Skip to main content
Top
Published in: Inflammation 3/2013

01-06-2013

Mycophenolate Mofetil Has Potent Anti-inflammatory Actions in a Mouse Model of Acute Lung Injury

Authors: M. G. Beduschi, C. L. Guimarães, Z. S. Buss, E. M. Dalmarco

Published in: Inflammation | Issue 3/2013

Login to get access

Abstract

Septic shock is a systemic inflammatory response syndrome, and it is the leading cause of death in intensive care units. Mycophenolate mofetil (MMF) is an immunosuppressant that has been shown to be effective in the treatment of various inflammatory diseases. In this study, the anti-inflammatory effect of MMF in a mouse model of acute lung injury (ALI) induced by lipopolysaccharide (LPS) was evaluated. ALI was induced by intrapleural injection of LPS (250 ng/cavity). The leukocyte migration, exudation, myeloperoxidase and adenosine deaminase activities, nitric oxide products, tumor necrosis factor alpha (TNF-α), and interleukin 1 beta (IL-1β) levels, as well as mRNA expression of TNF-α and IL-1β, were evaluated. This study showed that MMF significantly decreased all parameters studied in a manner comparable to treatment with dexamethasone. In conclusion, MMF has important anti-inflammatory effects that may be useful as an auxiliary treatment for septic shock.
Literature
1.
go back to reference Alsberg, C.L., and O.F. Black. 1913. Contribution to the study of maize deterioration: Biochemical and toxicological investigations of Penicillium puberulum and Penicillium stoloniferum. Bull Burl Anim Ind US Dept Agr 270: 1–47. Alsberg, C.L., and O.F. Black. 1913. Contribution to the study of maize deterioration: Biochemical and toxicological investigations of Penicillium puberulum and Penicillium stoloniferum. Bull Burl Anim Ind US Dept Agr 270: 1–47.
2.
go back to reference Orvis, A.K., S.K. Wesson, T.S. Breza Jr., A.A. Church, C.L. Mitchell, and S.W. Watkins. 2009. Mycophenolate mofetil in dermatology. Journal of the American Academy of Dermatology 60: 183–199.PubMedCrossRef Orvis, A.K., S.K. Wesson, T.S. Breza Jr., A.A. Church, C.L. Mitchell, and S.W. Watkins. 2009. Mycophenolate mofetil in dermatology. Journal of the American Academy of Dermatology 60: 183–199.PubMedCrossRef
3.
go back to reference Dalal, P., M. Grafals, D. Chhabra, and L. Gallon. 2009. Mycophenolate mofetil: Safety and efficacy in the prophylaxis of acute kidney transplantation rejection. Therapeutics and Clinical Risk Management 5: 139–149.PubMed Dalal, P., M. Grafals, D. Chhabra, and L. Gallon. 2009. Mycophenolate mofetil: Safety and efficacy in the prophylaxis of acute kidney transplantation rejection. Therapeutics and Clinical Risk Management 5: 139–149.PubMed
4.
5.
go back to reference Allison, A.C., and E.M. Eugui. 2005. Mechanisms of action of mycophenolate mofetil in preventing acute and chronic allograft rejection. Transplantation 80(2 Suppl): S181–S190.PubMedCrossRef Allison, A.C., and E.M. Eugui. 2005. Mechanisms of action of mycophenolate mofetil in preventing acute and chronic allograft rejection. Transplantation 80(2 Suppl): S181–S190.PubMedCrossRef
6.
go back to reference Sahin, G.M., S. Sahin, G. Kantarci, and H. Ergin. 2007. Mycophenolate mofetil treatment for therapy-resistant glomerulopathies. Nephrology (Carlton, Vic.) 12: 285–288.CrossRef Sahin, G.M., S. Sahin, G. Kantarci, and H. Ergin. 2007. Mycophenolate mofetil treatment for therapy-resistant glomerulopathies. Nephrology (Carlton, Vic.) 12: 285–288.CrossRef
