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萝卜硫素治疗通过上调气道抗氧化剂和减轻 Th17 免疫应答逆转了混合粒细胞性哮喘小鼠模型中的皮质类固醇耐药性。

Sulforaphane treatment reverses corticosteroid resistance in a mixed granulocytic mouse model of asthma by upregulation of antioxidants and attenuation of Th17 immune responses in the airways.

机构信息

Department of Pharmacology & Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.

Department of Pharmacology & Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.

出版信息

Eur J Pharmacol. 2019 Jul 15;855:276-284. doi: 10.1016/j.ejphar.2019.05.026. Epub 2019 May 14.


DOI:10.1016/j.ejphar.2019.05.026
PMID:31100413
Abstract

Sulforaphane has received considerable attention in recent years due to its antioxidant and anti-inflammatory properties. Its preventive effect in the inhibition of airway inflammation is known; however, whether it affects mixed granulocyte asthma (corticosteroid resistance phenotype) is largely undiscovered. Therefore, we assessed the effect of pharmacological activation of Nrf2, a redox-sensitive transcription factor, using sulforaphane in a mouse model of mixed granulocyte airway inflammation. Mice were sensitized and challenged with cockroach allergen extract (CE), and airway inflammatory parameters and markers of steroid resistance [Nrf2 activity, oxidant-antioxidant balance in airway epithelial cells (AECs)/lung, and IL-17A-related pathway in Th17 cells and dendritic cells (DCs)] were investigated. Our results show that sulforaphane administration reduced neutrophilic airway inflammation, myeloperoxidase (MPO) activity, and Th17 immune responses in a mixed granulocyte mouse model of asthma through Nrf2 activation. On the other hand, corticosteroid treatment decreased Th2/eosinophilic immune responses but had little on Th17/neutrophilic immune responses. However, combined treatment with both almost completely blocked both neutrophilic/eosinophilic and Th17/Th2 immune responses in the lung. Sulforaphane treatment led to induction of antioxidant enzymes (SOD, GPx) in AECs and pulmonary non-enzymatic antioxidants. Further, it led to reduction in inflammatory cytokines (IL-6/IL-23/IL-17A) in Th17 cells/CD11c + DCs during mixed granulocytic inflammation. Collectively, our study presents the evidence that activation of Nrf2 by sulforaphane reduces neutrophilic airway inflammation by upregulation of antioxidants and downregulation of inflammatory cytokines in airways. This is possibly the basis for reversal of corticosteroid resistance in this model. This shows the therapeutic potential of sulforaphane in mixed granulocyte asthma.

摘要

近年来,由于其抗氧化和抗炎特性,萝卜硫素受到了相当多的关注。它在抑制气道炎症方面的预防作用是已知的;然而,它是否影响混合粒细胞性哮喘(皮质类固醇抵抗表型)在很大程度上尚未被发现。因此,我们评估了使用萝卜硫素对 Nrf2(一种氧化还原敏感的转录因子)进行药理学激活对混合粒细胞性气道炎症小鼠模型的影响。用蟑螂过敏原提取物(CE)对小鼠进行致敏和攻击,并研究气道炎症参数和皮质类固醇抵抗标志物[Nrf2 活性、气道上皮细胞(AEC)/肺中的氧化应激-抗氧化平衡和 Th17 细胞和树突状细胞(DC)中的 IL-17A 相关途径]。我们的结果表明,萝卜硫素通过激活 Nrf2 减少了中性粒细胞性气道炎症、髓过氧化物酶(MPO)活性和哮喘混合粒细胞小鼠模型中的 Th17 免疫反应。另一方面,皮质类固醇治疗降低了 Th2/嗜酸性粒细胞免疫反应,但对 Th17/中性粒细胞免疫反应影响较小。然而,联合治疗几乎完全阻断了肺部的中性粒细胞/嗜酸性粒细胞和 Th17/Th2 免疫反应。萝卜硫素处理导致 AEC 和肺中非酶抗氧化剂中的抗氧化酶(SOD、GPx)诱导。此外,它还导致混合粒细胞炎症期间 Th17 细胞/CD11c+DC 中的炎症细胞因子(IL-6/IL-23/IL-17A)减少。总之,我们的研究表明,萝卜硫素通过上调气道中的抗氧化剂和下调炎症细胞因子来减少中性粒细胞性气道炎症,从而激活 Nrf2。这可能是该模型中皮质类固醇抵抗逆转的基础。这表明萝卜硫素在混合粒细胞性哮喘中的治疗潜力。

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