Effects of pravastatin on the expression of DB00171 - binding cassette transporter A1 . In vitro inhibition of 3 - hydroxy - 3 - methylglutaryl coenzyme A ( HMG - DB01992 ) reductase causes the suppression of liver X receptor ( LXR ) activity . Because LXR regulates the expression of DB00171 - binding cassette transporter ( DB01048 ) A1 , which is involved in the high-density lipoprotein-related reverse cholesterol transport pathway , we examined the effects of an
P04035
REA
inhibitor pravastatin on
O95477
REA
expression in vitro and in vivo .
DB00175
MENMAX
DB00175
MEN
( 10 microM ) significantly reduced the transcript levels of murine
O95477
REA
gene by 35 % in RAW 264.7 macrophages under a lipoprotein-deficient condition . The inhibition was due to the decreased mevalonic acid production because addition of exogenous mevalonic acid restored
O95477
REA
mRNA levels . In addition , cholesterol and 22 ( R ) - hydroxycholesterol thoroughly blunted the inhibition . Furthermore , pravastatin did not decrease
O95477
REA
mRNA and protein levels in HepG 2 hepatocytes even in the absence of exogenous LXR agonists . Oral dosing of pravastatin ( 0.1 % concentration in drinking water ) for 24 h or 2 weeks to mice did not decrease
O95477
REA
mRNA and protein levels in the liver and leukocytes . Interestingly , pravastatin significantly increased both hepatic and leukocyte LXRalpha mRNA levels . Thus , although
P04035
REA
inhibitors suppress
O95477
REA
mRNA expression in the absence of LXR agonists , in vivo inhibition of
P04035
REA
is unlikely to cause such suppression .
1
Pathogenesis and treatment of thrombohemorrhagic diathesis in acute promyelocytic leukemia . Acute promyelocytic leukemia ( APL ) is a distinct subtype of myeloid leukemia characterized by t ( 15 ; 17 ) chromosomal translocation , which involves the retinoic acid receptor-alpha (
P10276
REA
) . APL typically presents with a life-threatening hemorrhagic diathesis . Before the introduction of all-trans retinoic acid ( DB00755 ) for the cure of APL , fatal hemorrhages due , at least in part , to the APL-associated coagulopathy , were a major cause of induction remission failure . The laboratory abnormalities of blood coagulation found in these patients indicate the occurrence of a hypercoagulable state . Major determinants of the coagulopathy of APL are endogenous factors expressed by the leukemic cells , including procoagulant factors , fibrinolytic proteins , and non-specific proteolytic enzymes . In addition , these cells have an increased capacity to adhere to the vascular endothelium , and to secrete inflammatory cytokines [ i . e . interleukin - 1beta ( IL - 1beta ) and tumor necrosis factor (
P01375
REA
) ] , which in turn stimulate the expression of prothrombotic activities by endothelial cells and leukocytes . DB00755 can interfere with each of the principal hemostatic properties of the leukemic cell , thus reducing the APL cell procoagulant potential , in parallel to the induction of cellular differentiation . This effect occurs in vivo , in the bone marrow of APL patients receiving DB00755 , and is associated with the improvement of the bleeding symptoms . Therapy with arsenic trioxide ( ATO ) also beneficially affects coagulation in APL . However , early deaths from bleeding still remain a major problem in APL and further research is required in this field . In this review , we will summarize our current knowledge of the pathogenesis of the APL-associated coagulopathy and will overview the therapeutic approaches for the management of this complication .
