Dual effect of AMD3100, a CXCR4 antagonist, on bleomycin-induced lung inflammation

Masaki Watanabe1, Wataru Matsuyama, Yuko Shirahama

  • 1Division of Respiratory Medicine, Respiratory and Stress Care Center, Kagoshima University Hospital, Sakuragaoka 8-35-1, Kagoshima 890-8520, Japan.

Insights

AMD3100, a CXCR4 antagonist, shows dual effects on pulmonary fibrosis. Early administration attenuates inflammation, while late administration exacerbates it, impacting inflammatory cell recruitment and cytokine expression.

Area of Science:

  • Immunology
  • Pulmonary Medicine
  • Pharmacology

Background:

  • Chemokine receptor CXCR4 (CXCR4) and its ligand stromal cell-derived factor 1 (SDF-1) mediate inflammatory cell chemotaxis.
  • AMD3100, a CXCR4 antagonist, is a potential therapeutic agent for CXCR4-related disorders.
  • The therapeutic role of AMD3100 in pulmonary fibrosis remains largely unexplored.

Purpose of the Study:

  • To investigate the therapeutic potential of AMD3100 in a murine model of bleomycin-induced pulmonary fibrosis.
  • To elucidate the mechanisms underlying AMD3100's effects on lung inflammation and fibrosis progression.

Main Methods:

  • Establishment of a bleomycin-induced pulmonary fibrosis model in mice.
  • Administration of AMD3100 concurrently with or after bleomycin treatment.
  • Assessment of inflammatory cell infiltration, cytokine expression (MCP-1, MIP-2, MIP-1alpha, TGF-beta), and p44/42 MAPK activation.
  • Use of U0126, a p44/42 MAPK inhibitor, to confirm pathway involvement.

Main Results:

  • Concurrent AMD3100 and bleomycin treatment attenuated lung inflammation by inhibiting neutrophil and other inflammatory cell recruitment.
  • This early AMD3100 administration also reduced the expression of key pro-inflammatory cytokines.
  • Conversely, post-bleomycin AMD3100 administration exacerbated pulmonary fibrosis, increasing inflammatory cell infiltration, cytokine levels, and p44/42 MAPK activation in neutrophils.
  • Inhibition of p44/42 MAPK with U0126 reversed the detrimental effects of late AMD3100 administration.

Conclusions:

  • AMD3100 exhibits a dual effect on bleomycin-induced pulmonary fibrosis, dependent on the timing of administration.
  • Early intervention with AMD3100 demonstrates anti-inflammatory and protective effects.
  • Late intervention exacerbates fibrosis, potentially through modulation of inflammatory cell recruitment and p44/42 MAPK signaling pathways.

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