PMID- 16547169 OWN - NLM STAT- MEDLINE DCOM- 20060626 LR - 20220409 IS - 0022-3565 (Print) IS - 0022-3565 (Linking) VI - 317 IP - 3 DP - 2006 Jun TI - Cilostazol suppresses superoxide production and expression of adhesion molecules in human endothelial cells via mediation of cAMP-dependent protein kinase-mediated maxi-K channel activation. PG - 1238-45 AB - This study shows whether increased intracellular cAMP level by cilostazol is directly coupled to its maxi-K channel activation in human endothelial cells. Cilostazol (1 microM) increased the K+ currents in the human endothelial cells by activating maxi-K channels, which was abolished by iberiotoxin (100 nM), a maxi-K channel blocker. On incubation of human coronary artery endothelial cells with tumor necrosis factor-alpha (TNF-alpha) (50 ng/ml), monocyte adhesion significantly increased with increased superoxide generation and expression of vascular cell adhesion molecule-1 (VCAM-1) and monocyte chemoattractant protein-1 (MCP-1) accompanied by increased degradation of inhibitory kappaBalpha in cytoplasm and activation of nuclear factor-kappaB p65 in nucleus. All these variables were significantly suppressed by cilostazol (10 microM), which was antagonized by iberiotoxin (1 microM) and (9R,10S,12S)-2,3,9,10,11,12-hexahydro-10-hydroxy-9-methyl-1-oxo-9,12-epoxy-1H-diindolo[1,2,3-fg:3',2',1'-kl]pyrrolo[3,4-l] [1,6]benzodiazocine-10-carboxylic acid hexyl ester (KT 5720) (300 nM, cAMP-dependent protein kinase inhibitor), but not by (9S,10R,12R)-2,3,9,10,11,12-hexahydro-10-methoxy-2,9-dimethyl-1-oxo-9,12-epoxy-1H-diindo-lo[1,2,3-fg:3',2',1'-kl]pyrrolo[3,4-I][1,6]benzodiazocine-10-carboxylic acid methyl ester (KT 5823) (300 nM, cGMP-dependent protein kinase inhibitor). In the human endothelial cells transfected with siRNA-targeting maxi-K channels, cilostazol did not suppress the superoxide generation, VCAM-1 and MCP-1 expressions, and monocyte adhesion as contrasted with the wild-type cells. These findings were similarly evident with (3S)-(+)-(5-chloro-2-methoxyphenyl)-1,3-dihydro-3-fluoro-6-(trifluoromethyl)-2H-indole-2-one (BMS-204352), a maxi-K channel opener, and forskolin and dibutyryl cAMP. In conclusion, increased cAMP level by cilostazol is directly coupled to its maxi-K channel opening action via protein kinase activation in human endothelial cells, thereby suppressing TNF-alpha-stimulated superoxide production and expression of adhesion molecules. FAU - Park, So Youn AU - Park SY AD - Department of Pharmacology, College of Medicine, Pusan National University, 10-Ami-Dong 1-Ga, Seo-Gu, Busan 602-739, Korea. FAU - Lee, Jeong Hyun AU - Lee JH FAU - Kim, Chi Dae AU - Kim CD FAU - Lee, Won Suk AU - Lee WS FAU - Park, Won Sun AU - Park WS FAU - Han, Jin AU - Han J FAU - Kwak, Yong-Geun AU - Kwak YG FAU - Kim, Ki Young AU - Kim KY FAU - Hong, Ki Whan AU - Hong KW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060317 PL - United States TA - J Pharmacol Exp Ther JT - The Journal of pharmacology and experimental therapeutics JID - 0376362 RN - 0 (Chemokine CCL2) RN - 0 (Large-Conductance Calcium-Activated Potassium Channels) RN - 0 (RNA, Small Interfering) RN - 0 (Tetrazoles) RN - 0 (Vascular Cell Adhesion Molecule-1) RN - 11062-77-4 (Superoxides) RN - EC 2.7.11.11 (Cyclic AMP-Dependent Protein Kinases) RN - N7Z035406B (Cilostazol) SB - IM MH - Cell Adhesion/drug effects MH - Cell Line MH - Chemokine CCL2/metabolism MH - Cilostazol MH - Cyclic AMP-Dependent Protein Kinases/*metabolism MH - Endothelial Cells/cytology/*drug effects/enzymology/metabolism MH - Enzyme Activation/drug effects MH - Humans MH - Ion Channel Gating/drug effects/genetics MH - Large-Conductance Calcium-Activated Potassium Channels/genetics/*metabolism MH - RNA, Small Interfering/genetics MH - Superoxides/*metabolism MH - Tetrazoles/*pharmacology MH - Transfection MH - Vascular Cell Adhesion Molecule-1/*biosynthesis EDAT- 2006/03/21 09:00 MHDA- 2006/06/27 09:00 CRDT- 2006/03/21 09:00 PHST- 2006/03/21 09:00 [pubmed] PHST- 2006/06/27 09:00 [medline] PHST- 2006/03/21 09:00 [entrez] AID - jpet.105.098509 [pii] AID - 10.1124/jpet.105.098509 [doi] PST - ppublish SO - J Pharmacol Exp Ther. 2006 Jun;317(3):1238-45. doi: 10.1124/jpet.105.098509. Epub 2006 Mar 17.