In inflammation, inducible nitric oxide synthase (iNOS) produces nitric oxide (NO), which modulates inflammatory processes. We investigated the effects of Janus kinase (JAK) inhibitors, AG-490 and WHI-P154, on iNOS expression and NO production in J774 murine macrophages stimulated with interferon-gamma (IFN-gamma). JAK inhibitors AG-490 and WHI-P154 decreased IFN-gamma-induced nuclear levels of signal transducer and activator of transcription 1alpha (STAT1alpha). JAK inhibitors AG-490 and WHI-P154 decreased also iNOS protein and mRNA expression and NO production in a concentration-dependent manner. Neither of the JAK inhibitors affected the decay of iNOS mRNA when determined by actinomycin D assay. Our results suggest that the inhibition of JAK-STAT1-pathway by AG-490 or WHI-P154 leads to the attenuation of iNOS expression and NO production in IFN-gamma-stimulated macrophages.
In inflammation, inducible nitric oxide synthase (iNOS) produces nitric oxide (NO), which modulates inflammatory processes. We investigated the effects of Janus kinase (JAK) inhibitors, AG-490 and WHI-P154, on iNOS expression and NO production in J774murine macrophages stimulated with interferon-gamma (IFN-gamma). JAK inhibitors AG-490 and WHI-P154 decreased IFN-gamma-induced nuclear levels of signal transducer and activator of transcription 1alpha (STAT1alpha). JAK inhibitors AG-490 and WHI-P154 decreased also iNOS protein and mRNA expression and NO production in a concentration-dependent manner. Neither of the JAK inhibitors affected the decay of iNOS mRNA when determined by actinomycin D assay. Our results suggest that the inhibition of JAK-STAT1-pathway by AG-490 or WHI-P154 leads to the attenuation of iNOS expression and NO production in IFN-gamma-stimulated macrophages.
Nitric oxide (NO) is a small gaseous signalling molecule that is
synthesized from amino acid L-arginine in a reaction catalyzed by
nitric oxide synthase (NOS). In mammalian cells, there are three
isoforms of the enzyme: neuronal nNOS and endothelial eNOS are
constitutively expressed and the third isoform, iNOS, is induced
in response to proinflammatory cytokines and bacterial products
in inflammatory and tissue cells [4, 8, 13]. Once iNOS is
expressed, it produces high amounts of NO for prolonged periods.
NO production through iNOS pathway is regulated mainly at the
level of iNOS expression [8, 10]. In inflammation, NO modulates
immune responses and inflammatory process [10, 16], and is
associated with the pathophysiology of various inflammatory
diseases such as asthma [18] and arthritis [23]. Compounds
that inhibit iNOS expression or iNOS activity have a promise as
antiinflammatory drugs based on their effects in various forms of
experimentally-induced inflammation [22].One of the central cytokines involved in the induction of iNOS
expression and NO production in macrophages is interferon-γ
(IFN-γ). IFN-γ regulates iNOS expression at
transcriptional and post-transcriptional level [8, 10]. One of
the intracellular signal transduction pathways that are activated
by IFN-γ is Janus kinase (JAK)—signal transducer and
activator of transcription (STAT) -pathway [17]. In the
present study, we investigated the effects of two JAK inhibitors,
AG-490 and WHI-P154, on the IFN-γ-induced iNOS expression
and NO production in cultured macrophages. Both compounds
inhibited iNOS expression and NO production in
IFN-γ-treated macrophages along with their inhibitory
effect on activation of STAT1.
MATERIALS AND METHODS
Materials
JAK inhibitors AG-490 (tyrphostin B42) and WHI-P154 (Calbiochem,
La Jolla, Calif, USA), rabbit polyclonal mouseiNOS and
STAT1α p91 antibodies and goat anti-rabbit HRP-conjugated
polyclonal antibody (Santa Cruz Biotechnology, Santa Cruz, Calif,
USA), rabbit polyclonal phospho-STAT1 (Tyr701) antibody (Cell
Signaling Technology Inc, Beverly, Mass, USA) and recombinant
mouse γ-interferon (R&D systems, Minneapolis, Minn, USA)
were obtained as indicated. All other reagents were from Sigma
Chemical Co (St Louis, Mo, USA).
