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JAC Advance Access published online on January 19, 2005

Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkh525
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JAC © The British Society for Antimicrobial Chemotherapy 2005; all rights reserved
Received June 9, 2004
Revised September 11, 2004
Accepted November 7, 2004

Original article

Moxifloxacin inhibits cytokine-induced MAP kinase and NF-{kappa}B activation as well as nitric oxide synthesis in a human respiratory epithelial cell line

Sara Werber 1, Itamar Shalit 2, Ina Fabian 1, Guy Steuer 3, Taly Weiss 1, and Hannah Blau 2*

1 Department of Cell Biology and Histology, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
2 Schneider Children's Medical Centre of Israel and Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
3 Paediatric Department, Assaf Harofeh Medical Centre and Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel

* To whom correspondence should be addressed.
Hannah Blau, E-mail: hblau{at}post.tau.ac.il


   Abstract

Background: We previously demonstrated that the quinolone moxifloxacin prevents Candida albicans pneumonitis and epithelial nuclear factor {kappa}B (NF-{kappa}B) nuclear translocation in immunosuppressed mice.

Objectives: To explore the anti-inflammatory effects of moxifloxacin directly on a lung epithelial cell line.

Methods: We studied the effect of clinically relevant concentrations of moxifloxacin (2.5-10 mg/L) on cytokine-induced activation of nitric oxide (NO) secretion, inducible NO synthase (iNOS) expression and the activation of signal transduction pathways of inflammation, NF-{kappa}B and the mitogen-activated protein kinases [extracellular signal-regulated kinases (ERK1/2) and C-Jun N-terminal kinase (JNK)], in the A549 lung epithelial cell line.

Results: Stimulation with the cytokines interleukin-1{beta}(IL-1{beta})/interferon-{gamma} (IFN-{gamma}) increased NO up to 3.3-fold and moxifloxacin inhibited this up to 68% (P < 0.05). Similarly, the increase in iNOS levels was inhibited in cells pre-treated with moxifloxacin by up to 62%. IL-1{beta} stimulated a rapid increase in the activities of early intracellular signalling molecules, ERK1/2 and JNK. Moxifloxacin inhibited ERK1/2 by up to 100% and p-JNK activation by 100%. NF-{kappa}B, as measured by electrophoretic mobility shift assay, was inhibited up to 72% by moxifloxacin. Western-blot analysis revealed that IL-1{beta} enhanced NF-{kappa}B p65 and p50 proteins by 1.7- and 3.6-fold, respectively, whereas moxifloxacin inhibited the proteins by up to 60%.

Conclusions: Moxifloxacin inhibits intracellular signalling, iNOS expression and NO secretion in a lung epithelial cell line. Future studies may uncover a primary site of quinolone immunomodulation, either upstream or at the cell membrane. Eventually, this quinolone might become an important therapy for inflammatory lung diseases.

Keywords: quinolone; immunomodulation; intracellular signalling pathways; lung inflammation; A549 cells.
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