title: Spironolactone induces apoptosis and inhibits NF-kappaB independent of the mineralocorticoid receptor.
abstract: Spironolactone (SPIR) binds to cytoplasmic mineralocorticoid receptors (MR) and functions as an aldosterone (ALDO) antagonist. Recently, however, the drug was shown to have an early MR independent, suppressive effect on immunoactive and inflammatory cytokines as well as an apoptotic effect on blood mononuclear cells (MNC). To elucidate the mechanism behind SPIR's apoptotic effect, we investigated the relation between apoptosis and cytokine suppression for SPIR along with the apoptosis-inducing and antiinflammatory drug sulfasalazine (SFZ). Using human MNC, we found that SPIR and SFZ, at concentrations 10 and 1000 muM, respectively, significantly increased both apoptosis and cell death. Production of inflammatory cytokines was significantly reduced by 3 to 30 muM SPIR and by 300 to 1000 muM SFZ. We also found that 0.4 muM SPIR and 300 muM SFZ significantly reduced the activity of NF-kappaB, a transcription factor involved in both apoptosis and immunoinflammation. ALDO, the MR antagonist, eplerenone, and the SPIR metabolite, 7alpha-thiomethyl-spironolactone, slightly reduced NF-kappaB activity, but they did not interfere with SPIR's effect, showing that MR binding is not involved in SPIR-induced suppression of NF-kappaB activity. Finally, phosphorylation of IkappaBalpha was also significantly reduced by SPIR. These results provide new insight into the apoptotic and anti-inflammatory effects of SPIR.
authors.affiliation: Institute for Inflammation Research, IIR7521, Rigshospitalet National University Hospital, Blegdamsvej, 9, DK-2100, Copenhagen E, Denmark.
authors.forename: Søren Ulrik Salling
authors.initials: SU
authors.lastname: Sønder
authors.forename: Anders
authors.initials: A
authors.lastname: Woetmann
authors.forename: Niels
authors.initials: N
authors.lastname: Odum
authors.forename: Klaus
authors.initials: K
authors.lastname: Bendtzen
mesh_terms: D017209:Apoptosis / Q000187:drug effects*; D053148:Caspase 3 / Q000378:metabolism; D016207:Cytokines / Q000096:biosynthesis; D006801:Humans; D020672:I-kappa B Proteins / Q000378:metabolism; D007963:Leukocytes, Mononuclear / Q000187:drug effects; D000451:Mineralocorticoid Receptor Antagonists / Q000494:pharmacology; D000072000:NF-KappaB Inhibitor alpha; D016328:NF-kappa B / Q000037:antagonists & inhibitors*; D010766:Phosphorylation / Q000187:drug effects; D018161:Receptors, Mineralocorticoid / Q000378:metabolism*; D013148:Spironolactone / Q000494:pharmacology*; D012460:Sulfasalazine / Q000494:pharmacology
chemical_list: D016207:Cytokines; D020672:I-kappa B Proteins; D000451:Mineralocorticoid Receptor Antagonists; D016328:NF-kappa B; C000606204:NFKBIA protein, human; D018161:Receptors, Mineralocorticoid; D000072000:NF-KappaB Inhibitor alpha; D013148:Spironolactone; D012460:Sulfasalazine; D053148:Caspase 3