Abstract

Background15-deoxy-Δ 12,14- Prostaglandin J2 (15dPGJ2) inhibits Nuclear factor kappa B (NF-κB) in human myocytes and amniocytes and delays inflammation induced preterm labour in the mouse. 15dPGJ2 is a ligand for the Chemoattractant Receptor Homologous to the T helper 2 cell (CRTH2), a G protein-coupled receptor, present on a subset of T helper 2 (Th2) cells, eosinophils and basophils. It is the second receptor for Prostaglandin D2, whose activation leads to chemotaxis and the production of Th2-type interleukins. The cellular distribution of CRTH2 in non-immune cells has not been extensively researched, and its identification at the protein level has been limited by the lack of specific antibodies. In this study we explored the possibility that CRTH2 plays a role in 15dPGJ2-mediated inhibition of NF-κB and would therefore represent a novel small molecule therapeutic target for the prevention of inflammation induced preterm labour.MethodsThe effect of a small molecule CRTH2 agonist on NF-κB activity in human cultured amniocytes and myocytes was assessed by detection of p65 and phospho-p65 by immunoblot. Endogenous CRTH2 expression in amniocytes, myocytes and peripheral blood mononuclear cells (PBMCs) was examined by PCR, western analysis and flow cytometry, with amniocytes and myocytes transfected with CRTH2 acting as a positive control in flow cytometry studies.ResultsThe CRTH2 agonist had no effect on NF-κB activity in amniocytes and myocytes. Although CRTH2 mRNA was detected in amniocytes and myocytes, CRTH2 was not detectable at the protein level, as demonstrated by western analysis and flow cytometry. 15dPGJ2 inhibited phospho-65 in PBMC’S, however the CRTH2 antagonist was not able to attenuate this effect. In conclusion, CRTH2 is not expressed on human amniocytes or myocytes and plays no role in the mechanism of 15dPGJ2-mediated inhibition of NF-κB.

Highlights

  • Preterm delivery complicates 6–11% of pregnancies in Europe and North America [1]

  • We examined the effect of a small molecule CRTH2 agonist (Pyl A) on Nuclear factor Kappa B (NF-kB) activity in human cultured amniocytes and myocytes and examined both the mRNA and protein CRTH2 expression profile in these cell types

  • We have previously shown that 15dPGJ2 inhibits IL-1b induced NF-kB activity in human amniocytes and myocytes in a mechanism independent of PPAR-c [14]

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Summary

Introduction

Preterm labour is a heterogenous condition [2], there is a strong association between infection and inflammation, in early preterm deliveries [3]. Despite our increased awareness of this association [4], limited progress has been made in drug development targeted towards anti-inflammatory pathways involved in infection/inflammation induced preterm labour. Human T cell NF-kB activity is suppressed during pregnancy, which likely explains the altered bias from the Th1 to Th2 cytokine ratio [6]. The NF-kB signaling pathway plays an important role in the process of human labour [7]. NF-kB activity is increased in amnion during labour [10], with pre-labour samples showing varying degrees of p65 expression, which is likely to reflect the physiological transition that precedes parturition [11]. Pro-inflammatory cytokines such as IL-1b and TNF-a are both regulated by and can activate NF-kB giving rise to a positive feed forward loop and further activating the NF-kB regulated genes [13]

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