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The Journal of Immunology, 2002, 169: 3329-3335.
Copyright © 2002 by The American Association of Immunologists

Suppression of Monocyte Chemoattractant Protein 1, But Not IL-8, by Alprazolam: Effect of Alprazolam on c-Rel/p65 and c-Rel/p50 Binding to the Monocyte Chemoattractant Protein 1 Promoter Region

Taiko Oda1,*, Atsuhisa Ueda{dagger}, Noriaki Shimizu{ddagger}, Hiroshi Handa{ddagger} and Tadashi Kasahara*

* Department of Biochemistry, Kyoritsu College of Pharmacy, Tokyo, Japan; and {dagger} Yokohama City University School of Medicine, Fukuura, and {ddagger} Faculty of Bioscience and Biotechnology, Tokyo Institute of Technology, Yokohama, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Alprazolam is a hypnotic/tranquilizer that has been shown to specifically inhibit the platelet-activating factor (PAF)-induced aggregation of human platelets. The goal of this study was to elucidate whether alprazolam modulates IL-1{alpha}-initiated responses. For this purpose we investigated the effects of alprazolam on the IL-1{alpha}-induced production of inflammatory cytokines (IL-8 and monocyte chemoattractant protein 1 (MCP-1)) in a human glioblastoma cell line, T98G, and explored the signaling pathways involved. We found that alprazolam inhibited IL-1{alpha}-elicited MCP-1 production within a range of 0.1–3 µM. In contrast, it did not inhibit IL-1{alpha}-induced IL-8 production. Although NF-{kappa}B is involved in regulating the IL-1{alpha}-induced expression of MCP-1 and IL-8, the degradation of I{kappa}B-{alpha} stimulated by IL-1{alpha} was not inhibited by alprazolam. Alprazolam prevented NF-{kappa}B from binding to the MCP-1 promoter region (the A2 and A1 oligonucleotide probes), but binding of NF-{kappa}B to IL-8/NF-{kappa}B was not inhibited. Moreover, alprazolam inhibited c-Rel/p50 binding to the A2 oligonucleotide probe, but not p50/p65 from binding to the IL-8/NF-{kappa}B site. While AP-1 is involved in regulating the IL-1{alpha}-induced expression of IL-8, but not MCP-1, alprazolam potentiated the binding of c-Jun/c-Fos to the AP-1 oligonucleotide probe. These results show that the inhibition of IL-1{alpha}-mediated MCP-1 production by alprazolam is mainly due to inhibition of c-Rel/p65 and c-Rel/p50 binding to the MCP-1 promoter region, since alprazolam did not affect the IL-1{alpha}-mediated activation of NF-{kappa}B (p50/p65) or AP-1 (c-Jun/c-Fos) binding to the IL-8 promoter region. In conclusion, a new action of alprazolam was elucidated, as shown in the inhibition of c-Rel/p65- and c-Rel/p50-regulated transcription.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Alprazolam is an agent with hypnogenic, anxiolytic, anticonvulsant, and muscle relaxant properties and has generally been used as a hypnotic/tranquilizer (1, 2). Its effect on anxiety and tension in stomach/duodenal ulcers and hypersensitivity colitis has been demonstrated in the clinical field. Therefore, alprazolam may directly improve inflammatory responses in addition to ameliorating psychophysiologic disorders in inflammatory diseases accompanied by emotional stress. Kornecki et al. (3, 4, 5) demonstrated that in addition to having an anxiolytic effect, alprazolam specifically inhibits the platelet-activating factor (PAF)2-induced aggregation of human platelets.

The Rel family is essential to immunity and inflammatory responses. It is of interest whether alprazolam is involved in the expression regulation of cytokine and chemokine genes by these transcription factors. Although cytokines and chemokines play important roles in inflammation, such as the activation and mobilization of inflammatory cells, the excess production of cytokines and chemokines may aggravate some symptoms of chronic diseases. Therefore, the appropriate regulation of cytokine and chemokine production is important for biological homeostasis in host defense through their ability to induce Ags and to produce various chemokines and cytokines. Monocyte chemoattractant protein 1 (MCP-1) is a member of the CC subfamily of chemokines and attracts monocytes both in vitro and in vivo (6, 7, 8). A wide variety of cells, including monocytes, fibroblasts, vascular endothelial cells, and smooth muscle cells, produce MCP-1 in vitro in response to stimuli such as LPS, IL-1, or TNF-{alpha}; the expression influences the transcription factor NF-{kappa}B, which plays an important part in controlling the expression of inflammatory cytokines. Two NF-{kappa}B sites, A1 and A2, are found in the MCP-1 promoter region, and it was elucidated that the A2 site was the most important in MCP-1 expression (9). Both (p65)2 and c-Rel/p65 have been shown to be important NF-{kappa}B components for MCP-1 expression, and the binding of these proteins to the A1 and A2 sites of this gene is regulated by tissue- and stimulus-specific transcription (9). We thus investigated the inhibitory effect of alprazolam on the expression of MCP-1 in the glioblastoma cell line T98G.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials

