Department of Experimental Medical Science, Lund University, Lund, Sweden.
Br J Pharmacol. 2013 Jan;168(2):363-74. doi: 10.1111/j.1476-5381.2012.02131.x.
Statin treatment may ameliorate viral infection-induced exacerbations of chronic obstructive pulmonary disease (COPD), which exhibit Th2-type bronchial inflammation. Thymic stromal lymphopoietin (TSLP), a hub cytokine switching on Th2 inflammation, is overproduced in viral and dsRNA-stimulated bronchial epithelial cells from COPD donors. Hence, TSLP may be causally involved in exacerbations. This study tests the hypothesis that simvastatin inhibits dsRNA-induced TSLP.
Epithelial cells, obtained by bronchoscopy from COPD (n = 7) and smoker control (n = 8) donors, were grown and stimulated with a viral infection and danger signal surrogate, dsRNA (10 μg·mL(-1) ). Cells were treated with simvastatin (0.2-5 μg·mL(-1) ), with or without mevalonate (13-26 μg·mL(-1) ), or dexamethasone (1 μg·mL(-1) ) before dsRNA. Cytokine expression and production, and transcription factor (IRF3 and NF-κB) activation were determined.
dsRNA induced TSLP, TNF-α, CXCL8 and IFN-β. TSLP was overproduced in dsRNA-exposed COPD cells compared with control. Simvastatin, but not dexamethasone, concentration-dependently inhibited dsRNA-induced TSLP. Unexpectedly, simvastatin acted independently of mevalonate and did not affect dsRNA-induced NF-κB activation nor did it reduce production of TNF-α and CXCL8. Instead, simvastatin inhibited dsRNA-induced IRF3 phosphorylation and generation of IFN-β.
Independent of mevalonate and NF-κB, previously acknowledged anti-inflammatory mechanisms of pleiotropic statins, simvastatin selectively inhibited dsRNA-induced IRF3 activation and production of TSLP and IFN-β in COPD epithelium. These data provide novel insight into epithelial generation of TSLP and suggest paths to be exploited in drug discovery aimed at inhibiting TSLP-induced pulmonary immunopathology.
他汀类药物治疗可能改善慢性阻塞性肺疾病(COPD)患者病毒感染引起的加重,后者表现为 Th2 型支气管炎症。胸腺基质淋巴细胞生成素(TSLP)是一种诱导 Th2 炎症的核心细胞因子,在 COPD 供体的病毒和双链 RNA 刺激的支气管上皮细胞中过度产生。因此,TSLP 可能与加重有关。本研究测试了辛伐他汀抑制双链 RNA 诱导的 TSLP 的假说。
通过支气管镜从 COPD(n=7)和吸烟者对照(n=8)供体中获得上皮细胞,在病毒感染和危险信号模拟物双链 RNA(10μg·mL(-1))刺激下培养和刺激。在用或不用甲羟戊酸(13-26μg·mL(-1))或地塞米松(1μg·mL(-1))预处理双链 RNA 之前,将细胞用辛伐他汀(0.2-5μg·mL(-1))处理。测定细胞因子表达和产生以及转录因子(IRF3 和 NF-κB)激活。
双链 RNA 诱导 TSLP、TNF-α、CXCL8 和 IFN-β。与对照相比,暴露于双链 RNA 的 COPD 细胞中 TSLP 过度产生。辛伐他汀而非地塞米松浓度依赖性地抑制双链 RNA 诱导的 TSLP。出乎意料的是,辛伐他汀独立于甲羟戊酸起作用,不影响双链 RNA 诱导的 NF-κB 激活,也不减少 TNF-α 和 CXCL8 的产生。相反,辛伐他汀抑制双链 RNA 诱导的 IRF3 磷酸化和 IFN-β 的产生。
独立于甲羟戊酸和 NF-κB,多效性他汀类药物先前已知的抗炎机制,辛伐他汀选择性抑制 COPD 上皮细胞中双链 RNA 诱导的 IRF3 激活和 TSLP 和 IFN-β 的产生。这些数据为上皮细胞中 TSLP 的产生提供了新的见解,并为抑制 TSLP 诱导的肺免疫病理学的药物发现提供了途径。