Abstract
Endothelial expression of tissue factor (TF), a potent procoagulant molecule, is increased in response to inflammatory mediators such as lipopolysaccharide (LPS), tumour necrosis factor (TNF) and interleukin-1 (IL-1). We have examined the effects of three antiinflammatory agents and a polyclonal anti-human IL-1α antibody on the human endothelial TF response toE. coli 0111:B4 LPS and recombinant TNFα (rTNFα) in vitro. In contrast to the expected inhibitory effect, dexamethasone, pentoxyfilline and iloprost failed to block TF expression when administered simultaneously or 30 minutes prior to stimulation with either LPS or rTNFα. Inhibition of procoagulant activity was demonstrated with the anti-IL-1α antibody, suggesting that endothelial derived IL-1α is partially responsible for the TF response to the agonists employed. The failure of the antiinflammatory agents to inhibit endothelial TF expression highlights the possibility that therapeutic agents that modulate the circulating monocyte response to LPS and TNFα may not ameliorate the endothelial dysfunction that is also induced by these inflammatory mediators.
Similar content being viewed by others
References
Corrigan JJ, Ray WL, May N. Changes in the blood coagulation system associated with septicemia. N Engl J Med 1968;279:851–6.
Heyderman RS. Severe sepsis and intravascular thrombosis. Arch Dis Child 1993;68:621–5.
Colman RW, Robboy SJ, Minna JD. Disseminated intravascular coagulation (DIC): an approach. Am J Med 1972;52:679–89.
Glynn MFX, Silver E, Redmond MD. A randomised trial of cryoprecipitate replacement of fibronectin deficiencies in the critically ill. Am Rev Resp Dis 1984;129:A102.
Altieri DC. Coagulation assembly on leucocytes in transmembrane signalling and cell adhesion. Blood 1993;81:569–79.
Wilcox JN, Smith KM, Schwartz SM, Gordon D. Localization of tissue factor in the normal vessel wall and in the atherosclerotic plaque. Proc Natl Acad Sci USA 1989;86:2839–43.
Bevilacqua MP, Pober JS, Majeau GR, Fiers W, Cotran RS, Gimbrone MA. Recombinant tumour necrosis factor induces procoagulant activity in cultured human vascular endothelium: characterisation and comparison with the actions of interleukin 1. Proc Natl Acad Sci USA 1986;83:4533–7.
Nawroth PP, Handley DA, Esmon CT, Stern DM. Interleukin-1 induces endothelial procoagulant while suppressing cell surface anticoagulant activity. Proc Natl Acad Sci USA 1986;83:3460–4.
Colucci G, Balconi G, Lorenzet R, Pietra A, Locati D. Cultured human endothelial cells generate tissue factor in response to endotoxin. J Clin Invest 1983;71:1893–6.
Østerud B, Flægstad T. Increased tissue thromboplastin activity in monocytes of patients with meningococcal infection: related to an unfavourable prognosis. Thromb Haemostas 1983;49:5–7.
Geczy CL, Meyer PA. Leucocyte procoagulant activity in man: an in vitro correlate of delayed-type hypersensitivity. J Immunol 1982;128:331–6.
Taylor FJ, Chang A, Ruf W, Morrissey JH, Hinshaw L, Catlett R, et al. Lethal E. coli septic shock is prevented by blocking tissue factor with monoclonal antibody. Circ Shock 1991;33:127–34.
Levi M, ten Cate H, Bauer KA, van der Poll T, Edgington TS, Büller HR, et al. Inhibition of endotoxin-induced activation of coagulation and fibrinolysis by pentoxifylline or by a monoclonal anti-tissue factor antibody in chimpanzees. J Clin Invest 1994;93:114–20.
Brandtzaeg P, Kierulf P, Gaustad P, Skulberg A, Bruun JN, Halvorsen S, et al. Plasma endotoxin as a predictor of multiple organ failure and death in systemic meningococcal disease. J Infect Dis 1989;159:195–204.
van der Poll T, Büller HR, ten Cate H, Wortel CH, Bauer KA, van Deventer JH, et al. Activation of coagulation after administration of tumor necrosis factor to normal subjects. N Engl J Med 1990;322:1621–7.
Waage A, Brandtzaeg P, Halstensen A, Kierulf P, Espevik T. The Complex Pattern of Cytokines in Serum from Patients with Meningococcal Septic Shock. J Exp Med 1989;169:333–8.
Gimbrone MA, Cotran RS, Folkman J. Human vascular endothelium in culture: growth and DNA synthesis. J Cell Biol 1974;60:673–84.
Gonmori H, Takeda Y. Properties of human tissue thromboplastins from brain, lung, arteries and placenta. Thromb Haemost 1976;36:90–103.
Rivers RPA, Hathaway WE. Studies on tissue factor activity and production by leucocytes of human umbilical cord and adult origin. Pediatr Res 1975;9:167–71.
Andoh K, Pettersen KS, Filion-Mykleburst C, Prydz H. Observations on the cell biology of tissue factor in endothelial cells. Thromb Haemost 1990;63:298–302.
