Misoprostol Inhibits Equine Neutrophil Adhesion, Migration, and Respiratory Burst in an In Vitro Model of Inflammation.
Abstract: In many equine inflammatory disease states, neutrophil activities, such as adhesion, migration, and reactive oxygen species (ROS) production become dysregulated. Dysregulated neutrophil activation causes tissue damage in horses with asthma, colitis, laminitis, and gastric glandular disease. Non-steroidal anti-inflammatory drugs do not adequately inhibit neutrophil inflammatory functions and can lead to dangerous adverse effects. Therefore, novel therapies that target mechanisms of neutrophil-mediated tissue damage are needed. One potential neutrophil-targeting therapeutic is the PGE1 analog, misoprostol. Misoprostol is a gastroprotectant that induces intracellular formation of the secondary messenger molecule cyclic AMP (cAMP), which has been shown to have anti-inflammatory effects on neutrophils. Misoprostol is currently used in horses to treat NSAID-induced gastrointestinal injury; however, its effects on equine neutrophils have not been determined. We hypothesized that treatment of equine neutrophils with misoprostol would inhibit equine neutrophil adhesion, migration, and ROS production, in vitro. We tested this hypothesis using isolated equine peripheral blood neutrophils collected from 12 healthy adult teaching/research horses of mixed breed and gender. The effect of misoprostol treatment on adhesion, migration, and respiratory burst of equine neutrophils was evaluated via fluorescence-based adhesion and chemotaxis assays, and luminol-enhanced chemiluminescence, respectively. Neutrophils were pretreated with varying concentrations of misoprostol, vehicle, or appropriate functional inhibitory controls prior to stimulation with LTB4, CXCL8, PAF, lipopolysaccharide (LPS) or immune complex (IC). This study revealed that misoprostol pretreatment significantly inhibited LTB4-induced adhesion, LTB4-, CXCL8-, and PAF-induced chemotaxis, and LPS-, IC-, and PMA-induced ROS production in a concentration-dependent manner. This data indicate that misoprostol-targeting of E-prostanoid (EP) receptors potently inhibits equine neutrophil effector functions in vitro. Additional studies are indicated to further elucidate the role of EP receptors in regulating neutrophil function. Overall, our results suggest misoprostol may hold promise as a novel anti-inflammatory therapeutic in the horse.
Publication Date: 2017-09-28 PubMed ID: 29034248PubMed Central: PMC5626936DOI: 10.3389/fvets.2017.00159Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This study explores the use of misoprostol, a PGE analog, in suppressing activities of equine neutrophils, which are dysregulated in many inflammatory horse diseases causing tissue damage. The research highlights promising results of misoprostol in inhibiting neutrophil adhesion, migration, and reactive oxygen species production, suggesting its potential as an anti-inflammatory treatment for horses.
Objective of the Study
- The primary goal of the paper is to investigate the effects of misoprostol on equine neutrophils.
- Specifically, it tests the hypothesis that misoprostol can hinder neutrophil adhesion, migration, and reactive oxygen species (ROS) production, which are generally dysregulated in inflammatory horse diseases and result in tissue damage.
Situation and need for the Study
- Neutrophils play a significant role in many equine (horse) inflammatory diseases such as asthma, colitis, laminitis, and gastric glandular disease. When their activities become dysregulated, this leads to tissue damage.
- Non-steroidal anti-inflammatory drugs, though used, aren’t sufficient to suppress neutrophil inflammatory activity and can cause adverse effects.
- Therefore, there is a need for therapies that target neutrophil-mediated tissue damage directly. Misoprostol, a PGE analog, is posed as such a therapy in this study.
Methodology
- The researchers used isolated equine peripheral blood neutrophils collected from 12 healthy adult mixed breed and gender horses.
- The effect of misoprostol on neutrophil adhesion, migration, and respiratory burst was evaluated using fluorescence-based adhesion and chemotaxis assays, and luminol-enhanced chemiluminescence, respectively.
- The neurons were pretreated with varying concentrations of the drug, a vehicle, or appropriate functional inhibitory controls before being stimulated with certain agents.
Findings
- The study found that misoprostol pretreatment significantly inhibited adhesion, chemotaxis, and ROS production in equine neutrophils, in a concentration-dependent manner.
- This suggests that misoprostol’s targeting of E-prostanoid (EP) receptors potently hinders equine neutrophil effector functions.
