Immunoregulation Unit, Laboratory of Applied Toxinology (CeTICs/FAPESP), Butantan Institute, São Paulo 05503900, Brazil.
Cells. 2023 Mar 17;12(6):924. doi: 10.3390/cells12060924.
Asthma is the most common chronic lung disease, with increasing morbidity and mortality worldwide. Accumulation of peribronchial leukocytes is the hallmark of asthma, in particular, eosinophils, which have been reported as the primary cell associated with the induction of airway hyperresponsiveness. Continued exacerbation and accumulation of other leukocytes, such as neutrophils, Th1, and Th17 cells correlate with many of the long-term effects of asthma, such as airway remodeling. We have patented the P family of synthetic cyclic peptides, which is in the preclinical phase of developmental studies for chronic inflammatory diseases. The aim of this work was to investigate whether P could show anti-inflammatory activity in a murine model of asthma that includes a mixed phenotype of eosinophilic and neutrophilic inflammation. For this, Balb/c mice, sensitized with OVA and exposed to 1% challenge with OVA aerosol, were submitted to prophylactic treatment, receiving P at 0.3 mg/kg orally, 1 h before each challenge. We found that sensitized mice challenged with OVA and treated with P showed no airway hyperreactivity or lung remodeling. P acts systemically in secondary lymphoid organs and locally in the lung, inhibiting the production of Th2/Th17 cytokines. Furthermore, P prevented the infiltration of eosinophils and neutrophils in the BAL and lung tissue, inhibited the production of IgE/IgG1, prevented hyperplasia of mucus-producing cells, and decreased the thickening and deposition of sub-epithelial collagen. Our results showed P as a candidate molecule for the treatment of airway remodeling associated with inflammatory diseases, such as asthma.
哮喘是最常见的慢性肺部疾病,在全球范围内发病率和死亡率不断上升。支气管周围白细胞的积累是哮喘的标志,特别是嗜酸性粒细胞,已被报道为与气道高反应性诱导相关的主要细胞。持续的恶化和其他白细胞(如中性粒细胞、Th1 和 Th17 细胞)的积累与哮喘的许多长期影响相关,如气道重塑。我们已经获得了 P 家族合成环状肽的专利,目前处于用于慢性炎症性疾病的开发研究的临床前阶段。这项工作的目的是研究 P 是否可以在一种包括嗜酸性粒细胞和中性粒细胞炎症混合表型的哮喘小鼠模型中显示抗炎活性。为此,我们用 OVA 致敏 Balb/c 小鼠,并暴露于 1%OVA 气溶胶挑战,然后进行预防性治疗,在每次挑战前 1 小时口服给予 P(0.3mg/kg)。我们发现,用 OVA 致敏并接受 P 治疗的小鼠没有出现气道高反应性或肺重塑。P 在次级淋巴器官中全身作用,并在肺部局部作用,抑制 Th2/Th17 细胞因子的产生。此外,P 阻止嗜酸性粒细胞和中性粒细胞在 BAL 和肺组织中的浸润,抑制 IgE/IgG1 的产生,防止粘液细胞增生,并减少亚上皮胶原的增厚和沉积。我们的结果表明 P 是一种治疗与哮喘等炎症性疾病相关的气道重塑的候选分子。