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From www.bloodjournal.org by guest on August 11, 2017. For personal use only. Inhibition of Phorbol Ester-Induced Monocytic Differentiation and c-fms Gene Expression by Dexamethasone: Potential Involvement of Arachidonic Acid Metabolites By Richard M. Stone, Kyoko Imamura, Rakesh Datta, Matthew L. Sherman, and Donald W. Kufe The treatment of human U-937 leukemia cells with 12-0tetradecanoylphorbol-13-acetate (TPA) is associated with induction of monocytic differentiation. However, the signaling pathways responsible for induction of the differentiated monocytic phenotype remain unclear. The present studies demonstrate that dexamethasone blocks TPA-induced U-937 cell growth inhibition, adherence, and alphanaphthyl acetate esterase staining. The results also demonstrate that dexamethasone inhibits the appearance of c-fms transcripts associated with TPA treatment. Run-on transcription assays demonstrated that the c-fms gene is transcriptionally active in uninduced U-937 cells and that the rate of transcription is unchanged after dexamethasone and/or TPA treatment. These findings indicated that TPA increases c-fms expression by a dexamethasonesensitive posttranscriptional mechanism. Treatment of U-937 cells with TPA was also associated with stimulation of arachidonic acid metabolism. Furthermore, dexamethasone, an inhibitor of phospholipase A, activity, blocked TPA-induced increases in arachidonic acid release. These findings suggested that TPA may regulate certain features of monocytic differentiation, such as c-fms gene expression, through the formation of arachidonic acid metabolites. Indomethacin, an inhibitor of cyclooxygenase, had no detectable effect on c-fms gene expression. However, the cyclooxygenase metabolite, prostaglandin E, inhibited the TPA-induced increases in c-fms mRNA levels. Taken together, the results indicate that TPA regulates c-fms gene expression by a dexamethasone-sensitive mechanism and that c-fms mRNA levels are controlled by metabolites of the arachidonic acid pathway. 0 7990 by The American Society o f Hematology. T demonstrated that both the CSF-1 and c-fms genes are expressed during monocytic differentiati~n.~.’The c-fms gene shares homology with other tyrosine kinase-encoding protooncogenes.” Moreover, the c-fms product is identical to the CSF-1 receptor.’ These findings have suggested that CSF-1 is capable of regulating monocyte functions by an autocrine mechanism. The c-fms transcripts become detectable a t 12 to 24 hours during TPA-induced monocytic differentiation, while the CSF-1 and T N F genes are expressed as earlier events.3s6Recent studies have demonstrated that c-fms gene expression is regulated a t least in part by a labile protein that stabilizes the c-fms transcript.21However, little is known about the intracellular signal transduction mechanisms associated with the induction of c-fms expression. The results reported here suggest that arachidonic acid metabolites may be involved in TPA-induced signaling events that result in the appearance of a differentiated monocytic phenotype and the regulation of c-fms gene expression. PA (12-0-tetradecanoy1phorbo1-13-acetate)and other tumor-promoting phorbol diesters induce human myeloid leukemic cell lines to differentiate along the monocytic lineage. This induction of a monocytic phenotype includes inhibition of growth, adherence, an increase in monocytic surface markers, and induction of alpha-naphthyl acetate esterase (NSE) staining.’.’ Furthermore, in addition to the down-regulation of c-myc. TPA-induced monocytic differentiation of HL-60 promyelocytic leukemia cells is associated with the appearance of c-fos, c-fms, colony-stimulating factor- 1 (CSF- l ) , platelet-derived growth factor- 1 ( PDGFl), platelet-derived growth factor-2 (PDGF-2), and T N F transcript^.^.^ The TNF, CSF-1, and c-fms (CSF-1 receptor) genes code for proteins involved in monocyte proliferation and a~tivation.’.