Vesnarinone, a synthetic
quinolinone derivative used in the treatment of
cardiac failure, exhibits immunomodulatory, anti-inflammatory, and cell growth regulatory properties. The mechanisms underlying these properties are not understood, but due to the critical role of nuclear
transcription factor NF-kappa B in these responses, we hypothesized that
vesnarinone must modulate
NF-kappa B activation. We investigated the effect of
vesnarinone on
NF-kappa B activation induced by inflammatory agents.
Vesnarinone blocked TNF-induced activation of
NF-kappa B in a concentration- and time-dependent manner. This effect was mediated through inhibition of phosphorylation and degradation of
I kappa B alpha, an inhibitor of
NF-kappa B. The effects of
vesnarinone were not cell type specific, as it blocked TNF-induced
NF-kappa B activation in a variety of cells.
NF-kappa B-dependent reporter gene transcription activated by TNF was also suppressed by
vesnarinone. The TNF-induced
NF-kappa B activation cascade involving
TNF receptor 1-TNF receptor associated death domain-
TNF receptor associated factor 2 NF-kappa B-inducing
kinase-IKK was interrupted at the
TNF receptor associated factor 2 and
NF-kappa B-inducing
kinase sites by
vesnarinone, thus suppressing
NF-kappa B reporter gene expression.
Vesnarinone also blocked
NF-kappa B activation induced by several other inflammatory agents, inhibited the TNF-induced activation of
transcription factor AP-1, and suppressed the TNF-induced activation of
c-Jun N-terminal kinase and
mitogen-activated protein kinase kinase. TNF-induced cytotoxicity,
caspase activation, and lipid peroxidation were also abolished by
vesnarinone. Overall, our results indicate that
vesnarinone inhibits activation of
NF-kappa B and
AP-1 and their associated
kinases. This may provide a molecular basis for
vesnarinone's ability to suppress
inflammation,
immunomodulation, and growth regulation.