Alprazolam was obtained from Takeda Pharmaceutical (Osaka, Japan). 3-[4,5-Dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) was purchased from Sigma-Aldrich (St. Louis, MO). Human rIL-1{alpha} was provided by Dainippon Pharmaceutical (Osaka, Japan). Anti-I{kappa}B-{alpha}, anti-I{kappa}B-{beta}, anti-c-Jun, anti-c-Fos, anti-c-Rel, anti-p65, and anti-p50 were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). All other reagents and chemicals used were of the highest grade available commercially. DNase I and T4 ligase were purchased from Takara Biomedicals (Otsu, Japan).

Cell lines and culture conditions

The human glioblastoma cell line T98G was obtained from Japanese Cancer Research Resources Bank (Tokyo, Japan). This cell line was maintained in tissue culture dishes in RPMI 1640 medium (Nissui Seiyaku, Tokyo, Japan) supplemented with 5% heat-inactivated FCS, 2 mM glutamine, 100 U/ml penicillin G, and 100 µg/ml streptomycin. The murine macrophage cell line RAW 264.7 was also obtained from Japanese Cancer Research Resources Bank and was maintained in tissue culture dishes in serum-free medium (Cosmedium; Cosmo Bio, Koto-ku, Japan).

Nitrite assay

Nitrite concentrations in the cell culture supernatants were determined fluorometrically using the 2,3-diaminonapthalene reagent as described previously (10).

Detection of mouse (m)TNF-{alpha}, mJE/MCP-1, mIL-1{beta}, mIL-12, and human IL-8 by ELISA

The mTNF-{alpha} and mJE/MCP-1 contents of the culture supernatants under control and various test conditions were measured by ELISA using a combination of monoclonal and biotinylated mAbs, and polyclonal and biotinylated polyclonal Abs, respectively. The mIL-1{beta} and mIL-12 contents of the culture supernatants under control and various test conditions were measured using an ELISA kit (BioSource International, Camarillo, CA). IL-8 in the cultured supernatant was measured as described previously (11). All samples were assayed at least in duplicate. Data are presented as the mean ± SE of three independent experiments.

Determination of cytotoxicity

Lethal cell injury was assessed by measuring lactate dehydrogenase (LDH) release (12), while proliferation was evaluated by enumerating viable cells using the MTT formazan production method (13). RAW cells (1 x 106 cells/ml) were treated with LPS (with or without alprazolam) and then transferred to 96-well microtiter plates. After 24-h incubation, LDH activity in the supernatants was determined, and 20 µl MTT reagent (5 mg/ml in PBS) was added to each well. After incubation for 3 h, formazan production was assessed by measuring OD (OD570 nm). T98G cells (1 x 106 cells/ml) were treated with IL-1{alpha} (with or without alprazolam), LDH release was evaluated, and the MTT assay was performed as described.

Northern blot analysis

Northern blot analysis was performed as reported previously (14). Total RNA (30 µg) was subjected to agarose gel electrophoresis, blotted onto a membrane, and then hybridized with 32P-labeled IL-8, MCP-1, TNF-{alpha}, and JE/MCP-1 cDNA probes.

Plasmid construction, cell transfection, and luciferase assay

Plasmid construction, cell transfection, and the luciferase assay were conducted as described previously (14). Luciferase reporter plasmids containing the luciferase gene were constructed under control of the MCP-1 promoter, the IL-8 promoter, and the AP-1 site as described elsewhere (9, 14), and cell transfection and luciferase assay were conducted using a modification of the method described by Ueda et al. (9) and Mukaida et al. (14).