~ However, the signal transduction pathways responsible for these changes in gene expression during induction of monocytic differentiation by TPA remain unclear. TPA-induced activation of the calcium- and phospholipiddependent protein kinase C’’.” is presumed to represent a critical step in the induction of monocytic differentiation by phorbol diesters. For example, other structurally unrelated agents, such as bryostatin 112 and tele~cidin,’~ also activate protein kinase C and induce monocytic differentiation. Moreover, sphingoid basesL4 and palmitoyl carnitineL5 inhibit activation of protein kinase C as well as phorbol esterinduced monocytic differentiation. However, it is not clear whether the multiple events associated with TPA-induced monocytic differentiation of myeloid leukemic cell lines are a direct consequence of protein kinase C activation. In this regard, TPA may mediate additional biochemical eventsL6 Furthermore, agents that activate protein kinase C are capable of stimulating arachidonic acid metabolism via the activation of phospholipase A2.10,’7,’8 Indeed, recent findings have suggested that TPA induces T N F gene expression through the arachidonic acid cascade and that T N F mRNA levels are controlled by metabolites of this pathway.” CSF-1 is required for the proliferation and differentiation of cells along the monocytic lineage.’ Previous work has Blood, Vol 76, No 6 (September 15). 1990: pp 1225-1232 From the Laboratory of Clinical Pharmacology, Dana-Farber Cancer Institute, Hantard Medical School, Boston, MA. Submitted August 3,1989;accepted May 22,1990. Supported in part by PHS grant no. CA 34183 awarded by the National Cancer Institute, DHHS, by an American Cancer Society Clinical Career Development Award (R.M.S.),and by a Burroughs Wellcome Award in Clinical Pharmacology ( 0 .W.K.). Presented in part at the American Association for Cancer Research, May 1989, San Francisco, CA. Address reprint requests to Richard M. Stone, MD. Laboratory of Clinical Pharmacology. Dana-Farber Cancer Institute. 44 Binney St. Boston, M A 021 15. The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. section I734 solely to indicate this fact. 0 1990 by The American Society of Hematology. 0006-4971/90/7606-0012$3.00/0 1225 From www.bloodjournal.org by guest on August 11, 2017. For personal use only. 1226 STONE ET AL MATERIALS AND METHODS Cell culture. U-937 cells were grown in RPMI 1640 medium (Hazelton Laboratories, Vienna, VA) containing 100 U/mL penicillin, 100 pg/mL streptomycin, and 2 mmol/L L-glutamine in 10% heat-inactivated fetal bovine serum (Sigma Chemical Co, St Louis, MO) at a density of 2 x lO’/mL in a 5% CO, humidified atmosphere at 37OC. Viable cells were determined by trypan blue exclusion. TPA was dissolved in 1% acetone at a stock concentration of 3.3 pmol/L. Dexamethasone, nordihydroguaiaretic acid (NDGA), esculetin (BIOMOL Research Laboratories, Plymouth Meeting, PA), ketoconazole, caffeic acid, 5(S)-hydroperoxyeicosatetraenoic acid (5HPETE) (BIOMOL), indomethacin, and prostaglandin E, (PGE,) were dissolved in 100% ethanol. The final concentration of ethanol did not exceed 0.1%. All chemicals were obtained from Sigma, unless otherwise noted. Induction of monocytic differentiation. Cell adhesion was determined by calculating the percentage of nonadherent cells compared with total cells (after adherent cells were scraped from plastic culture flasks) after 1 day of treatment. Cytocentrifuge smears of cells were examined for NSE stainingz2after 2 days of treatment. RNA extraction and hybridization. Total cellular RNA was purified by the guanidine isothiocyanate-cesium chloride method,23 analyzed by gel electrophoresis through 1% agarose-formaldehyde gels and transferred to nitrocellulose filters.24Hybridization conditions were as described.’ Autoradiograms were scanned by laser densitometry. Probes included the 1.6-kilobase (Kb) ClaI/EcoRI fragment of the human c-myc 3’ exon purified from the pM C41-3 RC plasmid,25 the 1.8-Kb PstI fragment of the chicken @-actingene purified from the pAI plasmid,z6the 4.0-Kb EcoRI fragment of the c-fms gene isolated from the pclfms 102 plasmid,” and the 1.1-kb PstI fragment of the pE4 plasmid containing tumor necrosis factor (TNF) cDNA.6 Run-on transcription assay. Labeled nuclear RNA was prepared2’ and hybridized to plasmid DNA (equivalent to 2 pg of insert) that had been run in a 1% agarose gel and transferred to a nitrocellulose filter. The prehybridization and hybridization conditions were as previously described” except that the hybridizations were performed for 72 hours at 55OC and the concentration of RNase in the wash was 500 ng/mL. The ”P-labeled RNA was hybridized to PstI-digested chicken @-actinpAl plasmid, resulting in a 1.8-Kb insert,26 and EcoRI-digested pclfms 