7.
go back to reference Sinclair, A., G. Appel, M.A. Dooley, E. Ginzler, D. Isenberg, D. Jayne, D. Wofsy, and N. Solomons. 2007. Mycophenolate mofetil as induction and maintenance therapy for lupus nephritis: Rationale and protocol for the randomized, controlled Aspreva Lupus Management Study (ALMS). Lupus 16: 972–980.PubMedCrossRef Sinclair, A., G. Appel, M.A. Dooley, E. Ginzler, D. Isenberg, D. Jayne, D. Wofsy, and N. Solomons. 2007. Mycophenolate mofetil as induction and maintenance therapy for lupus nephritis: Rationale and protocol for the randomized, controlled Aspreva Lupus Management Study (ALMS). Lupus 16: 972–980.PubMedCrossRef
8.
go back to reference Heatwole, C., and E. Ciafaloni. 2008. Mycophenolate mofetil for myasthenia gravis: A clear and present controversy. Neuropsychiatric Disease and Treatment 4: 1203–1209.PubMedCrossRef Heatwole, C., and E. Ciafaloni. 2008. Mycophenolate mofetil for myasthenia gravis: A clear and present controversy. Neuropsychiatric Disease and Treatment 4: 1203–1209.PubMedCrossRef
9.
go back to reference Aggarwal, R., and C.V. Oddis. 2011. Therapeutic approaches in myositis. Current Rheumatology Reports 13: 182–191.PubMedCrossRef Aggarwal, R., and C.V. Oddis. 2011. Therapeutic approaches in myositis. Current Rheumatology Reports 13: 182–191.PubMedCrossRef
10.
go back to reference Van Amersfoort, E.S., T.J. Van Berkel, and J. Kuiper. 2003. Receptors, mediators, and mechanisms involved in bacterial sepsis and septic shock. Clinical Microbiology Reviews 16: 379–414.PubMedCrossRef Van Amersfoort, E.S., T.J. Van Berkel, and J. Kuiper. 2003. Receptors, mediators, and mechanisms involved in bacterial sepsis and septic shock. Clinical Microbiology Reviews 16: 379–414.PubMedCrossRef
11.
go back to reference Dalmarco, E.M., C.M.M. Córdova, and T.S. Fröde. 2011. Evidence of an anti-inflammatory effect of mycophenolate mofetil in a murine model of pleurisy. Experimental Lung Research 37: 399–407.CrossRef Dalmarco, E.M., C.M.M. Córdova, and T.S. Fröde. 2011. Evidence of an anti-inflammatory effect of mycophenolate mofetil in a murine model of pleurisy. Experimental Lung Research 37: 399–407.CrossRef
12.
go back to reference Dalmarco, E.M., G. Astolfi, R. de Liz, C.M.M. Córdova, and T.S. Fröde. 2012. Modulatory effect of mycophenolate mofetil on carrageenan-induced inflammation in the mouse air pouch model. International Immunopharmacology 13: 476–482.PubMedCrossRef Dalmarco, E.M., G. Astolfi, R. de Liz, C.M.M. Córdova, and T.S. Fröde. 2012. Modulatory effect of mycophenolate mofetil on carrageenan-induced inflammation in the mouse air pouch model. International Immunopharmacology 13: 476–482.PubMedCrossRef
13.
go back to reference Bhattacharyya, S., A. Borthakur, S. Tyagi, R. Gill, M.L. Chen, P.K. Dudeja, and J.K. Tobacman. 2010. B-cell CLL/lymphoma 10 (BCL10) is required for NF-kB production by both canonical and noncanonical pathways and for NF-kB-inducing kinase (NIK) phosphorylation. Journal of Biological Chemistry 285: 522–530.PubMedCrossRef Bhattacharyya, S., A. Borthakur, S. Tyagi, R. Gill, M.L. Chen, P.K. Dudeja, and J.K. Tobacman. 2010. B-cell CLL/lymphoma 10 (BCL10) is required for NF-kB production by both canonical and noncanonical pathways and for NF-kB-inducing kinase (NIK) phosphorylation. Journal of Biological Chemistry 285: 522–530.PubMedCrossRef