2
Bresol inhibits phosphodiesterase 4 gene expression and modulates the levels of select mediators of inflammation in human monocytic cells . Bresol-a poly-herbal formulation , has been reported to be effective against bronchial asthma and allergic rhinitis in children . In vivo studies have supported the anti-histaminic and anti-anaphylactic action of bresol . However , the mechanism of action of bresol in modulation of inflammation has not been studied at the cellular and molecular level . The present study was aimed to elucidate the mechanism ( s ) of action of bresol at the cellular and molecular levels , using human monocyte leukemia cells . The effects of bresol on phosphodiesterase 4B (
Q07343
REA
) gene expression were analyzed using human monocytic U937 leukemia cells . The ability of bresol to stimulate DB02527 formation in these cells , as well as its effects on mediators of inflammation like tumor necrosis factor-α ( TNFα ) , nitric oxide ( NO ) , and cycloxygenase - 2 (
P35354
REA
) in lipopolysaccharide ( LPS ) - stimulated U937 cells , were also studied . The results here indicated that bresol exhibited potential anti-inflammatory properties by inhibiting LPS-induced
Q07343
REA
gene expression in the cells . Bresol also dose dependently activated DB02527 formation , and inhibited TNFα , NO , as well as
P35354
REA
formation in the LPS-stimulated cells . Based upon the results , we concluded that the reported anti-inflammatory activity of bresol might be attributed to its abilities to inhibit
Q07343
REA
and thus elevate DB02527 levels in human monocytes . The anti-inflammatory effects of bresol might also be a result of the capacity of bresol to modulate the formation of TNFα , NO , and
P35354
REA
in monocytes .
3
Proinflammatory cytokines promote glial heme oxygenase - 1 expression and mitochondrial iron deposition : implications for multiple sclerosis . Proinflammatory cytokines , pathological iron deposition , and oxidative stress have been implicated in the pathogenesis of multiple sclerosis ( MS ) and experimental autoimmune encephalomyelitis ( EAE ) .
P09601
REA
mRNA levels and mitochondrial uptake of [ ( 55 ) Fe ] Cl ( 3 ) - derived iron were measured in rat astroglial cultures exposed to interleukin - 1beta ( IL - 1beta ) or tumor necrosis factor-alpha (
P01375
REA
) alone or in combination with the heme oxygenase - 1 (
P09601
REA
) inhibitors , tin mesoporphyrin (
DB04912
MEN
) or dexamthasone ( DEX ) , or interferon beta 1b (
P27352
REA
- beta ) .
P09601
REA
expression in astrocytes was evaluated by immunohistochemical staining of spinal cord tissue derived from MS and control subjects . IL - 1beta or
P01375
REA
promoted sequestration of non-transferrin-derived ( 55 ) Fe by astroglial mitochondria .
P09601
REA
inhibitors , mitochondrial permeability transition pore (
P55157
REA
) blockers and antioxidants significantly attenuated cytokine-related mitochondrial iron sequestration in these cells . IFN-beta decreased
P09601
REA
expression and mitochondrial iron sequestration in IL - 1beta - and
P01375
REA
- challenged astroglia . The percentage of astrocytes coexpressing
P09601
REA
in affected spinal cord from MS patients ( 57.3 % + / - 12.8 % ) was significantly greater ( p < 0.05 ) than in normal spinal cord derived from controls subjects ( 15.4 % + / - 8.4 % ) .
P09601
REA
is over-expressed in MS spinal cord astroglia and may promote mitochondrial iron deposition in MS plaques . In MS , IFN-beta may attenuate glial
P09601
REA
gene induction and aberrant mitochondrial iron deposition accruing from exposure to proinflammatory cytokines .
4
Direct intracerebral delivery of cintredekin besudotox (
P35225
REA
- PE38QQR ) in recurrent malignant glioma : a report by the
DB05305
MEN
Intraparenchymal Study Group . PURPOSE : Glioblastoma multiforme ( GBM ) is a devastating brain tumor with a median survival of 6 months after recurrence . Cintredekin besudotox ( CB ) is a recombinant protein consisting of interleukin - 13 (
P35225
REA
) and a truncated form of Pseudomonas exotoxin ( PE38QQR ) . Convection-enhanced delivery ( DB01333 ) is a locoregional-administration method leading to high-tissue concentrations with large volume of distributions . We assessed the use of intracerebral DB01333 to deliver CB in patients with recurrent malignant glioma ( MG ) . PATIENTS AND METHODS : Three phase I clinical studies evaluated intracerebral DB01333 of CB along with tumor resection . The main objectives were to assess the tolerability of various concentrations and infusion durations ; tissue distribution ; and methods for optimizing delivery . All patients underwent tumor resection followed by a single intraparenchymal infusion ( in addition to the intraparenchymal one following resection ) , with a portion of patients who had a preresection intratumoral infusion . RESULTS : A total of 51 patients with MG were treated including 46 patients with GBM . The maximum tolerated intraparenchymal concentration was 0.5 microg / mL and tumor necrosis was observed at this concentration . Infusion durations of up to 6 days were well tolerated . Postoperative catheter placement appears to be important for optimal drug distribution . CB - and procedure-related adverse events were primarily limited to the CNS . Overall median survival for GBM patients is 42.7 weeks and 55.6 weeks for patients with optimally positioned catheters with patient follow-up extending beyond 5 years . CONCLUSION : CB appears to have a favorable risk-benefit profile . DB01333 is a complex delivery method requiring catheter placement via a second procedure to achieve accurate catheter positioning , better drug distribution , and better outcome .
