Activation of Endothelial Nitric-Oxide Synthase by Tumor Necrosis Factor-α: A Novel Pathway Involving Sequential Activation of Neutral Sphingomyelinase, Phosphatidylinositol-3′ kinase, and Akt
Abstract:Activation of endothelial nitric-oxide synthase (eNOS) has been shown to occur through various pathways involving increases in the cytosolic Ca 2ϩ concentration, activation of the phosphatidylinositol-3Ј kinase/Akt pathway, as well as regulation by other kinases and by protein-protein interactions. We have recently reported that eNOS, expressed in an inducible HeLa Tet-off cell line, is activated by tumor necrosis factor-␣ (TNF-␣) in a previously undescribed pathway that involves the lipid messenger ceramide. … Show more
“…One of the triggers of this phenomeon may be the proinflammatory cytokine TNF-α, as its circulating levels were significantly increased in both UA and AMI patients [8]. Indeed, TNF-α is known to promote platelet aggregation in patients with heart failure [20], and has been recently shown to stimulate eNOS phosphorylation via the PI3K/Akt signal transduction pathway [13,1,7].…”
Section: Discussionmentioning
confidence: 99%
“…Given these latest findings, the current concept of NO signalling needs to be revised highlighting the plausible biphasic role of NO in platelet activation; at the low concentrations, produced by platelet eNOS, NO would promote platelet secretion and aggregation, while at higher concentrations NO would inhibit platelet activation [15,17]. 1 …”
Aim. To investigate whether the nitric oxide (NO)/cyclic GMP (cGMP) signalling pathway, in basal conditions and stimulated by sodium nitroprusside (SNP), may disclose abnormal patterns in platelets from patients with an acute coronary syndrome.Design. Platelet activation (sP-selectin), inflammation (TNF-α and erythrosedimentation rate), thrombotic state (fibrinogen) and plaque disruption (HsCRP) markers were assessed in ten patients with unstable angina (UA), 14 with acute myocardial infarction (AMI) and 14 age and sex macthed healthy subjects. Platelets homogenates western blot analysis were performed, in basal conditions and stimulated by SNP, to assess cGMP levels and the expression of the sGC isoforms. Upstream (Akt1 protein kinase α phosphorylation at Ser473 and eNOS phosphorylation) and downstream (vasodilatorstimulated phosphoprotein phosphorylation) signalling of the NO/cGMP pathway was tested in the three study groups. Results. Platelet activation, inflammation, thrombotic state and plaque disruption markers proved significantly higher in both the UA and AMI patients compared to healthy controls. Basal levels of cGMP (pmol/1010 platelets) were higher in platelets from UA (1097±111, p<0.0001) and AMI (1122±77, p<0.0001) patients compared to those from healthy controls (497±80). Similarly, serine phosphorylation in several proteins of the NO/cGMP signalling pathway (Akt1 protein kinase, NO synthase and VASP) was more represented in platelets from UA and AMI patients compared to controls. Following SNP stimulation AMI platelets disclosed a lack of cGMP increase and of VASP phosphorilation in comparison with healthy controls. Conclusion. The present study supports the hypothesis that low concentrations of endogenously synthesized NO and cGMP may promote platelet activation. The increased inflammatory state which often accompanies an acute coronary syndrome may be responsible of the platelet activation via the NO/cGMP pathway. Furthermore, platelets from AMI patients seem more resistant to SNP stimulation, exerted not only at the cGMP level but also at other signalling check-points.
“…One of the triggers of this phenomeon may be the proinflammatory cytokine TNF-α, as its circulating levels were significantly increased in both UA and AMI patients [8]. Indeed, TNF-α is known to promote platelet aggregation in patients with heart failure [20], and has been recently shown to stimulate eNOS phosphorylation via the PI3K/Akt signal transduction pathway [13,1,7].…”
Section: Discussionmentioning
confidence: 99%
“…Given these latest findings, the current concept of NO signalling needs to be revised highlighting the plausible biphasic role of NO in platelet activation; at the low concentrations, produced by platelet eNOS, NO would promote platelet secretion and aggregation, while at higher concentrations NO would inhibit platelet activation [15,17]. 1 …”
Aim. To investigate whether the nitric oxide (NO)/cyclic GMP (cGMP) signalling pathway, in basal conditions and stimulated by sodium nitroprusside (SNP), may disclose abnormal patterns in platelets from patients with an acute coronary syndrome.Design. Platelet activation (sP-selectin), inflammation (TNF-α and erythrosedimentation rate), thrombotic state (fibrinogen) and plaque disruption (HsCRP) markers were assessed in ten patients with unstable angina (UA), 14 with acute myocardial infarction (AMI) and 14 age and sex macthed healthy subjects. Platelets homogenates western blot analysis were performed, in basal conditions and stimulated by SNP, to assess cGMP levels and the expression of the sGC isoforms. Upstream (Akt1 protein kinase α phosphorylation at Ser473 and eNOS phosphorylation) and downstream (vasodilatorstimulated phosphoprotein phosphorylation) signalling of the NO/cGMP pathway was tested in the three study groups. Results. Platelet activation, inflammation, thrombotic state and plaque disruption markers proved significantly higher in both the UA and AMI patients compared to healthy controls. Basal levels of cGMP (pmol/1010 platelets) were higher in platelets from UA (1097±111, p<0.0001) and AMI (1122±77, p<0.0001) patients compared to those from healthy controls (497±80). Similarly, serine phosphorylation in several proteins of the NO/cGMP signalling pathway (Akt1 protein kinase, NO synthase and VASP) was more represented in platelets from UA and AMI patients compared to controls. Following SNP stimulation AMI platelets disclosed a lack of cGMP increase and of VASP phosphorilation in comparison with healthy controls. Conclusion. The present study supports the hypothesis that low concentrations of endogenously synthesized NO and cGMP may promote platelet activation. The increased inflammatory state which often accompanies an acute coronary syndrome may be responsible of the platelet activation via the NO/cGMP pathway. Furthermore, platelets from AMI patients seem more resistant to SNP stimulation, exerted not only at the cGMP level but also at other signalling check-points.
