In this study, the effects and underlying mechanisms of
NCX 4040, a
nitric oxide (NO)-donating
aspirin derivative, on the production of proinflammatory mediators were examined using murine macrophages exposed to
lipopolysaccharide (LPS) from Prevotella intermedia, a pathogen implicated in the etiology of
periodontal disease.
NCX 4040 significantly reduced P. intermedia LPS-induced production of inducible
NO synthase (iNOS)-derived NO, IL-1β and
IL-6 as well as their
mRNA expression in RAW264.7 cells. Notably,
NCX 4040 was much more effective than the parental compound
aspirin in reducing LPS-induced production of inflammatory mediators.
NCX 4040 induced the expression of
heme oxygenase-1 (HO-1) in cells treated with P. intermedia LPS, and the suppressive effect of
NCX 4040 on LPS-induced NO production was significantly reversed by SnPP, a competitive HO-1 inhibitor.
NCX 4040 did not influence LPS-induced phosphorylation of JNK and p38. IκB-α degradation as well as nuclear translocation and
DNA-binding activities of NF-κB p65 and p50 subunits induced by P. intermedia LPS were significantly reduced by
NCX 4040. Besides, LPS-induced phosphorylation of STAT1 and STAT3 was significantly down-regulated by
NCX 4040. Further,
NCX 4040 elevated the SOCS1
mRNA in cells stimulated with LPS. This study indicates that
NCX 4040 inhibits P. intermedia LPS-induced production of NO, IL-1β and
IL-6 in murine macrophages through anti-inflammatory HO-1 induction and suppression of NF-κB, STAT1 and STAT3 activation, which is associated with the activation of SOCS1 signaling.
NCX 4040 could potentially be a promising tool in the treatment of
periodontal disease, although further studies are required to verify this.