Substance P (SP) and somatostatin (SOM) are made at mucosal surfaces a
nd sites of inflammation. There is a SP/SOM immunoregulatory circuit t
hat modulates the IFN-gamma response in murine schistosomiasis. SP enh
ances, while SOM decreases, IFN-gamma secretion. Various inflammatory
mediators induce macrophages to make SOM, but no known factor limits t
his expression, It was discovered that SP regulates SOM synthesis. Spl
enocytes from normal, uninfected mice cultured with LPS, IFN-gamma, or
IL-10 for 4 h strongly expressed SOM mRNA, but failed to do so in the
presence of SP. The inhibition with 10(-9) M SP was >85% shown by qua
ntitative PCR, Also, splenocyte SOM content decreased from 1048 +/- 27
5 to <10 pg/4 x 10(8) cells following SP exposure, Immunohistochemistr
y identified SOM solely within splenic macrophages following cytokine
stimulation. Mice infected with Schistosoma mansoni form granulomas in
the liver and intestines resulting from deposition of parasite eggs i
n these organs, The granulomas contain macrophages that make SOM const
itutively. SP at 10(-8) M decreased SOM mRNA expression >90% in disper
sed granuloma cells cultured for 4 h or longer. Specific SP receptor a
ntagonists blocked SP suppression of SOM expression in splenocytes and
dispersed granuloma cells, showing that an authentic SP receptor medi
ated the regulation, Additional studies revealed that IL-4 antagonized
the SP effect in the spleen. It is concluded that in granulomas and s
plenocytes from mice with schistosomiasis and in splenocytes from unin
fected animals that 1) SP inhibits macrophage SOM induction and ongoin
g expression at the mRNA and protein levels acting through the SP rece
ptor, and 2) IL-4 can antagonizes this SP effect.