PMID- 33521454 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210202 IS - 2470-1343 (Electronic) IS - 2470-1343 (Linking) VI - 6 IP - 3 DP - 2021 Jan 26 TI - Roflumilast Reduced the IL-18-Induced Inflammatory Response in Fibroblast-Like Synoviocytes (FLS). PG - 2149-2155 LID - 10.1021/acsomega.0c05281 [doi] AB - Pro-inflammatory cytokines, such as the IL-18-induced inflammatory response and associated damage in fibroblast-like synoviocytes (FLS), play an important role in the pathogenesis of rheumatoid arthritis (RA). Roflumilast, an inhibitor of phosphodiesterase-4 (PDE-4), has been licensed for the treatment of chronic obstructive pulmonary disease (COPD). However, it is unknown whether roflumilast possesses a protective effect against the IL-18-induced inflammatory response in FLS. We found that roflumilast attenuated IL-18-induced oxidative stress by reducing the production of reactive oxygen species and malondialdehyde (MDA) in MH7A fibroblast-like synoviocytes (FLS). Additionally, roflumilast prevented IL-18-induced expressions and secretions of pro-inflammatory cytokines such as IL-6, IL-8, and TNF-alpha. Importantly, we found that roflumilast inhibited IL-18-induced expressions of chemokines such as CCL5, CXCL9, and CXCL10. Further, roflumilast inhibited the expression of extracellular matrix degradative enzymes, such as matrix metalloproteinase-3 (MMP-3) and MMP-13. Mechanistically, we found that roflumilast suppressed the activation of the transcriptional factor AP-1 and NF-kappaB. Our results suggest that roflumilast might be a potential therapeutic agent for the treatment of RA. CI - (c) 2021 American Chemical Society. FAU - Zhong, Bing AU - Zhong B AD - Department of Orthopaedics, YiLing Hospital, No. 32, Donghu Avenue, Yichang 443100, Hubei, China. FAU - Guo, Shuanghong AU - Guo S AD - Department of Orthopaedics, YiLing Hospital, No. 32, Donghu Avenue, Yichang 443100, Hubei, China. FAU - Yang, Zhongai AU - Yang Z AD - Central Hospital of Yichang, Yichang 443003, Hubei, China. FAU - Han, Li AU - Han L AD - Department of Medicine, China Three Gorges University, Yichang 443002, Hubei, China. FAU - Du, Junsheng AU - Du J AD - Department of Orthopaedics, YiLing Hospital, No. 32, Donghu Avenue, Yichang 443100, Hubei, China. FAU - Chen, Jin AU - Chen J AD - Department of Orthopaedics, YiLing Hospital, No. 32, Donghu Avenue, Yichang 443100, Hubei, China. FAU - Dun, Xianli AU - Dun X AD - Department of Orthopaedics, YiLing Hospital, No. 32, Donghu Avenue, Yichang 443100, Hubei, China. FAU - Wang, Guangyong AU - Wang G AD - Department of Orthopaedics, YiLing Hospital, No. 32, Donghu Avenue, Yichang 443100, Hubei, China. LA - eng PT - Journal Article DEP - 20210114 PL - United States TA - ACS Omega JT - ACS omega JID - 101691658 PMC - PMC7841938 COIS- The authors declare no competing financial interest. EDAT- 2021/02/02 06:00 MHDA- 2021/02/02 06:01 PMCR- 2021/01/14 CRDT- 2021/02/01 06:02 PHST- 2020/10/29 00:00 [received] PHST- 2020/12/11 00:00 [accepted] PHST- 2021/02/01 06:02 [entrez] PHST- 2021/02/02 06:00 [pubmed] PHST- 2021/02/02 06:01 [medline] PHST- 2021/01/14 00:00 [pmc-release] AID - 10.1021/acsomega.0c05281 [doi] PST - epublish SO - ACS Omega. 2021 Jan 14;6(3):2149-2155. doi: 10.1021/acsomega.0c05281. eCollection 2021 Jan 26.