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KMID : 0811720120160020131
Korean Journal of Physiology & Pharmacology
2012 Volume.16 No. 2 p.131 ~ p.138
Cilostazol Decreases Ethanol-Mediated TNFalpha Expression in RAW264.7 Murine Macrophage and in Liver from Binge Drinking Mice
Lee Youn-Ju

Eun Jong-Ryeol
Abstract
Alcoholic hepatitis is a leading cause of liver failure in which the increased production of tumor necrosis factor ? (TNF?) plays a critical role in progression of alcoholic liver disease. In the present study, we investigated the effects of cilostazol, a selective inhibitor of type III phosphodiesterase on ethanol-mediated TNF? production in vitro and in vivo, and the effect of cilostazol was compared with that of pentoxifylline, which is currently used in clinical trial. RAW264.7 murine macrophages were pretreated with ethanol in the presence or absence of cilostazol then, stimulated with lipopolysacchride (LPS). Cilostazol significantly suppressed the level of LPS-stimulated TNF? mRNA and protein with a similar degree to that by pentoxifylline. Cilostazol increased the basal AMP- activated protein kinase (AMPK) activity as well as normalized the decreased AMPK by LPS. AICAR, an AMPK activator and db-cAMP also significantly decreased TNF? production in RAW264.7 cells, but cilostazol did not affect the levels of intracellular cAMP and reactive oxygen species (ROS) production. The in vivo effect of cilostazol was examined using ethanol binge drinking (6 g/kg) mice model. TNF? mRNA and protein decreased in liver from ethanol gavaged mice compared to that from control mice. Pretreatment of mice with cilostazol or pentoxifylline further reduced the TNF? production in liver. These results demonstrated that cilostazol effectively decrease the ethanol-mediated TNF? production both in murine macrophage and in liver from binge drinking mice and AMPK may be responsible for the inhibition of TNF? production by cilostazol.
KEYWORD
Alcoholic hepatitis, AMPK, Cilostazol, Macrophage, Tumor necrosis factor a
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