The pGLM-PRM was the 167-bp human MCP-1 promoter region between -107 and +60, and the pGLM-ENH was the 230-bp human MCP-1 enhancer region between -2742 and -2513. The mutated constructs, pGLM-MA1, pGLM-MA2, and pGLM-MA1A2 were chemically synthesized (14). However, -133Luc was contained with AP-1, C/EBP/NF-IL-6, and NF-{kappa}B sites. IL-8-{kappa}BLuc was included in three (IL-8-{kappa}B, sites, and AP-1Luc was included in two (AP-1) sites. Transfection was performed by the electroporation method. T98G cells (1.0 x 107) were washed with RPMI 1640 and resuspended in 700 µl RPMI 1640 containing 20 µg reporter plasmid DNA. Electroporation was performed at 960 µF and 270 V using a Gene Pulser and a Gene Pulser cuvette with a 0.4-cm electrode gap (Bio-Rad, Hercules, CA). The cells were suspended in 40 ml RPMI 1640 containing 10% FCS, divided among six 6-cm dishes, and incubated for 24 h before treatment with the stimulants and/or test compounds. Cell extracts were prepared 12 h after treatment with IL-1{alpha}, and luciferase activity was measured with a Pica Gene detection kit (Tokyo, Inc., Tokyo, Japan) and MiniLumat LB 9506 (Berthold Japan K.K., Tokyo, Japan).

Preparation of nuclear extracts and EMSA

Nuclear extracts were prepared from T98G cells as described previously (14), and aliquots were frozen at -80°C. EMSA was conducted on 5% polyacrylamide gels in 1x Tris-borate/EDTA electrophoresis buffer. A1, A2, IL-8/NF-{kappa}B, AP-1, and mutant A2 probes were synthesized by Rikaken (Aichi, Japan). The sequences of these oligonucleotides were as follows: 5'-GATCTGGGA-ACTTCCAAAGC-3' (A-1 probe), 5'-AGAGTGGGAATTTCCACTC-A-3' (A-2 probe), 5'-AAATCGTGGAATTTCCTCG-3' (IL-8/NF-{kappa}B probe), 5'-AGTGTGATGACTCAGGTT-TG-3' (AP-1 probe), and 5'-GAGTGGGAATTCGG-ACTCACT-3' (mutant A-2 probe).

Supershift analysis

The nuclear extract was preincubated with 3 µg of anti-c-Rel, anti-p65, and anti-p50 Abs for 30 min at 20°C before adding the labeled probe. Supershift analysis was then completed as described above.

Western blot analysis

T98G cells were treated with the test agents and lysed in a buffer. The amount of protein in each sample was determined by Bradford assay. Equal amounts of lysates were subjected to SDS-PAGE, and the proteins were transferred onto nitrocellulose filters. After blocking with 5% nonfat milk in TBS at room temperature for 1 h, the membrane was probed with Abs. They were incubated for 30 min with biotinylated anti-rabbit Ig Ab (Amersham Pharmacia Biotech, Arlington Heights, IL). They were then incubated for 30 min with peroxidase-streptavidin conjugate. Blots were developed using an ECL detection system (Amersham Pharmacia Biotech).

Nicking and joining of circular DNA

The experimental procedure was that described by Hayashi et al. (15) with a minor modification. Briefly, pUC19 form 1 DNA was treated with DNase I to produce an average of one nick per molecule. This open circular DNA was treated with T4 ligase at 16°C for 2 h in 50 mM Tris-HCl (pH 7.4), 10 mM MgCl2, 10 mM DTT, 1 mM ATP, 10% DMSO, and ethidium bromide or alprazolam. After ligation, the mixture was analyzed by agarose gel electrophoresis.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Alprazolam inhibited IL-1{alpha}-mediated MCP-1 induction, but not IL-8 induction

As in our previous study stimulation of the human glioblastoma cell line T98G with 10 ng/ml IL-1{alpha} for 24 h resulted in the production of MCP-1 and IL-8 (11). The expression levels of MCP-1 and IL-8 mRNAs in cells stimulated with IL-1{alpha} in the presence of alprazolam were quantified. As shown in Fig. 1Go, A and B, the MCP-1 mRNA level decreased depending on the alprazolam concentration, while the IL-8 mRNA level slightly increased. When T98G cells pretreated with alprazolam for 30 min were washed thoroughly with PBS to remove alprazolam, then stimulated with IL-1{alpha}, mRNA expression was not significantly different from that without pretreatment (Fig. 1GoC). This finding indicates that the persistent presence of alprazolam is necessary for the inhibition of MCP-1 expression. To clarify that the inhibitory action of alprazolam was not due to cell toxicity, we examined cell viability. We found that alprazolam at 3 µg/ml had no significant effect on cell viability during 24-h incubation, as evidenced from MTT and LDH assays (data not shown).



