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Role of Mast Cells and C-Sensory Fibers in Concanavalin A-Induced Paw Edema in Two Rat Strains. Inflammation 2015; 38:1434-49. [PMID: 25619815 DOI: 10.1007/s10753-015-0118-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This study investigated a putative contribution of mast cells and C-sensory fibers to differences in the development of inflammatory edema following the injection of concanavalin A (Con A) into the hind paws of Dark Agouti (DA) and Albino Oxford (AO) rats. The treatment of adult rats with mast cell-depletor compound 48/80 and neonatal depletion of C-sensory fibers independently revealed that leukocyte composition of the inflamed paws and lymph nodes during local inflammatory response to Con A was generally regulated in a similar way in DA and AO rat strains. However, in DA and AO rats, the decrease and the increase of Con A-induced plasma extravasation were associated with mast cell depletion and activation, respectively, whereas neonatal capsaicin treatment activated dermal mast cells and potentiated inflammatory plasma extravasation only in adult rats of DA strain. Hence, strain differences in the development of the inflammatory response to Con A are probably controlled by the differences in the interplay between mast cells and C-sensory fibers in DA and AO rats.
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Rangel TBA, Assreuy AMS, de Freitas Pires A, de Carvalho AU, Benevides RG, da Conceição Simões R, da Silva HC, Bezerra MJB, do Nascimento ASF, do Nascimento KS, Nagano CS, Sampaio AH, Delatorre P, da Rocha BAM, Fernandes PMB, Cavada BS. Crystallization and characterization of an inflammatory lectin purified from the seeds of Dioclea wilsonii. Molecules 2011; 16:5087-103. [PMID: 21694673 PMCID: PMC6264520 DOI: 10.3390/molecules16065087] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2011] [Revised: 06/07/2011] [Accepted: 06/17/2011] [Indexed: 12/02/2022] Open
Abstract
DwL, a lectin extracted from the seeds of Dioclea wilsonii, is a metalloprotein with strong agglutinating activity against rabbit and ABO erythrocytes, inhibited by glucose and mannose. DwL was purified by affinity chromatography on a Sephadex G-50 column and ion exchange chromatography on a HiTrap SP XL column. SDS-PAGE revealed three electrophoretic bands corresponding to the α (25,634 ± 2 Da), β (12,873 ± 2 Da) and γ (12,779 ± 2 Da) chains. Protein sequencing was done by Tandem Mass Spectrometry. The primary sequence featured 237 amino acids and was highly homologous to other reported Diocleinae lectins. A complete X-ray dataset was collected at 2.0 Å for X-Man-complexed DWL crystals produced by the vapor diffusion method. The crystals were orthorhombic and belonged to the space group I222, with the unit-cell parameters a = 59.6, b = 67.9 and c = 109.0 Å. DWL differed in potency from other ConA-like lectins and was found to induce neutrophil migration in rats, making it particularly useful in structural/functional studies of this class of proteins.
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Affiliation(s)
- Thaiz Batista Azevedo Rangel
- Núcleo de Biotecnologia, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo, Vitória, ES 29040-090, Brazil; (T.B.A.R); (A.U.C.)
| | - Ana Maria Sampaio Assreuy
- Instituto Superior de Ciências Biomédicas, Universidade Estadual do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (A.M.S.A.); (A.F.P.)
| | - Alana de Freitas Pires
- Instituto Superior de Ciências Biomédicas, Universidade Estadual do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (A.M.S.A.); (A.F.P.)
| | - Amanda Uliana de Carvalho
- Núcleo de Biotecnologia, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo, Vitória, ES 29040-090, Brazil; (T.B.A.R); (A.U.C.)
| | - Raquel Guimarães Benevides
- Laboratório de Moléculas Biologicamente Ativas, Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (R.G.B.); (R.C.S.); (H.C.S.); (M.J.B.B.); (A.S.F.N.); (K.S.N.); (C.S.N); (A.H.S.); (B.A.M.R.)
| | - Rafael da Conceição Simões
- Laboratório de Moléculas Biologicamente Ativas, Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (R.G.B.); (R.C.S.); (H.C.S.); (M.J.B.B.); (A.S.F.N.); (K.S.N.); (C.S.N); (A.H.S.); (B.A.M.R.)
