Macrolide antibiotics inhibit prostaglandin E2 synthesis and mRNA expression of prostaglandin synthetic enzymes in human leukocytes

Prostaglandins Leukot Essent Fatty Acids. 2003 Oct;69(4):229-35. doi: 10.1016/s0952-3278(03)00089-9.

Abstract

We investigated the action of macrolide antibiotics, which are considered to have anti-inflammatory activity, on lipopolysaccharide (LPS)-stimulated prostaglandin (PG) E2 synthesis and the expression of mRNAs for cytosolic phospholipase A2 (cPLA2), cyclooxygenase (COX)-1, and COX-2 in human leukocytes. The production of LPS-stimulated PGE2 was significantly increased in peripheral polymorphonuclear leukocytes (PMNLs) and in mononuclear leukocytes (MNLs). Amounts of mRNAs for COX-2 and cPLA2, but not for COX-1, were enhanced by LPS in PMNLs and MNLs. The LPS-enhanced PGE2 synthesis and the expression of cPLA2 and COX-2 mRNAs were inhibited by clarithromycin, azithromycin and dexamethasone in PMNLs and MNLs. The mRNA expression of COX-1 in PMNLs was decreased by clarithromycin and azithromycin. Macrolide antibiotics inhibited PGE2 synthesis in human leukocytes by suppressing cPLA2, COX-1, and COX-2 mRNA expression. These data indicate one mechanism of macrolide anti-inflammatory activity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Cyclooxygenase 1
  • Cyclooxygenase 2
  • Dinoprostone / antagonists & inhibitors*
  • Dinoprostone / biosynthesis
  • Dinoprostone / genetics
  • Enzyme Inhibitors / pharmacology
  • Humans
  • Isoenzymes / antagonists & inhibitors
  • Leukocytes / drug effects*
  • Leukocytes / metabolism
  • Leukocytes, Mononuclear / drug effects
  • Leukocytes, Mononuclear / metabolism
  • Lipopolysaccharides
  • Macrolides / pharmacology*
  • Membrane Proteins
  • Neutrophils / drug effects
  • Neutrophils / metabolism
  • Phospholipases A / antagonists & inhibitors
  • Phospholipases A2
  • Prostaglandin-Endoperoxide Synthases
  • RNA, Messenger / antagonists & inhibitors*
  • RNA, Messenger / biosynthesis

Substances

  • Anti-Bacterial Agents
  • Enzyme Inhibitors
  • Isoenzymes
  • Lipopolysaccharides
  • Macrolides
  • Membrane Proteins
  • RNA, Messenger
  • Cyclooxygenase 1
  • Cyclooxygenase 2
  • PTGS1 protein, human
  • PTGS2 protein, human
  • Prostaglandin-Endoperoxide Synthases
  • Phospholipases A
  • Phospholipases A2
  • Dinoprostone