OMEGA-3 fatty acids contribute to plaque stability differentially affecting the release of matrix metalloproteinases and tissue inhibitors of metalloproteinases by human monocytes/macrophages in culture

Objectives. High intakes of omega-3 fatty acids has been associated with protection from plaque rupture. The secretion of metalloproteinases (MMPs) by macrophages is believed to play a key role in matrix degradation underlying plaque instability. Conversely, tissue inhibitors of metalloproteinases (TIMPs) would contribute to plaque stability. We therefore studied the effects of omega-3 fatty acids on the release and activity of MMPs and TIMPs in cultured human monocytoid cells. Methods. Human U937 monocytoid cells were differentiated into macrophages by exposure for 24 h to 30 ng/mL phorbol myristate acetate (PMA) and 10 ng/mL tumor necrosis factor(TNF)-α. Both monocytes and macrophages were treated for 48 h with the DHA (22:6 n-3) or EPA (22:6 n-3) (25-100 μmol/L) before stimulation for 24 h with 10 ng/ml TNFα. Cell supernatates were used to test the release of gelatinase A (MMP-2), gelatinase-B (MMP-9), collagenase-1 (MMP-1), TIMP-1 and TIMP-2, by ELISAs, and total gelatinase and anti-gelatinase activities by zymography and retro-zymography techniques, respectively. Results. The long term exposure to 50 μmol/L EPA and DHA, but not to arachidonic acid (20:4 n-6), significantly reduced MMP-9 protein release without affecting the release of MMP-1, MMP-2 and TIMP-1. Conversely, TIMP-2 protein release was significantly increased by EPA and DHA (Table). Zymography for MMP-9 and retro-zymography for TIMP-1 and -2 reproduced the same results. Conclusions. The long term exposure to omega-3 fatty acids significantly reduces MMP-9 release without affecting the release of MMP-1 and -2. This effect, associated with the increase of TIMP-2 protein production and activity, may contribute to explaining the plaque-stabilizing effect by omega-3 fatty acid observed in humans

Peroxisome proliferator-activated receptory inhibits angiogenesis by suppressing creb-mediated cyclooxygenase-2 expression in human endothelium

Objetives. Neoangiogenesis contributes to diabetic vasculopathy and intraplaque hemorrhage in atherosclerosis. The activation of Peroxisome Proliferator-Activated Receptor(PPAR)γ is known to inhibit angiogenesis. We therefore examined the effects of PPARγ agonists on the pro-angiogenic enzyme cyclooxygenase(COX)-2 in human umbilical vein endothelial cells challenged with vascular endothelial growth factor (VEGF) and phorbol 12-myristate 13-acetate (PMA). Methods and Results.A 24 h exposure of HUVEC to the PPARγ agonists rosiglitazone (RSG) and GW1929 significantly attenuated VEGF- and PMA-stimulated COX-2 activity (by 30%, immunoassay for 6-keto-PGF1α), as well as protein (by 50%, Western analysis) and mRNA expression (by 50%, RT-PCR). This effect was abolished by the PPARγ antagonists bisphenol A diglycidyl ether and GW9662. COX-2 promoter activity experiments revealed that the induction of COX-2 promoter was significantly inhibited by RSG through an interference with the cAMP response element (CRE) site. COX-2 downregulation after siRNA knockdown of the transcription factor CRE binding protein (CREB) confirmed the role of CREB in mediating COX-2 transcription. Correspondingly, PPARγ agonists also attenuated CREB phosphorylation/activation. Since Protein Kinase(PK)C is involved in VEGF-induced COX-2 expression and CREB activation, we also investigated which isoforms of PKC were affected by RSG. While the inhibition of both conventional PKCα and β suppressed VEGF- and PMA-stimulated CREB activation and COX-2 expression, RGS only reduced VEGF- and PMA-stimulated PKCα membrane translocation. Conclusions. The anti-angiogenic effect of PPARγ agonists is due, at least in part, to their interference with the PKCα-mediated activation of CREB and the related expression of COX-2. PKCα may therefore be a novel therapeutic target for antidiabetic drugs in atherosclerosis

Hydroxytyrosol suppresses MMP-9 activity and expression in human monocytes. A mechanism for plaque stabilization by an olive oil component of Mediterranean diets

