PMID- 11901316 OWN - NLM STAT- MEDLINE DCOM- 20020416 LR - 20190711 IS - 0022-5282 (Print) IS - 0022-5282 (Linking) VI - 52 IP - 3 DP - 2002 Mar TI - Slow channel calcium inhibition blocks proinflammatory gene signaling and reduces macrophage responsiveness. PG - 434-42 AB - BACKGROUND: This study investigates the possible intracellular mechanisms responsible for calcium antagonist protection in tissue-fixed macrophages, a central modulator of the proinflammatory phenotype. METHODS: Rabbit alveolar macrophages were exposed to lipopolysaccharide in the presence of different specific calcium antagonists. Cellular and nuclear protein were extracted and analyzed by Western blot for the phosphorylated forms of PYK2, ERK 1/2, and p38, and nuclear translocation of NF-kappaB and AP-1. Tumor necrosis factor-alpha (TNF-alpha) expression was measured by an L929 bioassay on cellular supernatants. Statistical analysis was performed by unpaired Student's t tests. RESULTS: Cells pretreated with 100 to 500 micromol/L of diltiazem or 50 to 100 micromol/L of verapamil, both slow channel calcium blockers, led to dose-dependent reductions in lipopolysaccharide-induced PYK2 and ERK 1/2 phosphorylation, and nuclear translocation of AP-1 when compared with controls (p < 0.05). Neither inhibitor had any significant effect on p38 or NF-kappaB translocation. EGTA an extracellular calcium chelator, had no significant effect on any intracellular process studied. A dose-dependent reduction in TNF-alpha production was demonstrated with diltiazem and verapamil (p < 0.05), with no effect induced by EGTA. CONCLUSION: Slow channel calcium influx is essential for optimal intracellular signaling through PYK2 and ERK 1/2. This reduced intracellular signaling correlated with reduced AP-1 translocation and TNF-alpha production. Extracellular calcium chelation had no significant effect on intracellular signaling or TNF-alpha production. This study further elucidates the protective mechanism of action of calcium channel blockade by diltiazem and verapamil by reducing intracellular calcium release and down-regulating the excessive proinflammatory phenotype. FAU - Cuschieri, Joseph AU - Cuschieri J AD - Department of Surgery, University of Washington, Seattle, Washington 98104, USA. jcuschie@uwashington.edu FAU - Gourlay, David AU - Gourlay D FAU - Garcia, Iris AU - Garcia I FAU - Jelacic, Sandra AU - Jelacic S FAU - Maier, Ronald V AU - Maier RV LA - eng GR - GM45873-08/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Trauma JT - The Journal of trauma JID - 0376373 RN - 0 (Calcium Channel Blockers) RN - 0 (Lipopolysaccharides) RN - 0 (NF-kappa B) RN - 0 (Transcription Factor AP-1) RN - 0 (Tumor Necrosis Factor-alpha) RN - CJ0O37KU29 (Verapamil) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.2 (Focal Adhesion Kinase 2) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - EE92BBP03H (Diltiazem) SB - IM MH - Analysis of Variance MH - Animals MH - Blotting, Western MH - Calcium Channel Blockers/*pharmacology MH - Diltiazem/*pharmacology MH - Dose-Response Relationship, Immunologic MH - Focal Adhesion Kinase 2 MH - Lipopolysaccharides/pharmacology MH - Macrophages, Alveolar/immunology/*metabolism MH - Mitogen-Activated Protein Kinases/metabolism MH - NF-kappa B/metabolism MH - Protein-Tyrosine Kinases/metabolism MH - Rabbits MH - Sepsis/metabolism MH - Signal Transduction MH - Transcription Factor AP-1/metabolism MH - Tumor Necrosis Factor-alpha/*metabolism MH - Verapamil/*pharmacology EDAT- 2002/03/20 10:00 MHDA- 2002/04/17 10:01 CRDT- 2002/03/20 10:00 PHST- 2002/03/20 10:00 [pubmed] PHST- 2002/04/17 10:01 [medline] PHST- 2002/03/20 10:00 [entrez] AID - 10.1097/00005373-200203000-00004 [doi] PST - ppublish SO - J Trauma. 2002 Mar;52(3):434-42. doi: 10.1097/00005373-200203000-00004.