Zhao G D, Yokoyama A, Kohno N, Sakai K, Hamada H, Hiwada K
Second Department of Internal Medicine, Ehime University School of Medicine, Onsen-gun, Ehime, Japan.
Int Arch Allergy Immunol. 2000 Feb;121(2):116-22. doi: 10.1159/000024306.
Suplatast tosilate (IPD) is a newly developed 'anti-allergic' drug. It seems to be a unique compound because of its ability to suppress IgE but not IgG or IgM production in vivo and cytokine production from type 2 helper T cells (Th2) in vitro. However, information on its in vivo effect on an animal model of asthma is limited.
BALB/c mice sensitized to ovalbumin (3 times, 2-week interval) were challenged with ovalbumin by inhalation (50 mg/ml for 20 min, once a day for 6 days). In this study, we explored the influence of IPD on eosinophil infiltration into the airways, bronchial hyperresponsiveness (BHR) to methacholine, specific IgE antibody production, and cytokines in bronchoalveolar lavage fluid (BALF) using this murine model.
Treatment with IPD significantly reduced the number of total cells and eosinophils in BALF (around -40%) and almost completely inhibited the development of antigen-induced BHR. Histological findings confirmed the reduction of submucosal cell infiltration in the lung, and disclosed the marked inhibition of bronchial epithelial cell damage. Ovalbumin-specific IgE was slightly but significantly reduced. The levels of IL-4, IL-5 and IL-13 in BALF were significantly decreased in mice treated with the compound compared to those in untreated mice.
These results suggest that IPD is capable of inhibiting the production of Th2 cytokines, which inhibit eosinophil infiltration into the murine airway, IgE synthesis, and development of BHR, in a murine model of asthma.
托西酸舒普拉泰(IPD)是一种新开发的“抗过敏”药物。它似乎是一种独特的化合物,因为它能够在体内抑制IgE的产生,但不抑制IgG或IgM的产生,并且在体外能够抑制2型辅助性T细胞(Th2)产生细胞因子。然而,关于其对哮喘动物模型的体内作用的信息有限。
用卵清蛋白致敏BALB/c小鼠(3次,间隔2周),然后通过吸入给予卵清蛋白进行激发(50mg/ml,持续20分钟,每天1次,共6天)。在本研究中,我们使用该小鼠模型探讨了IPD对嗜酸性粒细胞浸润气道、对乙酰甲胆碱的支气管高反应性(BHR)、特异性IgE抗体产生以及支气管肺泡灌洗液(BALF)中细胞因子的影响。
IPD治疗显著减少了BALF中的总细胞数和嗜酸性粒细胞数(约-40%),并几乎完全抑制了抗原诱导的BHR的发展。组织学结果证实了肺黏膜下细胞浸润的减少,并揭示了支气管上皮细胞损伤受到显著抑制。卵清蛋白特异性IgE略有但显著降低。与未治疗的小鼠相比,用该化合物治疗的小鼠BALF中IL-4、IL-5和IL-13的水平显著降低。
这些结果表明,在哮喘小鼠模型中,IPD能够抑制Th2细胞因子的产生,从而抑制嗜酸性粒细胞浸润小鼠气道、IgE合成以及BHR的发展。