14.
go back to reference McGhan, L.J., and D.E. Jaroszewski. 2012. The role of toll-like receptor-4 in the development of multi-organ failure following traumatic haemorrhagic shock and resuscitation. Injury 43: 129–136.PubMedCrossRef McGhan, L.J., and D.E. Jaroszewski. 2012. The role of toll-like receptor-4 in the development of multi-organ failure following traumatic haemorrhagic shock and resuscitation. Injury 43: 129–136.PubMedCrossRef
15.
go back to reference Rao, T.S., J.L. Currie, A.F. Shaffer, and P.C. Isakson. 1993. Comparative evaluation of arachidonic acid (AA)- and tetradecanoylphorbol acetate (TPA)-induced dermal inflammation. Inflammation 17: 723–741.PubMedCrossRef Rao, T.S., J.L. Currie, A.F. Shaffer, and P.C. Isakson. 1993. Comparative evaluation of arachidonic acid (AA)- and tetradecanoylphorbol acetate (TPA)-induced dermal inflammation. Inflammation 17: 723–741.PubMedCrossRef
16.
go back to reference Giusti, G., and B. Galanti. 1984. Adenosine-deaminase: Colorimetric method. In Methods of enzymatic analyses, 3rd ed, ed. H.U. Bergmeyer, 315–323. Weinheim: Verlang Chemie Press. Giusti, G., and B. Galanti. 1984. Adenosine-deaminase: Colorimetric method. In Methods of enzymatic analyses, 3rd ed, ed. H.U. Bergmeyer, 315–323. Weinheim: Verlang Chemie Press.
17.
go back to reference Green, L.C., D.A. Wagner, J. Glogowski, P.L. Skipper, J.S. Wishnok, and S.R. Tannenbaum. 1982. Analysis of nitrate, nitrite and [15 N]nitrate in biological fluids. Analytical Biochemistry 126: 131–138.PubMedCrossRef Green, L.C., D.A. Wagner, J. Glogowski, P.L. Skipper, J.S. Wishnok, and S.R. Tannenbaum. 1982. Analysis of nitrate, nitrite and [15 N]nitrate in biological fluids. Analytical Biochemistry 126: 131–138.PubMedCrossRef
18.
go back to reference Miranda, K.M., M.G. Espey, and D.A. Wink. 2001. A rapid, simple spectrophotometric method for simultaneous detection of nitrate and nitrite. Nitric Oxide 5: 62–71.PubMedCrossRef Miranda, K.M., M.G. Espey, and D.A. Wink. 2001. A rapid, simple spectrophotometric method for simultaneous detection of nitrate and nitrite. Nitric Oxide 5: 62–71.PubMedCrossRef
19.
go back to reference Nguyen, H.B., E.P. Rivers, F.M. Abrahamian, G.J. Moran, E. Abraham, S. Trzeciak, D.T. Huang, T. Osborn, D. Stevens, and D.A. Talan. 2006. Emergency Department Sepsis Education Program and Strategies to Improve Survival (ED-SEPSIS) Working Group. Severe sepsis and septic shock: Review of the Literature and Emergency Department and Management Guidelines. Annals of Emergency Medicine 48: 28–54.PubMed Nguyen, H.B., E.P. Rivers, F.M. Abrahamian, G.J. Moran, E. Abraham, S. Trzeciak, D.T. Huang, T. Osborn, D. Stevens, and D.A. Talan. 2006. Emergency Department Sepsis Education Program and Strategies to Improve Survival (ED-SEPSIS) Working Group. Severe sepsis and septic shock: Review of the Literature and Emergency Department and Management Guidelines. Annals of Emergency Medicine 48: 28–54.PubMed
20.