102 plasmid, resulting in a 4.0-Kb fragment containing the human clfms cDNA.” Measurement of arachidonic acid release. Arachidonic acid release was monitored as described.” Cells in logarithmic growth phase were incubated for 16 hours in 0.1 pCi/mL [5,6,8,9, 11,12,14,15-3H]arachidonic acid (87 Ci/mmol; Amersham Corp, Arlington Heights, IL). The cells were then washed in phosphatebuffered saline, resuspended in medium with or without dexamethasone for 30 minutes, then exposed to 8 nmol/L TPA. Release of tritium into cell-free supernatants was then determined by scintillation counting. Measurement of protein kinase C activity. U-937 cells were suspended in serum-free RPMI 1640 medium and treated with 8 nmol/L TPA for 5 minutes at 37OC. In certain experiments, the cells were pretreated with 1 pmol/L dexamethasone or 50 pmol/L NDGA for 30 minutes. After pelleting and washing in phosphatebuffered saline (Ca++- and Mg++-free), cells were lysed by 10 passages through a 25-gauge needle and reconstituted in buffer A (20 mmol/L Tris-HCI, pH 7.5, 100 pg/mL aprotinin, 0.25 mmol/L leupeptin, and 1 mmol/L phenylmethylsulfonyl fluoride). The cytosolic fraction was obtained after microcentrifugation. The particulate fraction was solubilized with buffer A containing 1% Triton X-100for 15 minutes on ice. Protein kinase C was partially purified by passage through 0.5 mL diethylaminethyl-cellulose columns and eluted with 80 mmol/L NaCI. Aliquots of column eluate were assayed in the presence of 10 mmol/L MgCI,, 20 pg of histone HI, lo6 cpm [y-32P]adenosine triphosphate (3,000 Ci/mmol, Amersham; final specific activity, approximately 400 cpm/pmol), and 11.7 nmol/L TPA with or without 8 pg/mL phosphatidylserine and 1 mmol/L CaCI,. After incubation for 10 minutes at 3OoC, bound radioactivity was determined by precipitation with 25% trichloroacetic acid and collection onto filters under vacuum. Protein kinase C activity was determined by subtracting the amount of ”P (per milligram protein) incorporation into histone noted in the absence of added phospholipids and calcium from the amount of ”P incorporation in their presence. RESULTS The treatment of U-937 cells with 8 nmol/L TPA resulted in the appearance of a differentiated monocytic phenotype. For example, U-937 cell proliferation was completely inhibited by TPA exposure (Fig 1). In contrast, while dexamethasone alone had no detectable effect on proliferation of U-937 cells, this agent partially blocked the growth inhibitory effects of TPA (Fig 1). Dexamethasone also inhibited the effects of TPA on other phenotypic markers. In this regard, 56% of the U-937 cells were adherent after a 24-hour exposure to TPA (Table 1). However, only 9% of these cells adhered to the flask following treatment with both dexamethasone and TPA. Dexamethasone also blocked TPA-induced increases in NSE staining (Table 1). These findings suggested that dexamethasone inhibits multiple phenotypic changes associated with the induction of monocytic differentiation. Further studies were performed to determine whether dexamethasone also blocks changes in gene expression during TPA-induced monocytic differentiation. We previously demonstrated that c-fms transcripts are induced in HL-60 I E v) 0 r l o 0 r - l I I Days Fig 1. Effects of TPA and dexamethasone (DEX) on U-937 cell growth. Viable cell counts were determined by trypan blue exclusion for untreated U-937 cells (0).cells treated with 8 nmol/L TPA (W)* 1 pmol/L dexamethasone (01, or 1 pmol/L dexamethasone for 30 minutes before adding 8 nmol/L TPA ( 0 ) .Values represent the mean f SE for three separate experiments. From www.bloodjournal.org by guest on August 11, 2017. For personal use only. DEXAMETHASONE INHIBITS C-FMS INDUCTION 1227 a a Table 1. Effects of TPA and Dexamethasoneon Monocytic Differentiation in U-937Cells U-937 cells (untreated) TPA (8 nmol/L) Dexamethasone ( 1 pmol/L) Dexamethasone (1 pmol/L), 30 min prior to TPA (8 nmol/L) % Adherence. % NSE Positivet 0 5 6 + 11 12 f 1 4+2 29 + 8 7 + 1 9+8 11 + 6 In each case, data was obtained from three separate experiments. *Mean + SE percent adherent cells after 1 day of treatment. tMean + SE percent of strongly positive cells after 2 days of treatment. cells by 24 hours of TPA exposure.’ Similar findings were obtained in the present study (Fig 2). In contrast, T N F mRNA was detectable at 3 to 6 hours and was downregulated by 24 hours of TPA treatment (Fig 2). The level of c-myc transcripts was also down-regulated by 24 hours of exposure to this agent (Fig 2). The effects of dexamethasone on changes in c-fms and c-myc expression were therefore monitored at 24 hours of TPA treatment, while similar studies were performed at 3 hours for changes in T N F mRNA levels. Dexamethasone alone had no detectable effect on c-fms expression (Fig 3). However, this agent completely inhibited the induction of c-fms transcripts by TPA (Fig 3). 28s - c i 28s - 1 18s - 28s - 18s Fig 3. Effects of TPA and dexamethasone (DEX) on c-fms, c-myc, and actin expression. U-937 cells were treated with 8 pmol/L TPA, 1 pmol/L dexamethasone, or 1 pmol/L dexamethasone for 30 minutes before adding TPA. Total cellular RNA (20 p g ) was isolated at 24 hours for Northern analysis with the ’*P-labeled c-fms, c-myc, and actin probes. c-fms 18s - 28s - TNF 18s - 28s - c-myc 18s Fig 2. Effects of TPA on c-fms. TNF, and c-myc mRNA levels in US37 cells. U-937cells were treated with 8 nmol/L TPA for the indicated times. Total cellular RNA (20 pg) was analyzed as described6and hybridized t o the 32P-labeledc-fms, TNF, and c-myc cDNA probes. Dexamethasone also blocked TPA-induced T N F expression (data not shown), as previously shown in HL-60 cells,” but had no effect on the down-regulation of c-myc expression (Fig 3). Moreover, dexamethasone alone or in combination with TPA had no detectable effect on actin mRNA levels (Fig 3). These findings indicated that dexamethasone inhibits pathways involved in the induction of c-fms and T N F expression, but not in the down-regulation of c-myc expression. To further analyze the effects of dexamethasone on c-fms expression, we measured the rate of c-fms gene transcription in isolated nuclei by the run-on transcription assay procedure. Although c-fms transcripts were undetectable by Northern analysis (Fig 2), the c-fms gene was transcriptionally active in uninduced U-937 cells (Fig 4). Furthermore, there was no detectable increase in c-fms gene transcription associated with the appearance of c-fms transcripts after 24 hours of TPA treatment. These findings suggested that c-fms expression is controlled posttranscriptionally in these cells. Treatment with dexamethasone alone or in combination with TPA also had no effect on rates of c-fms transcription (Fig 4). These results further implied that dexamethasone inhibits the posttranscriptional regulation of c-fms expression by TPA. The finding that dexamethasone, an inhibitor of phospholi- From www.bloodjournal.org by guest on August 11, 2017. For personal use only. I228 Fb4. STONEETM Hhen d TPA and dounw(h..arw (WX) on rotom d e - . l k r g . r w t . blg..nd~andolkrplomld DMAmm e run on0 1% .gwoaooI(. trwa(.rrdto nhrocr*ub.. p . 9 by ~ Bovmwn bhtlng. wd hybrldh.d ro "Uu.mountrd " P - b b d d nodwr RNA (4 x le cpmlmL) W r d from control (U-937). T P A - n w d ah.d o r o n w t h w - t r w t d cob. and cell8 rrwnd with d o x o m m for *ut@# b.tor. Odd- TPA. -Id [email protected] 24 hour8 . h W drug r r ~ r ~Kbg. t .kibb@wp h 8 . m paw A? activity.?' blocked certain features associated with TPA-induced monocytic differentiation prompted further studies monitoring the etTects of this agent on arachidonic acid release. In this context. phorbol aten that activate protein kinase C also stimulate arachidonic acid metab olism."" Similar findings were obtained in TPA-treated W-937 cells. For example. TPA increased tritium release from ['H ]arachidonic acid-labeled cells by approximately 4 0 7 over that in uninduced cells (Fig SA). In contrast. while dexamethasone alone had nodetectable effect on arachidonic acid release. thisagent blocked the increases induced by TPA (Fig 3R). These findings suppated that the effects of dexamethasone may be. at least in part. related to inhibition of arachidonic acid release. After its release from membranebound phaopholipids. arachidonic acid is further metabolized to leukotriena by 5-lipoxygenase and to pmtaglandins by cyclooxygenase.'Y Consequently. further experiments were performed in the pmencc of N X J A . an inhibitor of 5-lipoxygenase."' N f f i A (30pmollL) alone had no detectable etTm on levelsof c-/mJ mRWA (Fig 6).However. treatment with this 5-lipoxygenasc inhibitor and TPA multed in nearly complete inhibition of TPA-induced c - 1 . 