PMID- 24882386 OWN - NLM STAT- MEDLINE DCOM- 20151013 LR - 20211021 IS - 2042-0226 (Electronic) IS - 1672-7681 (Print) IS - 1672-7681 (Linking) VI - 12 IP - 1 DP - 2015 Jan TI - Effect of everolimus on the immunomodulation of the human neutrophil inflammatory response and activation. PG - 40-52 LID - 10.1038/cmi.2014.24 [doi] AB - The primary cause of mortality at 5 years following a cardiac transplantation is the development of atherosclerosis, termed coronary allograft vasculopathy (CAV). This pathology is characterized by diffused intimal hyperplasia and emanates from coronary arterial injuries caused by immune inflammatory cells. Neutrophils play an important role in this inflammatory process; however, their potential participation in the pathogenesis of CAV is poorly understood. Despite their essential contribution to the prevention of graft rejection, immunosuppressive drugs could have detrimental effects owing to their pro-inflammatory activities. Thus, we investigated the impact of different immunosuppressive drugs on the inflammatory response of neutrophils isolated from the blood of healthy volunteers. Under basal conditions, mammalian target of rapamycin (mTOR) inhibitors (sirolimus and everolimus) had the most potent anti-inflammatory effect, decreasing both IL-8 release ( approximately -80%) and vascular endothelial growth factor (VEGF) release ( approximately -65%) and preserving the release of the anti-inflammatory cytokine interleukin-1 receptor antagonist (IL-1RA). In TNF-alpha-treated neutrophils, pre-incubation with everolimus provided the most potent effect, simultaneously reducing the release of both VEGF and IL-8 while doubling the release of IL-1RA. This latter effect of everolimus was maintained even when administered in combination with other immunosuppressive drugs. Sirolimus and everolimus decreased the tumor necrosis factor (TNF)-alpha-induced adhesion of neutrophils to human endothelial cells and human extracellular matrix. This effect was largely dependent on the ability of these compounds to alter beta2-integrin/CD18 activation. Our results suggest a potential mechanism for the beneficial effect of everolimus in the prevention of CAV in heart transplant recipients. FAU - Vitiello, Damien AU - Vitiello D AD - 1] Research Center, Montreal Heart Institute, Universite de Montreal, Montreal, QC, Canada [2] Department of Pharmacology, Faculty of Medicine, Universite de Montreal, Montreal, QC, Canada [3] Department of Medicine, Faculty of Medicine, Universite de Montreal, Montreal, QC, Canada. FAU - Neagoe, Paul-Eduard AU - Neagoe PE AD - 1] Research Center, Montreal Heart Institute, Universite de Montreal, Montreal, QC, Canada [2] Department of Pharmacology, Faculty of Medicine, Universite de Montreal, Montreal, QC, Canada. FAU - Sirois, Martin G AU - Sirois MG AD - 1] Research Center, Montreal Heart Institute, Universite de Montreal, Montreal, QC, Canada [2] Department of Pharmacology, Faculty of Medicine, Universite de Montreal, Montreal, QC, Canada. FAU - White, Michel AU - White M AD - 1] Research Center, Montreal Heart Institute, Universite de Montreal, Montreal, QC, Canada [2] Department of Medicine, Faculty of Medicine, Universite de Montreal, Montreal, QC, Canada. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140602 PL - China TA - Cell Mol Immunol JT - Cellular & molecular immunology JID - 101242872 RN - 0 (Anti-Inflammatory Agents) RN - 0 (CD18 Antigens) RN - 0 (IL1RN protein, human) RN - 0 (Interleukin 1 Receptor Antagonist Protein) RN - 0 (Interleukin-8) RN - 0 (Vascular Endothelial Growth Factor A) RN - 9HW64Q8G6G (Everolimus) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adult MH - Aged MH - Anti-Inflammatory Agents/*therapeutic use MH - CD18 Antigens/metabolism MH - Cell Adhesion/drug effects MH - Cells, Cultured MH - Coronary Vessels/*immunology MH - Drug Therapy, Combination MH - Everolimus MH - Female MH - *Heart Transplantation MH - Humans MH - Immunomodulation MH - Inflammation/*immunology MH - Interleukin 1 Receptor Antagonist Protein/metabolism MH - Interleukin-8/metabolism MH - Male MH - Middle Aged MH - Myocardium/*pathology MH - Neovascularization, Physiologic/drug effects MH - Neutrophils/*drug effects/immunology MH - Sirolimus/*analogs & derivatives/therapeutic use MH - Vascular Endothelial Growth Factor A/metabolism MH - Young Adult PMC - PMC4654366 EDAT- 2014/06/03 06:00 MHDA- 2015/10/16 06:00 PMCR- 2015/01/01 CRDT- 2014/06/03 06:00 PHST- 2014/01/21 00:00 [received] PHST- 2014/02/20 00:00 [revised] PHST- 2014/03/16 00:00 [accepted] PHST- 2014/06/03 06:00 [entrez] PHST- 2014/06/03 06:00 [pubmed] PHST- 2015/10/16 06:00 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - cmi201424 [pii] AID - 10.1038/cmi.2014.24 [doi] PST - ppublish SO - Cell Mol Immunol. 2015 Jan;12(1):40-52. doi: 10.1038/cmi.2014.24. Epub 2014 Jun 2.