Implications and Conclusion
- Additional investigations are encouraged to further understand the role of EP receptors in regulating neutrophil function.
- The findings suggest that misoprostol may hold potential as a novel anti-inflammatory therapeutic in horses, opening up a new path towards treating equine inflammatory diseases.
Cite This Article
APA
Martin EM, Till RL, Sheats MK, Jones SL.
(2017).
Misoprostol Inhibits Equine Neutrophil Adhesion, Migration, and Respiratory Burst in an In Vitro Model of Inflammation.
Front Vet Sci, 4, 159.
https://doi.org/10.3389/fvets.2017.00159 Publication
Researcher Affiliations
- Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States.
- Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States.
- Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States.
- College of Veterinary Medicine, Comparative Medicine Institute, North Carolina State University, Raleigh, NC, United States.
- Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States.
- College of Veterinary Medicine, Comparative Medicine Institute, North Carolina State University, Raleigh, NC, United States.
Grant Funding
- K01 OD015136 / NIH HHS
References
This article includes 57 references
- Slater SJ, Seiz JL, Stagliano BA, Stubbs CD. Interaction of protein kinase C isozymes with Rho GTPases. Biochemistry 2001 40:4437–45.
- Mittal M, Siddiqui MR, Tran K, Reddy SP, Malik AB. Reactive oxygen species in inflammation and tissue injury. Antioxid Redox Signal 2014 20:1126–67.
- Wong DM, Moore RM, Brockus CW. Mechanisms of oxidative injury in equine disease. Compend Contin Educ Vet 2012 34:E6.
- de la Rebière de Pouyade G, Serteyn D. The role of activated neutrophils in the early stage of equine laminitis. Vet J 2011 189:27–33.
- Lunn DP, Hurley DJ. The role of leukocyte biology in laminitis. Vet Immunol Immunopathol 2009 129:158–60.
- Bullone M, Lavoie J-P. Asthma “of horses and men”—how can equine heaves help us better understand human asthma immunopathology and its functional consequences?. Mol Immunol 2015 66:97–105.
- Leclere M, Lavoie-Lamoureux A, Lavoie J-P. Heaves, an asthma-like disease of horses. Respirology 2011 16:1027–46.
- Moore RM, Muir WW, Granger DN. Mechanisms of gastrointestinal ischemia-reperfusion injury and potential therapeutic interventions: a review and its implications in the horse. J Vet Intern Med 1995 9:115–32.
- Schofield ZV, Woodruff TM, Halai R, Wu MC-L, Cooper MA. Neutrophils – a key component of ischemia-reperfusion injury. Shock 2013 40:463–70.
- Bloemen PG, van den Tweel MC, Henricks PA, Engels F, Kester MH, van de Loo PG. Increased cAMP levels in stimulated neutrophils inhibit their adhesion to human bronchial epithelial cells. Am J Physiol 1997 272:L580–7.
- Chilcoat CD, Rowlingson KA, Jones SL. The effects of cAMP modulation upon the adhesion and respiratory burst activity of immune complex-stimulated equine neutrophils. Vet Immunol Immunopathol 2002 88:65–77.
- Harvath L, Robbins JD, Russell AA, Seamon KB. cAMP and human neutrophil chemotaxis. Elevation of cAMP differentially affects chemotactic responsiveness. J Immunol 1991 146:224–32.
- Bengis-Garber C, Gruener N. Protein kinase A downregulates the phosphorylation of p47 phox in human neutrophils: a possible pathway for inhibition of the respiratory burst. Cell Signal 1996 8:291–6.
- Wang J-P, Chang L-C, Lin Y-L, Hsu M-F, Chang C-Y, Huang L-J. Investigation of the cellular mechanism of inhibition of formyl-methionyl-leucyl-phenylalanine-induced superoxide anion generation in rat neutrophils by 2-benzyloxybenzaldehyde. Biochem Pharmacol 2003 65:1043–51.
- Armstrong RA. Investigation of the inhibitory effects of PGE2 and selective EP agonists on chemotaxis of human neutrophils. Br J Pharmacol 1995 116:2903–8.
- Hirata T, Narumiya S. Prostanoids as Regulators of Innate and Adaptive Immunity. 1st ed (Chap. 5). Elsevier Inc; (2012).
- Hong YS. Selective inhibition of polymorphonuclear leukocytes by immunosuppressive concentration of prostaglandin E2. J Korean Med Sci 1996 11:8–16.