Cell culture
J774 macrophages (ATCC, Manassas, Virginia, USA) were cultured at
37°C in 5%
CO atmosphere in Dulbecco's
modified Eagle's medium with Glutamax-I (Cambrex BioScience, Verviers,
Belgium) containing 10% heat-inactivated fetal bovine serum
(Cambrex BioScience), 100 U/mL penicillin,
100 μg/mL streptomycin, and 250 ng/mL amphotericin
B (all from Gibco, Paisley, UK). Cells were seeded on 24-well
plates for nitrite measurement and RT-PCR, on 6-well plates for
Western blot and on 10 cm dishes for nuclear extract
preparation, and were grown for 72 h to confluence before
the commencement of the experiments.Toxicity of the tested compounds was ruled out by measuring cell
viability using Cell Proliferation Kit II (XTT) (Roche Diagnostics
GmbH, Mannheim, Germany) according to the manufacturer's
instructions.
Preparation of cell lysates
At indicated time points, cells were rapidly washed with ice-cold
phosphate-buffered saline (PBS) containing 2 mM
sodiumorthovanadate. For pSTAT1 Western blot, the cells
were solubilized in cold lysis buffer (1% NP-40, 150 mM
NaCl, 50 mM Tris pH 7.5, 1 mM EDTA, 1 mM
phenylmethylsulfonylfluoride, 2 mM
sodiumorthovanadate, 80 μM leupeptin,
1 μg/mL aprotinin, 1 mM NaF, 1 μg/mL
pepstatin, 2 mM sodiumpyrophosphate, 0.25%
sodiumdeoxycholate and 10 μM
N-octyl-β-D-glucopyranoside). After incubation for
15 min on ice, lysates were centrifuged (13 500 g,
5 min). The protein content of the supernatants was measured
by the Coomassie blue method.For iNOS Western blot, the cells were resuspended in lysis buffer
containing 1% Triton X, 50 mM NaCl, 10 mM
Tris-base pH 7.4, 5 mM EDTA, 0.5 mM
phenylmethylsulfonylfluoride, 1 mM
sodiumorthovanadate, 40 μM leupeptin,
50 μg/mL aprotinin, 5 mM NaF, 2 mM
sodiumpyrophosphate, 10 μM
N-octyl-β-D-glucopyranoside. Otherwise the lysis was
performed as described above.
Preparation of nuclear extracts
At indicated time points, the cells were rapidly washed with
ice-cold PBS and solubilized in hypotonic buffer A (10 mM
HEPES-KOH pH 7.9, 1.5 mM MgCl, 10 mM KCl,
0.5 mM dithiotreitol, 0.2 mM
phenylmethylsulfonylfluoride, 10 μg/mL leupeptin,
25 μg/mL aprotinin, 0.1 mM EGTA, 1 mM
sodiumorthovanadate, 1 mM NaF). After incubation for
10 min on ice, the cells were vortexed for 30 s and the
nuclei separated by centrifugation at 4°C, 21 000 g for
10 s. The pellet was resuspended in buffer C (20 mM
HEPES-KOH pH 7.9, 420 mM NaCl, 25% glycerol,
1.5 mM MgCl, 0.2 mM EDTA, 0.5 mM
dithiotreitol, 0.2 mM phenylmethylsulfonylfluoride,
10 μg/mL leupeptin, 25 μg/mL aprotinin, 0.1 mM
EGTA, 1 mM sodiumorthovanadate, 1 mM NaF) and incubated
on ice for 20 min. Nuclei were vortexed for 30 s and
nuclear extracts were obtained by centrifugation at 4°C, 21 000 g for 2 min. The protein content of the
supernatant was measured by the Coomassie blue method. The samples
were boiled in SDS sample buffer and stored at −20°C.
Western blotting
Protein (20 μg of lysates or nuclear extracts) was loaded
on 8% SDS-polyacrylamide electrophoresis gel and was
electrophoresed for 2 h at 120 V in buffer containing
25 mM Tris base, 250 mM glycine and 0.1% SDS. After
electrophoresis, the proteins were electrically transferred to
Hybond ECL™ nitrocellulose membrane (Amersham
Biosciences UK, Ltd., Little Chalfont, Buckinghamshire, UK) in
buffer containing 25 mM Tris, 192 mM glycine, 20%
methanol, and 0.005% SDS. After transfer, the membrane was
blocked in TBST (20 mM Tris base pH 7.6, 150 mM
NaCl, 0.1% Tween-20) containing 5% skimmed milk for
1 h at room temperature. The membrane was incubated with
anti-STAT1α or anti-iNOS in the blocking solution for
1 h at room temperature or with anti-pSTAT1 in TBST containing
5% bovine serum albumin at 4°C overnight. Thereafter the
membrane was washed three times with TBST for 5 min, incubated
with secondary antibody in the blocking solution for 50 min at
room temperature, and washed three times with TBST for 5 min.
