Division of Pulmonary Critical Care & Sleep Medicine, College of Medicine, University of Florida, United States; NF/SGVHS, Malcom Randal VA Medical Center, Gainesville, FL, United States.
Division of Pulmonary Critical Care & Sleep Medicine, College of Medicine, University of Florida, United States.
Int Immunopharmacol. 2014 Mar;19(1):153-60. doi: 10.1016/j.intimp.2013.12.029. Epub 2014 Jan 13.
Fluticasone furoate (FF) and mometasone furoate (MF) are potent glucocorticoids recommended for the treatment of allergic rhinitis and other inflammatory diseases. However, whether these drugs render any anti-inflammatory effects in Chronic Obstructive Pulmonary Disease (COPD) is unclear. Emerging data on suppressors of cytokine signaling-3 (SOCS-3) activation in the lungs during inflammation suggests that SOCS3 can be potential targets for regulating pulmonary inflammatory responses in COPD. In this study, we compared the effect of FF with MF on SOCS-3 expression in tobacco smoke (TS) exposed BAEpCs in vitro and in a mouse model of COPD in vivo. BAEpCs were exposed to TS or room air and later were treated with either FF (1nmol-100nmol) or MF (10-500nmol) inhibitors in the presence and absence of Jak1 and Stat-3 inhibitors. C57BL/6 mice were exposed to TS for 6 months, and treated with either FF, MF for 2 and 4 weeks. FF induced 7 fold increases in SOCS-3 expression in BAEpCs whereas MF induced a three fold increase when compared to control. Jak1 and Stat-3 inhibitors significantly inhibited the FF and MF induced SOCS-3 expression in BAEpCs. In addition, FF and MF restored TS inhibited SOCS-3 expression in the airway epithelium of COPD mice. FF and MF treatments significantly reduced leukocyte infiltration in airways and inhibited lung inflammation. Our study elucidates a novel mechanism for the anti-inflammatory action of FF in COPD. The superior efficacy of FF may be in part due to the increased expression of SOCS-3 in BAEpCs.
氟替卡松糠酸酯(FF)和糠酸莫米松(MF)是两种强效的糖皮质激素,推荐用于治疗过敏性鼻炎和其他炎症性疾病。然而,这些药物在慢性阻塞性肺疾病(COPD)中是否具有抗炎作用尚不清楚。关于细胞因子信号转导抑制因子-3(SOCS-3)在肺部炎症中激活的新数据表明,SOCS3 可能是调节 COPD 肺部炎症反应的潜在靶点。在这项研究中,我们比较了 FF 和 MF 对体外烟草烟雾(TS)暴露的人支气管上皮细胞(BAEpC)和体内 COPD 小鼠模型中 SOCS-3 表达的影响。将 BAEpC 暴露于 TS 或室气中,然后在存在和不存在 Jak1 和 Stat-3 抑制剂的情况下用 FF(1nmol-100nmol)或 MF(10-500nmol)抑制剂处理。将 C57BL/6 小鼠暴露于 TS 6 个月,并用 FF、MF 处理 2 和 4 周。与对照组相比,FF 诱导 SOCS-3 在 BAEpC 中的表达增加了 7 倍,而 MF 诱导 SOCS-3 的表达增加了 3 倍。Jak1 和 Stat-3 抑制剂显著抑制了 FF 和 MF 诱导的 BAEpC 中 SOCS-3 的表达。此外,FF 和 MF 恢复了 COPD 小鼠气道上皮中 TS 抑制的 SOCS-3 表达。FF 和 MF 治疗显著减少了气道中的白细胞浸润并抑制了肺部炎症。我们的研究阐明了 FF 在 COPD 中抗炎作用的新机制。FF 的优越疗效可能部分归因于 BAEpC 中 SOCS-3 的表达增加。