5
Regulation of hepatic lecithin : retinol acyltransferase activity by retinoic acid receptor-selective retinoids . The microsomal enzyme
O95237
REA
esterifies retinol and has been implicated in the hepatic storage of vitamin A . Previously , we showed that hepatic
O95237
REA
activity is negligible during vitamin A deficiency and that all-trans-retinoic acid ( all-trans-RA ) rapidly induces the activity of liver
O95237
REA
in retinoid-deficient rats . In the present studies , we have examined the ability of natural and synthetic retinoids to induce liver
O95237
REA
activity in retinoid-deficient rats . The natural retinoids retinol , all-trans-RA ( 100 microg ) , 9 -
DB00982
MEN
, or equal molar amounts of other retinoids were injected ip and
O95237
REA
specific activity was measured in liver homogenates 17-18 h later . In retinoid-deficient rats , liver
O95237
REA
activity was extremely low [ 0.13 + / - 0.03 pmol retinyl ester ( RE ) / min / mg liver protein , mean + / - SE ] . The natural retinoids retinol and all-trans-RA strongly induced
O95237
REA
activity ( 12.71 + / - 1.09 and 13.10 + / - 1.55 pmol RE / min / mg , respectively ) , whereas 9 -
DB00982
MEN
induced a lower level of
O95237
REA
activity ( 3.96 + / - 1.88 pmol RE / min / mg , P < 0.001 vs all-trans-RA ) . The retinoic acid receptor ( RAR ) - selective analog ( RAR pan-agonist ) all-trans-UAB 8 and the
P10276
REA
- selective retinoid Am580 also strongly induced
O95237
REA
activity . In contrast , neither RXR-selective agonists nor retinoids having a retro structure were active . For retinoids with significant
P10276
REA
binding activity there was a strong direct correlation between receptor binding in vitro and the ability to induce hepatic
O95237
REA
activity in vivo ( r2 = 0.920 ) . These data implicate the RARs in the induction of hepatic
O95237
REA
and suggest a predominant role for
P10276
REA
- active ligands .
6
Impaired pulmonary defense against Pseudomonas aeruginosa in
P15692
REA
gene inactivated mouse lung . Repeated bacterial and viral infections are known to contribute to worsening lung function in several respiratory diseases , including asthma , cystic fibrosis , and chronic obstructive pulmonary disease (
P48444
REA
) . Previous studies have reported alveolar wall cell apoptosis and parenchymal damage in adult pulmonary
P15692
REA
gene ablated mice . We hypothesized that
P15692
REA
expressed by type II cells is also necessary to provide an effective host defense against bacteria in part by maintaining surfactant homeostasis . Therefore , Pseudomonas aeruginosa ( PAO 1 ) levels were evaluated in mice following lung-targeted
P15692
REA
gene inactivation , and alterations in
P15692
REA
- dependent type II cell function were evaluated by measuring surfactant homeostasis in mouse lungs and isolated type II cells . In
P15692
REA
- deficient lungs increased PAO 1 levels and pro-inflammatory cytokines , TNFα and
P05231
REA
, were detected 24 h after bacterial instillation compared to control lungs . In vivo lung-targeted
P15692
REA
gene deletion ( 57 % decrease in total pulmonary
P15692
REA
) did not alter alveolar surfactant or tissue disaturated phosphatidylcholine ( DSPC ) levels . However , sphingomyelin content , choline phosphate cytidylyltransferase ( Q9UPI3 ) mRNA , and
P35247
REA
expression were decreased . In isolated type II cells an 80 % reduction of
P15692
REA
protein resulted in decreases in total phospholipids ( PL ) , DSPC , DSPC synthesis , surfactant associated proteins ( SP ) - B and - D , and the lipid transporters ,
O95477
REA
and Rab 3D . TPA-induced DSPC secretion and apoptosis were elevated in
P15692
REA
- deficient type II cells . These results suggest a potential protective role for type II cell-expressed
P15692
REA
against bacterial initiated infection .
