Article ID Journal Published Year Pages File Type
3028505 Thrombosis Research 2008 10 Pages PDF
Abstract

IntroductionThe increased risk of thrombus formation in inflammatory conditions is generally considered to be due to the pro-coagulant effect of inflammatory cytokines. However, cytokines may also decrease the expression of the key fibrinolytic enzyme tissue-type plasminogen activator (t-PA) causing a reduced clearance of emerging intravascular thrombi. This study investigated the effects of the inflammatory cytokines interleukin (IL)-1β and IL-6 on t-PA gene and protein expression, and elucidated by which signaling mechanisms the effects are mediated.Materials and MethodsCultured human umbilical vein endothelial cells (HUVEC) were exposed to recombinant IL-1β or IL-6. t-PA mRNA was quantified by real-time RT-PCR and t-PA antigen by ELISA. To clarify signaling mechanisms, selective inhibitors of major cytokine-activated signaling pathways were used. Interactions of nuclear proteins with potential t-PA gene regulatory elements were studied by gel shift assays.ResultsAlready at low concentrations, IL-1β caused a distinct suppression of t-PA transcript and protein levels, mediated primarily by NF-κB signaling. This cytokine also increased binding of NF-κB subunits to a t-PA specific κB element. IL-6 stimulation per se did not affect t-PA mRNA or protein levels whereas soluble IL-6 receptor, in the presence of endogenous IL-6, suppressed t-PA expression.ConclusionsWe conclude that the proinflammatory cytokine IL-1β impairs fibrinolytic capacity in vascular endothelial cells by an NF-κB dependent suppression of t-PA expression. In contrast, an effect of IL-6 on t-PA expression could not be detected, probably due to lack of IL-6 receptor expression on HUVEC.

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