Abstract
purpose. Docosahexaenoic acid (DHA22:6n3), the principal n3-polyunsaturated fatty acid (PUFA) in the retina, has been shown to have a pronounced anti-inflammatory effect in numerous in vivo and in vitro studies. Despite the importance of vascular inflammation in diabetic retinopathy, the anti-inflammatory role of DHA22:6n3 in cytokine-stimulated human retinal vascular endothelial cells (hRVECs) has not been addressed.
methods. Cytokine-induced expression of cell adhesion molecules (CAMs) was assessed by Western blot. The effect of DHA22:6n3 on cytokine-induced nuclear factor (NF)-κB signaling was analyzed by Western blot analysis and electrophoretic mobility shift assay (EMSA).
results. Stimulation of hRVECs with VEGF165, TNFα, or IL-1β for 6 to 24 hours caused significant induction of intracellular adhesion molecule (ICAM)-1 and vascular cell adhesion molecule (VCAM)-1 expression. Pretreatment of the cells with 100 μM of BSA-bound DHA22:6n3 for 24 hours remarkably inhibited cytokine-induced CAM expression. IL-1β, TNFα, and VEGF165 induced nuclear translocation and binding of p65 and p50 NF-κB isoforms to the VCAM-1 promoter. DHA22:6n3 pretreatment inhibited cytokine-induced NF-κB binding by 25% to 40%. Moreover, DHA22:6n3 diminished IL-1β induced phosphorylation of the inhibitor of nuclear factor (NF)-κB (I-κBα), thus preventing its degradation.
conclusions. IL-1β, TNFα, and VEGF165 induced CAM expression in hRVECs through activation of the NF-κB pathway. DHA22:6n3 inhibited cytokine induced CAM expression through suppression of NF-κB nuclear translocation and upstream I-κBα phosphorylation and degradation. DHA22:6n3 could be an important anti-inflammatory agent in the face of increased cytokine production and CAM expression in the diabetic retina.
The early stage of diabetic retinopathy has been recognized to result from a chronic inflammatory condition involving attachment to and transmigration of leukocytes through the retinal microvasculature.
1 2 3 Several inflammatory pathways are active in the early stages of diabetic retinopathy. Proinflammatory cytokines including TNFα
4 5 6 7 and IL-1β
8 are elevated in the extracellular matrix, endothelium, vessel walls, and vitreous of eyes of patients with proliferative diabetic retinopathy; and in the retinas of rats after 2 months of diabetes. Moreover, inhibition of TNFα and IL-1β signaling with a TNFα receptor/Fc construct
2 or with ILRa
9 significantly reduced leukocyte adhesion and endothelial cell (EC) injuries. Vascular endothelial cell growth factor (VEGF) has also been strongly implicated in the pathogenesis of both background and proliferative diabetic retinopathy.
10 11 12 13 Increased intraocular VEGF levels, as well as VEGF receptor 1 and 2 were detected in the rat and human diabetic retina.
10 11 12 13 14 15 16 17 18 In addition to its well-known mitogenic and angiogenic activity, VEGF was recently recognized as a proinflammatory cytokine.
19 20 As such, VEGF induces intercellular adhesion molecule (ICAM)-1 expression on endothelial cells
19 and specific inhibition of the VEGF pathway inhibits ICAM-1 expression, leukocyte adhesion, blood–retinal barrier breakdown, and neovascularization in streptozotocin (STZ)-induced diabetic rats.
19 These data suggest an important role for TNFα, IL-1β, and VEGF (and their receptors) in the activation of signaling pathways leading to endothelium injury preceding the development of diabetic retinopathy. Despite these findings, the effect of inflammatory cytokines on human retinal endothelial cells has not been well studied.
Inflammatory cytokines function through their receptors, to initiate a series of signal transduction events that generally lead to the phosphorylation and degradation of inhibitor of nuclear factor (NF)-κB (I-κB) followed by the translocation and activation of NF-κB in the nucleus.
21 NF-κB is an important transcription factor controlling the expression of an array of inflammatory response genes including adhesion molecules.
21 Activation of NF-κB (p65 and p50) has been well documented in diabetes, especially in the retinal vasculature of diabetic patients and in animal models.
19 22 In vitro high glucose has been shown to cause the activation of NF-κB in bovine retinal endothelial cells and pericytes.
22 23 The role of NF-κB in response to inflammatory cytokines in hRVECs was the subject of the present study.
n3-PUFAs, such as DHA
22:6n3 and EPA
20:5n3, have long been recognized to modulate the inflammatory response and are widely applied clinically as an adjuvant immunosuppressant in the treatment of inflammatory disorders (reviewed in Refs.
24 25 ). Several studies in human umbilical vein endothelial cells (HUVECs),
26 27 human saphenous vein endothelial cells,
28 29 and glomerular endothelial cells
30 have demonstrated that n3 PUFAs and their products can effectively inhibit TNFα- and IL-1β-induced CAM expression. Retinal vascular endothelial cells have unusually high levels of PUFAs.
31 The response to fatty acids could be modified in retinal endothelial cells compared with endothelial cells from other organs. Indeed, we have previously demonstrated that hRVECs respond with much higher potency to n6 PUFA than do HUVECs.
32 Whether DHA
22:6n3 plays an anti-inflammatory role in the regulation of TNFα- and IL-1β-mediated induction of CAM expression in hRVECs similar to other endothelial cells has not been studied and represents the main focus of this study. Moreover, the effect of n3 PUFA on VEGF-induced CAM expression is not known and will be addressed in this study.
DMEM and F12 culture medium, antibiotics, fetal bovine serum, and trypsin were obtained from Invitrogen (Carlsbad, CA). Commonly used chemicals and reagents were from Sigma-Aldrich Chemical Co. (St. Louis, MO). TNFα and IL-1β were from R&D Systems (Minneapolis, MN). VEGF165 was purchased from Calbiochem (San Diego, CA).
Cells were lysed in the lysis buffer (50 mM HEPES [pH 7.5], 150 mM NaCl, 1.5 mM MgCl2, 1 mM EGTA, 1% Triton X-100, and 10% glycerol) with freshly added protease inhibitor cocktail (Sigma-Aldrich) and phosphatase inhibitors (1 mM Na3VO4, 100 μM glycerophosphate, 10 mM NaF, and 1 mM Na4PPi). Proteins were resolved by SDS-PAGE and transferred to nitrocellulose, immunoblotted using appropriate antibodies followed by secondary horseradish-peroxidase–conjugated antibody (Bio-Rad). Immunoreactive bands were visualized by enhanced chemiluminescence (ECL kit; GE Healthcare, Piscataway, NJ). Blots were quantitated by scanning densitometry using ImageJ software, ver. 1.29 (available by ftp at zippy.nimh.nih.gov/ or at http://rsb.info.nih.gov/nih-image; developed by Wayne Rasband, National Institutes of Health, Bethesda, MD).
Role of NF-κB in Regulating Cytokine-Induced Adhesion Molecule Expression in hRVECs