Rossignol L, Plantavid M, Chap H, Douste-Blazy L. Effects of two methylxanthines, pentoxifylline and propentofylline, on arachidonic acid metabolism in platelets stimulated by thrombin. Biochem Pharmacol 1988;37:236–329.
Han J, Thompson P, Beutler B. Dexamethasone and pentoxifylline inhibit endotoxin-induced cachetin/tumor necrosis factor synthesis at separate points in the signalling pathway. J Exp Med 1990;172:391–4.
Josaki K, Contrino J, Kristie J, Krause P, Kreutzer DL. Pentoxifylline-induced Modulation of Human Leukocyte Function in Vitro. Am J Path 1990;136:623–9.
Ollivier V, Houssaye S, Ternsien C, Léon A, de Verneuil H, Elbim C, et al. Endotoxin-induced tissue factor messenger RNA in human monocytes is negatively regulated by a cyclic AMP-dependent mechanism. Blood 1993;181:973–9.
Sáez-Llorens X, Ramilo O, Mustafa MM, Mertsola J, de Alba C, Hansen EJ, et al. Pentoxifylline modulates meningeal inflammation in experimental bacterial meningitis. Antimicrob Agents Chemother 1990;34:837–43.
Crutchley DJ, Solomon DE, Conanan LB. Prostacyclin analogues inhibit tissue factor expression in the human monocytic cell line THP-1 via a cyclic AMP-dependent mechanism. Arterioscl Thromb 1992;13:664–70.
Grundmann HJ, Hähnle U, Hegenscheid B, Sahlmüller G, Bienzle U, Biltstein-Willinger E. Inhibition of endotoxininduced macrophage tumor necrosis factor expression by a prostacyclin analogue and its beneficial effect in experimental lipopolysaccharide intoxication. J Infect Dis 1992;165:501–5.
Tremoli E, Paoletti R. Mode of action of PGI2 and of its stable derivative iloprost on platelets and leucocytes. Thromb Res 1990;Suppl XI:33–42.
Kern JA, Lamb RJ, Reed JC, Daniele RP, Nowell PC. Dexamethasone inhibition of interleukin-1 beta by human monocytes: posttranscriptional mechanisms. J Clin Invest 1988;81:237–44.
Odio CM, Faingezicht I, Paris M, Nassar M, Baltodano A, Rogers J, et al. The beneficial effects of early dexamethasone administration in infants and children with bacterial meningitis. N Engl J Med 1991;324:1535–1.
Prydz H, Allison AC. Tissue thromboplastin activity of isolated human monocytes. Thromb Haemost 1978;39:582–91.
Muhlfelder TW, Niemetz J, Kang S. Glucocorticoids inhibit the generation of leucocyte procoagulant (tissue factor) activity. Blood 1982;60:1169–72.
Galdal KS, Lyberg T, Evensen SA, Nilsen E, Prydz H. Inhibition of thromboplastin response of endothelial cells in vitro. Biochem Pharmacol 1984;33:2723–6.
Bottles KD, Morrissey JH. Dexamethasone enhances agonist induction of tissue factor in monocytes but not in endothelial cells. Blood Coag Fibrinolysis 1993;4:405–14.
Crutchley DJ, Conanan LB, Toledo AW, Solomon De, Que BG. Effects of prostacyclin analogues on human endothelial cell tissue factor expression. Arterioscl Thromb 1993;13:1082–9.
De Prost D, Olliver V, Hakim J. Pentoxyfilline inhibition of procoagulant activity generated by activated mononuclear phagocytes. Mol Pharm 1990;38:562–6.
Crossman DC, Carr DP, Tuddenham GD, Pearson JD, McVey JH. The regulation of tissue factor mRNA in human endothelial cells in response to endotoxin or phorbol ester. J Biol Chem 1990;265:9782–7.
Walsh JD, Geczy CL. Discordant expression of tissue factor antigen and procoagulant activity on human monocytes activated with LPS and low dose cycloheximide. Thromb Haemost 1991;66:552–8.
Stern DM, Bank I, Nawroth PP, Cassimeris J, Kisiel W, Fenton II JW. Self-regulation of procoagulant events on the endothelial cell surface. J Exp Med 1985;162:1223–35.
Hashimoto Y, Hirohata S, Kashiwado T, Itoh K, Ishii H. Cytokine regulation of hamostatic property and IL-6 production of human endothelial cells. Inflamm 1992;16:613–21.
Shreeniwas R, Koga S, Karakurum M, Pinsky D, Kaiser E, Brett J, et al. Hypoxia-mediated induction of endothelial cells interleukin-1α. J Clin Invest 1992;90:2333–9.
Dinarello CA, Wolff SM. The role of interleukin-1 in disease. N Engl J Med 1993;328:106–13.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Heyderman, R.S., Klein, N.J., Daramola, O.A. et al. Modulation of the endothelial procoagulant response to lipopoly-saccharide and tumour necrosis factor-α in-vitro: The effects of dexamethasone, pentoxifylline, iloprost and a polyclonal anti-human IL-1α antibody. Inflamm Res 44, 275–280 (1995). https://doi.org/10.1007/BF02032568
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02032568