PMID- 17505301 OWN - NLM STAT- MEDLINE DCOM- 20070720 LR - 20181113 IS - 1073-2322 (Print) IS - 1540-0514 (Electronic) IS - 1073-2322 (Linking) VI - 27 IP - 6 DP - 2007 Jun TI - The priming effect of C5a on monocytes is predominantly mediated by the p38 MAPK pathway. PG - 623-30 AB - The dysregulation of the inflammatory response after trauma leads to significant morbidity and mortality. Monocytes and macrophages play a central role in the orchestration of the inflammatory response after injury. Serum interleukin-6 (IL-6) concentration correlates with poor outcomes after injury. Tumor necrosis factor-alpha (TNF-alpha) is a proinflammatory cytokine that plays a crucial role in the pathogenesis of multiple organ dysfunction syndrome. Furthermore, in the presence of C5a, monocytes and macrophages have potentiated responses, but the mechanisms underlying this response remain largely unknown. Peripheral blood mononuclear cells (PBMCs) were isolated from healthy volunteers and pretreated with C5a (100 ng/mL) for 1 h before adding lipopolysaccharide (LPS) (10 ng/mL) for up to 20 h. Inhibitors for the mitogen-activated protein kinases (MAPKs) were added 1 h before adding C5a. C5a primes monocytes for LPS-induced IL-6 and TNF-alpha production. Treatment of PBMCs with C5a leads to a rapid activation of the 3 MAPK pathways. SP600125 (inhibitor of c-Jun NH2-terminal kinase MAPK) and PD98059 (inhibitor of extracellular signal-regulated kinase MAPK) did not affect the C5a priming of the LPS-induced IL-6 and TNF-alpha production, whereas SB203580, a specific inhibitor of p38 MAPK, did suppress the C5a priming effect. These results demonstrate that C5a primes adherent PBMCs and modulates LPS-induced IL-6 and TNF-alpha production. Results from extracellular signal-regulated kinase and c-Jun NH2-terminal kinase MAPK blockade suggest that these signaling pathways have minimal or no role in reprogramming LPS-mediated IL-6 and TNF-alpha production. On the contrary, in PBMCs, C5a activates the p38 cascade, and this pathway plays a major role in the C5a enhancement of LPS-induced IL-6 and TNF-alpha production. FAU - Schaeffer, Valerie AU - Schaeffer V AD - Department of Surgery, Harborview Medical Center, Seattle, Washington 98104, USA. valschae@u.washington.edu FAU - Cuschieri, Joseph AU - Cuschieri J FAU - Garcia, Iris AU - Garcia I FAU - Knoll, Megan AU - Knoll M FAU - Billgren, Jens AU - Billgren J FAU - Jelacic, Sandra AU - Jelacic S FAU - Bulger, Eileen AU - Bulger E FAU - Maier, Ronald AU - Maier R LA - eng GR - R01 GM045873/GM/NIGMS NIH HHS/United States GR - T32 GM007037/GM/NIGMS NIH HHS/United States GR - R01 GM45813/GM/NIGMS NIH HHS/United States GR - T32 GM07037/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Shock JT - Shock (Augusta, Ga.) JID - 9421564 RN - 0 (Imidazoles) RN - 0 (Interleukin-6) RN - 0 (Lipopolysaccharides) RN - 0 (Peptides) RN - 0 (Pyridines) RN - 0 (Tumor Necrosis Factor-alpha) RN - 80295-54-1 (Complement C5a) RN - EC 2.7.11.24 (p38 Mitogen-Activated Protein Kinases) RN - OU13V1EYWQ (SB 203580) SB - IM EIN - Shock. 2018 Jul;50(1):127. PMID: 29677088 MH - Cell Separation MH - Complement C5a/*pharmacology MH - Enzyme Activation MH - Flow Cytometry MH - Humans MH - Imidazoles/pharmacology MH - Inflammation MH - Interleukin-6/metabolism MH - Leukocytes, Mononuclear/metabolism MH - Lipopolysaccharides/metabolism MH - MAP Kinase Signaling System MH - Monocytes/*drug effects/metabolism MH - Peptides/chemistry MH - Pyridines/pharmacology MH - Tumor Necrosis Factor-alpha/metabolism MH - p38 Mitogen-Activated Protein Kinases/*metabolism PMC - PMC6014696 MID - NIHMS964829 EDAT- 2007/05/17 09:00 MHDA- 2007/07/21 09:00 PMCR- 2018/06/22 CRDT- 2007/05/17 09:00 PHST- 2007/05/17 09:00 [pubmed] PHST- 2007/07/21 09:00 [medline] PHST- 2007/05/17 09:00 [entrez] PHST- 2018/06/22 00:00 [pmc-release] AID - 00024382-200706000-00006 [pii] AID - 10.1097/SHK.0b013e31802fa0bd [doi] PST - ppublish SO - Shock. 2007 Jun;27(6):623-30. doi: 10.1097/SHK.0b013e31802fa0bd.