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FIGURE 1. Effects of alprazolam on IL-8 and MCP-1 mRNA expression induced by IL-1{alpha} in T98G cells. A, mRNA expression of IL-8 and MCP-1 was determined by Northern blotting. T98G cells (1.0 x 107) were cultured with IL-1{alpha} and alprazolam as indicated for 6 h. Total RNA was electrophoresed, blotted, and hybridized with a 32P-labeled cDNA probe for MCP-1, IL-8, and 18S rRNA. The blot was visualized and quantified using a BAS 2000 Bio-Image Analyzer (Fuji Photo Film Co., Tokyo, Japan). B, Relative radioactivity in A was presented as a graph. The values of IL-1{alpha}-stimulated cells were set at 100%. The average of three independent experiments is presented. C, Effect of pretreatment with alprazolam on mRNA expression of MCP-1. T98G cells were pretreated with the indicated concentrations of alprazolam for 30 min, then washed with PBS four times and cultured with IL-1{alpha} for 6 h. Northern blotting was performed as described in A.

 
Effects of alprazolam on transcription activity in MCP-1 and IL-8 promoters

As described above, pretreatment of T98G cells with alprazolam did not affect the expression of MCP-1 when the drug was removed after pretreatment, suggesting that the inhibitory effect was exerted in the cytoplasm.

Although new information regarding the signal after IL-1 binding to the receptors has recently been reported, activation of the transcription factor NF-{kappa}B has the greatest importance. To determine whether the decrease in the MCP-1 level was due to NF-{kappa}B inhibition, we performed a luciferase assay using a reporter plasmid in which the MCP-1 promoter region had been inserted. There are two areas involving NF-{kappa}B, A1 and A2, in the MCP-1 promoter region, and their importance and specificity in LPS-stimulated THP-1 cells have been shown by reporter assay using A1 and A2 mutants (9). Thus, we performed a reporter assay of the MCP-1 promoter region in IL-1{alpha}-stimulated T98G cells. The results are shown in Fig. 2GoA. This assay showed that the A2 region is also important for the expression of MCP-1 in T98G cells. We then investigated whether alprazolam has inhibitory activity on the transcription to the MCP-1 promoter region, using a reporter plasmid (pGLM-ENH) containing the A1 and A2 regions. The results are shown in Fig. 2GoB. Alprazolam inhibited transcription activity of the MCP-1 enhancer promoter region in a concentration-dependent manner. The above findings suggested that alprazolam inhibits NF-{kappa}B binding to the MCP-1 promoter region.



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FIGURE 2. Effects of alprazolam on the promoter activities of MCP-1 and IL-8 in IL-1{alpha}-stimulated T98G cells. A, Effects of mutations at NF-{kappa}B binding sites in the enhancer region of MCP-1. A schematic representation of luciferase reporter plasmids is presented at the left of the panel. {square}, enhancer region; {blacksquare}, promoter region; X, introduced mutations; A1 and A2, NF-{kappa}B binding sites. T98G cells were transfected with these reporter plasmids and treated with IL-1{alpha}, and luciferase activities were determined as described in Materials and Methods. Relative luciferase activities are presented at the right of the panel. The activity of the plasmid that does not posses enhancer region (pGLM-PRM) was set at 100%. B, Effects of alprazolam on the promoter activity of MCP-1. The pGLM-ENH, described in A, was introduced to T98G cells. Luciferase assay was performed as described in A, except for addition of alprazolam in the culture as indicated. The activity of the cells treated with IL-1{alpha} alone was set at 100%. The average of three independent experiments is presented. C, Effects of alprazolam on the promoter activity of IL-8. Transfection and luciferase assay were performed as described in B, except for using a reporter plasmid containing the IL-8 promoter region. D, Effects of alprazolam on the activities of specific areas of the IL-8 promoter. Transfection and luciferase assay were performed as described in B, except for using reporter plasmids containing AP-1 binding region or an NF-{kappa}B binding region of IL-8 promoter.

 
We also investigated the effect of alprazolam on the transcriptional activity of the IL-8 promoter region using the promoter region and specific areas (NF-{kappa}B and AP-1 binding regions) as in MCP-1. The results are shown in Fig. 2Go, C and D. Fig. 2GoC shows the results obtained using the reporter plasmid containing the IL-8 promoter region. The activity increased in the presence of 3 µM alprazolam, but was not affected at lower concentrations. When a similar experiment was performed using a reporter plasmid containing only the NF-{kappa}B or AP-1 binding region of the IL-8 promoter region, the activity increased only when the plasmid contained the AP-1 binding region alone in the presence of 3 µM alprazolam, as in the plasmid containing the IL-8 promoter region, but the activity was not affected under other conditions (Fig. 2GoD). When the relative luciferase activity in the IL-8 promoter region was 33,000, the luciferase activity in the AP-1 binding region alone corresponded to ~1180, suggesting that the AP-1 binding region only slightly affects the activation of IL-8 transcription. The above findings showed that alprazolam does not affect IL-8 production at the transcriptional level in IL-1{alpha}-stimulated T98G cells, and AP-1 activity is induced by a high concentration of alprazolam.

