Although it is well recognized that interferon-gamma (IFN-gamma) is involve
d in the development of systemic inflammatory response syndrome, a conditio
n characterized by loss of endothelial barrier function, whether or not IFN
-gamma has any direct effect on endothelial cell (EC) death is unclear. Fur
thermore, which signal transduction pathway involved in IFN-gamma-induced E
C apoptosis remains to be elucidated. To answer these questions, we investi
gated the effect of IFN-gamma on EC death (apoptosis versus necrosis) and t
he underlying signal transduction pathway responsible for IFN-gamma-induced
EC apoptosis. IFN-gamma resulted in a dose-dependent increase in EC apopto
sis after 24 h incubation (p < .05). However, IFN-gamma did not induce EC n
ecrosis. Tumor necrosis factor-alpha (TNF-alpha), but not lipopolysaccharid
e (LPS), had a augmentative effect on IFN-gamma-induced EC apoptosis (p < .
05), while both of them alone failed to induce EC apoptosis. These results
indicate that exposure of EC to IFN-gamma can cause apoptosis rather than n
ecrosis. Both calcium ionophore, A23187, and the protein kinase C (PKC) act
ivator phorbol-myristate-acetate (PMA) had a synergistic effect on IFN-gamm
a-induced EC apoptosis (p < .05). However, neither the calcium chelator 1,2
-bis 2-aminophenoxy ethane-N,N,N',N'-tetraacetic acid (BAPTA), nor the PKC
inhibitor 1 -5-isoquinolinysulfonyl 2-methyl piperazine (H-7) attenuated IF
N-gamma-induced EC apoptosis. Three specific tyrosine protein kinase (TPK)
inhibitors, herbimycin A, tyrphostin, and genistein, significantly inhibite
d IFN-gamma-induced EC apoptosis in a dose-dependent fashion (p < .05). Fur
thermore, the activation of TPK in EC by IFN-gamma was completely abrogated
by these TPK inhibitors. These findings suggest that the signal transducti
on pathway required for induction of EC apoptosis by IFN-gamma is TPK depen
dent and is independent of calcium and PKC.