Liu Chentao, Huang Rong, Yao Rujie, Yang Aimei
Department of Pediatrics, Xiangya Hospital of Central South University, No. 87 Xiangya Road, Changsha, Hunan, 410008, China.
Lung. 2017 Oct;195(5):563-569. doi: 10.1007/s00408-017-0003-8. Epub 2017 May 4.
Asthma is the most common chronic lower respiratory disease in childhood throughout the world. Recurrent respiratory tract infections in young children, especially viral infections, are the major cause of acute asthmatic exacerbations and contribute to development of asthma. Bacterial extracts have been used to improve the immune defenses of the respiratory tract. However, seldom studies have examined the effect of bacterial lysates on childhood asthma. In this study, we examined whether bacterial lysates (OM-85) will improve symptoms of asthmatic mice via modulation of the immune response.
Asthmatic mice models were established with OVA challenge and treated with oral administration of Broncho-Vaxom (OM-85). Next, infiltrations of inflammatory cells including eosinophil and neutrophils were examined. Pulmonary tissues in asthmatic mice models were analyzed by hematoxylin and eosin (HE) staining. The levels of Th1/Th2-typed cytokines in bronchoalveolar lavage fluid (BALF) of asthmatic mice models were examined by enzyme-linked immunosorbent assay.
Compared to control group, we found significant reduction of airway wall thickness, luminal stenosis, and mucus plug formation in asthmatic mice models after oral administration of OM-85. The infiltrations of eosinophil were also significantly decreased in BALF in asthmatic mice models. Oral administration of OM-85 was shown to suppress Th2-type cytokine levels.
Our findings provide evidence that oral administration of OM-85 is capable of attenuating airway inflammation in asthmatic mice models. Oral administration of OM-85 may have a positive impact in terms of asthma severity.
哮喘是全球儿童中最常见的慢性下呼吸道疾病。幼儿反复呼吸道感染,尤其是病毒感染,是急性哮喘发作的主要原因,并促使哮喘的发展。细菌提取物已被用于增强呼吸道的免疫防御。然而,很少有研究探讨细菌裂解物对儿童哮喘的影响。在本研究中,我们检测了细菌裂解物(OM-85)是否会通过调节免疫反应来改善哮喘小鼠的症状。
通过卵清蛋白激发建立哮喘小鼠模型,并用口服支气管疫苗(OM-85)进行治疗。接下来,检测包括嗜酸性粒细胞和中性粒细胞在内的炎症细胞浸润情况。通过苏木精和伊红(HE)染色分析哮喘小鼠模型的肺组织。采用酶联免疫吸附测定法检测哮喘小鼠模型支气管肺泡灌洗液(BALF)中Th1/Th2型细胞因子的水平。
与对照组相比,我们发现口服OM-85后哮喘小鼠模型的气道壁厚度、管腔狭窄和黏液栓形成显著减少。哮喘小鼠模型BALF中的嗜酸性粒细胞浸润也显著减少。口服OM-85可抑制Th2型细胞因子水平。
我们的研究结果提供了证据,表明口服OM-85能够减轻哮喘小鼠模型的气道炎症。口服OM-85可能对哮喘严重程度有积极影响。