5 expration (fig 6). ND(;A also blocked the induction of T S F expression by TPA. but had no detectable effect on actin mRXA levels (Fig 6). However. given the potential of this concentration of N D S A to affecl other pathways." additional inhibitors of 5-lipoxygenase were tested." I' Neither I O to 100 pmol/L caffeic acid. 20 to F8g 6. Hhen d W A and od I W X ) on "hMo& odd rdowo (rom U-W7 cdn. (AI UW7OrOr worm pnhbdodrrkh pt)."k addfor 18 bar.. Wnh.d. and expawd to8 nmd/L WA. R.k...d nhkm Imo lha rupwn" W n m0nhor.d n rho Miutdr h o 8 for the u n t r n t d (0) ond T P A - t r w d (0)cob. (E) U-937 & were p o b b d d whh ['H)u.dJdmkodd. mrh.d. and k u b t d with 1 Lmo(lL dononmhauww. A b r 30 mlnucw. 8 nmo(/L TPA rm .bd.d for n .ddtrrorul2 houn and the cJh*e w p u r u t m s hard(a rrirkm reloow. V o k m reprosent rho myn (R for *wee s o p r o t e erprknmtr. CO. u w r w d &. - ~ From www.bloodjournal.org by guest on August 11, 2017. For personal use only. 1229 DEXAMETHASONE INHlBrrS C - n S INDUCTION Q Q c I 28s - 1 I 18s 28s 18s - TNF (3h) N D G A in these studies may have blocked the increases in c-fms expression by altering TPA-induced activation of protein kinase C. We therefore monitored the effects of these agents on the translocation of protein kinase C activity from the cytosol to membrane fractions. Treatment of U-937cells with TPA was associated with an increase in membranebound protein kinase C activity and a decline in that found in the cytosol (Fig 8). Dexamethasone or NDGA alone had little. if any. effect on the distribution of protein kinase C activity in u n i n d u d U-937 cells (data not shown). Moreover, TPA-induced translocation of protein kinase C activity was similar in the presence of these agents to that obtained with TPA alone (Fig 8). These results suggested that the effects of dexamethasone and NDGA on TPA-induced c-fms expression are not associated with inhibition of protein kinase C. I G O cu W 6 W 0 (3 0 (3 Z - a. Z a. 28s y Fig 6. EChcn of TPA and NodA on c-*nr. TNF. and actin mRNA lovole. U-937 d l r w u a treated with 8 mndlL TPA. 60 #tmol/L NDGA, or 60 #tmdlL N W A for 30 minutee bofora adding TPA. Total d l u b r RNA was iwbted at 3 and 24 hours for hybridization to the mP-labaledDNA prok.. 100 pmol/L ketoconazole. nor 5 to 50 pmol/L esculetin inhibited the induction of c-fms expression observed after 24 hours of TPA treatment (data not shown). Furthermore. treatment of U-937cells for 24 hours with lOor 100 nmol/L 5-HPETE. the primary metabolite of arachidonic acid via the 5-lipoxygenase pathway. failed to induce c-Jms mRNA (data not shown). These findings suggested that the formation of eicosanoidsother than through the activity of S-lipoxygenase may be involved in the regulation of c-fms gene expression. Studies were also performed with indomethacin, an inhibitor of cyclooxygenase.” and PGE,. a prostaglandin metabolite of the cyclooxygenase pathway. Treatment of U-937cells with indomethacin or PGE,alone had nodetectable effect on c-fms mRNA levels (Fig 7). Furthermore. indomethacin had no effect on the induction of c-fms expression by TPA (Fig 7). However. exposure of U-937cells to PGE, was associated with a 53% decrease in levels of c-fms transcripts induced during TPA treatment (Fig 7). These agents had similar effects on TNFexpression. although PGE,completely blocked the induction of T N F transcripts by TPA (Fig 7). In contrast. indomethacin and PGE, had little. if any, erect on changes in c-myc expression or actin mRNA levels (Fig 7). Taken together. these results suggested that the induction of c-/” expression by TPA is mediated through the arachidonic acid cascade. However. the use of dexamethasone and 28s- - - 9 0 ;+ W 18s - 28s 18s - 7 -1 1 I 28s 18s - Fig 7. EChcn of TPA, hrd0nnt)UdnImoO),and WE, on gono o x p r . u k n in U-937 colts. U-937 edlr ware treated with 8 d l L TPA. 10 p d l L indomethacin. 1 pmol/L PGE,. 