mPGES-1 : a key regulator of fever and neonatal respiratory depression

Prostaglandins are potent lipid mediators, synthesized de novo from arachidonic acid (AA) upon cell activation. AA is oxidized by the cyclooxygenase isoenzymes (COX-1 and COX-2) to form PGH2, the common substrate for downstream enzymes involved in prostaglandin biosynthesis. COX-1 is constitutively expressed in most cells and regarded as housekeeping protein. In contrast, expression of COX-2 is markedly increased by pro-inflammatory cytokines at sites of inflammation. PGH2 is converted into biologically active prostanoids like PGD2, PGE2, PGF2alpha, TXA2 and PGI2 by specific enzymes in a cell-specific manner. The isomerization of PGH2 to PGE2, a potent mediator of pain and inflammation, is specifically catalyzed by human microsomal prostaglandin E synthase-1 (mPGES-1), a member of the MAPEG (membrane associated proteins in eicosanoid and glutathione metabolism) superfamily. High levels of PGE2 have been found in numerous disease states.

Human mPGES-1 was expressed as an N-terminal-histidine-tagged protein in E. coli. The membrane bound enzyme was solubilized using Triton X-100 and purified to apparent homogeneity using a combination of hydroxyapatite and immobilized metal affinity chromatography. Purified mPGES-1 exhibited high glutathione (GSH)-dependent catalytic activity for the conversion of both PGH2 to PGE2 and, PGG2 to 15-hydroperoxy-PGE2. Moreover, mPGES-1 also exhibited GSH-dependent peroxidase activity towards cumene hydroperoxide and 5-HpETE as well as low but significant glutathione transferase activity, possibly reflecting a relationship to other members of the MAPEG family. A 10 Å projection map of mPGES-1 determined using electron crystallography as well as hydrodynamic studies of mPGES-1-Triton X-100 complex, independently demonstrated the trimeric organization of mPGES-1.

The role of mPGES-1 in endotoxin-induced fever, as well as aseptic, cytokine-dependent, inflammation-induced fever was investigated. In response to intraperitoneal injection of lipopolysaccharide (LPS), wildtype DBA/1lacJ mice developed a robust fever with markedly increased PGE2 levels in the cerebrospinal fluid (CSF) and significant LPS-induced mPGES-1 activity in membrane fractions isolated from brain tissues. In contrast, the mPGES-1 knockout mice did not develop fever and, the PGE2 levels in the CSF did not differ significantly from the saline-treated wildtype mice, suggesting a critical role for mPGES-1 in the development of endotoxin-induced fever. In a cytokine-dependent fever model, subcutaneous injection of turpentine induced biphasic fever in wildtype mice, whereas mPGES-1 knockout mice displayed a core body temperature similar to the saline-treated wildtype mice, indicating that mPGES-1 activity was indispensable for the induction of cytokine-dependent fever. mPGES-1 did not, however, mediate hyperthermia induced by psychological stress.

The role of mPGES-1 in neonatal respiratory depression was investigated using 9-day old DBA/1lacj mice. Wildtype mice treated with IL-1beta exhibited a reduced respiratory frequency during normoxia as well hyperoxia compared to saline treated mice. This effect of IL-1beta was attenuated in mPGES-1 knockout mice. Moreover, IL-1beta treatment induced apneas, irregular breathing pattern and reduced the anoxic survival of the wildtype mice, and these effects were attenuated in mice lacking mPGES-1. Both IL-1beta and hypoxia treatment synergistically induced a rapid 4-fold mPGES-1 activity in the brainstem of wildtype mice compared to the saline treatment. These results suggest a central role for mPGES-1 in the regulation of neonatal breathing.

Taken together, these findings provide further support of mPGES-1 as an attractive target for the development of anti-inflammatory and anti-pyretic drugs. It is also possible that such drugs could be used in neonates at risk for respiratory suppression.

List of scientific papers

I. Thoren S, Weinander R, Saha S, Jegerschold C, Pettersson PL, Samuelsson B, Hebert H, Hamberg M, Morgenstern R, Jakobsson PJ (2003). Human microsomal prostaglandin E synthase-1: purification, functional characterization, and projection structure determination. J Biol Chem. 278(25): 22199-209. Epub 2003 Apr 2
https://pubmed.ncbi.nlm.nih.gov/12672824

II. Engblom D, Saha S, Engstrom L, Westman M, Audoly LP, Jakobsson PJ, Blomqvist A (2003). Microsomal prostaglandin E synthase-1 is the central switch during immune-induced pyresis. Nat Neurosci. 6(11): 1137-8. Epub 2003 Oct 19
https://pubmed.ncbi.nlm.nih.gov/14566340

III. Saha S, Engstrom L, Mackerlova L, Jakobsson PJ, Blomqvist A (2005). Impaired febrile responses to immune challenge in mice deficient in microsomal prostaglandin E synthase-1. Am J Physiol Regul Integr Comp Physiol. 288(5): R1100-7. Epub 2005 Jan 27
https://pubmed.ncbi.nlm.nih.gov/15677520

IV. Hofstetter A, Saha S, Siljehav V, Jakobsson PJ, Herlenius E (2006). Prostaglandin E2 mediates respiratory depression induced by interleukin-1beta and hypoxia. [Manuscript]