Bound antibody was detected using Super Signal West Pico or Dura
chemiluminescent substrate (Pierce, Rockford, Ill, USA) and
FluorChem™ 8800 imaging system (Alpha Innotech
Corporation, San Leandro, Calif, USA). The quantitation of the
chemiluminescent signal was carried out with the use of
FluorChem™ software version 3.1.
RNA extractions and quantitative PCR
Cell homogenization, RNA extraction, reverse transcription, and
quantitative PCR were performed as described in [11]. MouseiNOS and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) primers
and probes [6-FAM (6-carboxy-fluorescein) as 5′-reporter dye and
TAMRA (6-carboxy-tetramethyl-rhodamine) as 3′
-quencher] were
designed using Express Software (Applied Biosystems, Foster City,
Calif, USA) and were 5′-CCTGGTACGGGCATTGCT-3′
(miNOS forward),
5′-GCTCATGCGGCCTCCTT-3′
(miNOS reverse),
5′-CAGCAGCGGCTCCATGACTCCC-3′
(miNOS probe),
5′-GCATGGCCTTCCGTGTTC-3′
(GAPDH forward),
5′-GATGTCATCATACTTGGCAGGTTT-3′
(GAPDH reverse), and
5′-TCGTGGATCTGACGTGCCGCC-3′
(the GAPDH probe). The primers
were used at 300 nM and the probes at 150 nM
concentrations. All primers and probes were purchased from
Metabion Planegg-Martinsried, Germany. Thermal cycling conditions
were: incubation at 50°C for 2 min, 95°C for
10 min, thereafter 40 cycles of denaturation at 92°C
for 15 s, and annealing/extension at 60°C for
1 min. The relative mRNA levels were quantified and compared
using the relative standard curve method as described in Applied
Biosystems User Bulletin #2. Each sample was determined in
duplicate.
Nitrite assays
After 24 h incubation, the culture medium was collected
for the nitrite measurement, which was used as a measure of NO
production. Culture medium (100 μL) was incubated with
100 μL of Griess reagent (0.1%
napthalethylenediamine dihydrochloride, 1%
sulfanilamine, 2.4% H) and the absorbance was
measured at 540 nm. The concentration of nitrite was
calculated with sodium nitrite as a standard [5].
Statistics
Results are expressed as mean ± standard error of mean (SEM).
When indicated, statistical analysis was carried out by analysis
of variances supported by Dunnett adjusted significance levels.
Differences were considered significant at P < .05.
RESULTS
Activation of STAT1 by IFN-γ
Activation of the JAK-STAT signalling pathway in J774mouse
macrophages was studied by measuring STAT1 phosphorylation and
nuclear translocation of STAT1α after
IFN-γ-treatment. In cells treated with IFN-γ,
tyrosine (Tyr701) phosphorylation of STAT1 was detected 15 min
after addition of IFN-γ and it was further enhanced up to
60 minutes (Figure 1(a)). Phosphorylated STATs dimerize
and diffuse into the nucleus to initiate transcription [6].
Therefore we investigated the nuclear translocation of
STAT1α in IFN-γ-stimulated J774 macrophages. The
presence of STAT1α in nuclear extracts was measured by
Western blot. The level of STAT1α in the nucleus increased
in a time-dependent manner after addition of IFN-γ into the
culture. In nuclei, low levels of STAT1α were detected
already 5 min after exposure to IFN-γ and it was
increased up to 30 minutes (Figure 1(b)).
