Effects of Amitriptyline and Imipramine on Superoxide Generation, Myeloperoxidase Release, Leukotriene $B_4$ in Human Neutrophils

Amitriptyline과 Imipramine이 호중구에서의 Superoxide 생성, Myeloperoxidase 유리, Leukotriene $B_4$생성과 칼슘 동원에 나타내는 영향

A number of tricyclic antidepressants appear to have inhibitory action on calmodulin. Although amitriptyline, imipramine and doxepine have been shown to inhibit calcium uptake, oxidative phosphorylation and ATPase activities, effects of amitriptyline, imipramine and doxepine on functional responses of human neutrophils have not been elucidated. In this study, effects amitriptyline, imipramine and doxepine on superoxide and hydrogen peroxide generation, myeloperoxidase release, leukocriene B4 formation and intracellular calcium level were investigated. Superoxide and hydrogen peroxide production in heat aggregated IgG-activated neutrophils were inhibited by amitriptyline, imipramine and doxepine. EDTA, EGTA, verapamil and bepredil inhibited heat aggregated IgG-induced superoxide production. Chlorpromazine, trifluoperazine, staurosporine and H-7 also inhibited it. PMA-induced superoxide production was inhibited by amitriptyline, imipramine, doxepine, chlorpromazine and H-7. Amitriptyline, imipramine, chlorpromazine and trifluoperazine inhibited the myeloperoxidase release by heat aggregated IgG. Productions of $LTB_4$, and 5-HETE in heat aggregated IgG-activated neutrophils were inhibited by amitriptyline, imipramine and doxepine. In neutrophils, elevation of intracellular calcium induced by heat aggregated IgG was inhibited by amitriptyline, imipramine, doxepine, chlorpromazine and EGTA, while verapamil slightly inhibited increase of intracellular calcium and H-7 did not inhibit it. These results suggest that the inhibitory effect of amitriptyline, imipramine and doxepine on respiratory burst, myeloperoxidase release and LTB4 production in heat aggregated IgG-activated neutrophils appears to be ascribed to the inhibition of calcium mobilization, calmodulin and protein kinase C.

삼환계 항우울제들은 calmodulin 억제 작용을 갖고 있으며, 칼슘 유입, 산화성 인산화 반응 및 ATPase 활성도를 억제하는 것으로 제시되고 있지만 사람 호중구에서의 기능 표현에 대한 효과는 밝혀져 있지 않다. 본 연구에서는 amitriptyline, imipramine과 doxepine이 superoxide와 $H_2O_2$ 생성, myeloperoxidase 유리, leukotriene $B_4$ 생성과 세포내 칼슘의 상승에 나타나는 효과를 조사하였다. 변성된 IgG에 의하여 활성화된 호중구에서 superoxide와 $H_2O_2$ 생성은 amitriptyline, imipramine과 doxepine에 의하여 억제되었고 EDTA, EGTA, verapamil과 bepredil은 superoxide 생성을 억제하였다. Chlorpromazine, trifluoperazine, staurosporine 및 H-7 또한 superoxide 생성을 억제하였다. PMA에 의한 superoxide 생성은 amitriptyline, imipramine과 doxepine, chlorpromazine과 H-7에 의하여 억제되었다. Amitriptyline, imipramine, chlorpromazine과 trifluoperazine은 변성된 IgG에 의한 myeloperoxidase 유리를 억제하였다. 변성된 IgG에 의하여 활성화된 호중구에서 $LTB_4$와 5-HETE 형성은 amitriptyline, imipramine과 doxepine에 의하여 억제되었다. 변성된 IgG에 의한 세포내 칼슘의 증가는 amitriptyline, imipramine, doxepine, chlorpromazine과 EGTA에 의하여 억제되었고, verapamil은 세포내 칼슘의 증가를 약간 억제하였으나 H-7은 세포내 칼슘의 증가에 영향이 없었다. 이상의 결과로부터 변성된 IgG에 의하여 활성화된 호중구에서의 respiratory burst, myeloperoxidase 유리와 LTB, 생성에 대한 amitriptyline, imipramine과 doxepine의 억제효과는 칼슘동원, calmodulin과 protein kinase C의 억제에 기인할 것으로 추정된다.