- Sugimoto Y, Narumiya S. Prostaglandin E receptors. J Biol Chem 2007 282:11613–7.
- Talpain E, Armstrong RA, Coleman RA, Vardey CJ. Characterization of the PGE receptor subtype mediating inhibition of superoxide production in human neutrophils. Br J Pharmacol 1995 114:1459–65.
- Wise H. The inhibitory effect of prostaglandin E2 on rat neutrophil aggregation. J Leukoc Biol 1996 60:480–6.
- Smallwood JI, Malawista SE. Misoprostol stimulates cAMP generation in human leukocytes: synergy with colchicine suggests a new potential for established drugs. Am J Ther 1995 2:725–9.
- Ahluwalia A, Baatar D, Jones MK, Tarnawski AS. Novel mechanisms and signaling pathways of esophageal ulcer healing: the role of prostaglandin EP2 receptors, cAMP, and pCREB. Am J Physiol Gastrointest Liver Physiol 2014 307:G602–10.
- Blikslager AT. Misoprostol: is it safety or a lack of understanding that prevents its more frequent usage?. Equine Vet J 2012 45:8–8.
- Marshall JF, Blikslager AT. The effect of nonsteroidal anti-inflammatory drugs on the equine intestine. Equine Vet J 2011 43:140–4.
- Sangiah S, MacAllister CC, Amouzadeh HR. Effects of misoprostol and omeprazole on basal gastric pH and free acid content in horses. Res Vet Sci 1989 47:350–4.
- Tomlinson JE, Blikslager AT. Effects of cyclooxygenase inhibitors flunixin and deracoxib on permeability of ischaemic-injured equine jejunum. Equine Vet J 2005 37(1):75–80.
- Sheats MK, Pescosolido KC, Hefner EM, Sung EJ, Adler KB, Jones SL. Myristoylated alanine rich C kinase substrate (MARCKS) is essential to β2-integrin dependent responses of equine neutrophils. Vet Immunol Immunopathol 2014 160:167–76.
- Cook VL, Neuder LE, Blikslager AT, Jones SL. The effect of lidocaine on in vitro adhesion and migration of equine neutrophils. Vet Immunol Immunopathol 2009 129:137–42.
- Benbarek H, Deby-Dupont G, Deby C, Caudron I, Mathy-Hartert M, Lamy M. Experimental model for the study by chemiluminescence of the activation of isolated equine leucocytes. Res Vet Sci 1996 61:59–64.
- Eckert RE, Sharief Y, Jones SL. p38 mitogen-activated kinase (MAPK) is essential for equine neutrophil migration. Vet Immunol Immunopathol 2009 129:181–91.
- Varley G, Bowen M, Nicholls V, Haberschon-Butcher J, Hallowell G. Misoprostol is superior to combined omeprazole and sucralfate for healing of glandular gastric lesions in horses with clinical disease. 2016 ACVIM Forum Research Report Program [abstract]. J Vet Intern Med 2016 30(1):520–1151.
- Cheng X, Ji Z, Tsalkova T, Mei F. Epac and PKA: A tale of two intracellular cAMP receptors. Acta biochimica et biophysica Sinica 2008 40(7):651–62.
- Scott J, Harris GJ, Pinder EM, Macfarlane JG, Hellyer TP, Rostron AJ. Exchange protein directly activated by cyclic AMP (EPAC) activation reverses neutrophil dysfunction induced by beta2-agonists, corticosteroids, and critical illness. J Allergy Clin Immunol 2016 137:535–44.
- Langereis JD. Neutrophil integrin affinity regulation in adhesion, migration, and bacterial clearance. Cell Adh Migr 2013 7:476–81.
- Jones SL, Knaus UG, Bokoch GM, Brown EJ. Two signaling mechanisms for activation of alphaM beta2 avidity in polymorphonuclear neutrophils. J Biol Chem 1998 273:10556–66.
- Kolaczkowska E, Kubes P. Neutrophil recruitment and function in health and inflammation. Nat Rev Immunol 2013 13:159–75.
- Pick R, Brechtefeld D, Walzog B. Intraluminal crawling versus interstitial neutrophil migration during inflammation. Mol Immunol 2013 55:70–5.
- Kim D, Haynes CL. Neutrophil chemotaxis within a competing gradient of chemoattractants. Anal Chem 2012 84:6070–8.
