We demonstrate that adrenomedullin (AM) is produced and secreted from cultured murine monocyte/ macrophage cell line (RAW 264.7) as well as mouse peritoneal macrophage. Immunoreactive (IR) AM secreted from RAW 264.7 cells was chromatographically identified to be native AM. To elucidate the regulation mechanism of AM production in macrophage, we examined the effects of various substances inducing differentiation or activation of monocyte/macrophage. Phorbol ester (TPA), retinoic acid (RA), lipopolysaccharide (LPS), and interferon-␥ (IFN-␥) increased AM production 1.5-7-fold in RAW 264.7 cells in a dose-as well as time-dependent manner. By LPS stimulation, the AM mRNA level in RAW 264.7 cells was augmented up to 7-fold after 14 h incubation. RA exerted a synergistic effect when administered with TPA, LPS, or IFN-␥, whereas IFN-␥ completely suppressed AM production in RAW 264.7 cells stimulated with LPS. Dexamethasone, hydrocortisone, estradiol, and transforming growth factor- dosedependently suppressed AM production in RAW 264.7 cells. AM production was also investigated in mouse peritoneal macrophage. Primary mouse macrophage secreted IR-AM at a rate similar to that of RAW 264.7 cells, and its production was enhanced 9-fold by LPS stimulation. AM was found to increase basal secretion of tumor necrosis factor ␣ (TNF-␣) from RAW 264.7 cells, whereas AM suppressed the secretion of TNF-␣ and interleukin-6 from that stimulated with LPS. Thus, macrophage should be recognized as one of the major sources of AM circulating in the blood. Especially in cases of sepsis and inflammation, AM production in macrophage is augmented, and the secreted AM is deduced to function as a modulator of cytokine production.
Adrenomedullin (AM)1 is a potent vasorelaxant peptide originally isolated from extracts of human pheochromocytoma by monitoring the elevating activity of platelet cAMP (1). AM shows slight homology with calcitonin gene-related peptide (CGRP) and has a potent and long-lasting depressor effect when injected intravenously into anesthetized rats (1, 2). We have shown that cultured endothelial cells (ECs) and vascular smooth muscle cells (VSMCs) produce and secrete AM into culture medium (3, 4). The production and secretion of AM in VSMC and EC were augmented by interleukin-1 (IL-1), tumor necrosis factor ␣ (TNF-␣), and lipopolysaccharide (LPS) (5, 6), which are known to be major factors inducing septic shock (7-9). In the in vivo study, intravenous administration of LPS into rats actually elevated plasma AM concentration 20-fold and augmented AM gene expression in blood vessels, lung, and intestine (10). Plasma AM levels were also remarkably increased in patients with septic shock compared with those in healthy volunteers (11,12). These data suggest the possibility that AM contributes to induction of refractory hypotension in septic shock. On the other hand, macrophages are activated by exposure to stimuli of foreign bodies such as LPS and then start to produce and secrete various cytokines, such as IL-1 and TNF-␣. These da...