PMID- 18703532 OWN - NLM STAT- MEDLINE DCOM- 20090410 LR - 20211203 IS - 1755-3245 (Electronic) IS - 0008-6363 (Linking) VI - 81 IP - 1 DP - 2009 Jan 1 TI - Cilostazol inhibits cytokine-induced nuclear factor-kappaB activation via AMP-activated protein kinase activation in vascular endothelial cells. PG - 133-9 LID - 10.1093/cvr/cvn226 [doi] AB - AIMS: Cilostazol is a selective inhibitor of phosphodiesterase 3 that increases intracellular cyclic AMP (cAMP) levels and activates protein kinase A, thereby inhibiting platelet aggregation and inducing peripheral vasodilation. We hypothesized that cilostazol may prevent inflammatory cytokine induced-nuclear factor (NF)-kappaB activation by activating AMP-activated protein kinase (AMPK) in vascular endothelial cells. METHODS AND RESULTS: Cilostazol was observed to activate AMPK and its downstream target, acetyl-CoA carboxylase, in human umbilical vein endothelial cells (HUVEC). Phosphorylation of AMPK with cilostazol was not affected by co-treatment with an adenylate cyclase inhibitor, SQ 22536, and a cell-permeable cAMP analogue, pCTP-cAMP, did not induce AMPK phosphorylation and had no effect on cilostazol-induced AMPK phosphorylation, suggesting that cilostazol-induced AMPK activation occurs through a signalling pathway independent of cyclic AMP. Cilostazol also dose-dependently inhibited tumour necrosis factor alpha (TNFalpha)-induced NF-kappaB activation and TNFalpha-induced I kappa B kinase activity. Furthermore, cilostazol attenuated the TNFalpha-induced gene expression of various pro-inflammatory and cell adhesion molecules, such as vascular cell adhesion molecule-1, E-selectin, intercellular adhesion molecule-1, monocyte chemoattractant protein-1 (MCP-1), and PECAM-1 in HUVEC. RNA interference of AMPK alpha 1 or the AMPK inhibitor compound C attenuated cilostazol-induced inhibition of NF-kappaB activation by TNFalpha. CONCLUSION: In the light of these findings, we suggest that cilostazol might attenuate the cytokine-induced expression of adhesion molecule genes by inhibiting NF-kappaB following AMPK activation. FAU - Hattori, Yoshiyuki AU - Hattori Y AD - Department of Endocrinology and Metabolism, Dokkyo University School of Medicine, Mibu, Tochigi 321-0293, Japan. FAU - Suzuki, Kunihiro AU - Suzuki K FAU - Tomizawa, Atsuko AU - Tomizawa A FAU - Hirama, Noriko AU - Hirama N FAU - Okayasu, Toshie AU - Okayasu T FAU - Hattori, Sachiko AU - Hattori S FAU - Satoh, Hiroko AU - Satoh H FAU - Akimoto, Kazumi AU - Akimoto K FAU - Kasai, Kikuo AU - Kasai K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Retracted Publication DEP - 20080814 PL - England TA - Cardiovasc Res JT - Cardiovascular research JID - 0077427 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (E-Selectin) RN - 0 (I-kappa B Proteins) RN - 0 (NF-kappa B) RN - 0 (NFKBIA protein, human) RN - 0 (Phosphodiesterase Inhibitors) RN - 0 (Platelet Endothelial Cell Adhesion Molecule-1) RN - 0 (RNA, Messenger) RN - 0 (Tetrazoles) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (Vascular Cell Adhesion Molecule-1) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 139874-52-5 (NF-KappaB Inhibitor alpha) RN - E0399OZS9N (Cyclic AMP) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.11.3 (AMP-Activated Protein Kinase Kinases) RN - N7Z035406B (Cilostazol) SB - IM RIN - Cardiovasc Res. 2011 Oct 1;92(1):181. PMID: 21917991 MH - AMP-Activated Protein Kinase Kinases MH - Cells, Cultured MH - Chemokine CCL2/metabolism MH - Cilostazol MH - Cyclic AMP/metabolism MH - Dose-Response Relationship, Drug MH - E-Selectin/metabolism MH - Endothelium, Vascular/cytology/*drug effects/*metabolism MH - Humans MH - I-kappa B Proteins/metabolism MH - Intercellular Adhesion Molecule-1/metabolism MH - NF-KappaB Inhibitor alpha MH - NF-kappa B/*metabolism MH - Phosphodiesterase Inhibitors/*pharmacology MH - Platelet Endothelial Cell Adhesion Molecule-1/metabolism MH - Protein Kinases/*metabolism MH - RNA, Messenger/metabolism MH - Tetrazoles/*pharmacology MH - Tumor Necrosis Factor-alpha/*metabolism MH - Umbilical Veins/cytology MH - Vascular Cell Adhesion Molecule-1/metabolism EDAT- 2008/08/16 09:00 MHDA- 2009/04/11 09:00 CRDT- 2008/08/16 09:00 PHST- 2008/08/16 09:00 [entrez] PHST- 2008/08/16 09:00 [pubmed] PHST- 2009/04/11 09:00 [medline] AID - cvn226 [pii] AID - 10.1093/cvr/cvn226 [doi] PST - ppublish SO - Cardiovasc Res. 2009 Jan 1;81(1):133-9. doi: 10.1093/cvr/cvn226. Epub 2008 Aug 14.