Alprazolam does not inhibit NF-{kappa}B activation

The above experiments suggested that alprazolam inhibits the binding of activated NF-{kappa}B to the MCP-1 promoter region. Thus, we first investigated whether alprazolam affects the activation of NF-{kappa}B. Inactive NF-{kappa}B complexes are associated with inhibitory proteins of the I{kappa}B family that sequester NF-{kappa}B in the cytoplasm. It is well known that following various stimuli, I{kappa}B proteins are first phosphorylated, then ubiquitinated, and finally rapidly degraded by the proteasome, allowing for the nuclear translocation of NF-{kappa}B and transcriptional initiation of NF-{kappa}B-dependent genes. The I{kappa}B family includes the widely distributed I{kappa}B-{alpha} and I{kappa}B-{beta} proteins together with I{kappa}B-{gamma}, I{kappa}B-{epsilon}, and Bcl-3 (16). I{kappa}B proteins are characterized by a series of ankyrin repeats that interact with the DNA binding domain and nuclear localization signal of NF-{kappa}B (17). Therefore, the effect of alprazolam on the activation of NF-{kappa}B was determined by Western blotting with anti I{kappa}B-{alpha} or -{beta}. The results show that alprazolam did not affect the degradation of I{kappa}B-{alpha} (Fig. 3Go, A and B). Next, we investigated the distribution of activated NF-{kappa}B in cytosol and nucleus by Western blotting. It has been shown that IL-1 activates p50 and p65 and induces IL-8 production in T98G cells (14). The involvement of p65/c-Rel in the induction of MCP-1 expression has also been reported (9). Thus, we analyzed protein extracts from cytosol and nucleus by Western blotting. The results are shown in Fig. 3GoC; p50, p65, and c-Rel were activated and transferred from the cytosol to the nucleus. Alprazolam partially inhibited the activation at 3 µM, but not at 1 µM. Alprazolam did not inhibit the transfer to the nucleus.



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FIGURE 3. Effects of alprazolam on the nuclear translocation of Rel family transcription factors. A, Western blotting of I{kappa}B-{alpha}. T98G cells were treated with IL-1{alpha} and alprazolam as indicated. Total proteins were extracted at the indicated time, resolved by 10% SDS-PAGE, blotted, and examined by Western blotting using polyclonal antiserum against I{kappa}B-{alpha}. The molecular size marker is shown at the right of the panel. B, Western blotting of I{kappa}B-{beta}. Western blotting was performed as described in A,, except for using polyclonal antiserum against I{kappa}B-{beta}. C, Subcellular localization of Rel family transcription factors. T98G cells were treated with IL-1{alpha} and alprazolam as indicated. Nuclear and cytoplasmic proteins were extracted and subjected to Western blotting by anti-p65, -p50, or -c-Rel Abs.

