Macrophages are key inflammatory cells in
chronic obstructive pulmonary disease (
COPD). The pathophysiology of cigarette
smoke-induced lung
emphysema is complex but there is a clear role for
reactive oxygen species (ROS, such as
peroxynitrite),
tumor necrosis factor (
TNF-alpha) and
interleukin (IL)-8. We investigated whether
TNF-alpha or cigarette
smoke medium (CSM) alone or in combination induces the production of
IL-8 by human macrophages or monocyte
lymphoma U937. CSM and
TNF-alpha induce a dose- and time-dependent increase in
IL-8 production. Interestingly, when sub-threshold concentrations of CSM and
TNF-alpha were co-incubated, a 1500% increase in
IL-8 production was observed compared to either of the compounds alone. Similar results were obtained with
TNF-alpha and the
peroxynitrite donor SIN-1. Moreover, the overproduction of
IL-8 was associated with an enhanced increase in the translocation of
NF-kappaB and an enhanced decrease in
glutathione levels. Preincubation of the cells with
antioxidants, such as
N-acetyl-L-cysteine (NAC), prevented the overproduction of
IL-8 and activation of
NF-kappaB. In conclusion, CSM exposure of macrophages up-regulates the expression and the production of
IL-8 via
reactive oxygen species and
NF-kappaB activation. Moreover, CSM dramatically enhances the production of
IL-8 in combination with
TNF-alpha. Based upon the strong synergistic action, a combination
therapy directed against ROS and
TNF-alpha could be a new approach to stop the progression in lung damage during
emphysema.