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Molecular Pharmacology Fast Forward
First published on February 5, 2008; DOI: 10.1124/mol.107.042176


0026-895X/08/7305-1394-1404$20.00
Mol Pharmacol 73:1394-1404, 2008

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Tumor Necrosis Factor-{alpha} Regulates Inflammatory and Mesenchymal Responses via Mitogen-Activated Protein Kinase Kinase, p38, and Nuclear Factor {kappa}B in Human Endometriotic Epithelial Cells

Eric M. Grund, David Kagan, Cam Anh Tran, Andreas Zeitvogel, Anna Starzinski-Powitz, Selvaraj Nataraja, and Stephen S. Palmer

EMD-Serono Research Institute, Rockland, Massachusetts (E.M.G., D.K., C.A.T., S.N., S.S.P.); and Humangenetik fuer Biologen, Johann Wolfgang Goethe-Universitat, Frankfurt, Germany (A.Z., A.S.-P.)

Tumor necrosis factor (TNF)-{alpha} is central to the endometriotic disease process. TNF-{alpha} receptor signaling regulates epithelial cell secretion of inflammation and invasion mediators. Because epithelial cells are a disease-inducing component of the endometriotic lesion, we explored the response of 12Z immortalized human epithelial endometriotic cells to TNF-{alpha}. This report reveals the impact of disruption of established TNF-{alpha}-induced signaling cascades on the expression of biomarkers of inflammation and epithelial-mesenchymal transition (EMT) from endometriotic epithelial cells. Note that we show the molecular potential of soluble TNF-R1 [TNF binding protein (TBP)] and a panel of small molecule kinase inhibitors to block endometriotic gene expression directly. The TNF-{alpha} receptor is demonstrated to signal through I{kappa}B kinase complex (IKK) 2 > I{kappa}B > nuclear factor {kappa}B, extracellular signal-regulated kinase > mitogen-activated protein kinase kinase (MEK), p38, and phosphatidylinositol 3-kinase (PI3K) > Akt1/2. TNF-{alpha} induces the expression of transcripts for inflammatory mediators interleukin (IL)-6, IL-8, regulated on activation normal T cell expressed and secreted, TNF-{alpha}, granulocyte macrophage-colony-stimulating factor (GM-CSF), and monocyte chemoattractant protein (MCP)-1 and also invasion mediators matrix metalloproteinase (MMP)-7, MMP-9, and intracellular adhesion molecule-1. Indeed, TBP inhibits the TNF-{alpha}-induced expression of all the above endometriotic genes in 12Z endometriotic epithelial cells. The secretion of IL-6, IL-8, GMCSF, and MCP-1 by TNF-{alpha} is blocked by TBP. Interestingly, MEK, p38, and IKK inhibitors block TNF-{alpha}-induced IL-8, IL-6, and GM-CSF secretion and 12z invasion, whereas the PI3K inhibitors do not. The only inhibitor to block MCP-1 expression is the p38 inhibitor. Last, TBP, MEK inhibitor, or p38 inhibitor also block cell surface expression of N-cadherin, a marker of mesenchymal cells. Taken together, these results demonstrate that interruption of TNF-{alpha}-induced signaling pathways in human endometriotic epithelial cells results in decreased expression and secretion of biomarkers for inflammation, EMT, and disease progression.


Received September 27, 2007; accepted February 1, 2008

Address correspondence to: Stephen S. Palmer, EMD-Serono Research Institute, One Technology Place, Rockland, MA 02190. E-mail: stephen.palmer{at}emdserono.com







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