Ozawa Chihiro, Horiguchi Michiko, Akita Tomomi, Oiso Yuki, Abe Kaori, Motomura Tomoki, Yamashita Chikamasa
Department of Pharmaceutics and Drug Delivery, Faculty of Pharmaceutical Sciences, Tokyo University of Science.
Biol Pharm Bull. 2016;39(5):778-85. doi: 10.1248/bpb.b15-00909.
Pulmonary emphysema is a disease in which lung alveoli are irreversibly damaged, thus compromising lung function. Our previous study revealed that all-trans-retinoic acid (ATRA) induces the differentiation of human lung alveolar epithelial type 2 progenitor cells and repairs the alveoli of emphysema model mice. ATRA also reportedly has the ability to activate peroxisome proliferator-activated receptor (PPAR) β/δ. A selective PPARβ/δ ligand has been reported to induce the differentiation of human keratinocytes during wound repair. Here, we demonstrate that treatment using a high-affinity PPARβ/δ agonist, GW0742, reverses the lung tissue damage induced by elastase in emphysema-model mice and improves respiratory function. Mice treated with elastase, which collapsed their alveoli, were then treated with either 10% dimethyl sulfoxide (DMSO) in saline (control group) or GW0742 (1.0 mg/kg twice a week) by pulmonary administration. Treatment with GW0742 for 2 weeks increased the in vivo expression of surfactant proteins A and D, which are known alveolar type II epithelial cell markers. GW0742 treatment also shortened the average distance between alveolar walls in the lungs of emphysema model mice, compared with a control group treated with 10% DMSO in saline. Treatment with GW0742 for 3 weeks also improved tissue elastance (cm H2O/mL), as well as the ratio of the forced expiratory volume in the first 0.05 s to the forced vital capacity (FEV 0.05/FVC). In each of these experiments, GW0742 treatment reversed the damage caused by elastase. In conclusion, PPARβ/δ agonists are potential therapeutic agents for pulmonary emphysema.
肺气肿是一种肺泡遭受不可逆损伤从而损害肺功能的疾病。我们之前的研究表明,全反式维甲酸(ATRA)可诱导人肺II型肺泡上皮祖细胞分化,并修复肺气肿模型小鼠的肺泡。据报道,ATRA还具有激活过氧化物酶体增殖物激活受体(PPAR)β/δ的能力。据报道,一种选择性PPARβ/δ配体可在伤口修复过程中诱导人角质形成细胞分化。在此,我们证明,使用高亲和力PPARβ/δ激动剂GW0742进行治疗,可逆转肺气肿模型小鼠中由弹性蛋白酶诱导的肺组织损伤,并改善呼吸功能。用弹性蛋白酶处理使肺泡塌陷的小鼠,随后通过肺部给药,分别用盐水中10%的二甲基亚砜(对照组)或GW0742(1.0 mg/kg,每周两次)进行处理。用GW0742治疗2周可增加表面活性蛋白A和D在体内的表达,这两种蛋白是已知的II型肺泡上皮细胞标志物。与用盐水中10%的二甲基亚砜处理的对照组相比,GW0742治疗还缩短了肺气肿模型小鼠肺中肺泡壁之间的平均距离。用GW0742治疗3周还改善了组织弹性(cm H2O/mL),以及0.05秒用力呼气量与用力肺活量的比值(FEV 0.05/FVC)。在上述每个实验中,GW0742治疗均逆转了弹性蛋白酶造成的损伤。总之,PPARβ/δ激动剂是肺气肿潜在的治疗药物。