7
Bronchodilators modulate inflammation in chronic obstructive pulmonary disease subjects . Chronic obstructive pulmonary disease (
P48444
REA
) is characterized by neutrophilic airway inflammation and oxidative stress . Leukotriene B₄ ( LTB₄ ) , a potent proinflammatory mediator , is synthesized by
P09917
REA
(
P09917
REA
) , which is activated by the presence of lipid hydroperoxides resulting from oxidative stress on biological membranes . We proposed to evaluate the effect of a four week treatment with two different bronchodilators of common practice in
P48444
REA
treatment , on the production of reactive oxygen species ( ROS ) , in particular superoxide anions , and of LTB₄ by peripheral blood neutrophils obtained from
P48444
REA
subjects . 24 subjects among the
P48444
REA
outpatients were enrolled , and randomized to receive either formoterol ( 12 μg bid ) or tiotropium ( 18 μg od ) . Peripheral blood neutrophils were obtained at the start and at the end of the treatment , and production of superoxide anions and of LTB₄ were evaluated as previously published . The results obtained showed a decrease in the unstimulated production of superoxide by isolated neutrophils in both groups , but tiotropium only was effective in modulating the production of LTB₄ , while formoterol caused an increased production of superoxide in response to fMLP , when compared to values obtained before treatment . In conclusion , tiotropium showed a better antiinflammatory activity profile when compared to formoterol in a clinical setting , reducing superoxide and LTB₄ production by peripheral neutrophils obtained from
P48444
REA
subjects .
8
Anti-inflammatory properties of Septilin in lipopolysaccharide activated monocytes and macrophage . In vivo studies have suggested the immunomodulatory properties of Septilin , an herbal preparation . This drug is being used against various types of inflammatory disorders . However , the mechanism of action of Septilin in the modulation of inflammation is not explored using suitable in vitro models . Hence , we decided to study the modulatory role of Septilin in lipopolysaccharide ( LPS ) mediated signaling in macrophage and monocyte cells . It was observed from the present study that by employing tumor necrosis factor α (
P01375
REA
- α ) bioassay and reverse transcription-polymerase chain reaction ( RT-PCR ) , Septilin inhibited
P01375
REA
- α production in LPS ( 1 μg / mL ) stimulated RAW 264.7 cells ( p < 0.05 ) . 80 % inhibition of
P01375
REA
- α was observed even at 2.5 % Septilin . Septilin at all the concentrations tested could also significantly block the LPS mediated nitric oxide ( NO ) production ( p < 0.01 ) and expression of inducible NO synthase (
P35228
REA
) gene . LPS mediated interleukin 6 (
P05231
REA
) and
P10145
REA
production was also blocked by Septilin at the concentrations tested . This herbal preparation could also inhibit cycloxygenase 2 (
P35354
REA
) activity and suppression of
P35354
REA
and phosphodiesterase 4 B (
Q07343
REA
) mRNA expression in a concentration dependent manner . Taken together , these findings from the present in vitro study suggest the anti-inflammatory and immunomodulatory properties of Septilin .
