Cyclooxygenase (COX)-2 is among the endothelial genes upregulated by uniform laminar shear stress (LSS), characteristically associated with atherosclerotic lesion-protected areas. We have addressed whether the induction of COX-2-dependent
prostanoids in endothelial cells by LSS plays a role in restraining endothelial
tumor necrosis factor (
TNF)-alpha generation, a proatherogenic
cytokine, through the induction of
heme oxygenase-1 (HO)-1, an
antioxidant enzyme. In human umbilical vein endothelial cells (HUVECs) exposed to steady LSS of 10 dyn/cm(2) for 6 hours, COX-2
protein was significantly induced, whereas COX-1 and the downstream synthases were not significantly modulated. This was associated with significant (P<0.05) increase of 6-keto-prostaglandin (PG)F(1alpha) (the hydrolysis product of
prostacyclin),
PGE(2), and
PGD(2). In contrast,
TNF-alpha released in the medium in 6 hours (3633+/-882 pg) or detected in cells lysates (1091+/-270 pg) was significantly (P<0.05) reduced versus static condition (9100+/-2158 and 2208+/-300 pg, respectively). Coincident induction of HO-1 was detected. The finding that LSS-dependent reduction of
TNF-alpha generation and HO-1 induction were abrogated by the selective inhibitor of COX-2
NS-398, the nonselective COX inhibitor
aspirin, or the specific
prostacyclin receptor (IP) antagonist
RO3244794 illuminates the central role played by LSS-induced COX-2-dependent
prostacyclin in restraining endothelial
inflammation.
Carbacyclin, an agonist of IP, induced HO-1. Similarly to inhibition of
prostacyclin biosynthesis or activity, the novel
imidazole-based HO-1 inhibitor QC15 reversed
TNF-alpha reduction by LSS. These findings suggest that inhibition of COX-2-dependent
prostacyclin might contribute to acceleration of
atherogenesis in patients taking traditional nonsteroidal antiinflammatory drugs (
NSAIDs) and
NSAIDs selective for COX-2 through downregulation of HO-1, which halts
TNF-alpha generation in human endothelial cells.