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抗炎性磷酸二酯酶抑制剂对慢性肺部炎症小鼠模型的影响。

Impacts of anti-inflammatory phosphodiesterase inhibitors on a murine model of chronic pulmonary inflammation.

机构信息

Department of Emergency Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

出版信息

Pharmacol Res Perspect. 2021 Aug;9(4):e00840. doi: 10.1002/prp2.840.

Abstract

Chronic obstructive pulmonary disease (COPD) often tends to respond poorly to glucocorticoid (GC) therapy. Reduced Histone deacetylase-2 (HDAC-2) activity is an important mechanism behind this GC insensitivity. In this study, we investigated the effects of three phosphodiesterase inhibitors (PDEIs), with an anti-inflammatory propensity, on cigarette smoke (CS)-induced pulmonary inflammation and HDAC-2 activity. Male C57BL/6 mice were exposed to cigarette smoke (CS) over the course of 30 weeks. Administration of the PDEIs commenced from the 29th week and followed a schedule of once daily treatments, 5 days a week, for 2 weeks. Roflumilast (ROF) was administered intragastrically (5 mg·kg ), while pentoxifylline (PTX) (10 mg·kg ) and theophylline (THEO) (10 mg·kg ) were administered intraperitoneally, either alone or in combination with a GC (triamcinolone acetonide or TRI, 5 mg·kg , i.m., single injection). Lung morphometry, as well as the activity of HDAC-2, pro-inflammatory cytokines and reactive oxygen species (ROS) were assessed at the end of the 30-week course. CS exposure was associated with a reduction in HDAC-2 activity and the up-regulation of ROS expression. PTX, ROF, and THEO administration led to the partial restoration of HDAC-2 activity, which was favorably associated with the reduction of ROS expression. However, combining TRI to any of these PDEIs did not synergistically augment HDAC-2 activity. Inactivation of HDAC-2 due to long-term CS exposure is closely related to exaggerated oxidative stress, and this reduced HDAC-2 activity could partially be restored through the use of PDEIs. This finding provides a potential novel approach for further clinical research.

摘要

慢性阻塞性肺疾病(COPD)常对糖皮质激素(GC)治疗反应不佳。HDAC-2 活性降低是 GC 不敏感的重要机制。在这项研究中,我们研究了三种具有抗炎倾向的磷酸二酯酶抑制剂(PDEIs)对香烟烟雾(CS)诱导的肺部炎症和 HDAC-2 活性的影响。雄性 C57BL/6 小鼠接受 CS 暴露 30 周。从第 29 周开始给予 PDEIs 治疗,每周 5 天,每天 1 次,持续 2 周。罗氟司特(ROF)经胃给药(5mg·kg),而己酮可可碱(PTX)(10mg·kg)和茶碱(THEO)(10mg·kg)经腹腔内给药,单独或与 GC(曲安奈德或 TRI,5mg·kg,肌内注射)联合给药。在 30 周疗程结束时评估肺形态计量学以及 HDAC-2、促炎细胞因子和活性氧(ROS)的活性。CS 暴露与 HDAC-2 活性降低和 ROS 表达上调有关。PTX、ROF 和 THEO 给药导致 HDAC-2 活性部分恢复,这与 ROS 表达减少呈正相关。然而,将 TRI 与任何一种 PDEIs 联合使用都不能协同增强 HDAC-2 活性。由于长期 CS 暴露导致的 HDAC-2 失活与过度氧化应激密切相关,通过使用 PDEIs 可部分恢复这种降低的 HDAC-2 活性。这一发现为进一步的临床研究提供了一种潜在的新方法。

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