9
Identification of the fused bicyclic 4 - amino - 2 - phenylpyrimidine derivatives as novel and potent
DB05876
MEN
inhibitors . 2 - Phenyl - 4 - piperidinyl -6,7- dihydrothieno [ 3,4- d ] pyrimidine derivative ( 2 ) was found to be a new
DB05876
MEN
inhibitor with moderate
Q07343
REA
activity ( IC50 = 150 nM ) . A number of derivatives with a variety of 4 - amino substituents and fused bicyclic pyrimidines were synthesized . Among these , 5,5- dioxo -7,8- dihydro - 6H - thiopyrano [ 3,2- d ] pyrimidine derivative ( 18 ) showed potent
Q07343
REA
inhibitory activity ( IC50 = 25 nM ) . Finally , N-propylacetamide derivative ( 31b ) was determined as a potent inhibitor for both
Q07343
REA
( IC50 = 7.5 nM ) and
P01375
REA
- α production in mouse splenocytes ( IC50 = 9.8 nM ) and showed good in vivo anti-inflammatory activity in the LPS-induced lung inflammation model in mice ( ID50 = 18 mg / kg ) . The binding mode of the new inhibitor ( 31e ) in the catalytic site of
Q07343
REA
is presented based on an X-ray crystal structure of the ligand-enzyme complex .
10
Q9UBN7 - mediated selective autophagy regulates
P48444
REA
- associated cilia dysfunction . Chronic obstructive pulmonary disease (
P48444
REA
) involves aberrant airway inflammatory responses to cigarette smoke ( CS ) that are associated with epithelial cell dysfunction , cilia shortening , and mucociliary clearance disruption . Exposure to CS reduced cilia length and induced autophagy in vivo and in differentiated mouse tracheal epithelial cells ( MTECs ) . Autophagy-impaired ( Becn 1 + / - or Map 1lc3B - / - ) mice and MTECs resisted CS-induced cilia shortening . Furthermore , CS increased the autophagic turnover of ciliary proteins , indicating that autophagy may regulate cilia homeostasis . We identified cytosolic deacetylase Q9UBN7 as a critical regulator of autophagy-mediated cilia shortening during CS exposure . Mice bearing an X chromosome deletion of Hdac 6 ( Hdac 6 - / Y ) and MTECs from these mice had reduced autophagy and were protected from CS-induced cilia shortening . Autophagy-impaired Becn 1 - / - , Map 1lc3B - / - , and Hdac 6 - / Y mice or mice injected with an Q9UBN7 inhibitor were protected from CS-induced mucociliary clearance ( MCC ) disruption . MCC was preserved in mice given the chemical chaperone 4 - phenylbutyric acid , but was disrupted in mice lacking the transcription factor Q16236 , suggesting that oxidative stress and altered proteostasis contribute to the disruption of MCC . Analysis of human
P48444
REA
specimens revealed epigenetic deregulation of Q9UBN7 by hypomethylation and increased protein expression in the airways . We conclude that an autophagy-dependent pathway regulates cilia length during CS exposure and has potential as a therapeutic target for
P48444
REA
.
11
Cross-talk between PKA-Cβ and p65 mediates synergistic induction of
Q07343
REA
by roflumilast and NTHi . Phosphodiesterase 4B (
Q07343
REA
) plays a key role in regulating inflammation .
DB01656
SUB
, a phosphodiesterase ( PDE ) 4 - selective inhibitor , has recently been approved for treating severe chronic obstructive pulmonary disease (
P48444
REA
) patients with exacerbation . However , there is also clinical evidence suggesting the development of tachyphylaxis or tolerance on repeated dosing of roflumilast and the possible contribution of
Q07343
REA
up-regulation , which could be counterproductive for suppressing inflammation . Thus , understanding how
Q07343
REA
is up-regulated in the context of the complex pathogenesis and medications of
P48444
REA
may help improve the efficacy and possibly ameliorate the tolerance of roflumilast . Here we show that roflumilast synergizes with nontypeable Haemophilus influenzae ( NTHi ) , a major bacterial cause of
P48444
REA
exacerbation , to up-regulate PDE 4B2 expression in human airway epithelial cells in vitro and in vivo . Up-regulated PDE 4B2 contributes to the induction of certain important chemokines in both enzymatic activity-dependent and activity-independent manners . We also found that protein kinase A catalytic subunit β ( PKA-Cβ ) and nuclear factor-κB ( NF-κB ) p65 subunit were required for the synergistic induction of PDE 4B2 . PKA-Cβ phosphorylates p65 in a DB02527 - dependent manner . Moreover , Ser 276 of p65 is critical for mediating the PKA-Cβ-induced p65 phosphorylation and the synergistic induction of PDE 4B2 . Collectively , our data unveil a previously unidentified mechanism underlying synergistic up-regulation of PDE 4B2 via a cross-talk between PKA-Cβ and p65 and may help develop new therapeutic strategies to improve the efficacy of
DB05876
MEN
inhibitor .
