Vesnarinone, a synthetic quinolinone derivative used in the treatment of ca
rdiac failure, exhibits immunomodulatory, antiinflammatory, and cell growth
regulatory properties. The mechanisms underlying these properties are not
understood, but due to the critical role of nuclear transcription factor NF
-kappa B in these responses, we hypothesized that vesnarinone must modulate
NF-kappa B activation. We investigated the effect of vesnarinone on NF-kap
pa B activation induced by inflammatory agents. Vesnarinone blocked TNF-ind
uced activation of NF-kappa B in a concentration- and time-dependent manner
, This effect was mediated through inhibition of phosphorylation and degrad
ation of I kappa B alpha; an inhibitor of NF-kappa B, The effects of vesnar
inone were not cell type specific, as it blocked TNF-indced NF-kappa B acti
vation in a variety of cells. NF-kappa B dependent reporter gene transcript
ion activated by TNF was also suppressed hy vesnarinone, The TNF-induced NF
-kappa B activation cascade involving TNF receptor 1-TNF receptor associate
d death domain-TNF receptor associated factor 2 NF-kappa B-inducing kinase-
IKK was interrupted at the TNF receptor associated factor 2 and NF-kappa B-
inducing kinase sites by vesnarinone, thus suppressing NF-kappa B reporter
gene expression. Vesnarinone also blocked NF-kappa B activation induced by
several other inflammatory agents, inhibited the TNF-induced activation of
transcription factor AP-1, and suppressed the TNF-induced activation of c-J
un N-terminal kinase and mitogen-activated protein kinase kinase, TNF-induc
ed cytotoxicity, caspase activation, and lipid peroxidation were also aboli
shed by vesnarinone. Overall, our results indicate that vesnarinone inhibit
s activation of NF-kappa B and AP-1 and their associated kinases, This may
provide a molecular basis for vesnarinone's ability to suppress inflammatio
n, immunomodulation, and growth regulation.