At present, the exact mechanism of the pathogenic effect of anti-PR-3
antibodies remains unknown. Interaction of
anti-neutrophil cytoplasmic antibodies (ANCAs) with human umbilical vein endothelial cells (HUVECs) may play a key role. Recently we were able to show that ANCAs recognize their target
antigen, PR-3, translocated into the membrane of HUVECs. The objective of this study was to investigate regulation, i.e. signal transduction pathways, of PR-3 expression in endothelial cells. HUVECs were isolated according to the method of Jaffe et al. and cultured under standard conditions. A cyto-
enzyme-linked
immunosorbent assay (ELISA) with unfixed cells was performed. Membrane-expressed PR-3 was detected by affinity-purified and monoclonal anti-PR-3 Ab. Tumour
necrosis factor alpha (
TNF-alpha)-induced membrane expression of PR-3 could be blocked with the
RNA synthesis inhibitor actinomycin D, the
protein kinase C (PKC) and
proteinase A (
PKA) inhibitor staurosporine, the specific
PKA inhibitor calphostin C, the c-
AMP-dependent
PKA inhibitor KT5720 and the
tyrosine kinase inhibitor genistein in a dose-dependent manner. The effect of
calphostin C was the most significant. In addition, the effect of
phorbol 12-myristate 13-acetate (PMA), a mediator of intracellular second messengers, was investigated. In our study, pretreatment of cells with PMA for 48 h led to a down-regulation of PR-3 expression. This effect, however, could be overridden by
TNF-alpha stimulation, i.e.
TNF-alpha-induced membrane expression of PR-3 was resistant to down-regulation of PKC. In conclusion, our data suggest that translocation of PR-3 in HUVECs is an active process depending on
protein synthesis. PR-3 expression by HUVECs may involve a PKC reactive to
cytokines such as
TNF-alpha which induces PR-3 expression at a transcriptional level.