 
Alprazolam inhibited IL-1{alpha}-stimulated binding of NF-{kappa}B to DNA

The Western blot experiment demonstrated that alprazolam does not inhibit the activation of NF-{kappa}B or its transfer to the nucleus, suggesting that the inhibition by alprazolam is exerted in the nucleus. Thus, we performed EMSA using the nuclear extract. First, EMSA was performed using A2, which is most closely associated with the expression of MCP-1, as the probe to confirm the potential of the binding activity (Fig. 4Go, A and B). When the experiment was performed in the presence of 1–3 µM alprazolam under the same conditions, binding to the A2 region was inhibited in proportion to the concentration (Fig. 4GoA). We predicted that if the inhibition point of alprazolam is not related to the activation or nuclear transfer of NF-{kappa}B, i.e., if alprazolam targets the binding to DNA in the nucleus, inhibition may be observed during EMSA after adding alprazolam to the nuclear extract preparation. The inhibition was observed as expected (Fig. 4GoB). These results indicated that alprazolam specifically inhibited the binding of NF-{kappa}B to the A2 site. Next, to clarify the NF-{kappa}B-constituting protein that binds to this region, we performed a supershift experiment using Abs against p65, p50, and c-Rel of the Rel family, because the importance of these proteins as transcription factors involved in the expression of MCP-1 and IL-8 has been shown. The experiment revealed the involvement of p65, p50, c-Rel, c-Rel/p65, c-Rel/p50, and p50/p65 (Fig. 4GoC). We also performed a similar supershift experiment withnuclear extracts from alprazolam-treated cells. Anti-c-Rel Ab did not decrease the bands compared with anti-p65 and anti-p50 Abs (Fig. 4GoD). To identify the factor among the Rel family involved in alprazolam-induced inhibition, IL-1{alpha}-stimulated T98G cells, which were the positive control, and cells stimulated with IL-1{alpha} in the presence of alprazolam were treated with anti-c-Rel Ab to remove c-Rel, then subjected to the gel-shift experiment using A2 probe (Fig. 4GoE). Treatment with anti-c-Rel Ab decreased DNA binding in the positive control in the gel-shift experiment. In cells treated with alprazolam, no effect was observed. The above findings also strongly suggested that alprazolam-induced inhibition of MCP-1 is due to blockage of the binding site of the c-Rel/p65 and c-Rel/p50 complex to DNA. Next, EMSA was performed using IL-8/NF-{kappa}B, AP-1, and A1 as the probes (Fig. 5Go). Alprazolam did not exhibit inhibitory activity with IL-8/NF-{kappa}B or AP-1 (Fig. 5Go, A and B), and p65 and p50 were confirmed to be the molecules that bind to IL-8/NF-{kappa}B probe (Fig. 5GoD). In contrast, A1 exhibited inhibitory activity similar to that of A2 (Fig. 5GoC). Furthermore, the supershift experiment using Abs against p65, p50, and c-Rel showed that p65, p50, and c-Rel were associated with the bands detected in the gel-shift experiment using the A1 probe, as in the experiment using A2 probe (Fig. 5GoE). Therefore, c-Rel may be involved in the inhibition of the MCP-1 enhancer region. Thus, our results suggest that alprazolam specifically inhibited the binding of c-Rel/p65 and c-Rel/p50 to the promoter region of MCP-1.



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FIGURE 4. Effects of alprazolam on the DNA binding activities of Rel family transcription factors. A, T98G cells were treated with IL-1{alpha} and alprazolam as indicated, followed by nuclear extraction. EMSA was performed as described in Materials and Methods using 32P-labeled A2 probe that possesses an NF-{kappa}B binding site from the MCP-1 promoter. The NF-{kappa}B/probe complex is indicated by an arrow. B, T98G cells were treated with or without IL-1{alpha} as indicated, followed by nuclear extraction. EMSA was performed in the presence of the indicated concentration of alprazolam. C, T98G cells were treated with or without IL-1{alpha} as indicated, followed by nuclear extraction. EMSA was performed in the presence of anti-p65, -p50, and/or -c-Rel antibodies as indicated. D, T98G cells were treated with IL-1{alpha} and alprazolam as indicated, followed by nuclear extraction. EMSA was performed in the presence of anti-p65, -p50, or -c-Rel antibodies as indicated. E, T98G cells were treated with IL-1{alpha} and alprazolam as indicated, followed by nuclear extraction. Nuclear extracts were subjected to a protein G column or an anti-c-Rel antibody-coupled protein G column. The DNA binding activities of flow-through fraction were analyzed by EMSA as described in A.

 


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FIGURE 5. Effects of alprazolam on the DNA binding activities of AP-1 and NF-{kappa}B. A, T98G cells were treated with IL-1{alpha} and alprazolam as indicated, followed by nuclear extraction. EMSA was performed as described in Materials and Methods using 32P-labeled DNA probe that contains the AP-1 binding site. B, EMSA was performed as described in A, except for using IL-8/NF-{kappa}B probe that contains an NF-{kappa}B binding site from the IL-8 promoter. C, EMSA was performed as described in A, except for using the A1 probe that contains an NF-{kappa}B binding site from the MCP-1 promoter. D, EMSA was performed as described in Fig. 4Go. C, except for using the IL-8/NF-{kappa}B probe. E, EMSA was performed as described in D, except for using the A1 probe.

 
Next, we examined whether alprazolam intercalated into DNA at a concentration at which the inhibition of MCP-1 expression was observed. Limited treatment of closed circular pUC19 DNA with DNase I yielded an open circular form. Ligase treatment of this DNA produced several bands of closed circular DNA with low superhelical turns and open circular DNA. In the presence of a typical intercalator, ethidium bromide, more negative superhelical DNA was produced, while DNA ligated in the presence of alprazolam was indistinguishable from control DNA. Thus, we concluded that alprazolam did not intercalate into DNA at a concentration at which the inhibition of MCP-1 expression was observed (data not shown).

