PMID- 10353468 OWN - NLM STAT- MEDLINE DCOM- 19990715 LR - 20161018 IS - 1434-6621 (Print) IS - 1434-6621 (Linking) VI - 37 IP - 3 DP - 1999 Mar TI - Mycophenolic acid influences T helper 2 (Th2) cytokine induced expression of intercellular cell adhesion molecule-1 (ICAM-1) on human endothelial cells. PG - 253-7 AB - A possible synergistic effect of mycophenolic acid (MPA) and the immunosuppressive cytokines IL-4, IL-10 and IL-13 was investigated in human umbilical vein endothelial cells (HUVEC). These cytokines, which are produced by Th2-lymphocytes, were shown to induce the expression of vascular cell adhesion molecule-1 (VCAM-1) and production of IL-6 in endothelial cells. In this study we found IL-4 to induce both intercellular cell adhesion molecule-1 (ICAM-1) and VCAM-1 expression, whereas IL-13 induced VCAM-1 only. The surface expression of E-selectin was not influenced by any of the cytokines tested. MPA on its own led to statistically significant ICAM-1 expression on HUVEC. The combination of MPA with IL-4 led to a significant ICAM-1 expression in an additive manner compared to the cytokine alone. In contrast, MPA neither induced VCAM-1 nor did it influence the effects of IL-4 and IL-13 on VCAM-1 expression. A clinically relevant concentration of mycophenolic acid (10 micromol/l) decreased intracellular guanosine-5'-triphosphate (GTP) levels significantly. Since intracellular nucleotides are responsible for the glycosylation of proteins, a disturbance of the endothelial nucleotide balance could be responsible for the effects of MPA on ICAM-1. Guanine and guanosine prevented and partially reversed the actions of MPA, on both intracellular GTP and ICAM-1 expression, which strongly implies that MPA by interfering with nucleotide metabolism, affects the adhesive properties of endothelial cells, and by acting synergistically with IL-4 probably influences Th2 cytokine effects. FAU - Weigel, G AU - Weigel G AD - Department of Cardiothoracic Surgery, University Vienna, Austria. guenter.weigel@akh-wien.ac.at FAU - Bertalanffy, P AU - Bertalanffy P FAU - Dubsky, P AU - Dubsky P FAU - Griesmacher, A AU - Griesmacher A FAU - Wolner, E AU - Wolner E LA - eng PT - Journal Article PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (Cell Adhesion Molecules) RN - 0 (Interleukins) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 86-01-1 (Guanosine Triphosphate) RN - HU9DX48N0T (Mycophenolic Acid) SB - IM MH - Cell Adhesion Molecules/metabolism MH - Cells, Cultured MH - Endothelium, Vascular/*drug effects/metabolism MH - Guanosine Triphosphate/metabolism MH - Humans MH - Intercellular Adhesion Molecule-1/*metabolism MH - Interleukins/*physiology MH - Mycophenolic Acid/*pharmacology MH - Th2 Cells/*drug effects/metabolism EDAT- 1999/06/03 00:00 MHDA- 1999/06/03 00:01 CRDT- 1999/06/03 00:00 PHST- 1999/06/03 00:00 [pubmed] PHST- 1999/06/03 00:01 [medline] PHST- 1999/06/03 00:00 [entrez] AID - 10.1515/CCLM.1999.044 [doi] PST - ppublish SO - Clin Chem Lab Med. 1999 Mar;37(3):253-7. doi: 10.1515/CCLM.1999.044.