Eur Respir J 2006, doi:10.1183/09031936.06.00028406
PDE4-inhibition on
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| Abstract |
|---|
Phosphodiesterase (PDE)4-inhibition attenuates neutrophilic inflammation in chronic obstructive pulmonary disease.
The objective of this study was to examine the efficacy and mechanism by which PDE4-inhibition blocks adhesion of
2-integrin to endothelial counterligand.
Neutrophils (PMN)s were isolated from humans receiving no medications. Adhesion was analyzed by myeloperoxidase activity. The effects of cilomilast±salmeterol on a) surface CD11b expression, b) adhesion, c) intracellular cAMP concentration, and d) ERK-1/2 mediated group IVA-phospholipase A2 (gIVA-PLA2) phosphorylation caused by LTB4 or TNF
activation were determined.
Either cilomilast or rolipram±salmeterol caused concentration-related blockade of LTB4-induced adhesion to counterligand, but had no effect on TNF
-activated PMNs. 1µM cilomilast+0.1µM salmeterol caused comparable increase in intracellular cAMP concentration for PMNs activated with LTB4 and TNF
. Upregulation of surface CD11b expression and ERK-1/2 phosphorylation were blocked by cilomilast or rolipram±salmeterol for PMN activated by LTB4, but not for cells stimulated by TNF
. Cilomilast±salmeterol also blocked gIVA-PLA2 phosphorylation caused by LTB4 but not TNF
.
We demonstrate that both LTB4 and TNF
upregulate cAMP. However cAMP does not block
2-integrin adhesion caused by TNF
. We conclude that TNF
prevents inhibition of gIVA-PLA2 activation, which is essential for
2-integrin adhesion in PMN.
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