p38 mitogen-activated protein kinase (MAPK) signaling is known to be increased in
chronic obstructive pulmonary disease (
COPD) macrophages. We have studied the effects of the
p38 MAPK inhibitor N-cyano-N'-(2-{[8-(2,6-difluorophenyl)-4-(4-fluoro-2-methylphenyl)-7-oxo-7,8-dihydropyrido[2,3-d]-pyrimidin-2-yl]amino}ethyl)
guanidine (
SB706504) and
dexamethasone on
COPD macrophage inflammatory gene expression and
protein secretion. We also studied the effects of combined
SB706504 and
dexamethasone treatment.
Lipopolysaccharide (LPS)-stimulated monocyte derived macrophages (MDMs) and alveolar macrophages (AMs) were cultured with
dexamethasone and/or
SB706504. MDMs were used for gene array and
protein studies, whereas
tumor necrosis factor (
TNF) alpha protein production was measured from AMs.
SB706504 caused transcriptional inhibition of a range of
cytokines and
chemokines in
COPD MDMs. The use of
SB706504 combined with
dexamethasone caused greater suppression of gene expression (-8.90) compared with
SB706504 alone (-2.04) or
dexamethasone (-3.39). Twenty-three genes were insensitive to the effects of both drugs, including
interleukin (IL)-1beta,
IL-18, and
chemokine (CC motif)
ligand (CCL) 5. In addition, the chromosome 4
chemokine cluster members, CXCL1, CXCL2, CXCL3, and CXCL8, were all
glucocorticoid-resistant.
SB706504 significantly inhibited LPS-stimulated
TNFalpha production from
COPD and smoker AMs, with near-maximal suppression caused by combination treatment with
dexamethasone. We conclude that
SB706504 targets a subset of inflammatory macrophage genes and when used with
dexamethasone causes effective suppression of these genes.
SB706504 and
dexamethasone had no effect on the transcription of a subset of LPS-regulated genes, including IL-1beta,
IL-18, and CCL5, which are all known to be involved in the pathogenesis of
COPD.