| | - Helton Colares da Silva
- Laboratório de Moléculas Biologicamente Ativas, Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (R.G.B.); (R.C.S.); (H.C.S.); (M.J.B.B.); (A.S.F.N.); (K.S.N.); (C.S.N); (A.H.S.); (B.A.M.R.)
| | - Maria Júlia Barbosa Bezerra
- Laboratório de Moléculas Biologicamente Ativas, Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (R.G.B.); (R.C.S.); (H.C.S.); (M.J.B.B.); (A.S.F.N.); (K.S.N.); (C.S.N); (A.H.S.); (B.A.M.R.)
| | - Antonia Samia Fernandes do Nascimento
- Laboratório de Moléculas Biologicamente Ativas, Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (R.G.B.); (R.C.S.); (H.C.S.); (M.J.B.B.); (A.S.F.N.); (K.S.N.); (C.S.N); (A.H.S.); (B.A.M.R.)
| | - Kyria Santiago do Nascimento
- Laboratório de Moléculas Biologicamente Ativas, Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (R.G.B.); (R.C.S.); (H.C.S.); (M.J.B.B.); (A.S.F.N.); (K.S.N.); (C.S.N); (A.H.S.); (B.A.M.R.)
| | - Celso Shiniti Nagano
- Laboratório de Moléculas Biologicamente Ativas, Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (R.G.B.); (R.C.S.); (H.C.S.); (M.J.B.B.); (A.S.F.N.); (K.S.N.); (C.S.N); (A.H.S.); (B.A.M.R.)
| | - Alexandre Holanda Sampaio
- Laboratório de Moléculas Biologicamente Ativas, Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (R.G.B.); (R.C.S.); (H.C.S.); (M.J.B.B.); (A.S.F.N.); (K.S.N.); (C.S.N); (A.H.S.); (B.A.M.R.)
| | - Plínio Delatorre
- Departamento de Biologia Molecular, Centro de Ciências Exatas e da Natureza - Campus I, Universidade Federal da Paraíba, Caixa Postal 5009, 58051-970, João Pessoa, PB, Brazil;
| | - Bruno Anderson Matias da Rocha
- Laboratório de Moléculas Biologicamente Ativas, Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (R.G.B.); (R.C.S.); (H.C.S.); (M.J.B.B.); (A.S.F.N.); (K.S.N.); (C.S.N); (A.H.S.); (B.A.M.R.)
| | - Patricia Machado Bueno Fernandes
- Núcleo de Biotecnologia, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo, Vitória, ES 29040-090, Brazil; (T.B.A.R); (A.U.C.)
| | - Benildo Sousa Cavada
- Laboratório de Moléculas Biologicamente Ativas, Departamento de Bioquímica e Biologia Molecular, Universidade Federal do Ceará, P. O. Box 6043, 60455-970 Fortaleza, Ceará, Brazil; (R.G.B.); (R.C.S.); (H.C.S.); (M.J.B.B.); (A.S.F.N.); (K.S.N.); (C.S.N); (A.H.S.); (B.A.M.R.)
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Strain differences in concanavalin a-induced paw edema in the rat: Involvement of histamine H1 and H2 receptors. ACTA VET-BEOGRAD 2011. [DOI: 10.2298/avb1103119k] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Assreuy AMS, Fontenele SR, Pires ADF, Fernandes DC, Rodrigues NVFC, Bezerra EHS, Moura TR, do Nascimento KS, Cavada BS. Vasodilator effects of Diocleinae lectins from the Canavalia genus. Naunyn Schmiedebergs Arch Pharmacol 2009; 380:509-21. [PMID: 19855960 DOI: 10.1007/s00210-009-0465-1] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2009] [Accepted: 10/05/2009] [Indexed: 01/22/2023]
Abstract
This study investigated and compared vascular actions of leguminous lectins obtained from the Canavalia genus (Canavalia brasiliensis, Canavalia gladiata, and Canavalia maritima) in the rat models of paw edema and isolated aorta. Paw edema was induced by subcutaneous injection of lectins (0.01-1 mg/kg) in animals pre-treated or not with indomethacin or L-NAME. In isolated aorta, cumulative concentration curves of C. gladiata or C. brasiliensis (1-100 microg/ml) were performed at the contraction plateau induced by phenylephrine or at tissue basal tonus. The mechanism of the lectin relaxant action was investigated by previous addition of L-NAME, indomethacin, or tetraethylammonium. In both models, the lectin domain involvement was evaluated by incubation of lectins with their ligand and non-ligand sugars. The lectins induced paw edema paralleled by protein leakage. The edematogenic activity elicited by C. gladiata and C. brasiliensis involves prostaglandins and nitric oxide (NO), while that of C. maritima occurs without NO interference. C. gladiata and C. brasiliensis elicited aorta relaxation involving NO and prostacyclin, while that of C. gladiata included EDHF. All lectin effects were prevented by their binding sugars. The present study demonstrated important vasodilator effects of different degrees and mechanisms in vivo and in vitro of Canavalia lectins. In vivo, the edematogenic activity was paralleled by plasma exudation, and in vitro, aorta relaxation was strictly dependent on intact endothelium. All effects occurred via interaction with lectin domains and participation of NO and/or prostanoids.
