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Severe hyponatremia and seizure following a polyethylene glycol-based bowel preparation for colonoscopy [Letter]
Nagler, Jerry; Poppers, David; Turetz, Meredith
PMID: 16825941
ISSN: 0192-0790
CID: 86622
Serologic markers as quantitative predictors of inflammatory bowel disease activity - Clarifying the cart and the horse [Meeting Abstract]
Poppers, David M; Bosworth, Brian P; Weine, Douglas M; Ni, Quanhong; Scherl, Ellen J
ISI:000236961701374
ISSN: 0016-5085
CID: 1861342
Persistent tumor necrosis factor signaling in normal human fibroblasts prevents the complete resynthesis of ikappa B-alpha [In Process Citation]
Poppers DM; Schwenger P; Vilcek J
Transcription factor NF-kappaB is normally sequestered in the cytoplasm, complexed with IkappaB inhibitory proteins. Tumor necrosis factor (TNF) and interleukin-1 induce IkappaB-alpha phosphorylation, leading to IkappaB-alpha degradation and translocation of NF-kappaB to the nucleus where it activates genes important in inflammatory and immune responses. TNF and interleukin-1 actions are typically terminated by desensitization, and IkappaB-alpha reappearance normally occurs within 30-60 min. We found that in normal human FS-4 fibroblasts maintained in the presence of TNF, IkappaB-alpha protein failed to return to base-line levels for up to 15 h. Removal of TNF at any time during the 15-h period resulted in complete IkappaB-alpha resynthesis, suggesting that IkappaB-alpha reappearance was prevented by continued TNF signaling. Long term exposure of FS-4 fibroblasts to TNF led to a persistent presence of IkappaB-alpha mRNA, sustained IkappaB kinase activation, continuous proteasome-mediated degradation of IkappaB-alpha, and sustained nuclear localization of NF-kappaB. Continuous exposure of FS-4 cells to TNF did not lead to a sustained activation of p38 or ERK mitogen-activated protein kinases, suggesting that not all TNF-induced signaling pathways are persistently activated. These findings challenge the notion that all cytokine-mediated signals are rapidly terminated by desensitization and illustrate the need to elucidate the process of deactivation of TNF-induced signaling
PMID: 10869349
ISSN: 0021-9258
CID: 15528
Persistent TNF signaling in normal human fibroblasts prevents complete IkappaB resynthesis [Meeting Abstract]
Poppers, David M; Schwenger, Paul; Vilcek, Jan
BIOSIS:199900444731
ISSN: 1079-9907
CID: 15888
TNF/IL-1-inducible protein TSG-6 potentiates plasmin inhibition by inter-alpha-inhibitor and exerts a strong anti-inflammatory effect in vivo
Wisniewski HG; Hua JC; Poppers DM; Naime D; Vilcek J; Cronstein BN
TNF-stimulated gene 6 (tsg6), encoding a 35-kDa secretory glycoprotein (TSG-6), is induced in fibroblasts, chondrocytes, synovial cells, and mononuclear cells by the proinflammatory cytokines TNF-alpha and IL-1, or by LPS. Large amounts of TSG-6 protein were found in synovial fluids of patients with rheumatoid arthritis. TSG-6 protein forms a stable complex with components of the serine protease inhibitor, inter-alpha-inhibitor (I alpha I). In this work, we show that TSG-6 potentiates the inhibitory effect of l alpha l on the protease activity of plasmin. The plasmin/plasminogen activator system is important in the protease network associated with inflammation. To test the hypothesis that through their cooperative inhibitory effect on plasmin TSG-6 and l alpha l can modulate the protease network and thus inhibit inflammation, we examined the effect of TSG-6 on experimentally induced inflammation. Human recombinant TSG-6 protein showed a potent anti-inflammatory activity in the murine air pouch model of carrageenan- or IL-1-induced acute inflammation. The inhibitory effect of locally administered TSG-6 on the IL-1-induced cellular infiltration was comparable with that of systemic dexamethasone treatment. Two mutant TSG-6 proteins with single amino acid substitutions close to the N terminus showed a complete or partial loss of anti-inflammatory activity. The anti-inflammatory effect of the TNF/IL-1-inducible TSG-6 protein, along with its ability to inhibit protease action through interaction with l alpha l, suggests that TSG-6 production during inflammation is part of a negative feedback loop operating through the protease network
PMID: 8568267
ISSN: 0022-1767
CID: 6973