Kibe Atsuko, Inoue Hiromasa, Fukuyama Satoru, Machida Kentaro, Matsumoto Koichiro, Koto Hiroshi, Ikegami Tomomi, Aizawa Hisamichi, Hara Nobuyuki
Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Am J Respir Crit Care Med. 2003 Jan 1;167(1):50-6. doi: 10.1164/rccm.2110084.
Interleukin (IL)-13 induces important features of bronchial asthma such as eosinophilic infiltration, airway hyperresponsiveness (AHR), and mucus hypersecretion. Although glucocorticoids suppress airway inflammation and remain the most effective therapy for asthma, the effects of glucocorticoids on the IL-13-dependent features are unknown. We studied the effects of dexamethasone on eotaxin production, eosinophil accumulation, goblet cell hyperplasia, and AHR after IL-13 administration into the airways of mice in vivo. MUC5AC gene expression, a marker of goblet cell hyperplasia, was also analyzed. IL-13 alone dose dependently induced AHR. Treatment with dexamethasone inhibited eotaxin expression and completely abolished eosinophil accumulation, but it did not affect AHR, MUC5AC overexpression, or goblet cell hyperplasia induced by IL-13. The effects of tumor necrosis factor-alpha on IL-13-induced AHR were also examined. Tumor necrosis factor-alpha did not affect AHR despite marked enhancement of eosinophil infiltration in IL-13-treated mice. These findings suggest that glucocorticoid is not sufficient to suppress IL-13-induced AHR or goblet cell hyperplasia and that eotaxin expression and eosinophilic inflammation do not have a causal relationship to the induction of AHR or goblet cell hyperplasia by IL-13. Control of steroid-resistant features induced by IL-13, including AHR and mucus production, may provide new therapeutic modalities for asthma.
白细胞介素(IL)-13可诱导支气管哮喘的重要特征,如嗜酸性粒细胞浸润、气道高反应性(AHR)和黏液分泌亢进。尽管糖皮质激素可抑制气道炎症,仍是治疗哮喘最有效的药物,但糖皮质激素对IL-13依赖性特征的影响尚不清楚。我们在体内研究了地塞米松对向小鼠气道内注射IL-13后嗜酸性粒细胞趋化因子产生、嗜酸性粒细胞积聚、杯状细胞增生和AHR的影响。还分析了杯状细胞增生标志物MUC5AC基因的表达。单独使用IL-13可剂量依赖性地诱导AHR。地塞米松治疗可抑制嗜酸性粒细胞趋化因子表达并完全消除嗜酸性粒细胞积聚,但不影响IL-13诱导的AHR、MUC5AC过表达或杯状细胞增生。还研究了肿瘤坏死因子-α对IL-13诱导的AHR的影响。尽管在IL-13处理的小鼠中嗜酸性粒细胞浸润明显增强,但肿瘤坏死因子-α并不影响AHR。这些发现表明,糖皮质激素不足以抑制IL-13诱导的AHR或杯状细胞增生,且嗜酸性粒细胞趋化因子表达和嗜酸性粒细胞炎症与IL-13诱导的AHR或杯状细胞增生没有因果关系。控制由IL-13诱导的类固醇抵抗性特征,包括AHR和黏液产生,可能为哮喘提供新的治疗方法。
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