10 pmotlL Momothadn for 30 minutoe before adding TPA. or 1 #tmd/L PGE, for 30 minutoe befor0 adding TPA. Total cellular RNA (20 pg) war ieolated at 3 and 24 hours for hybridization to the indicated =P-labd.d prob... From www.bloodjournal.org by guest on August 11, 2017. For personal use only. 1230 STONE ET AL arachidonic acid release. Furthermore, inhibitors of phospholipase A, block both TPA-induced increases in arachidonic acid metabolism and T N F gene expression.” These findings suggested that arachidonic acid metabolites are involved in the regulation of T N F expression during monocytic differentiation. The studies reported here in U-937 cells have examined whether the arachidonic acid cascade is similarly involved in the regulation of other events associated with TPA-induced monocytic differentiation. TPA treatment of U-937 cells was associated with increases in arachidonic acid .E 0 @ E release that were comparable to that reported for HL-60 - P o w cells.” Moreover, dexamethasone inhibited the stimulation L 0.0 n of arachidonic acid metabolism by TPA. The hydrolysis of TPA DEX NDGA co membrane phospholipids by phospholipase A, is ratelimiting in leukotriene and prostaglandin ~ynthesis.~’ FurtherTPA TPA more, glucocorticoids, such as dexamethasone, have been Fig 8. Effects of TPA, dexamethasone (DEXI, and NDGA on shown to inhibit phospholipase A,, presumably through the protein kinase C activity. U-937 cells were treated with 8 nmol/L induction of l i p ~ c o r t i n .Treatment ~~ of U-937 cells with TPA for 5 minutes. Cells were also pretreated with 1 pmol/L dexamethasone also blocked certain phenotypic characterisdexamethasone or 50 pmol/L NDGA for 30 minutes before adding tics of TPA-induced monocytic differentiation, such as growth the TPA. Protein kinase C activity was determined for the inhibition, adherence, and NSE staining. While other work cytosolic ( 0 )and membrane (H) fractions. The results are expressed as the mean ? SD for three determinations. CO, untreated has demonstrated that dexamethasone blocks the appearance cells. of a differentiated murine erythroleukemia cell phen~type,~’ previous studies have not demonstrated an inhibitory effect DISCUSSION of this agent on induction of human myeloid differentiation. The possible role of arachidonic acid metabolites in Human myeloid leukemia cell lines differentiate along the TPA-induced monocytic differentiation of U-937 cells was monocytic lineage following treatment with certain phorbol esters.’ This induction of monocytic differentiation is associexamined further in terms of the regulation of c-fms gene expression. The c-fms gene codes for the CSF-1 receptor’ ated with changes in both phenotypic characteristics and While these findings have demonstrated and is expressed during induction of monocytic, but not gene granulocytic, differentiati~n.~ While c-fms transcripts are that the block in differentiation associated with leukemogenalso detectable in trophoblasts:’ expression of this gene esis is reversible, little is known about the intracellular appears to be specific for the monocytic lineage in hematopoisignaling mechanisms responsible for inducing the differentietic cells. Recent studies have demonstrated that c-fms ated phenotype. Phorbol esters, such as TPA, that activate transcripts are stabilized by a labile protein during induction protein kinase C also induce differentiation. However, the of monocytic differentiation.” The present studies similarly relationship between this activation and induction of differendemonstrate posttranscriptional regulation of c-fms mRNA tiation has remained unclear. levels in TPA-treated U-937 cells. Furthermore, the results Previous studies have demonstrated that induction of indicate that dexamethasone inhibits this effect of TPA on monocytic differentiation is associated with the downc-fms expression. While these findings suggested that arachiregulation of c-myc expression and appearance of c-fos donic acid metabolites are involved in the posttranscriptional transcript^.^ The decrease in c-myc mRNA levels may be regulation of this gene, dexamethasone may have blocked sufficient to induce myeloid d i f f e r e n t i a t i ~ nIn . ~ contrast, ~ the this effect of TPA by modulating other signaling event^.^' induction of c-fos expression is neither sufficient nor required for induction of the differentiated monocytic phen~type.’~ However, there was no detectable inhibitory effect of dexamethasone on TPA-induced activation of protein kinase C in Other studies have demonstrated that TPA-induced monothese cells. cytic differentiation is associated with expression of the Previous studies have examined arachidonic acid metaboTNF, c-fms, CSF-1, PDGF-1, and PDGF-2 genes.’”