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Affiliation(s)
- Ana Maria Sampaio Assreuy
- Instituto Superior de Ciências Biomédicas, Universidade Estadual do Ceará, Av. Paranjana 1700, Fortaleza, Ceará, Brazil.
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Stanojević S, Mitić K, Vujić V, Kovacević-Jovanović V, Dimitrijević M. Beta-endorphin differentially affects inflammation in two inbred rat strains. Eur J Pharmacol 2006; 549:157-65. [PMID: 16978600 DOI: 10.1016/j.ejphar.2006.08.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2006] [Revised: 06/29/2006] [Accepted: 08/04/2006] [Indexed: 10/24/2022]
Abstract
It has been shown that inflammation of rat paws elicits accumulation of opioid peptide beta-endorphin-containing immune cells in the inflamed subcutaneous tissue, contributing to immunocyte-produced pain suppression. However, the possible mechanisms involved in the pharmacological application of beta-endorphin in rat paw inflammation have not been investigated. The present study was set up to explore the effects of intraplantar injection of beta-endorphin on Concanavalin A-induced paw edema in two inbred rat strains, Albino Oxford (AO) and Dark Agouti (DA). Both high dose-induced suppression and low dose-induced potentiation of edema development in AO and DA rats, respectively, were blocked with antagonists specific for delta (naltrindole) and kappa (nor-binaltorphimine) opioid receptors. beta-endorphin in vitro decreased phagocytosis and increased nitric oxide (NO) production in air pouch granulocytes obtained from AO rats. However, in cells from DA rat strain beta-endorphin modulated both phagocytosis and NO production in a concentration-dependent manner. It could be concluded that the strain-dependent opposing effects of beta-endorphin on paw inflammation are mediated through delta and kappa opioid receptors and probably involve changes in the production of reactive oxygen species by inflammatory cells. Our results point to the importance of genotype for pharmacological manipulations and the development of inflammation.
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MESH Headings
- Animals
- Concanavalin A/toxicity
- Dose-Response Relationship, Drug
- Edema/chemically induced
- Edema/physiopathology
- Edema/prevention & control
- Female
- Granulocytes/cytology
- Granulocytes/drug effects
- Granulocytes/metabolism
- Hindlimb/drug effects
- Hindlimb/pathology
- Hindlimb/physiopathology
- Inflammation/chemically induced
- Inflammation/physiopathology
- Inflammation/prevention & control
- Male
- Naltrexone/analogs & derivatives
- Naltrexone/pharmacology
- Narcotic Antagonists/pharmacology
- Neurotransmitter Agents/pharmacology
- Nitric Oxide/metabolism
- Phagocytosis/drug effects
- Rats
- Rats, Inbred Strains
- Receptors, Opioid, delta/antagonists & inhibitors
- Receptors, Opioid, delta/physiology
- Receptors, Opioid, kappa/antagonists & inhibitors
- Receptors, Opioid, kappa/physiology
- Species Specificity
- beta-Endorphin/pharmacology
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Affiliation(s)
- Stanislava Stanojević
- Immunology Research Center Branislav Janković, Institute of Immunology and Virology Torlak, Vojvode Stepe 458, 11152 Belgrade, Serbia and Montenegro.
