Wex Eva, Kollak Ines, Duechs Matthias J, Naline Emmanuel, Wollin Lutz, Devillier Philippe
Respiratory Diseases Research, Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
UPRES EA 220 and Clinical Research Department, Foch Hospital, University of Versailles Saint-Quentin, Suresnes, France.
Br J Pharmacol. 2015 Jul;172(14):3537-47. doi: 10.1111/bph.13143. Epub 2015 May 12.
β2 -adrenoceptor agonists are widely used in the management of obstructive airway diseases. Besides their bronchodilatory effect, several studies suggest inhibitory effects on various aspects of inflammation. The aim of our study was to determine the efficacy of the long-acting β2 -adrenoceptor agonist olodaterol to inhibit pulmonary inflammation and to elucidate mechanism(s) underlying its anti-inflammatory actions.
Olodaterol was tested in murine and guinea pig models of cigarette smoke- and LPS-induced lung inflammation. Furthermore, effects of olodaterol on the LPS-induced pro-inflammatory mediator release from human parenchymal explants, CD11b adhesion molecule expression on human granulocytes TNF-α release from human whole blood and on the IL-8-induced migration of human peripheral blood neutrophils were investigated.
Olodaterol dose-dependently attenuated cell influx and pro-inflammatory mediator release in murine and guinea pig models of pulmonary inflammation. These anti-inflammatory effects were observed at doses relevant to their bronchodilatory efficacy. Mechanistically, olodaterol attenuated pro-inflammatory mediator release from human parenchymal explants and whole blood and reduced expression of CD11b adhesion molecules on granulocytes, but without direct effects on IL-8-induced neutrophil transwell migration.
This is the first evidence for the anti-inflammatory efficacy of a β2 -adrenoceptor agonist in models of lung inflammation induced by cigarette smoke. The long-acting β2 -adrenoceptor agonist olodaterol attenuated pulmonary inflammation through mechanisms that are separate from direct inhibition of bronchoconstriction. Furthermore, the in vivo data suggest that the anti-inflammatory properties of olodaterol are maintained after repeated dosing for 4 days.
β2肾上腺素能受体激动剂广泛应用于阻塞性气道疾病的治疗。除支气管扩张作用外,多项研究表明其对炎症的各个方面具有抑制作用。我们研究的目的是确定长效β2肾上腺素能受体激动剂奥洛他定抑制肺部炎症的疗效,并阐明其抗炎作用的潜在机制。
在香烟烟雾和脂多糖诱导的小鼠和豚鼠肺部炎症模型中对奥洛他定进行测试。此外,研究了奥洛他定对脂多糖诱导的人实质外植体促炎介质释放、人粒细胞上CD11b黏附分子表达、人全血中TNF-α释放以及对IL-8诱导的人外周血中性粒细胞迁移的影响。
在小鼠和豚鼠肺部炎症模型中,奥洛他定剂量依赖性地减轻细胞浸润和促炎介质释放。在与其支气管扩张疗效相关的剂量下观察到了这些抗炎作用。从机制上讲,奥洛他定可减轻人实质外植体和全血中促炎介质的释放,并降低粒细胞上CD11b黏附分子的表达,但对IL-8诱导的中性粒细胞跨膜迁移无直接影响。
这是β2肾上腺素能受体激动剂在香烟烟雾诱导的肺部炎症模型中具有抗炎疗效的首个证据。长效β2肾上腺素能受体激动剂奥洛他定通过与直接抑制支气管收缩不同的机制减轻肺部炎症。此外,体内数据表明,奥洛他定重复给药4天后仍保持抗炎特性。