透過您的圖書館登入
IP:52.15.57.52
  • 學位論文

Midazolam抑制軟骨細胞MMPs表現之機轉探討

Inhibitory Mechanism of Midazolam in PKC-induced MMPs Expression in Chondrocytes

指導教授 : 周敦穗
共同指導教授 : 許準榕

摘要


Midazolam,是一種benzodiazepine,具有麻醉作用並且廣泛用為鎮靜劑。 Midazolam在軟骨細胞 (chondrocytes) 發炎時之活化作用的角色尚未完全確定。 這項研究的目標將評估midazolam在chondrocytes的抗發炎作用。 以chondrosarcoma細胞株 (chondrosarcoma SW1353 cells)為對象,探討midazolam對蛋白激酶C (protein kinase C, PKC) 活化劑 (phorbol-12-myristate-13-acetate, PMA) 誘發matrix metalloproteinases (MMPs) 的抑制作用。使用西方墨點法 (Western blot) 和明膠蛋白酵素電泳法 (gelatin zymography)估計。 結果顯示由PMA誘導產生MMPs 1、9及13表現量增加明顯被midazolam 以concentration-dependent manner (5-20 μM) 抑制。 而由接下來的實驗得知midazolam也會抑制因PMA活化的extracellular signal-regulated kinase 1/2 (ERK 1/2)、p38及JNK 等mitogen-activated protein kinases,對於JNK則是沒有抑制的作用。 並且以midazolam前處理能將PMA造成IκB-α degradation的程度改善。因此得知,在被活化的chondrosarcoma SW1353 cells中,midazoalm對於MMPs的抑制作用包括抑制ERK 1/2與p38活化,及協助自IκB-α degradation的恢復。這些結果顯示midazolam透過影響MAPKs與NF- κB/IκB,繼而調控inducible MMPs的活性、合成製造,達到表現量減少,而減少因為發炎作用引起的關節破壞。這些研究結果可以提供midazolam新的分子基礎。

並列摘要


Midazolam, a benzodiazepine, has a hypnotic effect and is widely used as a sedative. The role of midazolam in activation of chondrocytes during inflammation is not known. The aim of this study was to evaluate the anti-inflammatory actions of midazolam in cultured chondrocytes. Using a chondrosarcoma cell line, SW1353 cells, the inhibitory effect of midazolam on protein kinase C (PKC) activator phorbol-12-myristate-13-acetate (PMA) induced matrix metalloproteinases (MMPs) was assessed by Western blot and gelatin zymography. Our results show that PMA-induced up-regulation of MMPs 1, 9 and 13 expressions was significantly inhibited by midazolam in a concentration-dependent manner (5-20 μM). Midazolam also inhibited PMA-mediated activation of extracellular signal-regulated kinase 1/2, p38 mitogen-activated protein kinases but had no effect on c-Jun N-terminal kinase. Treatment with midazolam enhanced re-synthesis of a concentration dependant PMA mediated IκB-α degradation. Thus, overall our results revealed that the inhibitory mechanism of midazolam on MMPs involves depressed expression of p38 and ERK 1/2 and facilitated recovery of IκB-α degradation in an induced chondrosarcoma SW1353 cell line. Midazolam has an anti-inflammatory action by inhibiting activity, synthesis and the expression of inducible MMPs through MAPKs and NF- κB/IκB pathways. These findings may considerably be provided the novel molecular basis of midazolam.

並列關鍵字

midazolam chondrocytes MMP matrix metalloproteinase

參考文獻


Anholt RRH, Pedersen PL, De Souza EB, Snyder SH (1986): The peripheral-type benzodiazepine receptor. Localization to the mitochondrial outer membrane. Journal of Biological Chemistry 261: 576-583
Batra YK, Mahajan R, Kumar S, Rajeev S, Singh Dhillon M (2008): A Dose-Ranging Study of Intraarticular Midazolam for Pain Relief After Knee Arthroscopy. Anesthesia & Analgesia 107: 669-672
Bazzichi L, Betti L, Giannaccini G, Rossi A, Lucacchini A (2003): Peripheral-type benzodiazepine receptors in human mononuclear cells of patients affected by osteoarthritis, rheumatoid arthritis or psoriasic arthritis. Clinical Biochemistry 36: 57-60
Bidri M, Royer B, Averlant G, Bismuth G, Guillosson JJ, Arock M (1999): Inhibition of mouse mast cell proliferation and proinflammatory mediator release by benzodiazepines. Immunopharmacology 43: 75-86
Boileau C, Pelletier JP, Tardif G, Fahmi H, Laufer S, Lavigne M, Martel-Pelletier J (2005): The regulation of human MMP-13 by licofelone, an inhibitor of cyclo-oxygenases and 5-lipoxygenase, in human osteoarthritic chondrocytes is mediated by the inhibition of the p38 MAP kinase signalling pathway. Annals of the Rheumatic Diseases 64: 891-898

延伸閱讀