Center for Tobacco Research
Grant Application No. 2118 the Effect of Smoking on Eiconsanoid Metabolism in Normal and the Preeclamptic Pregnancies [Recommended Approval Without High Priority]
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of this application and would recommend approval but not vitb a
high priority

ed. Smoking is known to increase the activ=iy of some enzymes
such as placental cytochrome P450 by enzyme :.nduction. The
products of the lipoxygenase and cytochrome T-'450 monooxygenase
reactions are similar. He can find only one study dealing with
the effect of smoking on lipoxygenase activit:y. It did not
distinguish the activity of lipoxygenase versus P450 monoox-
genase. He plans to initiate his studies by examining the fate
of 14C-arachidonate that has been incubated with placental or
umbilical microsomes or 10,000 x g supernatant solutions that
have been isolated from normal and preeclamptic pregnancies of
smokers and non-smokers. These incubatior_s will be conducted in
the absence and presence of indomethacin, NADPH and of the
cytochrome P450 inhibitors, SKF-525 and others. Arachidonate
metabolites whose synthesis is blocked by these inhibitors will
be identified by the use of HPLC, or mass spectrometry if
necessary. The final question to be asked is do products of
smoking alter the arachidonic acid cascade in preeclampsia by
being cofactors, substrates, or inhibitors of enzymes involved
in that cascade.
INVESTIGATOR:
The principal investigator is a 51 year old physician associate
professor in the Department of Medicine. He has served in the
Departments of Pharmacology and in the Laboratory of Pharmacol-
ogy of the Baltimore Cancer Research Center. He has a total of
38 publications and lists several dealing with studies of human
placental prostaglandins. Three of these haTe been submitted
for publication.
BUDGET:
The budget for the first year appears inflated. About 60% is
for his salary and that of a senior research technician to be
named. $14,000 is requested for a bioscan inage scanner. He
has an NIH grant in the amount of $12,570 wh:ich is a carry over
grant while his competing renewal is being considered for
funding. He claims that this NIH grant comp:Lements the one we
are considering. I believe the budget 9s high, but I really
don't see where it can be cut.
CRITIQUE, SUMMARY AND CONCLUSIONS:
I am not a prostaglandin chemist, so it ie difficult for me to
be critical of the proposal as written. The things stated seem
to make sense, and if they could be brought to a logical
conclusion, the information could be potenti,ally valuable in the
handling of patients with eclampsia.
The problem as I see it is that Jarabak is net a productive
investigator and because of his poor publication record I am not
sure that the experiments will be brought to fruition in the way
they should be. Accordingly, I cannot wax strong in my support

3/24/87 CC: DRS. JLICOBS01d,SOMMERS,SCIENTIFIC STAFF
Council for Tobacco Research - Pierce
Grant Application No. 2118
Applicant: Joseph Jarabak, M.D., Ph.D., The University of
Chicago, Illinois
Title: "The Effect of Smoking on --:icosaroid Metabe-
lism in Normal and the Preeclamptic Pregnan-
cies"
DESCRIPTION:
An ir:verse correlation between the number of cigarettes smoked
daily during pregnancy and the incidence of preeclampsia has
been reported. Recently there has been evidevice to suggest an
etiologic role in preeclampsia for prostablandins and other
products of the arachidonic acid cascade. Prostacyclin is a
labile vasodilator and inhibitor of platelet aggregation. Its
concentration is depressed in the umbilical ard placental
vasculature of preeclamptic patients. Other studies have
demonstrated a decreased incidence of preec?e3mpsia following the
administration of nonsteroidal inhibitors of prostaglandin and
thromboxane synthesis. To date no one has Lested the hypothesis
that the salutary effects of cigarette smoking on preeclampsia
are due to alterations in one or more steps :Ln the prostaglandin
cascade. As a consequence three specific aims are outlined.
The first asks the question are the relative amounts of products
from the arachidonic acid cascade affected b.~ whether an
individual has preeclampsia or is a smoker. A11 of the products
in the arachidonic acid cascade are catabolized by various
enzymes and to date no investigators of preeclampsia, interested
in PGFla or cyclooxygenase activity, have ever measured either
the activity of the enzyme or the relative amounts of the
various catabolic products. He proposes to ~Drovide an overal.ll
picture of the fate of the arachidonic acid in normal placental
tissue and umbilical vessels by administerin; 14C-arachidonate
to homogenates of placental tissue and umbili.cal vessels. The
products will then be separated by thin laye-r chromatography or
HPLC and identified by the use of authentic standards. He will
examine the effects of metal ions, reducing agents, and cofac-
tors on the conversion. This should tell him the fate of
arachidonic acid in placental tissues.
The second experiment asks the question are the effects off
preeclampsia on specific enzymes in the ara.c.idonic acid cascade
nullified by smoking? He points out there are a number of
enzymes in the arachidonic acid cascade whosa activities in
placental tissues or umbilical vessels mav be influenced by
preeclampsia or smoking. The conclusion has been reached by
others with little substantiation that PGH synthase is less
active in preeclamptic than in normal pregnancies. He will
examine this conclusion directly. The methods are all describ-
