Kikkawa Yasuko, Sugiyama Kumiya, Obara Kazuki, Hirata Hirokuni, Fukushima Yasutsugu, Toda Masao, Fukuda Takeshi
Department of Pulmonary Medicine and Clinical Immunology, Dokkyo Medical University, 880 Kita-kobayashi, Mibu, Tochigi 321-0293, Japan.
Asia Pac Allergy. 2012 Oct;2(4):256-63. doi: 10.5415/apallergy.2012.2.4.256. Epub 2012 Oct 31.
Asthma is characterized by a chronic inflammatory process involving high numbers of inflammatory cells and mediators which have multiple inflammatory effects on the airway. Interferon (IFN)-alpha, which is used widely for treating chronic hepatitis C, is reported to have an effect on patients with Churg-Strauss syndrome. Therefore, it may also be suitable for patients with severe asthma.
We studied the effect of IFN-alpha on airway eosinophilia in a guinea pig model of asthma and the expression of adhesion molecules on human eosinophils and vascular endothelial cells.
After antigen challenge, airway hyperresponsiveness and airway eosinophilia were measured in a guinea pig asthma model with or without airway IFN-alpha administration. Expression of adhesion molecules on eosinophils and cultured human umbilical vein endothelial cells (HUVECs) was also evaluated with or without IFN-alpha.
IFN-alpha inhibited eosinophil recruitment into the tracheal wall and improved airway hyperresponsiveness in sensitized guinea pigs. IFN-alpha also significantly suppressed IL-1 beta-induced intercellular adhesion molecule-1 (ICAM-1) expression on HUVECs. However, IFN-alpha did not suppress platelet-activating factor-induced macrophage antigen-1 expression on human eosinophils. IFN-alpha significantly inhibited eosinophil adhesion to IL-1 beta-induced HUVECs and migration through IL-1 beta induced HUVECs.
The findings suggest that the modulation of ICAM-1 in lung with pre-existing inflammation following treatment with IFN-alpha may be a novel and selective treatment for control of chronic airway inflammation and hyperresponsiveness associated with asthma.
哮喘的特征是一种慢性炎症过程,涉及大量炎症细胞和介质,这些细胞和介质对气道具有多种炎症作用。干扰素(IFN)-α被广泛用于治疗慢性丙型肝炎,据报道对患有Churg-Strauss综合征的患者有作用。因此,它可能也适用于重度哮喘患者。
我们研究了IFN-α对哮喘豚鼠模型气道嗜酸性粒细胞增多的影响以及对人嗜酸性粒细胞和血管内皮细胞上黏附分子表达的影响。
在有或无气道给予IFN-α的情况下,在豚鼠哮喘模型中测量抗原激发后的气道高反应性和气道嗜酸性粒细胞增多情况。同时评估有或无IFN-α时嗜酸性粒细胞和培养的人脐静脉内皮细胞(HUVECs)上黏附分子的表达。
IFN-α抑制嗜酸性粒细胞向气管壁的募集,并改善致敏豚鼠的气道高反应性。IFN-α还显著抑制IL-1β诱导的HUVECs上细胞间黏附分子-1(ICAM-1)的表达。然而,IFN-α并未抑制血小板活化因子诱导的人嗜酸性粒细胞上巨噬细胞抗原-1的表达。IFN-α显著抑制嗜酸性粒细胞与IL-1β诱导的HUVECs的黏附以及通过IL-1β诱导的HUVECs的迁移。
这些发现表明,IFN-α治疗后对已有炎症的肺中ICAM-1的调节可能是控制与哮喘相关的慢性气道炎症和高反应性的一种新的选择性治疗方法。