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.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/427f/7754640/066f33f5e0ed/fphar-11-598702-g001.jpg

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