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Prostaglandins Leukot Essent Fatty Acids. 2003 Oct;69(4):229-35.
Macrolide antibiotics inhibit prostaglandin E(2) synthesis and mRNA expression of prostaglandin synthetic enzymes in human leukocytes.

Miyazaki M, Zaitsu M, Honjo K, Ishii E, Hamasaki Y.

Department of Pediatrics, Faculty of Medicine, Saga Medical School, 5-1-1 Nabeshima, 849-8501, Saga, Japan

We investigated the action of macrolide antibiotics, which are considered to have anti-inflammatory activity, on lipopolysaccharide (LPS)-stimulated prostaglandin (PG) E(2) synthesis and the expression of mRNAs for cytosolic phospholipase A(2) (cPLA(2)), cyclooxygenase (COX)-1, and COX-2 in human leukocytes. The production of LPS-stimulated PGE(2) was significantly increased in peripheral polymorphonuclear leukocytes (PMNLs) and in mononuclear leukocytes (MNLs). Amounts of mRNAs for COX-2 and cPLA(2), but not for COX-1, were enhanced by LPS in PMNLs and MNLs. The LPS-enhanced PGE(2) synthesis and the expression of cPLA(2) and COX-2 mRNAs were inhibited by clarithromycin, azithromycin and dexamethasone in PMNLs and MNLs. The mRNA expression of COX-1 in PMNLs was decreased by clarithromycin and azithromycin. Macrolide antibiotics inhibited PGE(2) synthesis in human leukocytes by suppressing cPLA(2), COX-1, and COX-2 mRNA expression. These data indicate one mechanism of macrolide anti-inflammatory activity.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12907132&dopt=Abstract [PubMed - in process]

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