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Lima RF, Criddle DN, Souza EP, Sampaio AH, Nascimento KS, Cavada BS, Assreuy AMS. Red marine alga Bryothamnion triquetrum lectin induces endothelium-dependent relaxation of the rat aorta via release of nitric oxide. J Pharm Pharmacol 2005; 56:1415-21. [PMID: 15525448 DOI: 10.1211/0022357044616] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
We have investigated the vascular relaxant effects of the lectin from a red marine alga Bryothamnion triquetrum (BTL), in particular, the endothelial-dependency and the participation of a specific glycoprotein-binding site. BTL (1-100 microg mL(-1)) was applied to rat isolated aortic rings, with or without endothelium, tonically precontracted with phenylephrine (0.1 microM). Endothelium-dependent relaxation was assessed in the presence of indometacin (10 microM), L-nitro arginine methyl ester (L-NAME, 100 microM) and tetraethylammonium (TEA, 500 microM). For the involvement of the glycoprotein-binding site, BTL was assayed in presence of mucin (300 microg mL(-1)) or N-acetyl D-glucosamine (GlcNAc; 300 microg mL(-1)), a specific and non-specific lectin-binding sugar, respectively. BTL fully and concentration dependently relaxed preparations that possessed an intact endothelium (IC50 (concn producing 50% contraction) = 12.1 +/- 1.6 microg mL(-1)), whereas no significant relaxation was observed in endothelial-denuded tissue. L-NAME, but not indometacin or TEA, completely inhibited the lectin relaxation, suggesting the involvement of nitric oxide (NO). The lectin in association with mucin, but not with GlcNAc, inhibited BTL-induced relaxation, implicating the involvement of the lectin binding site. Our data suggest that the relaxant effect of the red marine alga Bryothamnion triquetrumlectin on isolated aorta occurs via interaction with a specific lectin-binding site on the endothelium, resulting in a release of NO.
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Affiliation(s)
- Ricardo F Lima
- Laboratório de Farmacologia dos Canais Iônicos-LAFACI, Departamento de Ciências Fisiológicas, CCS, Universidade Estadual do Ceará, 60740-000 Fortaleza-CE, Brazil
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Abstract
In this study, the possible role of protein kinase C (PKC) in mediating both positive and negative actions on meiotic maturation in isolated mouse oocytes has been examined. When cumulus cell-enclosed oocytes (CEO) were cultured for 17-18 hr in a medium containing 4 mM hypoxanthine (HX) to maintain meiotic arrest, each of the five different activators and five different antagonists of PKC stimulated germinal vesicle breakdown (GVB) in a dose-dependent fashion. One of the activators, phorbol-12-myristate 13-acetate (PMA), also triggered GVB in CEO arrested with isobutylmethylxanthine or guanosine, but not in those arrested with dibutyryl cyclic AMP. When denuded oocytes (DO) were cultured for 3hr in inhibitor-free medium, all PKC activators suppressed maturation (<10% GVB compared to 94% in controls), while the effect of PKC antagonists was negligible. Four of the five antagonists reversed the meiosis-arresting action of HX in DO. PMA transiently arrested the spontaneous maturation of both CEO and DO, with greater potency in DO. The stimulatory action of PMA in HX-arrested oocytes was dependent on cumulus cells, because meiotic induction occurred in CEO but not DO. PKC activators also preferentially stimulated cumulus expansion when compared to antagonists. A cell-cell coupling assay determined that the action of PMA on oocyte maturation was not due to a loss of metabolic coupling between the oocyte and cumulus oophorus. Finally, Western analysis demonstrated the presence of PKCs alpha, beta1, delta, and eta in both cumulus cells and oocytes, but only PKC epsilon was detected in the cumulus cells. It is concluded that direct activation of PKC in the oocyte suppresses maturation, while stimulation within cumulus cells generates a positive trigger that leads to meiotic resumption.
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Affiliation(s)
- S M Downs
- Biology Department, Marquette University, Milwaukee, WI 53233, USA.