12
DB01656
SUB
inhibits respiratory syncytial virus infection in human differentiated bronchial epithelial cells . Respiratory syncytial virus ( RSV ) causes acute exacerbations in
P48444
REA
and asthma . RSV infects bronchial epithelial cells (
P02100
REA
) that trigger RSV associated lung pathology . This study explores whether the phosphodiesterase 4 (
DB05876
MEN
) inhibitor
DB01656
SUB
N-oxide ( P59046 ) , alters RSV infection of well-differentiated
P02100
REA
( WD -
P02100
REA
) in vitro . WD -
P02100
REA
were RSV infected in the presence or absence of P59046 ( 0.1- 100 nM ) . Viral infection ( staining of F and G proteins , nucleoprotein RNA level ) , mRNA of
P05362
REA
, ciliated cell markers ( digital high speed videomicroscopy , β-tubulin immunofluorescence , Foxj 1 and Dnai 2 mRNA ) , Goblet cells ( DB00233 ) , mRNA of
P98088
REA
and
A8K7I4
REA
, mRNA and protein level of
P35225
REA
,
P05231
REA
,
P10145
REA
, TNFα , formation of H2O2 and the anti-oxidative armamentarium ( mRNA of Nrf 2 ,
P09601
REA
, GPx ; total antioxidant capacity ( TAC ) were measured at day 10 or 15 post infection . P59046 inhibited RSV infection of WD -
P02100
REA
, prevented the loss of ciliated cells and markers , reduced the increase of
P98088
REA
and
A8K7I4
REA
and inhibited the increase of
P35225
REA
,
P05231
REA
,
P10145
REA
, TNFα and
P05362
REA
. Additionally P59046 reversed the reduction of Nrf 2 ,
P09601
REA
and GPx mRNA levels and consequently restored the TAC and reduced the H2O2 formation . P59046 inhibits RSV infection of WD -
P02100
REA
cultures and mitigates the cytopathological changes associated to this virus .
13
Agents with selective estrogen receptor ( ER ) modulator activity induce apoptosis in vitro and in vivo in ER-negative glioma cells . Tamoxifen , a member of the selective estrogen receptor modulator ( SERM ) family , is widely used in the treatment of estrogen receptor ( ER ) - expressing breast cancer . It has previously been shown that high-dose tamoxifen has cytotoxic activity against glioma cells , but whether this effect is drug specific or represents a general property of SERMs is unknown . In this study , we demonstrate that tamoxifen and
DB05487
MEN
, a novel benzopyranone with SERM activity , induce glioma cell apoptosis in a dose - and time-dependent manner . Moreover , administration of tamoxifen and
DB05487
MEN
suppresses tumor growth in vivo and extends animal survival in glioma xenograft models . None of the eight glioma cell lines examined express either
P03372
REA
or - beta , suggesting the mechanism for tamoxifen - and
DB05487
MEN
- induced glioma cell apoptosis is independent of the ER signaling pathway . Complementary DNA microarray expression profiling allowed us to identify a subset of genes specifically regulated by tamoxifen and
DB05487
MEN
, and not by other apoptotic stimuli , including nuclear factor ( NF ) - kappaB with its target genes IEX - 3 ,
P04179
REA
,
P05231
REA
, and
P10145
REA
. We demonstrate that suppression of NF-kappaB activation markedly enhances SERM-induced apoptosis , suggesting a role for NF-kappaB in protecting glioma cells from SERM-induced cytotoxicity . These findings demonstrate for the first time that a SERM other than tamoxifen can induce glioma cell apoptosis in vitro and in vivo and that the clinical efficacy of SERMs for the treatment of malignant gliomas could potentially be enhanced by simultaneous inhibition of the NF-kappaB pathway .
