Tissue factor (TF) expression by cells of monocyte/macrophage lineage
represents an important mechanism underlying the initiation of fibrin
deposition at sites of extravascular inflammation. Recent evidence sug
gests a role for oxidant stress in the signalling pathway of various c
ell types by virtue of its ability to induce DNA binding of various tr
anscription factors, including nuclear factor kappa B and AP-1. The ef
fect of antioxidant treatment on lipopolysaccharide (LPS)-induced TF e
xpression was examined in murine peritoneal macrophages and human mono
cytes, Both pyrrolidine dithiocarbamate, an oxidant scavenger, and N-a
cetyl-cysteine, a precursor of the endogenous antioxidant glutathione,
inhibited stimulation of macrophage procoagulant activity by LPS. Nor
thern blot analysis showed that neither of these agents reduced LPS-st
imulated TF mRNA accumulation, thereby suggesting a posttranscriptiona
l mechanism for the effect, Immunofluorescence studies of human monocy
tes using polyclonal anti-TF antibody showed that N-acetyl-cysteine tr
eatment prevented the characteristic plasmalemmal localization of TF a
ntigen that occurs in response to LPS. Western blot analysis showed th
at N-acetyl-cysteine reduced the accumulation of the 47-kD mature glyc
oprotein in LPS-treated cells, a finding consistent with the results o
f the immunofluorescence studies, Furthermore, these conditions did no
t result in an accumulation of the less mature forms of TF. When consi
dered together, these data suggest that antioxidants exert their effec
ts by impairing translation and/or by causing degradation of newly tra
nslated protein. The effect of antioxidants on tumor necrosis factor a
ppeared to be species specific, with no effect on LPS-induced tumor ne
crosis factor in murine cells, but with inhibition in human monocytes,
The posttranscriptional effect of antioxidants on TF expression data
suggests a novel mechanism whereby these agents might modulate monocyt
e/macrophage activation. (C) 1995 by The American Society of Hematolog
y.