PMID- 15162534 OWN - NLM STAT- MEDLINE DCOM- 20040719 LR - 20211203 IS - 1007-9327 (Print) IS - 2219-2840 (Electronic) IS - 1007-9327 (Linking) VI - 10 IP - 11 DP - 2004 Jun 1 TI - Leflunomide attenuates hepatocyte injury by inhibiting Kupffer cells. PG - 1608-11 AB - AIM: To investigate the importance of direct contact between Kupffer cells (KCs) and hepatocytes (HCs) during hepatic inflammatory responses, and the effect of leflunomide's active metabolite, A(771726), on cytokines in KCs, HCs and KC cocultures (DC cocultures). METHODS: KCs and HCs in liver were isolated by digestion with pronase and collagenase. Lipopolysaccharide (LPS)-induced inflammatory response in monocultures of rat HCs and KCs was compared with that in DC cocultures. Tumor necrosis factor-alpha (TNF-alpha) and interleukin-1 (IL-1) concentrations in different culture supernatants were measured with ELISA. TNF-alpha mRNA in KCs of inflammatory liver injury was analyzed with reverse transcriptase polymerase chain reaction (RT-PCR). RESULTS: DC cocultures strongly exhibited the production of TNF-alpha and IL-1 compared with other cultures, and these cytokines were mainly produced by KCs, especially by activated KCs. Time course studies revealed an increased production of TNF-alpha preceding the IL-1 production, suggesting that increased TNF-alpha levels could be involved in the increase of IL-1 production. Leflunomide's active metabolite, A(771726), had significantly inhibitory effect on TNF-alpha and IL-1 at protein and transcription levels, and the reduced production of IL-1 by A(771726) was associated with the inhibitory action of A(771726 ) on TNF-alpha. CONCLUSION: Leflunomide can inhibit hepatocyte damage by inhibiting proinflammatory cytokine release from KCs. FAU - Yao, Hong-Wei AU - Yao HW AD - Zhejiang Respiratory Drugs Research Laboratory, State Drug Administration of China, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Li, Jun AU - Li J FAU - Chen, Ji-Qiang AU - Chen JQ FAU - Xu, Shu-Yun AU - Xu SY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (Aniline Compounds) RN - 0 (Crotonates) RN - 0 (Hydroxybutyrates) RN - 0 (Immunosuppressive Agents) RN - 0 (Interleukin-1) RN - 0 (Isoxazoles) RN - 0 (Lipopolysaccharides) RN - 0 (Nitriles) RN - 0 (Toluidines) RN - 0 (Tumor Necrosis Factor-alpha) RN - 1C058IKG3B (teriflunomide) RN - G162GK9U4W (Leflunomide) SB - IM MH - Aniline Compounds/pharmacology MH - Animals MH - Cell Communication/drug effects MH - Cells, Cultured MH - Crotonates MH - Hepatitis/immunology/metabolism/pathology MH - Hepatocytes/cytology/*immunology/metabolism MH - Hydroxybutyrates/pharmacology MH - Immunosuppressive Agents/*pharmacology MH - Interleukin-1/metabolism MH - Isoxazoles/*pharmacology MH - Kupffer Cells/cytology/*drug effects/*immunology MH - Leflunomide MH - Lipopolysaccharides/pharmacology MH - Male MH - Nitriles MH - Rats MH - Rats, Sprague-Dawley MH - Toluidines MH - Tumor Necrosis Factor-alpha/metabolism PMC - PMC4572763 EDAT- 2004/05/27 05:00 MHDA- 2004/07/20 05:00 PMCR- 2004/06/01 CRDT- 2004/05/27 05:00 PHST- 2004/05/27 05:00 [pubmed] PHST- 2004/07/20 05:00 [medline] PHST- 2004/05/27 05:00 [entrez] PHST- 2004/06/01 00:00 [pmc-release] AID - 10.3748/wjg.v10.i11.1608 [doi] PST - ppublish SO - World J Gastroenterol. 2004 Jun 1;10(11):1608-11. doi: 10.3748/wjg.v10.i11.1608.