“…NOS III activation can involve ceramide generation by either acid or neutral sphinomyelinases, stimulated either by basic fibroblast growth factor (bFGF) in CHO-K1 cells (Goldkorn et al, 1998). It can also involve tumor necrosis factor-α (TNF-α) in HeLa cell clones transfected with NOS III under a tetracycline-responsive element (Barsacchi et al, 2003;Bulotta et al, 2001). NOS III activation by TNF-α requires stimulation of the phosphatidylinositol 3 kinase (PI3K)/Akt pathway while bFGF activated NOS III is independent of PI3/Akt activation.…”
Ceramide, a sphingosine-based lipid molecule, has emerged as a key regulator of a wide spectrum of biological processes such as cellular differentiation, proliferation, apoptosis and senescence. Sphingomyelinase-dependent hydrolysis of sphingomyelin, and de novo synthesis involving the coordinated action of serinepalmitoyl transferase and ceramide synthase, are the two major pathways involved in ceramide synthesis. Clustering of plasma membrane rafts into ceramide enriched platforms serves as an important transmembrane signaling mechanism for cell surface receptors. Ceramides have been implicated in apoptosis, stress-signaling cascades as well as ion channels. There is accumulating evidence that targeted manipulation of ceramide metabolism pathway has immense therapeutic potential and may eventually prove to be a boon in the design of novel strategies and development of innovative treatments for diverse conditions including cardiovascular diseases, cancer and Alzheimer's disease. As yet uncharacterized natural ceramide analogs and novel inhibitors of ceramide metabolism might prove to be potent drugs. In this review, we discuss significant advances that continue to provide intriguing insights into the complex cellular and molecular mechanisms underlying ceramide-mediated signaling cascades.
“…The conditions and concentrations of use of the various compounds interfering with the SMase/ceramide and NO signaling pathways have been described in detail previously (31,33,36,37,39). In brief, cell incubations with D609, manumycin A, scyphostatin, DETA-NO, 8 Br-cGMP, ODQ, KT5823, C2 ceramide, and exogenous A-SMase were performed for 10 min and those with imipramine for 1 h before LPS or E. coli administration.…”
Section: Pharmacological Treatmentsmentioning
confidence: 99%
“…To inhibit A-SMase, we used imipramine, which induces proteolysis of the enzyme (31,(33)(34)(35), and D609, which inhibits the phosphatidylcholine-specific phospholipase C, an enzyme known to be involved in A-SMase activation by LPS and other stimuli through generation of diacylglycerol (22,23,31,33,39,43). As controls of specificity we used scyphostatin and manumycin A, which are inhibitors of the neutral SMase (39,44,45). When administered alone, none of the compounds had any effect on basal sphingomyelin hydrolysis (not shown).…”
Section: Lps Activates A-smase and Generates Ceramide In Immature Hummentioning
Depletion of dendritic cells (DCs) via apoptosis contributes to sepsis-induced immune suppression. The mechanisms leading to DC apoptosis during sepsis are not known. In this study we report that immature DCs undergo apoptosis when treated with high numbers of Escherichia coli. This effect was mimicked by high concentrations of LPS. Apoptosis was accompanied by generation of ceramide through activation of acid sphingomyelinase (A-SMase), was prevented by inhibitors of this enzyme, and was restored by exogenous ceramide. Compared with immature DCs, mature DCs expressed significantly reduced levels of A-SMase, did not generate ceramide in response to E. coli or LPS, and were insensitive to E. coli- and LPS-triggered apoptosis. However, sensitivity to apoptosis was restored by addition of exogenous A-SMase or ceramide. Furthermore, inhibition of A-SMase activation and ceramide generation was found to be the mechanism through which the immune-modulating messenger NO protects immature DCs from the apoptogenic effects of E. coli and LPS. NO acted through formation of cGMP and stimulation of the cGMP-dependent protein kinase. The relevance of A-SMase and its inhibition by NO/cGMP were confirmed in a mouse model of LPS-induced sepsis. DC apoptosis was significantly higher in inducible NO synthase-deficient mice than in wild-type animals and was significantly reduced by treatment ex vivo with NO, cGMP, or the A-SMase inhibitor imipramine. Thus, A-SMase plays a central role in E. coli/LPS-induced DC apoptosis and its inhibition by NO, and it might be a target of new therapeutic approaches to sepsis.
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