Purpose: Mediterranean diets, of which olive oil is an important component, are associated with low prevalence of cardiovascular diseases. The production of inflammatory mediators, such as prostaglandin (PG) E2, the overexpression of the inducible cyclooxygenase (COX)- 2 isoform and the activation of matrix metalloproteinase(MMP)-9 by macrophages likely contributes to plaque instability leading to acute coronary events. We studied the effects of the olive oil phenolic antioxidant hydroxytyrosol (HT) on MMP-9 and COX-2 activity and expression in human monocytes and explored underlying mechanisms. Methods: Human monocytes were treated either with 1-50 &#956;mol/L HT for 60 min or with selective inhibitors of PKC or COX isoenzymes for 30 min before stimulation with 30 nmol/L phorbol myristate acetate (PMA) for 24 h. Cell supernatants were tested for the release of MMP-9, PGE2 and TIMP-1 and -2 by ELISA and MMP-9 activity by zymography. Cell protein extracts were analyzed by Western analysis for COX-2 expression and for membrane translocation of PKCs and the NADPH oxidase p47phox subunit. We analyzed the activity of COX-2 promoter by transient transfection experiments and the.activation of the transcription factor Nuclear Factor(NF)-kappaB by EMSA. Results: PMA and, to a lesser extent, PGE2, induced the release of MMP-9 in monocytes. Cell exposure to HT before PMA stimulation reduced MMP-9 activity and expression (IC50 for HT of 10 micromol/L p < 0.01) without affecting the release of TIMP-1 and -2. Correspondingly, HT inhibited PMA-induced PGE2 production (by 54 ? 7%) and COX-2 expression (by 43 ? 5%) without affecting COX-1. Inhibition by HT was mediated by the suppression of NF-kappaB and the NADPH oxidase p47phox and PKC&#945;/&#946;1 activation. Conclusions: Our findings show that HT, at concentrations nutritionally achievable, inhibits the expression and the release of MMP-9 at least in part by the suppression of COX-2 dependent PGE2 pathway. Such effect occurs through the attenuation of PKC&#945;/&#946;1 and NADPH oxidase activation. Overall, such results contribute to explaining the vascular protective effects exerted by olive oil in Mediterranean diets

Hydroxytyrosol suppresses phorbol ester-induced matrix metalloproteinase-9 expression by inhibiting both PKCalpha/beta1 and NF-kB activation in human monocytoid cells

Objectives: Mediterranean diets, of which olive oil is an important component, are associated with low prevalence of cardiovascular diseases, but active dietary components and their mechanisms of action are incompletely understood. The local production of active matrix metalloproteinase (MMP)-9 by macrophages likely contributes to plaque matrix degradation and plaque instability, leading to acute coronary events. We sought to examine the effect of the olive oil phenolic antioxidant hydroxytyrosol (HT) on MMP-9 expression and activity in monocytoid cells and to explore mechanisms of action involved. Methods: U937 human monocytoid cells were pre-treated with HT (0-100 &#956;mol/L) for 30 min before stimulation with 50 nmol/L phorbol myristate acetate (PMA) in a serum-free medium for 24 h or alternatively with inhibitors of PKC iso-enzymes or of the NF-&#954;B pathway. Cell supernatants were then tested for gelatinase activity by zymography. MMP-9 protein and mRNA expression was assayed by ELISA and RT-PCR. We assessed the activation of transcription factor Nuclear Factor (NF)-&#954;B by EMSA and Western analysis of nuclear extracts, and the activation of PKC iso-enzymes by membrane translocation analysis. Results: HT (1-100 &#956;mol/L) reduced PMA-induced MMP-9 activity at zymography analysis in a concentration-dependent manner, with inhibitory concentration producing 50% of the effect (IC50) at 10 &#956;mol/L (p<0.01). In addition, 10 &#956;mol/L HT reduced MMP-9 protein release and mRNA levels by about (by 60?5% and 40?7%, respectively, p<0.01), without significantly affecting TIMP-1 and -2 release. HT (10 &#956;mol/L) also significantly inhibited NF-&#954;B activation (by 57?8%) and PMA-induced membrane translocation of PKC&#945; and &#946;1 (by 50?8% and 35?5%, respectively, for all, p<0.05), suggesting a plausible mechanism for the downregulation of MMP-9 expression by HT. Conclusions: HT, the major olive and olive oil phenolic antioxidant, inhibits MMP-9 expression and release, interfering with PKC&#945;/&#946;1 and NF-&#954;B activation in human monocytoid cells. This may contribute to plaque stabilization, explaining at least in part the cardiovascular protection by specific components of Mediterranean diets

Homocysteine induces VCAM-1 gene expression through NF-kB and NAD(P)H oxidase activation: protective role of Mediterranean diet polyphenolic antioxidants

