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Published online June 19, 2009
The Journal of Immunology, 2009, doi:10.4049/jimmunol.0900801
Copyright © 2009 by The American Association of Immunologists, Inc.

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Prostaglandin E2 Differentially Modulates Proinflammatory/Prodestructive Effects of TNF-{alpha} on Synovial Fibroblasts via Specific E Prostanoid Receptors/cAMP

Elke Kunisch*, Anne Jansen*,{dagger}, Fumiaki Kojima{dagger}, Ivonne Löffler{ddagger}, Mohit Kapoor{dagger}, Shinichi Kawai§, Ignacio Rubio{ddagger}, Leslie J. Crofford{dagger} and Raimund W. Kinne*

*Experimental Rheumatology Unit, Department of Orthopedics, University Hospital Jena, Jena, Germany; {dagger}Department of Internal Medicine, Division of Rheumatology, Kentucky Clinic, University of Kentucky, Lexington, KY 40536; {ddagger}Institute of Molecular Cell Biology, Center for Molecular Biomedicine, Friedrich Schiller University Jena, Jena, Germany; and §Department of Internal Medicine, Division of Rheumatology, Toho University School of Medicine, Tokyo, Japan

The present study investigated the influence of PGE2, E prostanoid (EP) receptors, and their signaling pathways on matrix metalloproteinase (MMP)-1 and IL-6 expression in synovial fibroblasts (SFs) from rheumatoid arthritis (RA) patients. RASFs expressed all four EP receptors, with selective induction of EP2 by TNF-{alpha}. TNF-{alpha} time-dependently increased intracellular cAMP/protein kinase A signaling (maximum, 6–12 h) and PGE2 secretion (maximum, 24 h). PGE2 and the EP2 agonists butaprost or ONO-AE1-259 ((16)-9-deoxy-9β-chloro-15-deoxy-16-hydroxy-17,17-trimethylene-19,20-didehydro PGE1), in turn, induced a rapid, time-dependent (maximum, 15–30 min) increase of cAMP. Additionally, cyclooxygenase-2 inhibition by NS-398 (N-(2-cyclohexyloxy-4-nitrophenyl)-methanesulfonamide) reduced the TNF-{alpha}-induced increase in IL-6 mRNA/protein, which was restored by stimulation with PGE2 or EP2, EP3, and EP4 agonists. In contrast, TNF-{alpha}-induced MMP-1 secretion was not influenced by NS-398 and diminished by PGE2 via EP2. Finally, 3-isobutyl-1-methylxanthine enhanced the effects of PGE2 on MMP-1, but not on IL-6 mRNA. In conclusion, PGE2 differentially affects TNF-{alpha}-induced mRNA expression of proinflammatory IL-6 and prodestructive MMP-1 regarding the usage of EP receptors and the dependency on cAMP. Although specific blockade of EP2 receptors is considered a promising therapeutic strategy in RA, opposite regulation of proinflammatory IL-6 and prodestructive MMP-1 by PGE2 via EP2 may require more complex approaches to successfully inhibit the cyclooxygenase-1/2 cAMP axis.

Address correspondence and reprint requests to Dr. Elke Kunisch, Experimental Rheumatology Unit, Department of Orthopedics, University Hospital Jena, Klosterlausnitzer Strasse 81, D-07607 Eisenberg, Germany. E-mail address: elke.kunisch{at}med.uni-jena.de







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