Prostacyclin receptor (IP-receptor) agonists display anti-inflammatory and
antiviral activity in cell-based assays and in preclinical models of
asthma and
chronic obstructive pulmonary disease. In this study, we have extended these observations by demonstrating that IP-receptor activation also can enhance the ability of
glucocorticoids to induce genes with anti-inflammatory activity. BEAS-2B bronchial epithelial cells stably transfected with a
glucocorticoid response element (GRE)
luciferase reporter were activated in a concentration-dependent manner by the
glucocorticoid dexamethasone. An IP-receptor agonist,
taprostene, increased cAMP in these cells and augmented
luciferase expression at all concentrations of
dexamethasone examined. Analysis of the concentration-response relationship that described this effect showed that
taprostene increased the magnitude of transcription without affecting the potency of
dexamethasone and was, thus,
steroid-sparing in this simple system.
RO3244794, an IP-receptor antagonist, and
oligonucleotides that selectively silenced the IP-receptor gene, PTGIR, abolished these effects of
taprostene.
Infection of BEAS-2B GRE reporter cells with an adenovirus vector encoding a highly selective inhibitor of
cAMP-dependent protein kinase (PKA) also prevented
taprostene from enhancing GRE-dependent transcription. In BEAS-2B cells and primary cultures of human airway epithelial cells,
taprostene and
dexamethasone interacted either additively or cooperatively in the expression of three
glucocorticoid-inducible genes (GILZ, MKP-1, and p57(kip2)) that have anti-inflammatory potential. Collectively, these data show that IP-receptor agonists can augment the ability of
glucocorticoids to induce anti-inflammatory genes in human airway epithelial cells by activating a cAMP/PKA-dependent mechanism. This observation may have clinical relevance in the treatment of airway inflammatory diseases that are either refractory or respond suboptimally to
glucocorticoids.