antagonist and since the synthesis of IL-6 which follows activation of p38 MAPK in U373 MG cells is also blocked by a selective NK-1 receptor antagonist (3), we conclude that the SP-induced activation of p38 MAPK in U373 MG astrocytoma cells is mediated via NK-1 receptors.

Activation of p42/44 MAPK was transient with an activation that was first seen after 2.5 min, peaked after 10 min, and decreased to baseline levels after 60 min. This time course is similar to that described by other authors (30, 31).

The functional consequences of concurrent activation of p38 and p42/44 MAPKs after stimulation of astrocytoma cells with SP are not well understood. However, our results and the results of others (30) indicate that p38 MAPK and p42/44 MAPK mediate different functions in astrocytes. Whereas activation of the p42/44 MAPK correlated with SP-induced mitogenesis (30), activation of the p38 MAPK mediated SP-induced expression of the proinflammatory cytokine IL-6 as shown here. Until now, nothing was known about the transcriptional factors connected with MAPKs induced by SP in astrocytoma cells. However, recent research with other cell culture systems and other inducers indicates that activation of both the Erk and JNK/SAPK subfamilies of the MAPK family results in increased expression of c-fos and the trans activation of c-jun DNA-binding activity, respectively, to increase the transcription of TNF-{alpha}-responsive genes via the AP-1 transcriptional enhancer complex (32, 33). p38 MAPK, in contrast, has been shown to phosphorylate and trans-activate a number of other transcription factors, including activating transcription factor 2, ets-like protein 1, and C/EBP homologous protein (GADD153) (19, 20, 34). Additionally, p38 MAPK has been suggested to be a weak I{kappa}B kinase and may therefore potentially play a role in NF-{kappa}B activation (20). In the present study, we have studied the involvement of p38 and p42/44 MAPKs in activation of NF-{kappa}B by SP. We focused on the activation of this transcriptional activator, since we have previously demonstrated a strong activation of NF-{kappa}B by SP, which resulted in the expression of the chemokine IL-8 (17). We found that both kinases were not involved in this activation. This indicates that p38 MAPK is a potent component controlling SP-induced cytokine expression independently from NF-{kappa}B.

The upstream regulators of p38 MAPK activation after stimulation with SP are unknown. In other cell lines, at least three Thr-Tyr kinases have been identified that activate p38 MAPK: 1) MAPK kinase 3 (MKK3) that selectively activates p38 MAPK, 2) MKK4, and 3) MKK6, a specific activator of p38 MAPK related to MKK3 (for review, see Ref. 32). In the present study, we investigated whether p42/44 MAPK, ROIs, or PKC are upstream regulators of p38 MAPK. With the use of specific inhibitors of these signal transduction components, we were able to show that p38 MAPK is a signaling pathway that functions independently from the production of p42/44 MAPK, ROIs, and PKC.

Our present findings may have potential implications for the etiopathology of several neuropsychiatric disorders. It can be suggested from this study that activation of p38 MAPK represents a crucial component in SP-triggered neurogenic inflammation. Activation of this kinase represents a second switch in addition to activation of NF-{kappa}B by SP. Both factors are able to stimulate expression of cytokines and chemotactic factors, respectively, independently from one another and therefore act in concert to broaden up the inflammatory responses induced by SP. Increased levels of proinflammatory cytokines have been associated with a number of neuropsychiatric disorders, and elevated levels of SP have often been found in these diseases (12, 35, 36). p38 MAPK activity in these disorders has not yet been investigated, but one may speculate that p38 MAPK activation provides a link between SP and increased levels of cytokines in these disorders.


    Acknowledgments
 
The technical assistance of Brigitte Günter and Sandra Hess is gratefully acknowledged.


    Footnotes
 
1 This work was supported in part by grants from the Deutsche Forschungsgemeinschaft (Fi 683/1-1, Li 643/2-1). Back

2 Address correspondence and reprint requests to Dr. Bernd L. Fiebich, Department of Psychiatry, University of Freiburg Medical School, Hauptstrasse 5, D-79104 Freiburg, Germany. Back

3 Abbreviations used in this paper: SP, substance P; ERK, extracellular signal-regulated kinase; MAPK, mitogen-activated protein kinase; MKK, MAPK kinase; NK, neurokinin; PDTC, pyrrolidine dithiocarbamate; PKC, protein kinase C; ROI, reactive oxygen intermediates; JNK, c-Jun NH2-terminal kinase; SAPK, stress-activated protein kinase. Back

Received for publication July 8, 1999. Accepted for publication August 25, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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