Hyaluronan (HA), which is a major component of the extracellular matrix (EC
M), is regulated during myofibroproliferative responses to numerous forms o
f inflammatory stimuli. It is a key factor involved in cellular migration a
nd adherence. The development of a potent and non-toxic inhibitor of HA syn
thesis would open up a new avenue for the treatment of fibrocontractive dis
eases such as pulmonary fibrosis and liver cirrhosis. In this study, the ef
fects of vesnarinone (OPC-8212: 3,4-dihydro-6-[4-(3,4-dimethoxybenzoyl)-1-p
iperazinyl]-2(1H)-quinolinone) on the secretion of HA in human myofibroblas
t cell lines (MRC-5 and LI90 cells, referred to as pulmonary and hepatic my
ofibroblasts, respectively) were examined. Vesnarinone specifically and dos
e-dependently inhibited HA secretion by myofibroblasts up-regulated by feta
l calf serum (FCS). The treatment of vesnarinone did not modify the phenoty
pe of myofibroblast cells in culture. Vesnarinone also potently inhibited t
he PIA secretion by the two myofibroblast cell lines up-regulated by transf
orming growth factor-beta 1 (TGF-beta 1) or tumor necrosis factor-alpha (TN
F-alpha). The addition of vesnarinone to myofibroblasts resulted in a signi
ficant decrease of HA synthase (HAS) activity, with or without the addition
of FCS or either cytokine. These findings suggest that vesnarinone inhibit
s the secretion of HA in myofibroblasts by specifically suppressing HAS act
ivity, and may therefore prove useful for the treatment of chronic inflamma
tion and tissue fibrosis. (C) 2000 Elsevier Science B.V. All rights reserve
d.