go back to reference Hayashi, S., T. Yamada, M. Tsuneto, T. Yamane, M. Takahashi, L.D. Shultz, and H. Yamazaki. 2003. Distinct osteoclast precursors in the bone marrow and extramedullary organs characterized by responsiveness to Toll-like receptor ligands and TNF-alpha. Journal of Immunology 171: 5130–5130. Hayashi, S., T. Yamada, M. Tsuneto, T. Yamane, M. Takahashi, L.D. Shultz, and H. Yamazaki. 2003. Distinct osteoclast precursors in the bone marrow and extramedullary organs characterized by responsiveness to Toll-like receptor ligands and TNF-alpha. Journal of Immunology 171: 5130–5130.
21.
go back to reference Shin, E.S., H.J. Hwang, I.H. Kim, and T.J. Nam. 2011. A glycoprotein from Porphyra yezoensis produces anti-inflammatory effects in liposaccharide-stimulated macrophages via the TLR4 signaling pathway. International Journal of Molecular Medicine 28: 809–815.PubMed Shin, E.S., H.J. Hwang, I.H. Kim, and T.J. Nam. 2011. A glycoprotein from Porphyra yezoensis produces anti-inflammatory effects in liposaccharide-stimulated macrophages via the TLR4 signaling pathway. International Journal of Molecular Medicine 28: 809–815.PubMed
22.
go back to reference Ronco, C., P. Piccini, and M.H. Rosner. 2010. Endotoxemia and endotoxin shock: Disease, diagnosis and therapy. Contributions to Nephrology 167: 1–13.CrossRef Ronco, C., P. Piccini, and M.H. Rosner. 2010. Endotoxemia and endotoxin shock: Disease, diagnosis and therapy. Contributions to Nephrology 167: 1–13.CrossRef
23.
go back to reference Opal, S.M. 2007. The host response to endotoxin, antilipopolysaccharide strategies, and the management of severe sepsis. International Journal of Medical Microbiology 297: 365–377.PubMedCrossRef Opal, S.M. 2007. The host response to endotoxin, antilipopolysaccharide strategies, and the management of severe sepsis. International Journal of Medical Microbiology 297: 365–377.PubMedCrossRef
24.
go back to reference Dellinger, R.P., J.M. Carlet, H. Masur, H. Gerlach, T. Calandra, J. Cohen, J. Gea-Banacloche, D. Keh, J.C. Marshall, M.M. Parker, G. Ramsay, J.L. Zimmerman, J.L. Vincent, and M.M. Levy. 2004. Surviving sepsis campaign guidelines for management of severe sepsis and septic shock. Intensive Care Medicine 30: 536–555.PubMedCrossRef Dellinger, R.P., J.M. Carlet, H. Masur, H. Gerlach, T. Calandra, J. Cohen, J. Gea-Banacloche, D. Keh, J.C. Marshall, M.M. Parker, G. Ramsay, J.L. Zimmerman, J.L. Vincent, and M.M. Levy. 2004. Surviving sepsis campaign guidelines for management of severe sepsis and septic shock. Intensive Care Medicine 30: 536–555.PubMedCrossRef
25.
go back to reference Boyer, A., K. Chadda, A. Salah, and D. Annane. 2006. Glucocorticoid treatment in patients with septic shock: Effects on vasopressor use and mortality. International Journal of Clinical Pharmacology and Therapeutics 44: 309–318.PubMed Boyer, A., K. Chadda, A. Salah, and D. Annane. 2006. Glucocorticoid treatment in patients with septic shock: Effects on vasopressor use and mortality. International Journal of Clinical Pharmacology and Therapeutics 44: 309–318.PubMed
26.
go back to reference Salomão, R., P.S. Martins, M.K. Brunialti, M.L. Fernandes, L.S. Martos, M.E. Mendes, N.E. Gomes, and O. Rigato. 2008. TLR signaling pathway in patients with sepsis. Shock 30(Suppl 1): 73–77.PubMedCrossRef Salomão, R., P.S. Martins, M.K. Brunialti, M.L. Fernandes, L.S. Martos, M.E. Mendes, N.E. Gomes, and O. Rigato. 2008. TLR signaling pathway in patients with sepsis. Shock 30(Suppl 1): 73–77.PubMedCrossRef
27.
