PMID- 12208776 OWN - NLM STAT- MEDLINE DCOM- 20030220 LR - 20181113 IS - 0007-1188 (Print) IS - 0007-1188 (Linking) VI - 137 IP - 2 DP - 2002 Sep TI - Production of inflammatory mediators by renal epithelial cells is insensitive to glucocorticoids. PG - 197-204 AB - 1. In the present study we investigated the effect of glucocorticoids on the activation of renal tubular epithelial cells, which are thought to play an important role in inflammatory processes in the kidney. 2. Activation of renal epithelial cells by IL-1, TNF-alpha or CD40L resulted in increased production of cytokines and chemokines. Both in the renal epithelial cell line HK-2 and in primary cultures of human proximal tubular epithelial cells (PTEC) production of IL-6, IL-8 and monocyte chemotactic protein 1 (MCP-1) was not inhibited by glucocorticoids, independent of the stimulus. 3. In contrast, dexamethasone strongly inhibited cytokine production by immortalized renal fibroblasts and an airway epithelial cell line (A549). 4. Stimulation of renal epithelial cells resulted in activation of NF-kappaB, a pivotal transcription factor in the regulation of cytokine genes, as was shown by IkappaB-alpha degradation and increased DNA-binding activity. In contrast to dexamethasone, addition of the NF-kappaB inhibitors pyrrolidine dithiocarbamate (PDTC) and n-tosyl-l-phenylalanine chloromethyl ketone (TPCK) completely abolished cytokine and chemokine production. 5. Renal epithelial cells express abundant levels of the functional glucocorticoid receptor alpha (GRalpha) isoform and low levels of the inhibitory beta isoform (GRbeta). 6. In conclusion, cytokine production by renal epithelial cells is insensitive to the inhibitory effects of glucocorticoids. The lack of dexamethasone-mediated inhibition was specific for renal epithelial cells and could not be explained by an increased expression of the glucocorticoid receptor beta isoform. FAU - de Haij, Simone AU - de Haij S AD - Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Woltman, Andrea M AU - Woltman AM FAU - Bakker, Astrid C AU - Bakker AC FAU - Daha, Mohamed R AU - Daha MR FAU - van Kooten, Cees AU - van Kooten C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Pharmacol JT - British journal of pharmacology JID - 7502536 RN - 0 (Interleukin-1) RN - 0 (Interleukin-6) RN - 0 (NF-kappa B) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Glucocorticoid) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (glucocorticoid receptor alpha) RN - 0 (glucocorticoid receptor beta) RN - 7S5I7G3JQL (Dexamethasone) SB - IM MH - Cells, Cultured MH - Dexamethasone/*pharmacology MH - Epithelial Cells/drug effects/metabolism MH - Humans MH - Interleukin-1/pharmacology MH - Interleukin-6/*biosynthesis MH - Kidney Tubules, Proximal/cytology/*drug effects/metabolism MH - NF-kappa B/physiology MH - RNA, Messenger/analysis MH - Receptors, Glucocorticoid/analysis/genetics MH - Tumor Necrosis Factor-alpha/pharmacology PMC - PMC1573489 EDAT- 2002/09/05 10:00 MHDA- 2003/02/21 04:00 PMCR- 2003/09/01 CRDT- 2002/09/05 10:00 PHST- 2002/09/05 10:00 [pubmed] PHST- 2003/02/21 04:00 [medline] PHST- 2002/09/05 10:00 [entrez] PHST- 2003/09/01 00:00 [pmc-release] AID - 0704866 [pii] AID - 10.1038/sj.bjp.0704866 [doi] PST - ppublish SO - Br J Pharmacol. 2002 Sep;137(2):197-204. doi: 10.1038/sj.bjp.0704866.