Agents that increase intracellular cAMP have been shown to reduce joint inf
lammation in experimental arthritis, presumably by lowering the release of
proinflammatory cytokines, such as TNF-alpha. Recent studies suggest that,
in joints of patients with rheumatoid arthritis, TNF-alpha release from mac
rophages is triggered by their interaction with IL-15-stimulated T lymphocy
tes, In this report, we analyze the effect of rolipram, a cAMP-specific pho
sphodiesterase inhibitor, on TNF-alpha production in this experimental syst
em. Cocultures of U937 cells with IL-15-stimulated T cells, but not control
T cells, resulted in increased release of TNF-alpha. Pretreatment of T cel
ls with rolipram or cAMP analogues inhibited the IL-15-stimulated increases
in proliferation, expression of cell surface molecules CD69, ICAM-1, and L
FA-1, and release of TNF-alpha from macrophages, Addition of PMA. to T cell
s dramatically increased the expression of cell surface molecules, but had
little or no effect on TNF-alpha release from either T cells or from cocult
ures, suggesting that other surface molecules must also be involved in T ce
ll/macrophage contact-mediated production of TNF-alpha, Addition of PMA syn
ergistically increased the proliferation of IL-15-stimulated T cells and th
e secretion of TNF-alpha from IL-15-stimulated T cell/macrophage cocultures
, Rolipram and 8-(4-chlorophenylthio)-cAMP (CPT-cAMP) blocked these increas
es. Measurement of protein kinase A (PKA) activity and the use of inhibitor
y cAMP analogues (RpCPT-cAMP) confirmed that rolipram worked by stimulating
PKA, These data suggest that PKA-activating agents, such as rolipram, can
block secretion of TNF-alpha from macrophages by inhibiting T cell activati
on and expression of surface molecules.