Introduction: Hyperhomocysteinemia is a recognized risk factor for atherosclerotic vascular disease, but molecular mechanisms are no completely understood. Because VCAM-1 expression is crucial in monocyte adhesiveness, we evaluated the NF-&#954;B-related induction of VCAM-1 by homocysteine (Hcy) and the possible inhibitory effect of specific dietetic polyphenolic antioxidants, such as trans-resveratrol (RSV) and hydroxytyrosol (HT). Methods and Results: We found that in human umbilical vein endothelial cells (HUVEC), Hcy, at &#8805;50 &#956;mol/L, but not cysteine, induced VCAM-1 expression at protein and mRNA levels, at enzyme immunoassay and Northern blot, respectively. Transfection studies with deletional VCAM-1 promoter constructs demonstrated that two tandem NF-&#954;B motives in VCAM-1 promoter are necessary for Hcy induced VCAM-1 gene expression. This was confirmed by Hcy induced NF-kB activation at EMSA and the nuclear translocation of its p65 (Rel A) subunit and the degradation of both inhibitors(I)kB-&#945; and -b at Western analysis. Hcy increased intracellular ROS, measured with dichlorofluoresceine fluorescence assays, in HUVEC, by NAD(P)H oxidase activation, determined through the membrane translocation of its p47phox subunit. Antioxidants, NF-&#954;B and NAD(P)H oxidase inhibitors decreased the Hcy inducted intracellular ROS and VCAM-1 expression. Previously, we found that antioxidants RSV and HT inhibited NF-&#954;B mediated VCAM-1 induction by LPS or TNF&#945;. Here we shown that nutritionally relevant concentrations of RSV and HT, but not folate and B vitamins, reduced (>60% inhibition at 10-6 mol/L) Hcy-induced VCAM-1 expression and monocytoid cell adhesion to the endothelium. Conclusions: These data point out that pathophysiologically relevant Hcy concentrations induce VCAM-1 expression through NF-&#954;B-mediated pro-oxidant mechanism. This can be inhibited by natural Mediterranean diet antioxidants, suggesting a their possible therapeutic role in Hcy-induced vascular damage

The Olive oil antioxidant hydroxytyrosol (HT) reduces the matrix metalloproteinase-9 activity and expression in human mocytoid cells through a prostaglandin (PG) E2-dependent mechanisms

Objectives: Olive oil HT is believed to be among the most active cardio-protective components of Mediterranean diets. Since the PGE2-dependent secretion of metalloproteinase(MMP)-9 by macrophages plays a key role in matrix degradation underlying plaque instability, we studied the effects of HT on the release and activity of MMP-9 in cultured human monocytoid cells as a possible explanation to the olive oil vascular protective effect. Methods: Human monocytoid cells were treated with 1-50 &#956;mol/L HT or, alternatively, with selective inhibitors of PKC isoenzymes and cyclooxygenase(COX)-2 for 60 min before stimulation with phorbol myristate acetate (PMA) or PGE2 for 24 h. Cell supernatants were then tested for the release of MMP-9, PGE2 and tissue inhibitor of metalloproteinases (TIMP)-1 and -2, while cell extracts were analysed by Western blot for COX-2 expression and PKCs membrane translocation (as an index of PKCs activation). Results: PMA and, to a lesser extent, PGE2, induced the cell release of MMP-9. Cell exposure to HT (as well as to NS-398 and G?6976, inhibitors of COX-2 and PKC&#945; and &#946; respectively) before PMA stimulation reduced MMP-9 release (IC50 for HT of 10 &#956;mol/L p<0.01) without affecting the release of TIMP-1 and -2. Correspondingly, HT inhibited PMA-induced PGE2 production (by 54?7%) and the expression of COX-2 (by 43?5%) without affecting COX-1. Furthermore, HT also reduced the membrane transloction of PKC&#945;, which is critically involved in the expression of COX-2. Conclusions: Our findings support the involvement of COX-2 derived PGE2 in the expression of MMP-9 by monocyte-like cells and demonstrate that HT inhibits the expression and the release of MMP-9. This effect appears to be mediated by the interference by HT with the stimulated expression of COX-2 and, upstream of this, with the activation of PKC&#945;. Overall, such results contribute to explaining the vascular protective effects exerted by olive oil in Mediterranean diets

Gliomatosis cerebri type II: two case reports

Two types of gliomatosis cerebri exist: Type I and Type II. We report the results of a histological and genetic study of two cases of gliomatosis cerebri Type II, correlating these results with therapy and prognosis. Case presentation Two patients, a 52-year-old man (Patient 1) and a 76-year-old man (Patient 2) with gliomatosis cerebri II were admitted to our institution; they underwent surgical treatment and received radiotherapy and chemotherapy. At the 24-month follow-up, Patient 1 was still alive, while Patient 2 had died. The poor prognosis of Patient 2 was underlined by molecular analysis which showed that the angiogenesis related genes VCAM1 and VEGF were overexpressed, reflecting the high degree of neovascularization. Conclusion Genes involved in drug resistance and metallothioneins were highly expressed in Patient 2 and this, associated with unmethylated O6-methylguanine methyltransferase, can explain the lack of response to chemotherapy