Figure 1
(a) Time-dependent activation (Tyr701 phosphorylation)
of signal transducer and activator of transcription 1 (STAT1) by
interferon-γ (IFN-γ) in J774 macrophages. Cells were
treated with IFN-γ (5 ng/mL) for different times as
indicated. Proteins were extracted with modified RIPA-buffer, and
the protein contents were measured. Equal amounts of lysates
(20 μg protein) were subjected to immunoblot analysis
with antibody specific for STAT1 phosphorylated at the tyrosine
residue 701. Similar results were obtained in three independent
experiments. (b) Time-dependent nuclear translocation of
STAT1α in IFN-γ-stimulated J774 macrophages. Cells
were treated with IFN-γ (5 ng/mL) for different times
as indicated. The nuclear proteins were extracted as described in
materials and methods. The protein content of the samples was
measured, and equal amounts of proteins (20 μg) were
subjected to immunoblot analysis with antibody against
STAT1α. Similar results were obtained in two independent
experiments.
Effects of JAK inhibitors AG-490 and WHI-P154 on STAT1
activation
The action of JAK inhibitors AG-490 and WHI-P154 on STAT1
activation was studied by measuring their effects on nuclear
translocation of STAT1α in IFN-γ-stimulated cells.
Both AG-490 and WHI-P154 decreased the nuclear translocation of
STAT1α in a concentration-dependent manner
(Figure 2). WHI-P154 was somewhat more potent than
AG-490, and at 10 μM drug concentration, WHI-P154
decreased the IFN-γ-induced nuclear translocation of
STAT1α by approximately 50% when measured after 30 min
incubation with IFN-γ.
Figure 2
Effects of
AG-490 and WHI-P154 on nuclear translocation of STAT1α in
IFN-γ-stimulated J774 macrophages. The cells were
pretreated with (a) AG-490 or (b) WHI-P154 for 30 minutes.
Thereafter, the medium was replaced with fresh medium containing
the combination of the inhibitor and IFN-γ (5 ng/mL).
The cells were incubated for another 30 minutes, and the nuclear
proteins were extracted as described in materials and methods. The
protein content of the samples was measured and equal amounts
(20 μg) were subjected to immunoblot analysis with
antibody against STAT1α. The results are expressed as mean
±
SEM (n = 2–3 for AG-490 and
n = 4 for WHI-P154).
Effects of JAK inhibitors AG-490 and WHI-P154 on NO
production in J774 macrophages
To investigate the effects of JAK inhibitors on NO production in
J774 macrophages, the cells were treated with IFN-γ in the
absence or in the presence of increasing concentrations (3, 10, and
30 μM) of JAK inhibitors AG-490 and WHI-P154, and NO
production was detected as nitrite accumulation in the culture
medium. IFN-γ induced NO production in J774 macrophages and
it was inhibited in a concentration-dependent manner by AG-490 and
WHI-P154 (Figure 3). WHI-P154 was somewhat more potent
inhibitor of NO production than AG-490. Cytotoxicity as a
contributing factor was ruled out by XTT test. When the compounds
were added to cells 6 h after IFN-γ stimulation, no
effect on NO production was seen. This suggests that the compounds
do not inhibit iNOS activity but rather suppress iNOS expression.
Figure 3
Effects of (a) AG-490 and (b) WHI-P154 on
IFN-γ-induced nitric oxide (NO) generation in J774
macrophages. After 24-hour incubation with IFN-γ
(5 ng/mL), the supernatants were collected and nitrite was
measured in the culture medium as an indicator of NO production by
Griess reaction. The values are mean ± SEM (n = 6),
*P < .05, and
**P < .01 when compared to cells
treated with IFN-γ alone.
Effects of JAK inhibitors AG-490 and WHI-P154 on iNOS protein
expression
The effects of JAK inhibitors, AG-490 and WHI-P154, on iNOS protein
expression were investigated by Western blot analysis.
IFN-γ induced iNOS protein expression in J774
macrophages, and it was reduced in a concentration-dependent
manner by AG-490 or WHI-P154 (Figure 4).
Figure 4
Effects of
(a) AG-490 and (b) WHI-P154 on iNOS protein expression in J774
macrophages. Cells were incubated with IFN-γ (5 ng/mL)
in the presence or in the absence of the tested compound for
24 hours. Cells were lysed and the protein content of the lysates
was measured, and equal amounts of proteins (20 μg) were
subjected to immunoblot analysis with an antibody against iNOS.
The results are shown as mean ± SEM
(n = 6 for AG-490 and n = 4 for WHI-P154),
**P < .01 when compared to cells
treated with IFN-γ alone.
