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Published on: July 10, 2018
Importance of p38 mitogen-activated protein kinase pathway in allergic airway remodelling and bronchial
Puneeta Nath1, Sum-Yee Leung, Alison Williams
1National Heart and Lung Institute, Imperial College, Dovehouse Street, London SW3 6LY, UK.
Abstract:
p38 mitogen-activated protein kinase (MAPK) plays an important role in the activation of inflammatory cells and in the proliferation of airway structural cells. We investigated the role of p38 MAPK by using a selective inhibitor of p38 alpha and beta isoforms, SD282, in a chronic model of 15 ovalbumin exposures in sensitised mice using two doses (30 and 90 mg/kg). Allergen exposure induced bronchial hyperresponsiveness to methacholine as measured by the concentration of methacholine needed to increase pulmonary resistance by 200% (PC200), eosinophilia in bronchoalveolar lavage fluid and increase in airway smooth muscle area and goblet cell hyperplasia. In addition, p38 MAPK activity as measured by phosphorylated p38 expression on Western blots was increased after allergen challenge, which was suppressed by SD282 at both doses. SD282 inhibited bronchial hyperresponsiveness, but had no effect on eosinophils in bronchoalveolar lavage fluid. It also reduced airway smooth muscle and goblet cell hyperplasia, but had no effect on serum immunoglobulin E. p38 MAPK is involved in the pathogenesis of bronchial hyperresponsiveness but not in eosinophilic inflammation or the allergic response; however, remodelling features such as airway smooth muscle or goblet cell hyperplasia are regulated through p38 MAPK. Furthermore, bronchial hyperresponsiveness induced by chronic allergen exposure may be related to the development of airway wall remodelling.
Insights
p38 mitogen-activated protein kinase (MAPK) inhibition reduces airway hyperresponsiveness and airway remodeling in a mouse asthma model. However, it does not impact eosinophilic inflammation or allergic responses.
Area of Science:
- Immunology
- Cell Biology
- Respiratory Medicine
Background:
- p38 mitogen-activated protein kinase (MAPK) is implicated in inflammatory cell activation and airway structural cell proliferation.
- Chronic allergen exposure models are crucial for studying asthma pathogenesis and airway remodeling.
- Selective inhibitors offer targeted therapeutic strategies for inflammatory diseases.
Purpose of the Study:
- To investigate the role of p38 MAPK in a chronic asthma model.
- To evaluate the efficacy of a selective p38 alpha and beta isoform inhibitor, SD282.
- To determine the impact of p38 MAPK inhibition on bronchial hyperresponsiveness, inflammation, and airway remodeling.
Main Methods:
- A chronic asthma model was established using 15 ovalbumin exposures in sensitized mice.
- Two doses of the p38 MAPK inhibitor SD282 (30 and 90 mg/kg) were administered.
- Key outcomes measured included bronchial hyperresponsiveness (PC200), bronchoalveolar lavage fluid (BALF) eosinophilia, airway smooth muscle area, goblet cell hyperplasia, and serum immunoglobulin E (IgE).
- p38 MAPK activity was assessed via phosphorylated p38 expression using Western blots.
Main Results:
- Allergen exposure induced bronchial hyperresponsiveness, eosinophilia, airway smooth muscle area increase, and goblet cell hyperplasia.
- p38 MAPK activity was elevated post-allergen challenge and suppressed by SD282 at both doses.
- SD282 treatment inhibited bronchial hyperresponsiveness and reduced airway smooth muscle and goblet cell hyperplasia.
- SD282 did not affect eosinophil counts in BALF, serum IgE levels, or the overall allergic response.
Conclusions:
- p38 MAPK plays a significant role in the pathogenesis of bronchial hyperresponsiveness.
- Airway remodeling features, including smooth muscle and goblet cell hyperplasia, are regulated by p38 MAPK.
- p38 MAPK inhibition is effective in mitigating bronchial hyperresponsiveness and airway remodeling, but not eosinophilic inflammation or allergic sensitization.
- Chronic allergen-induced bronchial hyperresponsiveness may be linked to airway wall remodeling development.
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