Delayed treatment with diethyl maleate prevents E-selectin expression in human endothelial cells

Abstract

<h2>Abstract</h2> <b>Background:</b> Polymorphonuclear leukocyte (PMN) infiltration is a significant contributor to tissue damage in many disease states and is known to occur through an orderly set of events. The endothelial cell adhesion molecule E-selectin is involved in the initial rolling of PMNs on the endothelium at sites of inflammation. We have previously shown that the glutathione depleting agent diethyl maleate (DEM) attenuates lung injury in a rodent model of intratracheal LPS stimulation. We hypothesized that DEM might attenuate E-selectin in LPS-treated human umbilical vein endothelial cells as a mechanism underlying this effect. Further, we investigated the role of delayed treatment with DEM on E-selectin expression. <b>Methods:</b> Human umbilical vein endothelial cells were treated with DEM (100 to 400 μmol/L) before or after LPS stimulation (1 μg/mL). Surface expression of E-selectin was examined using a cellular enzyme-linked immunosorbent assay. E-selectin mRNA transcripts were detected by Northern blot analysis. Nuclear factor–κB (NF-κB) activity was detected with gel shift assays. <b>Results:</b> DEM significantly inhibited LPS-induced E-selectin surface expression and mRNA levels in a dose-dependent fashion, with complete inhibition at 250 μmol/L, without affecting cell viability. This inhibitory effect was seen even if DEM was added up to 60 minutes after LPS. DEM inhibited NF-κB nuclear translocation in a manner that mirrored protein and mRNA levels. <b>Conclusions:</b> Delayed treatment with DEM attenuates NF-κB nuclear translocation and E-selectin expression in human umbilical vein endothelial cells up to 60 minutes after the onset of LPS stimulation. Thus, DEM may represent an effective intervention for PMN-mediated organ injury even when given after an inflammatory insult. (Surgery 1999;126:286-92.)