罗氟司特对人支气管抗炎作用的临床相关性:长效β2受体激动剂的增强作用
Clinical Relevance of the Anti-inflammatory Effects of Roflumilast on Human Bronchus: Potentiation by a Long-Acting Beta-2-Agonist.
作者信息
Salvator Hélène, Buenestado Amparo, Brollo Marion, Naline Emmanuel, Victoni Tatiana, Longchamp Elisabeth, Tenor Hermann, Grassin-Delyle Stanislas, Devillier Philippe
机构信息
Laboratory of Research in Respiratory Pharmacology, V2I - UMR-0092, Université Paris Saclay, Suresnes, France.
Department of Airway Diseases, Hôpital Foch, Suresnes, France.
出版信息
Front Pharmacol. 2020 Dec 8;11:598702. doi: 10.3389/fphar.2020.598702. eCollection 2020.
Roflumilast is an option for treating patients with severe COPD and frequent exacerbations despite optimal therapy with inhaled drugs. The present study focused on whether the phosphodiesterase (PDE) 4 inhibitor roflumilast and its active metabolite roflumilast N-oxide affect the release of tumor necrosis factor (TNF)-α and chemokines by lipopolysaccharide (LPS)-stimulated human bronchial explants. We also investigated the interactions between roflumilast, roflumilast N-oxide and the β-agonist formoterol with regard to cytokine release by the bronchial preparations. Bronchial explants from resected lungs were incubated with roflumilast, roflumilast N-oxide and/or formoterol and then stimulated with LPS. An ELISA was used to measure levels of TNF-α and chemokines in the culture supernatants. At a clinically relevant concentration (1 nM), roflumilast N-oxide and roflumilast consistently reduced the release of TNF-α, CCL2, CCL3, CCL4, CCL5 and CXCL9 (but not CXCL1, CXCL5, CXCL8 and IL-6) from human bronchial explants. Formoterol alone decreased the release of TNF-α, CCL2, and CCL3. The combination of formoterol with roflumilast (1 nM) was more potent than roflumilast alone for inhibiting the LPS-induced release of TNF-α, CCL2, CCL3, CCL4, and CXCL9 by the bronchial explants. At a clinically relevant concentration, roflumilast N-oxide and its parent compound, roflumilast, reduced the LPS-induced production of TNF-α and chemokines involved in monocyte and T-cell recruitment but did not alter the release of chemokines involved in neutrophil recruitment. The combination of formoterol with roflumilast enhanced the individual drugs' anti-inflammatory effects.
罗氟司特是一种用于治疗重度慢性阻塞性肺疾病(COPD)且尽管使用吸入药物进行了最佳治疗仍频繁急性加重的患者的药物。本研究聚焦于磷酸二酯酶(PDE)4抑制剂罗氟司特及其活性代谢物罗氟司特N -氧化物是否会影响脂多糖(LPS)刺激的人支气管外植体中肿瘤坏死因子(TNF)-α和趋化因子的释放。我们还研究了罗氟司特、罗氟司特N -氧化物与β-激动剂福莫特罗在支气管制剂细胞因子释放方面的相互作用。将切除肺脏获得的支气管外植体与罗氟司特、罗氟司特N -氧化物和/或福莫特罗一起孵育,然后用LPS刺激。采用酶联免疫吸附测定(ELISA)法测量培养上清液中TNF-α和趋化因子的水平。在临床相关浓度(1 nM)下,罗氟司特N -氧化物和罗氟司特持续降低人支气管外植体中TNF-α、CCL2、CCL3、CCL4、CCL5和CXCL9(但不包括CXCL1、CXCL5、CXCL8和IL-6)的释放。单独使用福莫特罗可降低TNF-α、CCL2和CCL3的释放。福莫特罗与罗氟司特(1 nM)联合使用在抑制支气管外植体LPS诱导的TNF-α、CCL2、CCL3、CCL4和CXCL9释放方面比单独使用罗氟司特更有效。在临床相关浓度下,罗氟司特N -氧化物及其母体化合物罗氟司特可降低LPS诱导的参与单核细胞和T细胞募集的TNF-α和趋化因子的产生,但不改变参与中性粒细胞募集的趋化因子的释放。福莫特罗与罗氟司特联合使用增强了各药物的抗炎作用。