PMID- 23262985 OWN - NLM STAT- MEDLINE DCOM- 20140502 LR - 20211021 IS - 1438-8359 (Electronic) IS - 0913-8668 (Linking) VI - 27 IP - 3 DP - 2013 Jun TI - Propofol attenuates lipopolysaccharide-induced monocyte chemoattractant protein-1 production through p38 MAPK and SAPK/JNK in alveolar epithelial cells. PG - 366-73 LID - 10.1007/s00540-012-1539-7 [doi] AB - PURPOSE: Propofol is widely used in sedation and surgical procedures involving patients with acute lung injury (ALI), a common complication in critically ill patients. Monocyte chemoattractant protein-1 (MCP-1) plays an important role in pathological changes in ALI. The present study investigated the anti-inflammatory effect and mechanism of propofol on MCP-1 production and mitogen-activated protein kinase (MAPK) phosphorylation induced by lipopolysaccharide (LPS) in alveolar epithelial cells (AECs). METHODS: AECs were treated with 1 mug/ml LPS for 30 min, 1 h, 6 h, or 24 h following pretreatment with 12.5-100 muM propofol for 30 min. Cytokines and chemokines secretion were profiled using cytokine array, and mRNA and protein levels of MCP-1 were measured by RT-PCR and ELISA. The phosphorylation of p38 MAPK, p44/42 MAPK, SAPK/JNK, ATF-2, and c-Jun were measured by Western blot analysis. RESULTS: Propofol at 50 and 100 muM dose-dependently inhibited MCP-1 mRNA expression (P < 0.05), and also propofol at 50 muM decreased extracellular MCP-1 protein levels (P < 0.05) compared to the LPS group. Propofol at 12.5-50 muM inhibited LPS-induced phosphorylation of p38 MAPK, p44/42 MAPK, SAPK/JNK, ATF-2, and c-Jun in AECs. CONCLUSIONS: Propofol at clinically relevant concentrations attenuated LPS-induced MCP-1 mRNA expression and secretion by inhibiting the phosphorylation of p38 MAPK, SAPK/JNK, ATF-2, and c-Jun exerting its anti-inflammatory effects in AECs. These results suggest that propofol may modulate inflammatory response at clinically achievable concentrations in ALI. FAU - Wei, Liguo AU - Wei L AD - Department of Anesthesiology, Nihon University School of Dentistry at Matsudo, 2-870-1 Sakaecho-Nishi, Matsudo, Chiba, Japan. wlg5616854@msn.cn FAU - Matsumoto, Hiroko AU - Matsumoto H FAU - Yamaguchi, Hidenori AU - Yamaguchi H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121221 PL - Japan TA - J Anesth JT - Journal of anesthesia JID - 8905667 RN - 0 (Chemokine CCL2) RN - 0 (Cytokines) RN - 0 (Lipopolysaccharides) RN - 0 (RNA, Messenger) RN - EC 2.7.11.24 (p38 Mitogen-Activated Protein Kinases) RN - EC 2.7.12.2 (MAP Kinase Kinase 4) RN - YI7VU623SF (Propofol) SB - IM MH - Animals MH - Cell Line, Tumor MH - Chemokine CCL2/genetics/*metabolism MH - Cytokines/genetics/metabolism MH - Drug Interactions MH - Epithelial Cells/*drug effects/enzymology/metabolism MH - Female MH - Humans MH - Lipopolysaccharides/antagonists & inhibitors/*pharmacology MH - MAP Kinase Kinase 4/genetics/metabolism MH - Phosphorylation/drug effects MH - Propofol/*pharmacology MH - Pulmonary Alveoli/*drug effects/enzymology/metabolism MH - RNA, Messenger/genetics MH - Rats MH - p38 Mitogen-Activated Protein Kinases/genetics/*metabolism EDAT- 2012/12/25 06:00 MHDA- 2014/05/03 06:00 CRDT- 2012/12/25 06:00 PHST- 2012/08/26 00:00 [received] PHST- 2012/11/29 00:00 [accepted] PHST- 2012/12/25 06:00 [entrez] PHST- 2012/12/25 06:00 [pubmed] PHST- 2014/05/03 06:00 [medline] AID - 10.1007/s00540-012-1539-7 [doi] PST - ppublish SO - J Anesth. 2013 Jun;27(3):366-73. doi: 10.1007/s00540-012-1539-7. Epub 2012 Dec 21.