Review Article

NOP Receptor Ligands as Potential Agents for Inflammatory and Autoimmune Diseases

Table 1

Mechanisms underlying some immunoregulatory activities triggered by NOP receptor activation.

Biological effects related to N/OFQ or its interaction in the neuroimmune axisMechanismsAnimal conditions or cell typeRef

Bacterial products (LPS) and inflammatory cytokines (IL-1β and TNF-α) increase the expression of N/OFQ in astrocytesDependent on ERK, p38 MAPK, and NF-κB activationPrimary rat astrocytes culture[33]

LPS induce N/OFQ expression in dorsal root ganglion (DRG) neuronsThe complex TLR-4-MD-1 seems to be a functional receptor of neurons for LPSDRG neurons obtained from mice[77]

N/OFQ induces vasodilatation and hyperemia in acutely inflamed rat kneesDependent of mast cells, and circulating leukocytes, which produces proinflammatory factors that stimulate capsaicin-sensitive nerves leading to release of SP, CGRP and VIPAnesthetized rats (kaolin/carragee an arthritis model)[78]

Increased vascular permeability in rat skin by local application of nociceptinHistamine released from mast cellsWistar rats, peritoneal mast cells isolated[79]

N/OFQ i.v. injection induces hypotension, vasodilatation, vascular permeability, leukocytes rolling, and adhesionVasodilation and inflammation dependent, of histamine released by mast cellsWistar rats[80]

N/OFQ elicits in mice itch and leukotriene B4 productionNot clearICR mice, keratinocytes from mice[81]

N/OFQ induces chemotaxis of neutrophils in vitro and leukocytes recruitment in vivo The chemotaxis were Ca2+ independent, and leukocytes infiltration into air pouches cavities were inhibited by 15-Epi-Lipoxin A4 treatmentHuman PMN-isolated and murine air pouches model[31]

Human neutrophils secrete preformed N/OFQ upon degranulation induced by microbial-derived N-formylated proteinN/OFQ prevents cAMP elevation in fMLP-stimulated PMNs acting as an activating signalHuman neutrophils[32]

NOP-deficient mice developed attenuated colitis when orally treated with dextran sulfate sodiumDecreased expression of MadCAM-1 and significant reduction in the number of lymphocytes, macrophages and neutrophils in colonic mucosaNOP deficient and wild-type C57BL6 mice[59]

Pharmacological blockade of NOP receptor decreases rate mortality and systemic inflammation in septic ratsControl of bacteria spread (peritoneal cavity and blood) and decreased lung infiltration and serum levels of TNF-α, IL-1β, and CCL2Rats subjected to CLP[55]

N/OFQ decreases SEB-activated T-cell proliferationInduction of active IDO expression in T cells by a mechanism involving IFN-γ, TGF-β, prostaglandin, and nitric oxideSEB-activated CD4+ T cells[42]

Modulation of genes transcription involved in the neuroimmune axis functionsN/OFQ induces cell signaling via several intracellular pathways leading to MAP kinase activation, PKC activation, NFκB nuclear translocation, and hence gene transcriptionsHuman neuroblastoma SH-SY5Y cells, CHO transfected cells[8285]

CCL2: chemokine (C-C motif) ligand 2; CGRP: calcitonin gene-related peptide; CLP: cecal ligation and puncture; ERK: extracellular signal-regulated kinase; fMLP: formyl-methionyl-leucyl-phenylalanin; IDO: indoleamine 2,3-dioxygenase; MAdCAM-1: mucosal addresin cell adhesion molecule-1; MAPK: mitogen-activated protein kinase; MD-1: myeloid differentiation protein-1; NFκB: nuclear factor Kappa B; PMN: polymorphonuclear neutrophil; SP: substance P; TLR4: toll-like receptor 4; VIP: vasoactive intestinal peptide.