go back to reference Fröde, T.S., and Y.S. Medeiros. 2001. Myeloperoxidase and adenosine-deaminase levels in the pleural fluid leakage induced by carrageenan in the mouse model of pleurisy. Mediators of Inflammation 10: 223–227.PubMedCrossRef Fröde, T.S., and Y.S. Medeiros. 2001. Myeloperoxidase and adenosine-deaminase levels in the pleural fluid leakage induced by carrageenan in the mouse model of pleurisy. Mediators of Inflammation 10: 223–227.PubMedCrossRef
28.
go back to reference Lau, D., and S. Baldus. 2006. Myeloperoxidase and its contributory role in inflammatory vascular disease. Pharmacology and Therapeutics 111: 16–126.PubMedCrossRef Lau, D., and S. Baldus. 2006. Myeloperoxidase and its contributory role in inflammatory vascular disease. Pharmacology and Therapeutics 111: 16–126.PubMedCrossRef
29.
go back to reference Farivar, A.S., B. MacKinnon-Patterson, A.D. Barnes, and M.S. Mulligan. 2005. The effect of anti-inflammatory properties of mycophenolate mofetil on the development of lung reperfusion injury. The Journal of Heart and Lung Transplantation 24: 2235–2242.PubMedCrossRef Farivar, A.S., B. MacKinnon-Patterson, A.D. Barnes, and M.S. Mulligan. 2005. The effect of anti-inflammatory properties of mycophenolate mofetil on the development of lung reperfusion injury. The Journal of Heart and Lung Transplantation 24: 2235–2242.PubMedCrossRef
31.
go back to reference Cuzzocrea, S., E. Mazzon, G. Calabro, L. Dugo, A. De Sarro, F.A. van De Loo, and A.P. Caputi. 2000. Inducible nitric oxide synthase-knockout mice exhibit resistance to pleurisy and lung injury caused by carrageenan. American Journal of Respiratory and Critical Care Medicine 162: 1859–1866.PubMedCrossRef Cuzzocrea, S., E. Mazzon, G. Calabro, L. Dugo, A. De Sarro, F.A. van De Loo, and A.P. Caputi. 2000. Inducible nitric oxide synthase-knockout mice exhibit resistance to pleurisy and lung injury caused by carrageenan. American Journal of Respiratory and Critical Care Medicine 162: 1859–1866.PubMedCrossRef
32.
go back to reference Jonsson, C.A., and H. Carlsten. 2002. Mycophenolic acid inhibits inosine 5′-monophosphate dehydrogenase and suppresses production of pro-inflammatory cytokines, nitric oxide, and LDH in macrophages. Cellular Immunology 216: 93–101.PubMedCrossRef Jonsson, C.A., and H. Carlsten. 2002. Mycophenolic acid inhibits inosine 5′-monophosphate dehydrogenase and suppresses production of pro-inflammatory cytokines, nitric oxide, and LDH in macrophages. Cellular Immunology 216: 93–101.PubMedCrossRef
33.
go back to reference Wu, Y., J. Dong, L. Yuan, C. Liang, K. Ren, W. Zhang, F. Fang, and J. Shen. 2008. Nephrin and podocin loss is prevented by mycophenolate mofetil in early experimental diabetic nephropathy. Cytokine 44: 85–91.PubMedCrossRef Wu, Y., J. Dong, L. Yuan, C. Liang, K. Ren, W. Zhang, F. Fang, and J. Shen. 2008. Nephrin and podocin loss is prevented by mycophenolate mofetil in early experimental diabetic nephropathy. Cytokine 44: 85–91.PubMedCrossRef
Metadata
Title
Mycophenolate Mofetil Has Potent Anti-inflammatory Actions in a Mouse Model of Acute Lung Injury
Authors
M. G. Beduschi
C. L. Guimarães
Z. S. Buss
E. M. Dalmarco
Publication date
01-06-2013
Publisher
Springer US
Published in
Inflammation / Issue 3/2013
Print ISSN: 0360-3997
Electronic ISSN: 1573-2576
DOI
https://doi.org/10.1007/s10753-013-9599-x

Other articles of this Issue 3/2013

Inflammation 3/2013 Go to the issue