Alprazolam inhibited the production of other proteins regulated by c-Rel

The above findings suggest that alprazolam regulates the transcriptional activation of proteins involving transcription factor c-Rel. To confirm this, we investigated the effect on production of various cytokines in LPS-stimulated mouse macrophage cells RAW 264.7 cells. It has been reported that LPS-stimulated RAW 264.7 cells produced NO, TNF-{alpha}, IL-1{beta}, and JE. RAW 264.7 cells pretreated with IFN-{gamma}, then stimulated with LPS, produced IL-12, and c-Rel was involved at the transcriptional level in the production of these proteins, excluding TNF-{alpha} (18, 19, 20, 21, 22). In contrast, c-Rel was not involved in the production of NO in the cells stimulated with IFN-{gamma}. Thus, to investigate whether the inhibitory activity of alprazolam is related to c-Rel, we investigated its effect on each product. The results are shown in Fig. 6Go. Alprazolam markedly inhibited the production of IL-1{beta} and JE, which has been shown to involve c-Rel, while the inhibition of IFN-{gamma}-induced NO production and IL-12 production requiring pretreatment with IFN-{gamma} was weak (Fig. 6Go, A–E). Moreover, JE expression induced by LPS was reduced more than TNF-{alpha} expression in the presence of 0.01–1 µg/ml alprazolam (Fig. 6GoF). The results suggested that alprazolam inhibited c-Rel-regulated transcription, because c-Rel, p50, and p65 combined with the LPS-stimulated inducible NO synthase, IL-1{beta}, and IL-12 promoter regions, whereas p50 and p65 combined with the LPS-stimulated TNF-{alpha} promoter region (23). The inhibitory effect on IL-12 production may have decreased, because it was produced in RAW cells after IFN-{gamma} pretreatment in this experiment, and IFN-{gamma} stimulation does not involve c-Rel.



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FIGURE 6. Effects of alprazolam on IL-1{beta}, IL-12, NO, TNF-{alpha}, and JE production in RAW 264.7 cells. A, RAW 264.7 cells (1 x 106 cells/ml) were treated with LPS (1 µg/ml) and the indicated concentrations of alprazolam for 24 h. IL-1{beta} levels in the culture supernatant were measured by ELISA as described in Materials and Methods. The data shown are the mean values of three independent experiments. B, TNF-{alpha} levels in the culture supernatant were measured by ELISA as described in A. C, IL-12 levels in the culture supernatant were measured by ELISA as described in A, except cells were pretreated with IFN-{gamma} (100 U/ml). D, JE levels in the culture supernatant were measured by ELISA as described in A. E, NO levels in the culture supernatant were measured as described in Materials and Methods. The data shown are the mean values of three independent experiments. Error bars indicate the SE. F, RAW 264.7 cells were treated with LPS (1 µg/ml) and the indicated concentrations of alprazolam. Total RNA was isolated, and Northern blot analysis was performed using 32P-labeled cDNA probe for JE, TNF-{alpha}, and ribosomal 18S RNA as described in Materials and Methods. G, RAW 264.7 cells were treated with or without LPS (1 µg/ml) as indicated, followed by nuclear extraction. EMSA was performed using the A2 probe in the presence of alprazolam or anti-p65, -p50, or -c-Rel Abs as indicated.

 
Moreover, alprazolam specifically inhibited LPS-induced activation of the A2 region in RAW 264.7 cells (Fig. 6GoG). It was also confirmed by the supershift experiment that p65, p50, and c-Rel are related to the A2 region (Fig. 6GoG).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In addition to relieving the anxiety and tension that accompany inflammatory diseases, alprazolam used as an anxiolytic agent inhibits the transcriptional activity of the Rel family, which is essential for the regulation of inflammatory reactions. The alprazolam concentration used for T98G cells in this study was severalfold higher than the clinical concentration, but the expression of MCP-1/JE mRNA was inhibited even at 10 ng/ml in the mouse macrophage line RAW 264.7. Therefore, alprazolam is expected to inhibit MCP-1 expression at a clinical concentration. In this study the target chemokine was MCP-1, which plays an important role in the recruitment of monocytes in various diseases. A wide variety of cells, including monocytes, fibroblasts, vascular endothelial cells, and smooth muscle cells, produce MCP-1 in vitro in response to stimuli such as LPS, IL-1, TNF-{alpha}, and IFN-{gamma}. Recently, two closely located NF-{kappa}B binding sites have been identified in the distal 5'-flanking region of the human MCP-1 gene: A1 (5'-GGGAACTTCC-3') and A2 (5'-GGGAATTTCC-3') (9). The A2 site was found to be important for transcription of the human MCP-1 gene in TPA-, IL-1-, and TNF-stimulated malignant glioma cells (A172) (24). The A2 sequence has a high affinity for c-Rel/p65. In contrast, the NF-{kappa}B site of the Ig chain gene (5'-GGGACTTTCC-3') has a high affinity for p50, and the human IL-8/NF-{kappa}B site (5'-TGGAATTTCC-3') has a high affinity for only p65 (9). From EMSA experiments with nuclear extracts from IL-1{alpha}-stimulated T98G cells it became evident that alprazolam inhibited NF-{kappa}B binding to the A1 and A2 promoter regions. The binding was markedly inhibited in the EMSA system in which alprazolam was added to the nuclear extract preparation, suggesting this mode of action. The involvement of A2 and A1 in the expression of MCP-1 in T98G cells was investigated. Although the base sequences were similar, based on the comparative experiment using the same amount of nuclear extract and the finding of luciferase shown in Fig. 2GoA, the involvement of the A2 region was greater. Both IL-8 and MCP-1 were produced by IL-1{alpha}-stimulated human T98G cells, but alprazolam inhibited only MCP-1 production. In other words, alprazolam inhibited the expression of MCP-1 proteins, which have the A2 and A1 sequence in the promoter region.

