RT Journal Article SR Electronic T1 Vasoactive Intestinal Peptide and Pituitary Adenylyl Cyclase-Activating Polypeptide Inhibit Tumor Necrosis Factor-α Production in Injured Spinal Cord and in Activated Microglia via a cAMP-Dependent Pathway JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 3622 OP 3630 DO 10.1523/JNEUROSCI.20-10-03622.2000 VO 20 IS 10 A1 Woong-Ki Kim A1 Yanqing Kan A1 Doina Ganea A1 Ronald P. Hart A1 Illana Gozes A1 G. Miller Jonakait YR 2000 UL http://www.jneurosci.org/content/20/10/3622.abstract AB Tumor necrosis factor-α (TNF-α) production accompanies CNS insults of all kinds. Because the neuropeptide vasoactive intestinal peptide (VIP) and the structurally related peptide pituitary adenylyl cyclase-activating polypeptide (PACAP) have potent anti-inflammatory effects in the periphery, we investigated whether these effects extend to the CNS. TNF-α mRNA was induced within 2 hr after rat spinal cord transection, and its upregulation was suppressed by a synthetic VIP receptor agonist. Cultured rat microglia were used to examine the mechanisms underlying this inhibition because microglia are the likely source of TNF-α in injured CNS. In culture, increases in TNF-α mRNA resulting from lipopolysaccharide (LPS) stimulation were reduced significantly by 10−7m VIP and completely eliminated by PACAP at the same concentration. TNF-α protein levels were reduced 90% by VIP or PACAP at 10−7m. An antagonist of VPAC1 receptors blocked the action of VIP and PACAP, and a PAC1 antagonist blocked the action of PACAP. A direct demonstration of VIP binding on microglia and the existence of mRNAs for VPAC1 and PAC1 (but not VPAC2) receptors argue for a receptor-mediated effect. The action of VIP is cAMP-mediated because (1) activation of cAMP by forskolin mimics the action; (2) PKA inhibition by H89 reverses the neuropeptide-induced inhibition; and (3) the lipophilic neuropeptide mimic, stearyl-norleucine17 VIP (SNV), which does not use a cAMP-mediated pathway, fails to duplicate the inhibition. We conclude that VIP and PACAP inhibit the production of TNF-α from activated microglia by a cAMP-dependent pathway.