The
cholinergic nervous system controls
inflammation by inhibiting the release of proinflammatory
cytokines such as
tumor necrosis factor (
TNF) alpha from
lipopolysaccharide (LPS)-stimulated macrophages. The key endogenous mediator of this so-called cholinergic anti-inflammatory pathway is
acetylcholine, the principal
neurotransmitter of the vagus nerve, which specifically interacts with alpha7
cholinergic receptors expressed by macrophages and other cell types to inhibit
TNF-alpha production. We here investigated the capacity of the selective alpha7
cholinergic receptor agonist 3-(2,4-dimethoxybenzylidene)
anabaseine (GTS-21) to inhibit LPS-induced inflammatory responses in mice in vivo. To this end, mice received an
intraperitoneal injection of LPS (from Escherichia coli, 200 microg) preceded by
GTS-21 (4 mg/kg) or vehicle.
GTS-21 strongly inhibited LPS-induced
TNF-alpha release into the peritoneal cavity and the circulation. In addition,
GTS-21 attenuated the influx of neutrophils into peritoneal fluid upon administration of LPS. This inhibitory effect on neutrophil recruitment by
GTS-21 was independent of its effect on
TNF-alpha release, considering that
etanercept, a potent
TNF-alpha-blocking
protein containing the extracellular domain of the p75
TNF-alpha receptor, did not influence LPS-induced neutrophil influx either in the presence or in the absence of
GTS-21 treatment.
GTS-21 did not reduce the local secretion of
macrophage inflammatory protein 2 and keratinocyte-derived
cytokine, suggesting that altered concentrations of these neutrophil-attracting
chemokines did not contribute to GTS-21-induced inhibition of neutrophil migration. These data identify a novel anti-inflammatory effect of chemical alpha7
cholinergic receptor stimulation that is independent from its capacity to inhibit
TNF-alpha production.