Effects of JAK inhibitors AG-490 and WHI-P154 on iNOS mRNA
expression and decay
The effects of JAK inhibitors, AG-490 and WHI-P154, on iNOS mRNA
expression in IFN-γ treated cells were measured by
quantitative PCR. Both AG-490 (10 μM) and WHI-P154
(10 μM) reduced iNOS mRNA levels by 60% when measured
after 4 h incubation (Figure 5(a)). To study whether
the JAK inhibitors affect the rate of iNOS mRNA degradation,
actinomycin D assay was applied. An inhibitor of transcription,
actinomycin D (0.1 μg/mL), was added into the culture
after 6 h incubation with IFN-γ or a combination of
IFN-γ and the drugs tested. Cells were harvested at time
points 0, 1, 2, 3, 4, and 6 h after the addition of actinomycin
D. Neither AG-490 nor WHI-P154 affected the decay of iNOS mRNA
(Figure). The results suggest that AG-490 and
WHI-P154 suppress iNOS expression at the level of transcription
rather than at the level of regulation of the stability of iNOS
mRNA.
Figure 5
Effects of JAK inhibitors, AG-490 and WHI-P154, on
IFN-γ-induced iNOS mRNA expression and degradation in J774
macrophages. (a) Cells were incubated with IFN-γ
(5 ng/mL) in the absence or in the presence of AG-490 and
WHI-P154 (10 μM). The cells were disrupted after 4-hour
incubation and total RNA was collected. Isolated RNA was converted
to cDNA. iNOS and GAPDH mRNAs were measured by quantitative PCR,
and iNOS mRNA levels were normalized against GAPDH mRNA. The
results are expressed as mean ± SEM,
n = 3. **P < .01
when compared to cells treated with IFN-γ alone. (b) Cells
were incubated as in (a) except that actinomycin D (actD)
(0.1 μg/mL) was added after 6-hour incubation to stop
transcription. Incubations were terminated at the indicated time
points after addition of actD into the culture medium. Total RNA
was isolated and converted to cDNA. iNOS and GAPDH mRNA were
measured by quantitative PCR. iNOS mRNA levels were normalized
against GAPDH mRNA. The results are expressed as mean ± SEM,
n = 3.
DISCUSSION
In the present study, we tested the effects of two JAK inhibitors,
AG-490 and WHI-P154, on the activation of JAK-STAT1-signalling
pathway, iNOS expression, and NO production in IFN-γ-treated
macrophages. JAK inhibitors AG-490 and WHI-P154 decreased
IFN-γ-induced iNOS expression and NO production along with
inhibition of STAT1 activation. To our knowledge, down-regulation
of iNOS expression and NO production by JAK inhibitor WHI-P154 has
not been reported previously. The inhibitors did not affect the
decay of iNOS mRNA.Typically, cytokine stimulation involves the ligation of two
different receptor subunits, and this results in the formation of
JAK heterodimers and their subsequent autophosphorylation.
IFN-γ signalling preferentially leads to activation of
STAT1 [6], which is phosphorylated on Tyr701 by JAK
[12]. Phosphorylation of STAT1 induces STAT1 dimerization,
nuclear translocation, and initiation of transcription of gamma
activated site (GAS) -driven genes [7]. In our study, we
followed STAT1 activation by detecting STAT1 (Tyr701)
phosphorylation and by probing nuclear lysates for STAT1α
at different time points after IFN-γ activation. The
results show that STAT1 was activated in 15 minutes after
IFN-γ-stimulation in J774 cells. Similar results have been
reported recently when whole cell and nuclear lysates of J774
cells were immunoblotted for phosphorylated STAT1 [3].STAT1 has been reported to act as a key transcription factor in
IFN-γ-dependent mouseiNOS expression [1], whereas
NF-κB, another important transcription factor in the
induction of iNOS, is merely involved in lipopolysaccharide
(LPS)-induced iNOS expression and has a minor role following
IFN-γ stimulation [1, 24].
An IFN-γ-activated
site (GAS) is necessary for full expression of iNOS in response to
IFN-γ and LPS [2, 15]. In addition, macrophages
derived from STAT1-deficientmice displayed severely impaired NO
production in response to a combination of IFN-γ and LPS
[15].In the present study, stimulation of J774 macrophages by
IFN-γ led to the phosphorylation and nuclear translocation
of STAT1, which was inhibited by AG-490 and WHI-P154. On molar
basis, WHI-P154 was somewhat more potent inhibitor than AG-490.
