Macrophages as inflammatory cells are involved in the pathogenesis of atherosclerosis that today is recognized as an inflammatory disease. Activation of coagulation leads to the late complication of atherosclerosis, namely atherothrombosis with its clinical manifestations stroke, unstable angina, myocardial infarction, and sudden cardiac death. Thus inflammation and coagulation play fundamental roles in the pathogenesis of atherosclerosis. We show that the coagulation enzyme thrombin up-regulates oncostatin M (OSM), a pleiotropic cytokine implicated in the pathophysiology of vascular disease, in human monocyte-derived macrophages (MDMs) up to 16.8-fold. A similar effect was seen in human peripheral blood monocytes and human plaque macrophages. In MDMs, the effect of thrombin on OSM was abolished by PPACK and mimicked by a PAR-1-specific peptide. Thrombin induced phosphorylation of ERK1/2 and p38 in MDMs. The ERK1/2 inhibitor PD98059 blocked the effect of thrombin on OSM production in MDMs, whereas the p38 inhibitor SB202190 had no effect. Thrombin induced translocation of c-fos and c-jun to the nucleus of MDMs. Using OSM promoter-luciferase reporter constructs transfected into MDMs, we show that a functional AP-1 site is required for promoter activation by thrombin. We present another link between coagulation and inflammation, which could impact on the pathogenesis of atherosclerosis.
IntroductionMacrophages as inflammatory cells, which produce an array of inflammatory mediators, growth factors, and proteases are critically involved in the pathogenesis of atherosclerosis that today is recognized as an inflammatory disease. 1,2 Rupture of advanced atherosclerotic lesions leads to activation of the coagulation cascade, resulting in thrombin generation and subsequently in atherothrombosis with its clinical complications such as stroke, unstable angina, myocardial infarction, and sudden cardiac death, which are the most common causes of morbidity and mortality in the Western world today. [3][4][5][6][7][8] The central coagulation enzyme thrombin acts as a proinflammatory mediator and is chemotactic for monocytes and stimulates their proliferation and phagocytic activity. [9][10][11][12][13] In monocytes and macrophages, thrombin induces the production of inflammatory cytokines with well-established roles in cardiovascular disease such as interleukin-1 (IL-1), monocyte chemoattractant protein-1, and IL-6, a member of the IL-6 family of cytokines. [14][15][16][17][18] In this paper we have addressed the question whether thrombin affects the expression of yet another member of the IL-6 family of cytokines, which is produced mainly by macrophages, namely oncostatin-M (OSM) in these cells. This pleiotropic cytokine, which plays a critical role in numerous physiologic and pathophysiologic processes including inflammation, hematopoiesis, tissue remodeling, development, and cell growth, has been implicated recently in the pathophysiology of cardiovascular disease. [19][20][21][22][23][24] In vascular smooth muscle cells, O...