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Rate of perfusion modulates colloidal carbon leakage from rat intestinal microvessels in vitro. Mediators Inflamm 1995; 4:344-9. [PMID: 18475662 PMCID: PMC2365652 DOI: 10.1155/s096293519500055x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
In order to investigate the effects of varying the rate of flow on endothelial integrity the rat isolated small intestinal vasculature was perfused at 1, 5, 10 or 20 ml/min with a gelatin-containing physiological salt solution (GPSS), followed by an injection of colloidal carbon suspension (CC). Significantly greater microvascular CC leakage occurred at 1 or 5 ml/min than at 10 or 20 ml/ mitt. CC leakage at the two slower rates of flow was reduced by adding red blood cells to the GPSS, suggesting that the microvascular endothelium became hypoxic when perfused with GPSS at 1 or 5 ml/min. After perfusion at 20 ml/min with GPSS containing resiniferatoxin (1 μM) or 5-hydroxytryptamine (100 μM), CC leakage was significantly lower than after similar perfusion at 10 ml/min. Two nitric oxide (NO) synthesis blockers, N-nitro-L-arginine methyl ester (L-NAME, 100 μM) and methylene blue (20 μM), and an NO scavenger CPTIO (100 μM) each increased CC leakage. This suggests that NO was being produced at perfusion rates of 10 or 20 ml/min. Sodium nitroprusside (10 μM), 8-bromo-cGMP (100 μM) and BN52021 (10 μM) each significantly reduced CC leakage in the presence of L-NAME.
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Northover AM, Northover BJ. Vasoconstriction in rat isolated mesentery and small intestine in response to various activators of protein kinase C. AGENTS AND ACTIONS 1994; 43:29-34. [PMID: 7741037 DOI: 10.1007/bf02005760] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The vasculature of rat isolated mesentery and small intestine was perfused with a gelatin-containing physiological salt solution (GPSS). When 5-hydroxytryptamine (5HT, 1 x 10(-4) M), or the calcium ionophore A23187 (1 x 10(-4) M), or 12-deoxyphorbol 13-phenylacetate (DOPPA, 1 x 10(-6) M), or 12-deoxyphorbol 13-phenylacetate 20-acetate (DOPPAA, 1 x 10(-6) M) or thymeleatoxin (TMX, 1 x 10(-6) M) was added to the GPSS for 5 min there was a gradual rise in perfusion pressure, whereas resiniferatoxin (RFX, 1 x 10(-6) M) was without effect. Pre-treatment of the tissue with the protein kinase C (PKC) inhibitor Ro 31-8220 (1 x 10(-6) M) significantly reduced the rise in perfusion pressure in response to 5HT, DOPPA, DOPPAA and TMX, but not that to A23187. Platelet-activating factor (PAF, 5 x 10(-6) M) caused an almost immediate but transient rise in perfusion pressure, followed by a more gradual rise, neither response being blocked by Ro 31-8220. When blood vessels of the mesentery alone were perfused with gelatin-free PSS, PAF caused a transient rise in perfusion pressure, but with no subsequent gradual rise over 5 min. After Ca(2+)-depletion this transient response was also absent. In contrast, when blood vessels were perfused with gelatin-free PSS, DOPPA and TMX still caused gradual rises in perfusion pressure, which were totally abolished by Ro 31-8220. TMX had no effect at all when the tissue was depleted of Ca2+, whereas the response to DOPPA was only partially reduced.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- A M Northover
- Department of Pharmacy, School of Applied Sciences, De Montfort University, Leicester, UK
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Northover AM, Northover BJ. Stimulation of protein kinase C activity may increase microvascular permeability to colloidal carbon via alpha-isoenzyme. Inflammation 1994; 18:481-7. [PMID: 7843793 DOI: 10.1007/bf01560695] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
The vasculature of the isolated mesentery and small intestine was perfused with a gelatin-containing physiological salt solution in vitro. Various phorbol-related compounds that are known to have different affinities for the protein kinase C (PKC) isoenzymes, and bradykinin (BK), were tested for their ability to cause the microvascular endothelium to become permeable to injected colloidal carbon (CC). Phorbol 12,13-dibutyrate (PDB), 12-deoxyphorbol 13-phenylacetate (DOPPA), thymeleatoxin (TMX), and resiniferatoxin (RFX), each at a concentration of 1 microM, were found to increase permeability. Pretreatment with the PKC inhibitor Ro 31-8220 (1 microM) significantly reduced the response to all of these compounds. Indomethacin (1 microM), on the other hand, reduced only the effect of RFX. 12-Deoxyphorbol 13-phenylacetate 20-acetate (DOPPAA) (1 microM) and BK (10 microM) did not increase CC leakage. These results suggest that the Ca(2+)-dependent PKC alpha-isoenzyme was involved in the increase in endothelial permeability. BK does not appear to stimulate PKC activity in this experimental situation.
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Affiliation(s)
- A M Northover
- Department of Pharmacy, School of Applied Sciences, De Montfort University, Leicester, U.K
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