14
Rationalizing cyclooxygenase (
P36551
REA
) inhibition for maximal efficacy and minimal adverse events . New information indicates that cyclooxygenase - 2 (
P35354
REA
) is constitutively expressed in several tissues , including brain , lung , pancreas , kidney , and ovary , and plays an important role in renal and gastrointestinal function . Selective
P35354
REA
inhibition has been associated in animal studies with impairment of ulcer healing and renal function and inhibition of prostacyclin , an effect that inhibits vasodilation without inhibiting platelet aggregation . The clinical consequences , if any , of these effects remain to be determined in long-term studies in humans . The premise that selective
P35354
REA
inhibitors will cause less gastrointestinal toxicity than nonsteroidal antiinflammatory drugs that inhibit both
P36551
REA
isoforms needs to take into account the low toxicity of nabumetone . The gastrointestinal safety profile of this nonacidic , dual
P36551
REA
inhibitor that does not undergo enterohepatic circulation has been evaluated in extensive clinical trials . The data submitted to the US Food and Drug Administration in the New Drug Application for nabumetone (
DB00461
MEN
) , the comparative trials subsequently completed , the published databases of the comparative gastrointestinal toxicity of various nonsteroidal anti-inflammatory drugs ( NSAIDs ) , and the meta-analysis published in this issue of The American Journal of Medicine ( Schoenfeld , page 48S ) indicate that nabumetone has the lowest incidence of gastrointestinal toxicity among the extensively studied NSAIDs . Overall , the incidence is approximately 10 - fold less than with comparator drugs . This rate is an appropriate current reference against which the gastrointestinal toxicity of
P35354
REA
inhibitors can be compared .
15
Leukotriene A4 hydrolase . Inhibition by bestatin and intrinsic aminopeptidase activity establish its functional resemblance to metallohydrolase enzymes .
DB03424
MEN
, an inhibitor of aminopeptidases , was also a potent inhibitor of leukotriene ( LT ) A4 hydrolase . On isolated enzyme its effects were immediate and reversible with a Ki = 201 + / - 95 mM . With erythrocytes it inhibited LTB 4 formation greater than 90 % within 10 min ; with neutrophils it inhibited LTB 4 formation by only 10 % during the same period , increasing to 40 % in 2 h .
DB03424
MEN
inhibited
P09960
REA
hydrolase selectively ; neither
P09917
REA
nor 15 - lipoxygenase activity in neutrophil lysates was affected . Purified
P09960
REA
hydrolase exhibited an intrinsic aminopeptidase activity , hydrolyzing L-lysine-p-nitroanilide and L-leucine-beta-naphthylamide with apparent Km = 156 microM and 70 microM and Vmax = 50 and 215 nmol / min / mg , respectively . Both
P09960
REA
and bestatin suppressed the intrinsic aminopeptidase activity of
P09960
REA
hydrolase with apparent Ki values of 5.3 microM and 172 nM , respectively . Other metallohydrolase inhibitors tested did not reduce
P09960
REA
hydrolase / aminopeptidase activity , with one exception ; captopril , an inhibitor of angiotensin-converting enzyme , was as effective as bestatin . The results demonstrate a functional resemblance between
P09960
REA
hydrolase and certain metallohydrolases , consistent with a molecular resemblance at their putative Zn2 ( + ) - binding sites . The availability of a reversible , chemically stable inhibitor of
P09960
REA
hydrolase may facilitate investigations on the role of LTB 4 in inflammation , particularly the process termed transcellular biosynthesis .
