EFFECT OF CORTICOTROPIN-RELEASING FACTOR ON PROSTAGLANDIN SYNTHESIS IN ENDOTHELIAL-CELLS AND FIBROBLASTS

Recent evidence suggests that not only the end product of the hypothalamic-pituitary-adrenal axis, but also other hormones in the axis may be involved in regulation of the inflammatory response. We investigated the role of CRF in the regulation of prostaglandin (PG) synthesis in fibroblasts and endothelial cells. Recombinant human interleukin-1 alpha (IL-1 alpha) increased prostacyclin synthesis in endothelial cells by 66% and prostaglandin E(2) (PGE(2)) synthesis in fibroblasts by 91%. The PG response to IL-1a was suppressed to about 50% by simultaneous addition of CRF in endothelial cells (75.6 +/- 6.2 vs. 159.7 +/- 14.9 ng 6-keto-PGF(1 alpha)/mg protein) and fibroblast (115.5 +/- 23 vs. 233.6 +/- 42 ng PGE(2)/mg protein). IL-1 alpha enhanced phospholipase A(2) activity by 30% and prostagIandin H synthase activity by 60%, and the two effects were completely blocked by CRF. It is concluded that CRF suppresses IL-1 alpha-induced PG synthesis through actions on both phospholipase A(2) and cyclooxygenase. In view of the essential role of central PGE(2) in IL-1 alpha-induced CRF/ACTH release, these findings suggest a novel regulatory cascade in immune-neuroendocrine interactions.