*’’ lism during induction of monocytic differentiation. For These genes code for products involved in the regulation and example, treatment of U-937 cells with TPA is associated function of cells differentiated along the monocytic lineage. with an increase in phospholipase A, activity and secretion of While certain insights are available regarding the downcyclooxygenase metabolites, including PGE,, thromboxane regulation of c-myc transcripts during monocytic A,, and thromboxane B,.4,s4’ Other studies have demondifferentiati~n,~’ signaling events involved in the regulation strated that TPA-induced monocytic differentiation of HL-60 of genes coding for monocyte membrane or secreted products cells is associated with increases in the activities of prostaglanremain poorly understood. din H synthetase and thromboxane synthase.44 In contrast, The induction of T N F transcripts is one of the earliest there is no available evidence that leukotriene synthesis is detectable changes in gene expression associated with TPAincreased during differentiation of these cells along the induced monocytic differentiation.” Treatment of certain monocytic lineage.42.44In the present studies, NDGA, an myeloid cells with TPA is associated with increases in + + From www.bloodjournal.org by guest on August 11, 2017. For personal use only. 1231 DEXAMETHASONE INHIBITS C-FMSINDUCTION inhibitor of 5-lipoxygenase and leukotriene synthesis, blocked TPA-induced c-fms gene expression. These findings suggested that 5-lipoxygenase metabolites might be involved in the regulation of this gene. However, other known inhibitors of 5-lipoxygenase had no detectable effect on the induction of c-fms transcripts by TPA. Furthermore, there was no detectable effect of adding 5-HPETE on c-fms expression. Taken together with the previous findings in TPA-treated U-937 and HL-60 cells, the present results would suggest that leukotrienes may have little, if any, involvement in regulating c-fms mRNA levels during monocytic differentiation. The involvement of eicosanoids in the regulation of c-fms gene expreSsion is, however, supported by the findings with PGE,. In the present work, PGE, partially down-regulated TPA-induced increases in c-fms m R N A levels. Previous studies have also demonstrated that PGE, inhibits macrophage colony formation.45The basis for these effects remains unclear, although PGE, has been shown to increase cyclic adenosine monophosphate (CAMP) levels in myeloid cells46 and, thus, certain monocyte functions may be inhibited through CAMP-dependent protein kinase activity. On the basis of the present results, indomethacin, an inhibitor of cyclooxygenase activity, might have been expected to increase levels of c-fms transcripts, unless PGE, synthesis was already partly inhibited during induction of differentiation. Indeed, the increase in PGE, secretion from TPA-treated U-937 cells was relatively low in the absence of exogeneous arachidonic acid.42 In summary, the finding that dexamethasone blocks TPAinduced increases in c-fms gene expression has suggested involvement of the arachidonic acid cascade. The present results and previous studies4, have demonstrated that T P A treatment of U-937 cells is associated with increases in phospholipase A, activity and that this effect is sensitive to dexamethasone. While there is little evidence to support leukotrienes in the regulation of c-fms mRNA levels, the results suggest that the cyclooxygenase metabolite, PGE,, down-regulates expression of this gene. Further studies are required to define which arachidonic acid metabolites play a role in the induction of c-fms expression. REFERENCES 1. Rovera G, Ferraro DL, Pagliardi GL, Vartikar J, Pessano S, Bottera L, Abraham S, Lebman S: Induction of differentiation of human myeloid leukemias by phorbol esters: Phenotypic changes and mode of action. Ann N Y Acad Sci 397:211,1982 2. Rovera G, O'Brien TG, Diamond L: Induction of differentiation in human promyelocytic leukemia cells by tumor promotors. Science 204:868, 1979 3. 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For personal use only. 1990 76: 1225-1232 Inhibition of phorbol ester-induced monocytic differentiation and c-fms gene expression by dexamethasone: potential involvement of arachidonic acid metabolites RM Stone, K Imamura, R Datta, ML Sherman and DW Kufe Updated information and services can be found at: http://www.bloodjournal.org/content/76/6/1225.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. 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