16
DB06603
MEN
synergizes with bortezomib to induce endoplasmic reticulum stress and ubiquitinated protein accumulation in renal cancer cells . BACKGROUND : Inducing endoplasmic reticulum ( ER ) stress is a novel strategy used to treat malignancies . Inhibition of histone deacetylase ( HDAC ) 6 by the HDAC inhibitor
DB06603
MEN
hinders the refolding of unfolded proteins by increasing the acetylation of heat shock protein 90 . We investigated whether combining
DB06603
MEN
with the proteasome inhibitor bortezomib would kill cancer cells effectively by inhibiting the degradation of these unfolded proteins , thereby causing ubiquitinated proteins to accumulate and induce ER stress . METHODS : Caki - 1 , ACHN , and 769 - P cells were treated with
DB06603
MEN
and / or bortezomib . Cell viability , clonogenicity , and induction of apoptosis were evaluated . The in vivo efficacy of the combination was evaluated using a murine subcutaneous xenograft model . The combination-induced ER stress and ubiquitinated protein accumulation were assessed . RESULTS : The combination of
DB06603
MEN
and bortezomib induced apoptosis and inhibited renal cancer growth synergistically ( combination indexes < 1 ) . It also suppressed colony formation significantly ( p < 0.05 ) . In a murine subcutaneous tumor model , a 10 - day treatment was well tolerated and inhibited tumor growth significantly ( p < 0.05 ) . Enhanced acetylation of the Q9UBN7 substrate alpha-tubulin was consistent with the suppression of Q9UBN7 activity by
DB06603
MEN
, and the combination was shown to induce ER stress and ubiquitinated protein accumulation synergistically . CONCLUSIONS :
DB06603
MEN
inhibits renal cancer growth by synergizing with bortezomib to induce ER stress and ubiquitinated protein accumulation . The current study provides a basis for testing the combination in patients with advanced renal cancer .
17
Action of rolipram on specific
DB05876
MEN
DB02527 phosphodiesterase isoforms and on the phosphorylation of DB02527 - response-element-binding protein ( CREB ) and p38 mitogen-activated protein ( Q96HU1 ) kinase in U937 monocytic cells . U937 monocytic cells are shown here to express a range of
DB05876
MEN
, DB02527 - specific phosphodiesterase ( PDE ) isoenzymes : the long isoenzymes , PDE 4A4 , PDE 4D5 and PDE 4D3 , plus the short isoenzyme , PDE 4B2 . These isoenzymes provide around 76 % of the total DB02527 PDE activity of U937 cells . The specific activities of the total
P27815
REA
,
Q07343
REA
and
Q08499
REA
activities were 0.63+ / -0.09 , 8.8+ / -0.2 and 34.4+ / -2.9 pmol / min per mg of protein respectively . The
DB05876
MEN
selective inhibitor , rolipram , inhibited immunopurified
Q07343
REA
and
Q08499
REA
activities similarly , with IC ( 50 ) values of approx . 130 nM and 240 nM respectively . In contrast , rolipram inhibited immunopurified
P27815
REA
activity with a dramatically lower IC ( 50 ) value of around 3 nM . DB01954 increased phosphorylation of DB02527 - response-element-binding protein ( CREB ) in U937 cells in a dose-dependent fashion , which implied the presence of both high affinity ( IC ( 50 ) value approx . 1 nM ) and low affinity ( IC ( 50 ) value approx . 120 nM ) components . DB01954 dose-dependently inhibited the interferon-gamma (
P01579
REA
) - stimulated phosphorylation of p38 mitogen-activated protein ( Q96HU1 ) kinase in a simple monotonic fashion with an IC ( 50 ) value of approx . 290 nM . On this basis , it is suggested that rolipram inhibition of PDE 4A4 is involved in regulating CREB phosphorylation but not
P01579
REA
- stimulated p38 Q96HU1 kinase phosphorylation . PDE 4A4 was also selectively activated by challenge of U937 cells with either bacterial lipopolysaccharide ( LPS ) or
P01579
REA
through a process which was attenuated by both wortmannin and rapamycin . It is proposed that the PDE 4A4 isoform is involved in compartmentalized DB02527 signalling responses in U937 monocytes .