Five Rel family members have been identified in mammalian cells: p50, p65 (RelA), c-Rel, p52, and RelB. Our results suggested that alprazolam inhibited the binding of c-Rel/p65 and c-Rel/p50 to the A2 region more effectively than p50/p65, because alprazolam did not influence IL-8 production under the same conditions. Moreover, when nuclear extract (positive control) from IL-1{alpha}-stimulated cells was reacted with anti-c-Rel Ab to remove c-Rel, DNA binding in the positive control decreased in the gel-shift experiment; on the other hand, in cells treated with alprazolam, no effect was observed.

Moreover, we showed that alprazolam inhibited other proinflammatory cytokines regulated by Rel family members. Recently, it was reported that alprazolam suppresses T cell proliferation by selectively inhibiting the production of IL-2, but not the acquisition of IL-2R (25). The role of Rel in the monocyte/macrophage lineage was elucidated in mice with an inactivated c-rel gene (26). It was clear that Rel is a positive or negative regulator of transcription in macrophages and that Rel has distinct roles in different macrophage populations. Venkataraman et al. showed that c-Rel is a component of the Ag receptor-induced, {kappa}B binding proteins in both B and T cells (27). Moreover, there is evidence that c-Rel contributes to the survival of nerve growth factor-dependent sympathetic neurons (28), the human 12-lipoxygenase gene (29), and c-myc gene transcription (30). Furthermore, the sequences in the distal regulatory region, including the two NF-{kappa}B (A1 and A2) sites, are highly homologous between the human and mouse MCP-1 genes. Freter et al. (31) recently reported the binding of a 90-kDa phosphoprotein coactivator to mouse MCP-1. The participation of an unknown coactivator and the effect of alprazolam upon it were suggested.

This study demonstrated a new mode of action for alprazolam. In addition to relieving the anxiety and tension that accompany inflammation as well as stomach/duodenal ulcers and hypersensitivity colitis, alprazolam is expected to prevent an excess of chemokines and cytokines, including MCP-1, from infiltrating inflammatory regions, i.e., to inhibit c-Rel-associated immunity and inflammation-related substances. Plasma IL-1{beta} concentrations were found to be higher in patients suffering from panic disorders than in control subjects (32), and alprazolam is expected to improve the symptoms of these patients. As MCP-1 can be detected during inflammation, including in the brain of patients with Alzheimer’s disease (33), this novel action of alprazolam may be useful in therapy.


    Acknowledgments
 
We thank Prof. N. Mukaida (Kanazawa University, Ishikawa, Japan) for the luciferase reporter plasmids containing various IL-8 promoter regions. We also thank Prof. Y. Ishigatubo (Yokohama City University School of Medicine, Yokohama, Japan) for his kind help on MCP-1 gene.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. Taiko Oda, Department of Biochemistry, Kyoritsu College of Pharmacy, Shibakoen 1-chome, 5-30, Minato-ku, Tokyo 105-8512, Japan. E-mail: oda-ti{at}kyoritsu-ph.ac.jp Back

2 Abbreviations used in this paper: PAF, platelet-activating factor; LDH, lactate dehydrogenase; m, mouse; MCP-1, monocyte chemoattractant protein-1; MTT, 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide. Back

Received for publication August 7, 2001. Accepted for publication July 11, 2002.


    References
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 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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