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脾酪氨酸激酶抑制可减轻哮喘慢性模型小鼠气道高反应性和污染诱发的增强气道反应。

Spleen tyrosine kinase inhibition attenuates airway hyperresponsiveness and pollution-induced enhanced airway response in a chronic mouse model of asthma.

机构信息

Division of Respirology, Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

出版信息

J Allergy Clin Immunol. 2013 Feb;131(2):512-20.e1-10. doi: 10.1016/j.jaci.2012.07.039. Epub 2012 Sep 13.

Abstract

BACKGROUND

Asthma is a chronic inflammatory disease characterized by airways hyperresponsiveness (AHR), reversible airflow obstruction, airway remodeling, and episodic exacerbations caused by air pollutants, such as particulate matter (PM; PM <2.5 μm in diameter [PM(2.5)]) and ozone (O(3)). Spleen tyrosine kinase (Syk), an immunoregulatory kinase, has been implicated in the pathogenesis of asthma.

OBJECTIVE

We sought to evaluate the effect of Syk inhibition on AHR in a chronic mouse model of allergic airways inflammation and pollutant exposure.

METHODS

We used a 12-week chronic ovalbumin (OVA) sensitization and challenge mouse model of airways inflammation followed by exposure to PM(2.5) plus O(3). Respiratory mechanics and methacholine (MCh) responsiveness were assessed by using the flexiVent system. The Syk inhibitor NVP-QAB-205 was nebulized intratracheally by using a treatment-based protocol 15 minutes before assessment of MCh responsiveness.

RESULTS

Syk expression increased significantly in the airway epithelia of OVA-sensitized and OVA-challenged (OVA/OVA) mice compared with OVA-sensitized but PBS-challenged (OVA/PBS) control mice. OVA/OVA mice exhibited AHR to MCh, which was attenuated by a single administration of NVP-QAB-205 (0.3 and 3 mg/kg). PM(2.5) plus O(3) significantly augmented AHR to MCh in the OVA/OVA mice, which was abrogated by NVP-QAB-205. Total inflammatory cell counts were significantly higher in the bronchoalveolar lavage fluid from OVA/OVA than OVA/PBS mice and were unaffected by PM(2.5) plus O(3) or NVP-QAB-205.

CONCLUSION

NVP-QAB-205 reduced AHR and the enhanced response to PM(2.5) plus O(3) to normal levels in an established model of chronic allergic airways inflammation, suggesting that Syk inhibitors have promise as a therapy for asthma.

摘要

背景

哮喘是一种慢性炎症性疾病,其特征为气道高反应性(AHR)、气流可逆性阻塞、气道重塑以及由空气污染物(如直径小于 2.5μm 的颗粒物(PM<2.5>)和臭氧(O<3>))引起的间歇性恶化。脾酪氨酸激酶(Syk)作为一种免疫调节激酶,与哮喘的发病机制有关。

目的

我们旨在评估 Syk 抑制在慢性变应原性气道炎症和污染物暴露小鼠模型中的气道高反应性(AHR)的作用。

方法

我们使用 12 周的卵清蛋白(OVA)致敏和挑战的慢性小鼠气道炎症模型,随后暴露于 PM<2.5>和 O<3>。通过 flexiVent 系统评估呼吸力学和乙酰甲胆碱(MCh)反应性。通过基于治疗的方案,在评估 MCh 反应性前 15 分钟,将 Syk 抑制剂 NVP-QAB-205 经气管内雾化给药。

结果

与 OVA 致敏但用磷酸盐缓冲盐水(PBS)挑战的(OVA/PBS)对照小鼠相比,OVA 致敏和挑战的(OVA/OVA)小鼠的气道上皮中 Syk 表达显著增加。OVA/OVA 小鼠表现出对 MCh 的 AHR,单次给予 NVP-QAB-205(0.3 和 3mg/kg)可减轻 AHR。PM<2.5>和 O<3>显著增强了 OVA/OVA 小鼠对 MCh 的 AHR,而 NVP-QAB-205 则消除了这种增强。与 OVA/PBS 小鼠相比,OVA/OVA 小鼠的支气管肺泡灌洗液中的总炎性细胞计数显著升高,且不受 PM<2.5>和 O<3>或 NVP-QAB-205 的影响。

结论

在慢性变应性气道炎症的既定模型中,NVP-QAB-205 降低了 AHR 和对 PM<2.5>加 O<3>的增强反应,恢复至正常水平,表明 Syk 抑制剂有望成为哮喘的一种治疗方法。

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