- Sadik CD, Luster AD. Lipid-cytokine-chemokine cascades orchestrate leukocyte recruitment in inflammation. J Leukoc Biol 2012 91:207–15.
- Farmer JC, Burkey TH, Kew RR, Webster RO. Concentration-dependent regulatory effects of prostaglandin E1 on human neutrophil function in vitro. Am Rev Respir Dis 1991 144:593–9.
- Elferink JG, de Koster BM. The effect of cyclic GMP and cyclic AMP on migration by electroporated human neutrophils. Eur J Pharmacol 1993 246:157–61.
- Ottonello L, Morone MP, Dapino P, Dallegri F. Cyclic AMP-elevating agents down-regulate the oxidative burst induced by granulocyte-macrophage colony-stimulating factor (GM-CSF) in adherent neutrophils. Clin Exp Immunol 1995 101:502–6.
- Dahlgren C, Karlsson A. Respiratory burst in human neutrophils. J Immunol Methods 1999 232:3–14.
- Dang PM, Dewas C, Gaudry M, Fay M, Pedruzzi E, Gougerot-Pocidalo MA. Priming of human neutrophil respiratory burst by granulocyte/macrophage colony-stimulating factor (GM-CSF) involves partial phosphorylation of p47(phox). J Biol Chem 1999 274:20704–8.
- Haselmayer P, Daniel M, Tertilt C, Salih HR, Stassen M, Schild HOR. Signaling pathways of the TREM-1- and TLR4-mediated neutrophil oxidative burst. J Innate Immun 2009 1:582–91.
- Kulkarni S, Sitaru C, Jakus Z, Anderson KE, Damoulakis G, Davidson K. PI3Kbeta plays a critical role in neutrophil activation by immune complexes. Sci Signal 2011 4:ra23.
- Capsoni F, Ongari AM, Reali E, Bose F, Altomare GF. The protein kinase C inhibitor AEB071 (sotrastaurin) modulates migration and superoxide anion production by human neutrophils in vitro. Int J Immunopathol Pharmacol 2012 25:617–26.
- Dekker LV, Leitges M, Altschuler G, Mistry N, McDermott A, Roes J. Protein kinase C-beta contributes to NADPH oxidase activation in neutrophils. Biochem J 2000 347(Pt 1):285–9.
- Penfield A, Dale MM. Prostaglandins E1 and E2 enhance the stimulation of superoxide release by 1-oleoyl-2-acetylglycerol from human neutrophils. FEBS Lett 1985 181:335–8.
- Diaz-Gonzalez F, Gonzalez-Alvaro I, Campanero MR, Mollinedo F, del Pozo MA, Munoz C. Prevention of in vitro neutrophil-endothelial attachment through shedding of L-selectin by nonsteroidal antiinflammatory drugs. J Clin Invest 1995 95:1756–65.
- Bertolotto M, Contini P, Ottonello L, Pende A, Dallegri F, Montecucco F. Neutrophil migration towards C5a and CXCL8 is prevented by non-steroidal anti-inflammatory drugs via inhibition of different pathways. Br J Pharmacol 2014 171:3376–93.
- Umeki S. Effects of non-steroidal anti-inflammatory drugs on human neutrophil NADPH oxidase in both whole cell and cell-free systems. Biochem Pharmacol 1990 40:559–64.
- Kitsis EA, Weissmann G, Abramson SB. The prostaglandin paradox: additive inhibition of neutrophil function by aspirin-like drugs and the prostaglandin E1 analog misoprostol. J Rheumatol 1991 18:1461–5.
- Moraes BM, do Amaral BC, Morimoto MSS, Vieira LGC, Perazzo FF, Carvalho JCT. Anti-inflammatory and analgesic actions of etoricoxib (an NSAID) combined with misoprostol. Inflammopharmacology 2007 15:175–8.
- Blikslager AT, Roberts MC, Young KM, Rhoads JM, Argenzio RA. Genistein augments prostaglandin-induced recovery of barrier function in ischemia-injured porcine ileum. Am J Physiol Gastrointest Liver Physiol 2000 278:G207–16.
- Jacobson CC, Sertich PL, McDonnell SM. Mid-gestation pregnancy is not disrupted by a 5-day gastrointestinal mucosal cytoprotectant oral regimen of misoprostol. Equine Vet J 2013 45:91–3.
- Davis JL. Nonsteroidal anti-inflammatory drug associated right dorsal colitis in the horse. Equine Vet Educ 2017 29(2):104–13.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists