Kim S W, Kim J H, Park C K, Kim T J, Lee S Y, Kim Y K, Kwon S S, Rhee C K, Yoon H K
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Clin Exp Allergy. 2016 May;46(5):754-63. doi: 10.1111/cea.12670.
BACKGROUND: Airway remodelling is associated with irreversible, or partially reversible, airflow obstruction and ultimately unresponsiveness to asthma therapies such as corticosteroids. Roflumilast is a selective phosphodiesterase-4 inhibitor that has an anti-inflammatory effect in chronic obstructive pulmonary disease (COPD). OBJECTIVE: The objective of this study was to study the effect of roflumilast on airway inflammation and remodelling in a murine model of chronic asthma. METHODS: BALB/c mice sensitized to ovalbumin (OVA) were chronically exposed to intranasal OVA administration twice a week for additional 3 months. Roflumilast was administered orally during the intranasal OVA challenge. A lung fibroblast cell line was used in the proliferation assay. RESULTS: Compared with control mice, mice chronically exposed to OVA developed eosinophilic airway inflammation, airway hyper-responsiveness (AHR), and exhibited features of airway remodelling. Administration of roflumilast significantly inhibited airway inflammation and AHR. Roflumilast also significantly decreased goblet cell hyperplasia and pulmonary fibrosis, which are parameters of airway remodelling. The levels of interleukin (IL)-4, IL-5, and IL-13 in the bronchoalveolar lavage (BAL) fluids were significantly lower in the roflumilast group. In vitro, roflumilast significantly inhibited stem cell factor (SCF)-induced cell proliferation of fibroblasts. The SCF concentration and mRNA expression in a murine model also significantly decreased with roflumilast treatment. CONCLUSIONS: These results suggest that the administration of roflumilast regulates airway inflammation, AHR, and airway remodelling in a model of chronic asthma. The beneficial effects from roflumilast may be related to the SCF/c-kit pathway.
背景:气道重塑与不可逆或部分可逆的气流阻塞相关,最终导致对皮质类固醇等哮喘治疗药物无反应。罗氟司特是一种选择性磷酸二酯酶-4抑制剂,在慢性阻塞性肺疾病(COPD)中具有抗炎作用。 目的:本研究旨在探讨罗氟司特对慢性哮喘小鼠模型气道炎症和重塑的影响。 方法:对卵清蛋白(OVA)致敏的BALB/c小鼠每周两次经鼻给予OVA,持续3个月。在经鼻给予OVA激发期间口服罗氟司特。增殖试验中使用肺成纤维细胞系。 结果:与对照小鼠相比,长期暴露于OVA的小鼠出现嗜酸性气道炎症、气道高反应性(AHR),并表现出气道重塑特征。给予罗氟司特可显著抑制气道炎症和AHR。罗氟司特还显著降低杯状细胞增生和肺纤维化,这是气道重塑的指标。罗氟司特组支气管肺泡灌洗(BAL)液中白细胞介素(IL)-4、IL-5和IL-13水平显著降低。在体外,罗氟司特显著抑制干细胞因子(SCF)诱导的成纤维细胞增殖。罗氟司特治疗后,小鼠模型中的SCF浓度和mRNA表达也显著降低。 结论:这些结果表明,在慢性哮喘模型中,给予罗氟司特可调节气道炎症、AHR和气道重塑。罗氟司特的有益作用可能与SCF/c-kit途径有关。
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