MODULATION OF PROCOAGULANT AND FIBRINOLYTIC SYSTEM COMPONENTS OF MESOTHELIAL CELLS BY INFLAMMATORY MEDIATORS

Citation
T. Sitter et al., MODULATION OF PROCOAGULANT AND FIBRINOLYTIC SYSTEM COMPONENTS OF MESOTHELIAL CELLS BY INFLAMMATORY MEDIATORS, American journal of physiology. Regulatory, integrative and comparative physiology, 40(5), 1996, pp. 1256-1263
Citations number
39
Categorie Soggetti
Physiology
ISSN journal
03636119
Volume
40
Issue
5
Year of publication
1996
Pages
1256 - 1263
Database
ISI
SICI code
0363-6119(1996)40:5<1256:MOPAFS>2.0.ZU;2-Y
Abstract
Human peritoneal mesothelial cells (HMC) play a critical role in maint aining the intraperitoneal balance between fibrinolysis and coagulatio n by expressing the fibrinolytic enzyme tissue-type plasminogen activa tor (t-PA) as well as a specific plasminogen activator inhibitor, PAI- 1, and the procoagulant protein tissue factor (TF). Of three compounds known to stimulate t-PA synthesis in cultured human endothelial cells , i.e., retinoic acid, the protein kinase C activator 4 beta-phorbol 1 2-myristate 13-acetate (PMA), and sodium butyrate, only butyrate (1 mM ) caused about a threefold increase in t-PA synthesis and mRNA express ion in HMC after 24 h of incubation, without markedly affecting PAI-1 synthesis. PMA (10 nM) induced a threefold increase in urokinase-type plasminogen activator (u-PA) mRNA, but u-PA antigen levels in the HMC conditioned media remained below the detection level (0.5 ng/ml), poss ibly as a result of rapid uptake and degradation by the u-PA receptor. The u-PA receptor mRNA levels were about fivefold enhanced above cont rol levels after PMA treatment of the cells. An increase in intracellu lar adenosine 3',5'-cyclic monophosphate levels by forskolin (10 mu M) diminished t-PA and PAI-1 levels 43 and 17%, respectively. Among the inflammatory mediators tested [tumor necrosis factor-alpha (TNF-alpha) , interleukin-1 alpha, and bacterial lipopolysaccharide], TNF-alpha (1 0-1,000 U/ml) showed the strongest procoagulant effects. We found that the Isoflavone compound genistein (25 mu g/ml) prevented the TNF-alph a-induced expression of PAI-1 and TF while also slightly counteracting the decrease in t-PA synthesis. The protein kinase C inhibitor Re-318 220 (3 mu M) only moderately opposed the TNF-alpha-induced changes in t-PA and PAI-1 synthesis but completely prevented the induction of TF mRNA. In summary, our results demonstrate that t-PA synthesis in HMC i s relatively insensitive to pharmacological stimulation. To restore th e balance between fibrinolysis and coagulation under inflammatory cond itions, attempts to interfere with the TNF-alpha-signaling pathway wer e more successful.