Similarly to our results, AG-490 has previously been shown to
prevent JAK2 phosphorylation and to decrease STAT1 phosphorylation
in J774 cells [1] and to decrease activation of STAT1
pathway in B-cell chronic lymphocytic leukemia (B-CLL) cells
[14]. WHI-P154 was designed to specifically inhibit JAK3, and
it has been shown to inhibit IL-2-triggered JAK3-dependent STAT
activation in 32Dc11-IL-2Rβ-cells [20]. WHI-P131
(another WHI-P154-related JAK inhibitor) has been shown to
inhibit STAT1 activation in B-CLL cells, in platelets, and in
mesenchymal stem cells [14, 19, 21]. Here we extend the earlier
data by showing that WHI-P154 inhibits STAT1 activation also in
IFN-γ-treated macrophages.In the present study, IFN-γ induced iNOS expression and NO
production in J774 macrophages, and it was inhibited by JAK
inhibitors, AG-490 and WHI-P154, in a dose-dependent manner along
with their inhibitory action on STAT1 activation. When the drugs
were added to the culture 6 h after IFN-γ, no effect on
NO production was detected suggesting that the compounds do not
inhibit iNOS activity. The results confirm the earlier studies
showing that AG-490 inhibits IFN-γ-induced iNOS expression
in macrophages [1]. To our knowledge, down-regulation of
iNOS expression and NO production by JAK inhibitor WHI-P154 has
not been reported previously.The regulation of iNOS expresion is controlled at the level of
mRNA stability in addition to the transcriptional regulation
[8, 10]. In murine macrophages, dexamethasone, and SP600125, an
inhibitor of c-Jun N-terminal kinase (JNK), reduced LPS-induced
iNOS expression by destabilizing the mRNA [9, 11]. In
contrast, IFN-γ has been shown to retard iNOS mRNA
degradation when compared to iNOS mRNA induced by LPS alone
[9]. In the present study, the effects of AG-490 and
WHI-P154 on iNOS mRNA decay were tested by actinomycin D assay.
JAK inhibitors, AG-490 and WHI-P154 did not affect the rate of
degradation of iNOS mRNA in cells treated with IFN-γ. This
suggests that AG-490 and WHI-P154 inhibit iNOS expression at
transcriptional level and they do not regulate mechanisms involved
in the iNOS mRNA stabilization.In conclusion, we have shown that JAK inhibitors, AG-490 and WHI-P154
down-regulate STAT1 activation, iNOS expression, and NO production in
IFN-γ-treated macrophages. A better understanding of the
mechanisms regulating iNOS expression and NO production in inflammation
could facilitate the development of novel anti-inflammatory drugs acting
through iNOS pathway.
ABBREVIATIONS
AG-490, α-cyano-(3,4-dihydroxy)-N-benzylcinnamide; B-CLL,
B-cell chronic lymphocytic leukemia; GAPDH,
glyceraldehyde-3-phosphate dehydrogenase; GAS, gamma activated
site; IFN, interferon; IL, interleukin; iNOS, inducible nitric
oxide synthase; JAK, Janus kinase; JNK, c-Jun N-terminal kinase;
LPS, lipopolysaccharide; NO, nitric oxide; STAT, signal transducer
and activator of transcription; WHI-P154,
4-(3′-bromo-4′-hydroxylphenyl)-amino-6,7-dimethoxyquinazoline.
ACKNOWLEDGMENTS
We thank Mrs Niina Ikonen for the skillful technical assistance
and Mrs Heli Määttä for secretarial help. This work
was supported by The National Technology Agency (Tekes), Finnish
Cultural Foundation, and the Medical Research Fund of Tampere
University Hospital.
Authors: H E Tibbles; A Vassilev; H Wendorf; D Schonhoff; D Zhu; D Lorenz; B Waurzyniak; X P Liu; F M Uckun Journal: J Biol Chem Date: 2001-02-22 Impact factor: 5.157
Authors: O Sareila; R Korhonen; H Auvinen; M Hämäläinen; H Kankaanranta; E Nissinen; E Moilanen Journal: Br J Pharmacol Date: 2008-08-18 Impact factor: 8.739