Comparison among Different Gilthead Sea Bream (Sparus aurata) Farming Systems: Activity of Intestinal and Hepatic Enzymes and 13C-NMR Analysis of Lipids

In order to evaluate differences in general health and nutritional values of gilthead sea bream (Sparus aurata), the effects of semi-intensive, land-based tanks and sea-cages intensive rearing systems were investigated, and results compared with captured wild fish. The physiological state was determined by measuring the activity of three different intestinal digestive enzymes: alkaline phosphatase (ALP), leucine aminopeptidase (LAP) and maltase; and the activity of the hepatic ALP. Also, the hepatic content in protein, cholesterol, and lipid were assessed. 13C-NMR analysis for qualitative and quantitative characterization of the lipid fraction extracted from fish muscles for semi-intensive and land based tanks intensive systems was performed. The lipid fraction composition showed small but significant differences in the monounsaturated/saturated fatty acid ratio, with the semi-intensive characterized by higher monounsaturated and lower saturated fatty acid content with respect to land based tanks intensive rearing system

Relation of sensorimotor and cognitive cerebellum functional connectivity with brain structural damage in patients with multiple sclerosis and no disability

Background and purpose To investigate the relationship between the functional connectivity (FC) of the sensorimotor and cognitive cerebellum and measures of structural damage in patients with multiple sclerosis (MS) and no physical disability. Methods We selected 144 relapsing-remitting MS patients with an Expanded Disability Status Scale score of &lt;= 1.5 and 98 healthy controls from the Italian Neuroimaging Network Initiative database. From multimodal 3T magnetic resonance imaging (MRI), including functional MRI at rest, we calculated lesion load, cortical thickness, and white matter, cortical gray matter, and caudate, putamen, thalamic, and cerebellar volumes. Voxel-wise FC of the sensorimotor and cognitive cerebellum was assessed with seed-based analysis, and multiple regression analysis was used to evaluate the relationship between FC and structural damage. Results Whole brain, white matter, caudate, putamen, and thalamic volumes were reduced in patients compared to controls, whereas cortical gray matter was not significantly different in patients versus controls. Both the sensorimotor and cognitive cerebellum showed a widespread pattern of increased and decreased FC that were negatively associated with structural measures, indicating that the lower the FC, the greater the tissue loss. Lastly, among multiple structural measures, cortical gray matter and white matter volumes were the best predictors of cerebellar FC alterations. Conclusions Increased and decreased cerebellar FC with several brain areas coexist in MS patients with no disability. Our data suggest that white matter loss hampers FC, whereas, in the absence of atrophy, cortical volume represents the framework for FC to increase

Family History and Gastric Cancer Risk: A Pooled Investigation in the Stomach Cancer Pooling (STOP) Project Consortium

Although there is a clear relationship between family history (FH) and the risk of gastric cancer (GC), quantification is still needed in relation to different histological types and anatomical sites, and in strata of covariates. The objective was to analyze the risk of GC according to first-degree FH in a uniquely large epidemiological consortium of GC. This investigation includes 5946 cases and 12,776 controls from 17 studies of the Stomach Cancer Pooling (StoP) Project consortium. Summary odds ratios (OR) and the corresponding 95% confidence intervals (CIs) were calculated by pooling study-specific ORs using fixed-effect model meta-analysis techniques. Stratified analyses were carried out by sex, age, tumor location and histological type, smoking habit, socioeconomic status, alcohol intake and fruit consumption. The pooled OR for GC was 1.84 (95% CI: 1.64-2.04; I2 = 6.1%, P heterogeneity = 0.383) in subjects with vs. those without first-degree relatives with GC. No significant differences were observed among subgroups of sex, age, geographic area or study period. Associations tended to be stronger for non-cardia (OR = 1.82; 95% CI: 1.59-2.05 for subjects with FH) than for cardia GC (OR = 1.38; 95% CI: 0.98-1.77), and for the intestinal (OR = 1.92; 95% CI: 1.62-2.23) than for the diffuse histotype (OR = 1.62; 95% CI: 1.28-1.96). This analysis confirms the effect of FH on the risk of GC, reporting an approximately doubled risk, and provides further quantification of the risk of GC according to the subsite and histotype. Considering these findings, accounting for the presence of FH to carry out correct prevention and diagnosis measures is of the utmost importance